How do I get the buttock deformity from hard fall on metal edge of steps fixed? (Photo)

Question

Hit buttock on sharp edge of thick metal steps. Instantly developed large lump 5"h x7"w x1.5" thk, looks like someone took a knife and sliced under the lump. Buttock is now a lump on top, has a horizontal slice through the middle, flat underneath. No change after 3+ months (foam rolling, NSAIDS, ice, heat, ultrasound). What are my options? How do I get rid of this deformity that can be seen through my clothes? X-rays showed no fractures, ultrasound showed minimal fluid, not enough for this.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question and sorry to hear about your fall. You may be a candidate for fat grafting to this region. Evaluation must be made to make sure there are no residual hematoma or seroma in this region causing the deformity prior to fat grafting.

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you are a good candidate for liposuction with fat transfer, to improve your buttocks, and I think you'll get very good results. 
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

William B. Rosenblatt, MD · Answer

Your photo does not show it well, but in my experience I have seen this before, the fat is sheared and moved. There are different things to do, but you need to be seen to know what is best. The deformity may only be slightly imporved and not totally removed.

Steven Wallach, MD · Answer

It is very difficult to tell what I am looking at in the photo that you posted. It is probably best to be seen in person.  Did you have a hematoma?

How do I get the buttock deformity from hard fall on metal edge of steps fixed? (Photo)

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How do I get the buttock deformity from hard fall on metal edge of steps fixed? (Photo)

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