How can I treat this butt dent? (Photo)

Question

I have a dent in my buttocks that I cannot get rid of, I work out I’ve tried the fascia blaster and suction cups. I thought I was making progress but now I’m really not sure.I recently seen something online about buttock dents where in some cases it can be taken care of in office. Please help me it looks crazy from my side view and certain pants show it very well. Thank You !!

Kenneth Hughes, MD · Answer

Liposuction and fat transfer is a reasonable option and can work for a host of contour depressions caused by medication, trauma, or disease. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

These can be improved with a combination of surgery, fillers, and/or lasers and microneedling/prp. I recommend getting a formal evaluation with a scarring expert.  you may need cellfina for cellulite, sculptra for collagen production, renuva fat injections or autologous fat injections.  Best, Dr. Emer

Jamé Heskett, MD · Answer

Hi, 
If this dent is natural and not created from a procedure, my best approach would be to use a process called carboxy therapy. The carboxy therapy will be able to soften the connective tissue causing the dent as well as soften the excess fat around the dimple so that the contrast is diminshed and the dent is less apparent. Alternatively, you can try using a combo radiofrequency/tissue manipulation like velashape 3. This treatment will also loosen the connective tissue that is creating the dent as well as soften the contours of the fat around the dent while tightening the skin which will all make the dent less apparent. 
I hope this helps with your concern
All my best
Dr. Jamé

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
Several questions...Have you had previous surgery or trauma to the area? I note what appears to be a bruise in the vicinity of the indentation...Is that the result of suction therapy or is the discoloration permanent? 
Suction therapy causes swelling in the area of treatment, camouflaging the indentation. The result is short lived. The fasciablaster is a device which is reported to "loosen fascial adhesions" to treat cellulite. 
If the indentation is of natural origin, lipoinjection into the area may fill out the recess. If the indentation results from previous surgery or trauma, scarring may be responsible for the indentation. This is more difficult to treat, but again lipoinjection will most likely result in improvement of contour. 
You may consider a consultation with a board certified plastic surgeon for examination and recommendations.
Best wishes...

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