Fixing butt dent/contour from fall. What procedures can be done to help with this?

Question

Hi! I fell a few years ago on a metal ledge and damaged my butt. I ended up with a slight divot across the midline, more-so the left cheek. What procedures can be done to help with this? I feel like it's made my butt sag & and I've lost the nice projection I had previously. I even feel like it's a dead spot and get a sore sensation in the area occasionally. Looking for safe procedures and recommendations for doctors. Willing to travel.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what procedures will help smooth out the dents in your buttocks. First of all, I'm sorry to hear about your fall. Sounds like a terrible accident.

By examining your photos, the dents look like they can be corrected with fat transfer. The issue then becomes where to find the fat on your body. You don't seem to have too much fat of the abdomen and back. However, I don't think filling these dents in would take too much fat. You could consider VASER liposuction of the abdomen, back, and arms to give you a toned look, and then the suctioned fat will be washed with antibiotics and transferred into the dents. If you choose this option and would like to have more buttock projection, a doctor may suggest that you gain 10-20 lbs.

Sculptra is an FDA-approved injection that promotes collagen growth. However, it's quite pricey and will likely take multiple treatments. There's also a risk that the specific buttock dents will not be properly targeted. Therefore, I recommend VASER liposuction with fat transfer. I do a lot of reconstruction + BBL after silicone removal and that includes filling the dents in the buttocks. I'll attach my photo gallery so you can see how this approach looks.

I hope this helps. Please seek an experienced board-certified plastic surgeon. I wish you the best of luck.

Sincerely,
Dr. Katzen

Ryan A. Stanton, MD · Answer

Without fully repeating other answers, scar band release and fat transfer is a reasonable option for most dents in and around the face and body. However, this area tends to be quite resistant to this technique. So if tried and failed, i have actually had the best success popping out dents of all sorts using buttock implants. The only caveat is, you must be willing to also augment your entire buttock a small to moderate amount during this process.  Please note, an extremely few number of board certified plastic surgeons specialize in buttock implants, so you may need to travel far and away from home to find this particular surgeon.  Glad to help.

Jennifer Reichel, MD · Answer

Hi.  My recommendation to fix the indentation caused by your fall is a fat transfer.  I have had really good success with this in previous patients. I usually take ("harvest") the fat from the abdomen (best fat for transfers). 
With my fat transfers, I will do the first transfer at the time of the fat harvest. This is when there are the most live fat cells for a true graft. We then store the fat in a regulated freezer system to be used for as many transfers as you want in that time period. Most patients do a series of 3 to 4 transfers. I've seen it stay in place for at least 10 years - for traumatic indentations.

Randal Haworth, MD, FACS · Answer

I would recommend considering a fat transfer procedure for the dents on your buttocks, as it may potentially offer benefits. However, it is important to note that any underlying fibrous bands or scar tissue should be addressed and released before adding fat to the area, in order to restore volume and achieve optimal results. I’ve personally performed several of those procedures with very satisfying results.

Felix Omar Márquez, MD · Answer

Hi, thanks for your question. You can have a non-surgical option with hyaluronic acid injections to give volume and fill the dents. It's non-permanent. Surgically, you can have butt implants, because it seems that you don have fat enough in the waist for a fat transfer. Consult a board-certified plastic surgeon in your area. Good luck!

Fixing butt dent/contour from fall. What procedures can be done to help with this?

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Fixing butt dent/contour from fall. What procedures can be done to help with this?

Answers (8)

Answer: Butt dent

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Everything you need to know about Butt Augmentation

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