I Have a Large Indentation on the Mid Buttocks, What Would Be the Best Corrective Option?

I have been very pleased with Sculptra as a way to fill out buttock indentations.  I find that the procedure requires little to no downtime and is office based.  I have done minor dimples to full buttock augmentations, albeit the latter is for people who want a modest augmentation and with little fat to donate.  At times, if the indentation is associated with a scar, then subcision or a scar release may also be warranted.

Thank you for your question.  I have seen and treated what you describe on several occasions.  In this situation, I have had good results with conservative release of the scar from underneath the skin followed by localized fat grafting to the affected area.  The results usually aren' t perfect but a significant improvement is possible from where you started from. 2-3 sessions is usually required. I hope this helps.

I've treated several leg scars using multiple techniques to accompany fat grafting.  One interesting pilot study I completed was fat grafting with Selphyl, a fibrin matrix of platelet rich plasma rich protein drawn from the patient's IV.  It really didn't seem to make much of a difference.

 

Your case will benefit most from scar release and fat grafting. It may take more than one session.  I've had nice results from staged fat transfer where we return to inject more fat in which case fat banking (Biolife) would be an interesting but not necessary option to look into to avoid additional procedures.