Butt dents from sitting and darker skin. What can be done? (photos)

Because this is an area where fat has melted away, you would think that fat grafting to the area would fix the problem. However fat grafting survives very poorly in this area and it’s unlikely to last much longer than 3 to 6 months. An in person physical exam would be very helpful in determining whether any tethering ligament release in this area +/- buttock implants could be the best solution. Glad to be of help.

Your area of concern is a bit unusual and honestly this is the first time I’ve seen this scenario

It’s not unusual for the pressure points on the buttocks to have a flat spot because that area has a lot of connective tissue that limits the distance between the skin and underlying fascia.

I suggest talking to a few dermatologist about the hyperpigmentation.

Hyperpigmentation can be formed for different reasons in regards to physiology.

If this is an excessive release of melanin from melanocytes then skin bleaching cream is like hydroquinone can work well.

Getting a very accurate history of how this looked overtime would be helpful in understanding the mechanism for the process. Also understanding with your lifestyle is in regards to how many hours you spend seated per day etc. Surfaces that you sit on or any history of trauma would be important.

I would relying on the input of a medical dermatologist for the hyperpigmentation.

It may be challenging to restore the volume but it can probably be done to some degree.

Personally I don’t think gluteal implants is the way to do that.

It would be nice if you re-post if you’re able to obtain treatment or a better understanding for us to see how things turn out.

Best,

Mats Hagstrom MD