Can BBL fix deep holes on butt cheek due to childhood quinine injection? (Photos)

Question

Black, female, 27 years, 64kgs in weight

George Marosan, MD · Answer

Thank you for your question and photos. A BBL alone will not fix these defects alone. You will need release of these deep scarred depressions using the GoldIncision method. These are very deep scarred areas and might take more than one procedure. Fat grafting can be done at the same time in the areas of the detachment so you will not scar back. See a board certified plastic surgeons for an in person consultation/evaluation who understand the problem. Good luck.

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show a noticeable contour depression in the buttock area, but the depth and firmness of the tissue cannot be judged fully from images. If the dents are from old quinine injections, the problem may be scar tissue, fat loss, skin tethering, or deeper soft-tissue/muscle injury, so a standard BBL may improve the contour but may not completely erase the holes.

The best plan is often individualized: careful fat grafting, release of scar bands, or staged treatments may be needed, and more than one session is sometimes required because scarred areas do not always accept fat evenly. A surgeon should examine whether the depression is soft and fillable or fixed and tethered before promising a result.

If you consider fat grafting, choose a plastic surgeon experienced with buttock contour deformities and modern BBL safety technique. Safety matters as much as shape; fat should be placed only in the safe planes and the goal should be improvement rather than excessive volume.

Daniel Barrett, MD · Answer

Dear Lingo2024,
fat transfer can help with dents after injections. 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

Arif Eroglu, MD · Answer

Hello, Due to the development of injection-related fat necrosis in these areas, there is significant fibrotic tissue at the base. If fat injection is performed, the injected fat will not stay in the sunken area but will spread to the surrounding areas. First, the fibrotic region must be released with a dissector or surgically freed. After healing, fat injection can be performed.

Mats Hagstrom, MD (license on probation) · Answer

The answer to your question in my opinion is no.
The indentations are due to contractile, scar tissue and fat grafting is more likely to make the condition worse.
Fixing the contour irregularity is going to be difficult and direct excision with flap closure may be the only solution.
These are fairly involved procedures with real risk and potentially difficult recovery.
Correcting this contour deformity is not at all easy.
Simplistic solutions will leave you disappointed.
 in the end, it may not be worth trying to fix it. spending money on partial procedures that dont give any significant improvement is not a good idea.In order to make a substantial improvement is going to require fairly involved surgery. The impact of this kind of surgery can leave long scars.
I suggest relying exclusively on in person consultations to get a better understanding of potential treatment options.
Best,
Mats Hagstrom MD

Mustafa Aydinol, MD - Account Suspended · Answer

I believe in your case its possible to correct this deformity: I would suggest a scar revision and fat grafting at the same time. Also, please keep in mind that it might require several sessions to fix the issue.

Can BBL fix deep holes on butt cheek due to childhood quinine injection? (Photos)

Answers (6)

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