Indent under buttock: I cannot get rid of this indent. (photo)

I workout 3-4 times a week-I am 5'8 115lbs and I cannot get rid of this indent under my one thigh. I get embarrassed to wear bikinis and shorts because it looks like cellulite. What can I do to get rid of this? Cellfina? Fillers? The rest of my thighs appear to be smooth except for this one indent--even when I wear tight pants sometimes you can see it--HELP!!

Doctor Answers 8

You have two choices to correct your "divot".

Correction of this localized thigh dent is fairly straightforward. I have had success with either releasing the septal bands with Cellfina or filling the deficit with a fat graft. I would suggest you get pricing for both options as well as a clear description of the procedures. Either one should be a fairly rapid recovery with god results.

Saint Petersburg Plastic Surgeon
4.6 out of 5 stars 14 reviews

Banana Roll

Due to the location of this dimple, I would seek an in person consultation by a provider who is competent in Cellfina treatment.  We are cautious when treating the area under the gluteal crease, often referred to as the "banana roll" because releasing tissue there can create a pouch and actually cause the contour to worsen.  It is difficult to determine location due to the angle of your photo, but if dimples are far enough away from a banana roll we can sometimes do a partial release where only part of the fiber band is cut to release some tension and improve contour. I recommend an in person consultation and be cautious of pursuing treatment in that area. 

M. Bradley Calobrace, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 39 reviews

Cellfina treatment

Perhaps the least invasive one is  Cellfina™. Cellfina is the only FDA-cleared minimally invasive, one-time procedure clinically proven to improve the appearance of cellulite for at least two years—the longest FDA-cleared duration for a cellulite treatment. A straightforward solution to cellulite, Cellfina™, combines a proven approach with innovative, proprietary technology, to produce precise, long-lasting results and has a high satisfaction rating on RealSelf. Together with Velashape 3, a non invasive procedure to help "shrink wrap the skin" and further minimize cellulite as a combination treatment is perhaps your best chance for taking care of this tough problem.I

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Indent under the buttock

This area can be a tricky one to treat. Best advice is to obtain a consultation with a board certified plastic surgeon in your area for an evaluation and discussion of treatment options including Cellfina in detail.

Cellulite -- Vaser Smooth, ThermiRF, Cellfina, Fat Transfer, Subcision

Treating this with cellfina can cause the buttock to drop this is often because of loose skin that needs to be lifted or filled with volume like fat, fillers or a buttock implant.  Please see an expert for a consultation.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 159 reviews

Smoothing indents around buttock.

Unfortunately, this photo makes it impossible to understand whether this indentation is caused by a septa from a spot of cellulite or an indent from fat loss. Congratulations on your discipline to live a healthy life style with great nutrition and exercise. The best way for me to better understand what can be done,  is through an in depth consultation and examination. I have been doing Cellfina since January, and I have been extremely impressed with the results from releasing septa at the indentations, large and small, along the buttock and thighs. The good news is the procedure is very easy. You drive to the office, I mark the indentation, then I lay you down, I administer the local anesthesia and release the septa that is causing the indentation. Obviously, if I do not believe it can be released, I would not offer this procedure to you. Good Luck 

Laurie A. Casas, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Contour around buttock

Thank you for your post. I'm sorry that is so frustrating to you, and this is not an uncommon complaint from women. The area just under each buttock crease is sometimes called, "the banana roll." Cellfina is a simple procedure designed to deal w/ cellulite dimpling on the buttocks and posterior thighs, but during the studies they found that treating dimpling within the banana roll can lead to an unattractive bulging of this fat compartment. So, I would not suggest Cellfina for this site on you. Fat grafting may be a better choice for you. I'd suggest meeting w/ a trusted plastic surgeon near you. Best wishes.

Paul J. Leahy, MD
Leawood Plastic Surgeon
5.0 out of 5 stars 6 reviews

Indent under buttock: I cannot get rid of this indent

Based on the one photo, I think that you would be an excellent candidate for Cellfina. Cellulite can be a round dimple, or it can be a more linear depression, which is what you appear to have in the photo. Good luck!

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.