How to get rid of my deep bum holes on cheeks from quinine injections for malaria when I was little? (Photos)

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

Because your buttock dents are a result of fat atrophy (fat melting away) and scar tissue, filler and fat transfer usually work rather temporarily or poorly. In my experience, and if the patient is willing/desiring to have a more perky buttock, buttock implants are the only reliable and permanent option to popping out and improving these types of dents.

Final note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel far away from your local area to seek consultation with this particular type of surgeon. Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

Most likely that release of deep scars and fat grafting should be the first option to consider. Other option would be excision of dimpled skin and closure with local tissue; this will leave you with scars but they will be less visible than existing dimples. In person consultation or teleconference with a board certified plastic surgeon would be a good starting point. Good luck.

The deformities you obtained from the injections is highly undesirable.
The problem is most likely related to fat necrosis and developing scar tissue that’s contracting and pulling on the skin.
For this reason, simply adding volume with injections of fillers or fat grafting are unlikely to give any significant improvement and can make the condition worse.
Only partial improvements should be expected.
Most likely the best outcome would be obtained, attempting to release the scar tissue at the same time as augmenting the area with either fillers or grafted fat.
If there was previous fat necrosis, then grafted fat May not be a viable option.
Another option would be to exercise the indebted areas and closing the defect with a rotation flap.
This will leave highly visible scars and will also leave some deformity, but the contour could be improved.
This option will leave long visible scars, and it may not be an overall better outcome. In order to work, the procedure needs to be fairly extensive with a potentially difficult recovery and risk of complications
Be careful spending money on treatments providers, lack efficient, skill, and experience.
I would be dubious of providers who think this is an easy condition to improve.
This is not an easy problem to correct
Best,
Mats Hagstrom MD