Deep dent on both butt cheeks, what should I do? (Was born with dent) (photos)

Because there is likely significant scar tissue adhesions underneath the dents and because fat grafting tends to survive quite poorly in this particular area, buttock and/or hip dip implants are likely your only permanent solution. However, please keep in mind that a physical exam is always first necessary before providing any final surgical recommendations. Please keep in mind that an extremely few number of Board certified plastic surgeons specialize in buttock/hip implants, so you may have to travel far and away from home to find this particular surgeon. Glad to be of help.

Dear Jenitota,
it is hard to tell for sure without an examination. Based on your photos, it looks like fat transfer would be a good option. 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

A fat transfer with release of the "dent" may help. An in person assessment is the best way to find out.

I think your best approach for treating the indentations is to have them excised. The contracted tissue is not going to release by adding volume. When contour irregularities occurs by connective tissue bands like in cellulite and sometimes cutting those bands can be sufficient. That may work in your case in conjunction with adding fat to transfer at the same time.

Expect different surgeons to have different opinions on this. Simply adding volume alone is not going to work just like you found out through weight gain.

I suggest counseling with several local board-certified plastic surgeons.

Best,

Mats Hagstrom MD