What’s the best option for my the dents and scar on my butt? (photos)

It sounds as though may have been misguided or misinformed about the potential for buttock implants. Despite a patient being very lean, even skinny, a properly selected buttock implant size and shape as well as it being properly placed and positioned within the gluteus muscles (i.e. “intramuscular pocket”) by a reputable buttock implant specialist often results in a very satisfactory, realistic, and seamless buttock contour. On the other hand, this same patient is a sure set up for failure with fat transfer, especially if added projection is desired. . Please note that an extremely few number of board certified plastic surgeons specialize in buttock implants so you may need to travel far and away from home to find this particular surgeon. Glad to help.

Hello, thank you for your question. Fat can be transferred to this area, or butt implants can be an option as well. A physical examination is required, I recommend you to schedule a consultation with a board certified plastic surgeon to determine what procedure is best for you.

Dear kikibear23,
it is hard to tell for sure without an examination. Generally speaking, fat transfer is the best option. However, if you don't have extra fat then you can try fillers. If you are considering a treatment, 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

Hi. Thanks for the photos. It is a difficult problem to fix but it can be improved. I would recommend either excising the dent and reclosing in such a way that the tissue would not dip downward. This can only be done on the two large ones. Another option is percutaneously releasing the skin from the scar tissue and placing a tiny but of fat graft. Usually I can get 5cc of fat from the flank on even a very thin women. In summary, no easy fix but there are a few small procedures worth trying.

Buttock implants may help this issue. An in person consultation will be necessary to determine exactly what needs to be done. Please be sure to choose a board certified plastic surgeon who specializes in this procedure and is well known in the medical community.

It would be helpful to have a bit more history about these indentations. Where there trauma in these areas? Childhood injections? Previous infections? Were you born with this?

Do you have cellulite and other parts of your body?

Most likely they represent either connective tissue bands or scar tissue bands that are pulling down on the skin. The best way to correct this is to release the bands that are in denting the skin. sometimes small amounts of volume with either fillers or very low volume fat transfer can be done simultaneously.

The name of the procedure is usually called Subsicion . It is sometimes done with a device called Celfina.

These can be tricky but some improvement can probably be obtained.

Simply trying to fill these up with either fat or filler without releasing contractile tissue is probably not going to work.

I suggest having multiple in person consultations with local board-certified plastic surgeons.

Best,

Mats Hagstrom MD