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.

Hello dear!
Thanks for the question and provided information as well.
You can probably benefit from a fat transfer, to improve your buttocks.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

A BBL with scar release is a good start. Seek a plastic surgeon who performs hundreds of these procedures, has great reviews and photos, and is an expert in this field.

I believe that the Brazilian Butt Lift combined with the release of the scar tissues under your skin would be the best way to correct the defect that you are describing.  However, there is no way to know for sure without seeing you in person. Definitely seek out a Board Certified Plastic Surgeon with significant experience with this procedure.

Teresa,

Buttock dimples come in all shapes and sizes.  There are many ways to repair the dimples.  Consultation with a plastic surgeon will determine the best treatment for your particular indentation.  Longstanding indentations are sometimes difficult to fully correct.  Good luck!

I believe that injection into that scar is the best option for treatment. In my experience it can make indentations significantly better but I have not enabled to make them perfect. I think this because of damage to the skin caused by the scar pulling skin in just like you think it does. Even though I can make a perfect I think it's much better than trying to excise indentation and leaving a scar.

I can't think of a better way to fix an indentation in the butt than fat grafting by a skilled Plastic surgeon. Braxzillian Butt lifts are just that; fat grafting. Results vary from Pt. to Pt. and from Dr. to Dr. Seek a board certified plastic surgeon that has done a ton of butt lifts and has privileges to do this surgery at a local university hospital (this will should make you confident that all credentials are checked). This is true even if the surgery is to done ina an office setting, a setting I prefer. All surgeries carry risks and some don't work, but it can't hurt to see a qualified professional and ask her or his opinion. Ask; how many similar cases have you done and what was your success rate? Expect little and do your due diligence and you won't go wrong. Good luck.

The indentation is treated with fat transfer. there could be scar pulling the skin then the scar need to be released with a special fork cannula. At the same time you can do the Brazilian Butt Lift.