What will help me get rid of the dent in my butt that I’ve had for years? (Photos)

Question

Hello, I am a 22 year old female weighing at 205 at 5’7. For as long as I can remember, I’ve had this “dent” in my butt for forever. After doing some research, I believe what I am experiencing is fat necrosis from what I think was caused by a fall on ice from 10+ years ago. It makes me super insecure and I genuinely think about everyday. I don’t wear certain clothes because you can see it and as vain as it sounds it has made me really depressed. I was reading around and heard that Renuva or Sculptra are my best options since I can’t afford or want to do a BBL. The area feels tight and I genuinely don’t know what is my best option. Please if anyone can help me fix this problem I would be so grateful!!

Mats Hagstrom, MD (license on probation) · Answer

Fat transfer maybe a realistic option, though creating perfect symmetry may be challenging.
The entire gluteal area on your right side is smaller and quite different than on your left side.
It’s possible this could’ve been caused by trauma, but the injury must’ve been quite severe to create that much tissue necrosis.
This could also be a congenital anomaly where one side didn’t develop the same as the other.
Regardless restoring volume on the right side it’s probably your best option and this is best done with fat transfer a.k.a. BBL in this case unilateral
Best,
Mats Hagstrom MD

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