What can I do about the discoloration on buttocks 8 months after a fat transfer? (Photos)

hello thank you for your question and provided information as well.. based in your question and the picture you showed its recommended if the specialyst like dermatologyst can check this area..

Thank you for your question.
The discoloration is most likely from the remnants of blood (Red Blood Cells). You may also have had some pigmentation from sun exposure. You can get relief with lasers and some topical creams. Please discuss this with your plastic surgeon who can help you with your concerns. All The Best !

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.
Without a proper in person assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment.
I hope that helps!  Best of Luck!
Matthew J. Nykiel, MD
#CoreAesthetic
Butt Augmentation Specialist
Liposuction Specialist
Board Certified Plastic Surgeon

Dear shelliewalker08,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for writing,As many of my peers have said, the discolouration is staining from iron deposits in the skin, from damaged red blood cells, as well as stimulated sun tanning cells (melanin). Bleaching creams will help the pigment from melanin, but won’t help the pigment from iron. Time in association with bleaching creams seem to be your best options at this point. You could seek a second opinion from a dermatologist. Good Luck Stephen M. Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery
Member: American Society of Plastic Surgeons
Member: RealSelf Hall of Fame 

Buttock discoloration after fat transfer is often due to staining from the bruising after the surgery. You may have left over iron deposits in the skin after the blood was dissolved. This can be improved with topical bleaching cream or with laser therapy. It is important to have an in-office evaluation to determne the best treatment as some skin types can get worse with the wrong treatment. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Hi, this is probably due to hemosiderin. Essentially you can think of it as bruising that has lasted much longer than it is supposed to. You can try skin lightening creams and agents to help improve the appearance. Hope this helps.

Thanks for your question about BBL.  In cases where liposuction and or fat transfer are performed it is possible for discoloration on the skin to appear and hang around.  After about 3-6 months most of this goes away but you still have some discoloration.  The hydroquinone cream is a option to lighten the darkened areas and you could also try some pulsed light treatments. 

Hyperpigmentation after BBL results from hemosiderin deposit; at this point you should try hydroquinone 4% topically in an attempt to bleach you skin.

there are a few different reasons people can get discoloration after surgical procedures. One is hyper pigmentation as part of the healing process the other is hemosiderin deposits. To me this looks more like hemosiderin deposits which typically happen if patients develop a lot of bruising it is the iron in hemoglobin that pigments the tissues. If you had a lot of bruising after the procedure then this is more likely to be hemosiderin deposits.  Hyper pigmentation is much more common when skin injuries or skin the incisions are involved like with open surgery  Time is usually your best ally but some hemosiderin deposits can persist for more than a year and some can be permanent. Sometimes laser treatments can help  It would be helpful to have more information. Specifically how much bruising did you have after the procedure, when did the discoloration starch, what did your skin look like early after the procedure etc.   Based on the lack of responses I think you get an idea that this is not an easy question to answer. You can repost with a detailed description of the timeline of events or contact me directly if you would like and I will try to help answer your question the best I can. Best, Mats Hagstrom M.D.