How can I treat fat necrosis and indent from fall? (Photos)

Question

I fell 6 months ago down some stairs, I had a really bad hematoma which now that has subsided and I’m left with a thin layer of fat necrious and a indent below on my right cheek I wanna know what I should do for this area and hopefully get my body looking and feeling normal again.

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

There are currently only two FDA approved surgical options for augmenting the buttock area:  1) Buttock Implants (which are soft semi-solid silicone rubber implants that cannot rupture &/or leak) and 2) Brazilian Butt Lift (aka BBL) - which utilizes the patients own fat from liposuction then transfers this fat into the buttock. On the other hand, BBL using fillers such as hyaluronic acids, Sculptra, etc… is a dangerous, guaranteed waste of money, and is NOT FDA approved.

So what it comes down to, like any surgery, is proper patient selection and long-term results. What you have is not that uncommon. However, because the indented area is a result of fat loss and scar tissue adhesion between the skin and the gluteus muscle, fat tends to survive rather poorly in this scarred tissue bed. Therefore, buttock implants provide the only guarantee for a sustained permanent result and tend to be ideal for perking up not only lean or deflated buttocks but also providing substantial projection to a buttock defect like yours.

Please note that an extremely few number of board certified plastic surgeons specialize in buttock or hip implants, so you may need to travel far and away from home to find this particular surgeon.  Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

Daniel Barrett, MD · Answer

Dear emluv444,

it is hard to tell for sure without an examination. Based on your photos, it looks like you would need fat transfer. If you are considering surgery, I would suggest you 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

How can I treat fat necrosis and indent from fall? (Photos)

Answers (2)

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