What procedures can I have done to fix my lower stomach dent? (Photo)

Question

Ever since I can remember I’ve had this dent/squiggle in my lower stomach. Even at 19/20% body fat, it does not seem to lessen or go away. This dent really effects the overall aesthetic of my tummy. I’m 27 and I’ve never had kids. What procedures can I have done to fix it? Or is it something I’ll just have to deal with?

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. I would recomend you to get a Liposuction for better results. If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for.

Jason Emer, MD · Answer

if you have loose skin you would need tummy tuck with liposuction, skin heating can be tried like renuvion. indentations alone could be injected with fillers and skin tightened with trusculpt ID/FLEX.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear k2021x,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from fat transfer. 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

Connie Hiers, MD, FACS · Answer

A small fat graft would probably take care of the problem. You could also try a filler for something temporary to see if you want to try fat. If there is excess fat area the area, that could also be removed to help smooth the area out better.

Mats Hagstrom, MD (license on probation) · Answer

The indentation on your lower abdomen either represents a lack of fat or connective tissue that’s tethering the skin.

If it’s simply a lack of fat and fat transfer or the use of fillers should restore the volume. If the area has connective tissue that’s pulling in on the skin or tethering the area similar to a tufted piece of furniture then substation or cutting those connective tissue bands will be required in addition to restoring volume with either fat transfer or filler.
Adding a significant amount of fat with fat transfer in a small volume may require a few rounds or doing the procedure more than once.
You may have different plastic surgeons who have different views on this and your best option is to have a few in person consultations to see what each of them have to say.

Best,

Mats Hagstrom MD

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and you appear to be an excellent candidate for fat transfer to the area. So go on some complimentary consultations with experts and compare recommendations after a full examination

Dr Corbin

Dr Corbin

Robert T. Buchanan, MD (retired) · Answer

You have a localized area of volume deficit in the fatty layer. This is usually corrected permanently with fat grafting, although some of the newer HA fillers could also correct it, though less permanently. Because of blood supply problems, it may take 2 sessions of fat grafting. Make sure whoever you see is an expert in fat grafting and fillers with significant experience.

What procedures can I have done to fix my lower stomach dent? (Photo)

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