Is there a way to fix this without a BBL or injections? (Photo)

Question

Looks as if ai clinched my cheeks my whole life and I probably did. Can this be fixed with out surgury?

George Marosan, MD · Answer

Thank you for your question and photos. The short answer to fix this non-surgically, is no. First of all, this is a very difficult area to fix even with surgery. Anatomically, there is a fibrous band that divides this medial fat pocket into two. The "clinched " part is the fat that is being pushed toward the lower part of the buttock crack. This tends to be very fibrous fat. One can attempt to liposuction this to create more of a curve and separation of the lower buttocks inferiorly. If this does not work, one might consider Dr. Mendieta's Miami thong lift to deal with this difficult anatomic area. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Semih Yildiz, MD, FEPOBRAS · Answer

The photos were reviewed and show shallow lower/outer buttock depressions with some skin texture and a defined gluteal crease; photos alone cannot tell whether this is mainly natural anatomy, cellulite-type tethering, muscle tone, or a small volume deficit. Chronic glute clenching can contribute to tightness and posture patterns, but it usually does not permanently reshape the buttocks by itself.

If you want to avoid a BBL and injections, the options are limited but not zero. Glute-focused strength training, hip mobility work, and physical therapy can help if you habitually clench, have pelvic floor tension, or have underactive glute muscles. These can improve tone and shape gradually, but they will not release a true tethered dimple or fill a hollow the way fat grafting or filler would.

For dents caused by fibrous bands or cellulite, treatments such as subcision, radiofrequency, or cellulite devices may soften the contour, but the improvement is usually modest and sometimes works best when combined with filler or fat. Liposuction alone is usually not the answer for this type of indentation and can make depressions look worse if volume is removed around them. I would see a board-certified plastic surgeon or dermatologist who treats cellulite and gluteal contouring so they can examine the area standing, flexing, and relaxed, then tell you whether this is a muscle/tension issue, cellulite tethering, or a volume issue.

Daniel Barrett, MD · Answer

Dear ___jo_jo___,
it is hard to tell for sure without an examination. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Mustafa Aydinol, MD - Account Suspended · Answer

There are injectable solutions for fat removal but they might not work in one session. I believe it would be easier to correct this problem with liposuction in one session.

Is there a way to fix this without a BBL or injections? (Photo)

Answers (4)

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