Two large dents on my butt since childhood - Lost a lot of weight when I was younger. Options after failed Cellfina? (Photos)

Question

I’ve had these two large dents in my butt since as long as I could remember. I was overweight as a child, but leaned out when I was around 14. I then lost a lot around 35 pounds at 15. I then gained around 70 pounds from 16 to 17 from binge eating. After that, I’ve dropped 50 pounds from 17 to 18 and maintained that ever since. I’m not sure if the weight fluctuations are a big contributor, but I remember my mom bought me underwear that was far too small as a child, and I’m wondering if it could be the cause. When I feel the dents, it only feels like skin with no fat underneath, while the rest of my but feels normal. I’ve had Cellfina done, but only had very minor improvements. I’ve also gotten Radiesse injections that moderately improved the area, but the dimples were still prominent and the injections wore off after 6 months. I consulted a plastic surgeon who looked at my photos and said a BBL is not possible. I was looking into Alloclae, but am not sure if it would help. Are there any solutions to getting rid of these dents?

Yucel Sarialtin, MD · Answer

Hello,
Thank you for your question.
The dents in your buttocks are likely caused by a combination of early pressure (like tight underwear), fat loss, and weight changes over the years, which may have led to permanent loss of fat in those areas. Treatments like Cellfina and Radiesse can help temporarily but don’t fix the underlying volume loss. Since a BBL isn’t an option for you, newer treatments like Alloclae or other dermal grafts may help fill in the dents more effectively and last longer. A specialist in gluteal contouring can guide you on the best next step.

George Marosan, MD · Answer

Thank you for your question and photos. Based on these photos and your story of attempted repair, I am not surprised about the outcome. The plastic surgeon who said it is not correctable by BBL or pumping lots of Radiesse into the area (non-surgical BBL) is right. One has to have a correct diagnosis prior to recommending a treatment/cure/improvement. These dents are secondary to deep scar bands that pull the skin in and attach it to the underlying muscle fascia. I use the GoldIncison technique to detach these bands and also use biostimulators to stimulate collagen synthesis. This procedure is done awake under local anesthesia. Once these areas are released, it is possible to increase volume with a BBL later. I trained with the inventor of this technique and I am the only licensed physician in the US to perform this protocol.

Two large dents on my butt since childhood - Lost a lot of weight when I was younger. Options after failed Cellfina? (Photos)

Answers (2)