Will Fat Injections Help Fix a Dent on my Leg? (photo)

Question

Hi I have a dent on my right leg, I always it was cellulite but someone said maybe I hit myself somehow and left a dent. I had it ever since I can remember. I healthy super healthy and do strength training 6 times a week, the little cellulite I had on my other leg is gone my this dent just doesn't look any different. Is it cellulite or damaged muscle/tissue? And could it be fixed? How much would it cost me?

Robert F. Centeno, MD, FACS · Answer

Some patients can develop fat atrophy in an isolated area such as your situation from either steroid injections, trauma, or an inflammatory condition called panniculitis. Treatment can involve the use of fat transfer with scar release.  You would be a good candidate, but may require at least two treatments to achieve a good result. This procedure can typically be performed in the office under local anesthesia which reduces the cost substantially. Visit our website for pricing information. Best wishes.

Kenneth Hughes, MD · Answer

I perform hundreds of liposuction procedures and fat transfers to defects each year. This is probably the best treatment for your area of concern. Find a plastic surgeon who performs hundreds of liposuction and fat grafting procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Gregory T. Lynam, MD · Answer

Yes , this would be the most reasonable procedure. Evaluation with motion may show bands that require cutting with a "pickle fork" instrument which often has ability to fat graft as well. Can do this procedure in the office under local anesthesia. As said elsewhere often 2 or 3 sessions are needed to complete the job and i usually wait at least 3 months between sessions. Good Luck!

David Shafer, MD, FACS · Answer

Yes, in most cases, fat injections can help smooth dents in other places in the body.  In most cases, the dents can be made less deep and less obvious.  Fat is harvested through a mini liposuction technique.  The fat cells are then purified in a centrifuge and injected in the area of the dent.  

	 

	Good Luck.

A. David Rahimi, MD · Answer

Dear patient, It is difficult to make a full evaluation with just one photo. I believe that there is a small possibility that you have a skin condition called Morphea. It is not dangerous but you should see a Dermatologist for a full evaluation and treatment. Trauma can cause dents but this would be a very un-usual place for you to get trauma that caused fat necrosis and not remember the event. Fat atrophy from trauma also does not cause the discoloration that I see in the photo. Is the skin a little hard to touch? Once you have ruled out Morphea we can start addressing the dent. Fat transfer with PRP is a great way to fix the problem. Downtime is minimal (2-3 days) and cost is about $1500

Norman Bakshandeh Day, MD, FACS · Answer

this can be improved with a combination of liposuction and fat grafting. Harvesting the fat with proper technique is important for graft survival

Barry L. Eppley, MD, DMD · Answer

Fat grafting would be your only option to treat the leg defect. Most likely the leg defect is due to loss of subcutaneous fat. Releasing the skin over the defect and filling it in with fat injections offers the simplest and most effective approach.

Samir Shureih, MD · Answer

Your only option is fat transfer, and release  of demal septae pulling on the skin and filling with fat. it may require more than one session to correct.

Gregory Park, MD - Account Suspended · Answer

Contour irregularities or "dents" as seen on your thigh can be improved by transferring fat harvested from one or more areas of your body to the area of concern. The costs will vary based on your geographic location and the use of local or general anesthesia. Thank you for sharing your photo and concerns. Best wishes.

Robert T. Buchanan, MD (retired) · Answer

Contour deformities from loss of fat as you appear to have can be caused by a number of things. Since you also appear to have some pigmentary abnormality, yours was probably caused by trauma. The discoloration is residual blood pigment. The only real treatment is fat grafting and release of any scar holding it depressed. This is relatively easy but may take two sessions to get an optimal result.

Will Fat Injections Help Fix a Dent on my Leg? (photo)

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