I have a big hole like in my butt cheek after a steroid injection that dissolved the fat. What can be done? (photos)

Question

Hi got a steroids shot about 7 months ago. Now it has 8 up the fat in my butt. Clear to the bone. What can be done?

Luis A. Vinas, MD · Answer

Similar to the responses, I think fat grafting is your best option. Although instead of just injecting fat into the defected area, there is a cannula that can be used to first separate and release the scar tissue from the underlying structures. It will allow the fat to survive better by making space instead of just injecting it under all pressure if the scarred area. I would be sure to choose a Board certified Plastic Surgeon who is familiar with fat grafting. I do multiple fat grafting procedures every week for my breast reconstruction patients. Good luck!

Austin Hayes, MD · Answer

I'm sorry to hear about this issue. I do not think that it can be corrected completely, but a series of fat grafting may improve it significantly. He would likely need several rounds of fat grafting performed at different times. I would consider an in person visit with a board-certified plastic surgeon.

Ryan A. Stanton, MD · Answer

This indeed is an unfortunate consequence of either high dose corticosteroid injections or the injection been given into the fat layer instead of more appropriately into the muscle layer.  If the fat loss has finally stabilized then it is a good time to start reconstructing the defect. Probably your best option for this relatively small area would be fat grafting. Note that kt may take two or three sessions to get you back to about normal. Glad to be of help.

Daniel Barrett, MD · Answer

Dear Energetic373,
it is hard to tell for sure, but this can be improved with fat transfer. You will most likely need several rounds of fat grafting in order to get better results. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a good candidate for liposuction and fat transfer, to even and improve your buttocks, and I think you'll get very good results.
l recommend you to make an in-person consultation with a board certified plastic surgeon for a proper answer and to talk about your goals and anything you need to know.
Good luck :)

Scott W. Vann, MD, FACS · Answer

I am so sorry to see you with this result. I think this will be difficult to resolve, but could be improved a lot by having a series of fat grafts to replace the fat destroyed. I do think it will take being done at least 2-3 times to build fat back over time.Discuss with a plastic surgeon who does a lot of fat grafting work. Good luck.

I have a big hole like in my butt cheek after a steroid injection that dissolved the fat. What can be done? (photos)

Answers (6)

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