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

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

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.

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.

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.

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!

EMSculpt treatments on your buttocks can build muscle and help reshape your butt more smoothly. Also, Sculptra injections could be helpful in that area.

Great posted photos! I recommend Aveli dent release instrument as step 1, followed by either micro fat grafting and/or filler injections of Radeisse/Sculptra in combination. Fee $6,000. Best to virtual consult with....

Correct in the contour irregularity may be challenging.If this is directly related to your previous trauma then the underlying cause could be a combination of volume loss necrosis and contractile scar tissue pulling on the skin. The indentations have the appearance of cellulite and cellulite is not well treated by simply adding volume.If the contour irregularity is due to either scar tissue or connective tissue pulling on the skin rather than a result of loss of volume then adding volume will not improve the problem I can make it worse.If the problem is purely based on a loss of volume and there’s no issue with scar tissue or connective tissue pulling on the skin then volume augmentation alone with fat grafting or potential use of fillers should be helpful. In reality the volume needed probably makes fillers preoperatively expensive.My best guess is there is either a scar tissue or connective tissue that is contributing significantly to the contour issue you dislike.This means that simply adding volume will not fix the problem and can potentially make it worse.One simple way to determine if augmentation is going to improve your contour is the simply inject saline or very dilute local anesthesia in the area and see if the contour is improved. The effect of the injection will be short-lived but pictures could be taken immediately after and you would know how your body responds by simply adding volume to the area.If augmenting would volume does not give you the results you’re looking for then this will save you from having a procedure that would not be effective.If the contour issue is more related to scar tissue connective tissue pulling on the skin and that tissue needs to be released in conjunction with adding volume in order to fix the problem. that makes the solution far more complex.Correct this may be challenging. This is almost always the case when it comes to surgical intervention the first step is to make an accurate assessment and get a clear understanding of what the underlying problem is. In your case the differential is volume versus tissue pulling on the skin. I would be a little wary of providers who have a high degree of confidence thinking this will be very simple fix.Attempting to do this with fillers is probably not a good long-term strategy. Best,Mats Hagstrom MD