Hard fall has left lump and impression on right buttock, will plastic surgery be necessary? (Photo)

Question

I fell hard down some slippery stairs 2-3 weeks ago, a 5 inch hematoma appeared along with a dent and impression. The bruising has healed, the pain is gone, but I have this hard area with the impression directly below. I didn’t notice how bad it was until I took photos. Will this heal on it’s own, should I consult with a general doctor or a plastic surgeon? If so, should I allow more time to heal before seeking more help? I’m only 23 and stressed about the appearance.

Ryan A. Stanton, MD · Answer

At only 2 to 3 weeks out from the fall, there is significant swelling remaining. Because of this you need to give it at least six months before you can determine the final outcome. It very well may improve, but how much and if completely will not be known for at least 6 months. If you still have some left over lumps and/or depressions at that time, seek consultation with a board certified plastic surgeon whom specializes in buttock augmentation/enhancement. Glad to help.

Daniel Barrett, MD · Answer

Dear Easygoing311917,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would need fat transfer. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

I suggest giving this six months before considering intervention.

It’s possible that early evacuation of hematoma could’ve made a difference but most likely the outcome would’ve been the same.

Most likely the indentation is a combination of fat necrosis and contractile scar tissue.

It’s possible that fat transfer might bring out and improve the contour to some degree but most likely it will take a few treatments and it may not come back to an ideal contour.

These can be challenging to fix especially if their significant scar tissue.

I definitely suggest having in person consultations if you want to get a more accurate assessment.

Best,

Mats Hagstrom MD

Hard fall has left lump and impression on right buttock, will plastic surgery be necessary? (Photo)

Answers (3)