Can I get fat transfer to correct buttock after seroma (from trauma) is resolved? (Photos)

Hello @Sincere453190 Thank you for your question. I recommend to perform an ultrasound scan of the area, it is important to know what is involved in order to define what type of treatment should be given to improve the condition. Best wishes! Alan Gonzalez MD, FACS.

Dear Sincere453190,
it is hard to tell for sure without an examination. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I do many "fixing" of buttock deformities. You will need a few operations. First ex/incisional drainage of seroma pocket. Than 2-4 months healing with intense massaging. Finally lipo with fat grafting to give both buttock symmetry and a pleasing appearance. See private message.

Considering the timeframe you’re already behind the eight ball in terms of getting this to heal without a chronic seroma.

In order to avoid a chronic Sarama the tissue surfaces need to be in constant contact and any fluid in the capsule space will prevent this and further cause the formation of the seroma.

When I have had seromas in the past I tried to drain them on a daily basis as much as is possible for both mine and my patients schedule.

In your case a better option may be to have an interventional radiologist place a drain in the pocket which will allow it to drain continuously minimizing having to go back in daily to have it drained. If you’re interested in having a gluteal fat transfer procedure i.e. BBL then you definitely do not want a chronic Sarama in the area and should make sure that this heals up without a chronic fluid collection.

Who was managing you with draining the seroma earlier?

Can that person not manage it now?

Some plastic surgeons don’t put enough effort into draining these and a very regular basis and the long-term result is a chronic seroma.

Once fully encapsulated the seroma can no longer be treated by removing the fluid and can only be treated by open surgery removing the entire capsule and then using a drain while healing.

Any major hospital in your area will most likely have an interventional radiology department. You just need a referral to them and medical insurance.

Good luck,

Mats Hagstrom MD

What you have skin redundancy in addition to contour irregularity. What you need is an excision of the overlying pocket skin as well as simultaneous fat grafting to correct any concavity. This ca only be done with an ultrasound guided technique.
Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee