What would be the best approach to fix this butt indentation? (photos)

Hi Neptuna,
You can have fat, Renuva, or Sculptra injected in the area. None of these treatments require surgery, though fat transfer is the most invasive. Good luck and be well.\
Michael A. Persky, MD

Hi Neptunia, Im sorry to hear you had to go through this experience. Sculptra can be a good option to improve this issue. Sculptra is injected into the deeper level of your skin, the dermis, where the collagen strands support your skin structure. You skin will soon after (8-12 weeks) create collagen and fill the area. If you are not looking to enhance the rest of the area this can be done with only a couple of vials. The results last more than 3 years and it does not have any down time.

You must’ve had a huge hematoma (bruise) in the area where there appears to be a lump. This can all be corrected by two means. First, I would probably try to soften the organized hematoma, which is now in the form of a lump by means of injections of very dilute Kenalog. You have to be patient with this process. Once the process is completed, and if you still have an indent, then the indent can be subcised and filled out with fat or sculptra. I hope this helps and good luck from New York City plastic surgery