Butt dent: Subcision only or would i need a BBL? (Photo)

Question

I am 30yrs/130 lbs. I got a kenalog injection as a child and it caused tissue/fat loss, a little atrophy on both sides on my butt. Now that I have gained some weight it is more noticable & it bothers me wearing tight clothes I was told it needs subcision (a release of fibrous bands of the tethering scar tissue) I am back in school, And can only take a few days off, to get this done. Would I need a bbl or can a simple subcision work? And if So, is there a doctor that can do it?

John Reilly, MD, FACS · Answer

Hi, injection of a steroid has the known side effect of fat atrophy or loss of fat in the area injected. This may or may not be associated with some scar that is tethering the skin down. If the principal of this scenario was fat loss it is best to replace the fat through a fat injection. When done in larger volumes in the buttock, it's referred to as a BBL. If the scar is mobile and it does not appear to be tethered on a physical exam , injection of the fat might be enough. If it does appear to be tethered or "stuck down" then subcision would be done at the same time as the fat injection to help improve the final result. Good luck.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. I would speak to your plastic surgeon about your options and a better assessment. Breaking the fibrotic band would be ideal along with placed a small amount of fat there to help keep it from healing indented .

Cristina Dracea, MD, FACS · Answer

What you could do is fat transfer to your indent. You will only need 5 days to recover, it can be done under local anesthesia. Procedure takes about 40 minutes.

Daniel Barrett, MD · Answer

Dear Terrific344245,
it is hard to tell for sure without an examination. Based on your photo, it looks like you would need some kind of grafting to fill the dent. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Miguel Mota, MD · Answer

Interesting question1 Subcision will definitely help. But I’m afraid it might not be enough. I will help release the tissue but it would be best combined with fat grafting. This does not have to be a full blown BBL if you van only take a few days off.  Subcision plus a little bit if lipo and then grating that fat to the on the affected areas is very possible to do with zero downtime.

Best of luck,
Dr. Miguel Mota

Butt dent: Subcision only or would i need a BBL? (Photo)

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Butt dent: Subcision only or would i need a BBL? (Photo)

Answers (8)

Answer: Butt dent

Answer: Butt dent

Answer: Butt dent: Subcision only or would i need a BBL?

Answer: Butt dent: Subcision only or would i need a BBL?

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Everything you need to know about Brazilian Butt Lift

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