Is it possible to fix butt dimples? I have these dimples since I was born. (Photos)

Question

The dimples create a dent that goes across my butt when I squeeze my butt (looks like I'm wearing panties too tight). Dents are especially prominent when I squeeze my butt or do any glute focused exercises such as squats. I don't know what it is exactly and I've always had it since I was little. I've been doing butt strengthening and toning exercises but I never see an improvement. Is there any way to fix these dimples and dips without getting butt injections?

Matthew J. Nykiel, MD · Answer

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.
Typically butt dimples can be improved.  I don't think any butt dimple can be completely fixed.  In my BBL or Butt Augmentation, I will release the Butt Dimples using an UltraSound Smooth Device, Vaser® Smooth.  Typically, this significantly improves and soften butt dimples.Looking at your photos, it looks like you have typical hip dents or mid-butt dents and these fill in nicely with a fat transfer.I hope that helps!  Best of Luck!
Matthew J. Nykiel, MD#CoreAestheticButt Augmentation SpecialistLiposuction SpecialistBoard Certified Plastic Surgeon

Ryan A. Stanton, MD · Answer

I have come across this several times before. It is likely from excessive pressure across the butt cheeks during the fetal growth stages, possibly from the umbilical cord. In the past i have had good success using buttock implants to kind of pop the indents outward. Fat grafting is another possibility but very  unreliable, unpredictable and likely not permanent in this area that typically has subcutaneous fibrosis (scar tissue under the skin). Glad to help.

Rajat Gupta, MD, MS, DNB · Answer

For someone having problem like yours, buttock fat grafting is a very good treatment option. We have had many similar patients in the past and what we have done is we have taken out fat from the abdomen or lower back, treated this fat and put in beneath the depressions so that your depression will get elevated and you will get a smoother contour of your buttocks. So meet a plastic surgeon near you and he will guide you through it.

Joel B. Beck, MD, FACS · Answer

Thank you for your question!  Buttock dimples you are born with are there due to connective tissue pulling in on the skin.  As a result, it is not so easy to improve dimples completely.  While adding fat with a BBL may enlarge and improve the shape of your buttocks, it may do little to the existing dimple.  In fact, if you were to get a BBL, you  may potentially exacerbate the dimpling from your PRE-existing dimpling.  There are some maneuvers though that we can utilize including subscision combined with fat grafting.  If you only wanted to attempt to fix the dimples without surgery, subscision combined with a dermal filler is another option for smaller dimples.  I would inquire about the possibilities with a board certified plastic and reconstructive surgeon.  I hope this helps!

Daniel Barrett, MD · Answer

Dear Anne2018,it is hard to tell for sure without an examination, but based on your photos, it is likely that this will improve a lot with 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

Scott W. Vann, MD, FACS · Answer

I think this can be improved a lot with fat grafting to the area. I do not know of any other real options. Discuss with a plastic surgeon who does fat grafting work. Good luck

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a good candidate for liposuction with BBL to fix your problem, and I think you'll get very good results. 
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 :)

Vincent D. Lepore, MD (retired) · Answer

It is possible to improve buttock dimples by freeing the connective tissue attachments between the skin and the gluteal muscles.  This can be done with surgical equipment that is designed to improve cellulite, such as Vaser Smooth.  However for maximal improvement, I would also suggest using fat transfer (BBL) to best improve the contour.  The two procedures could be preformed at the same time.  Seek out a board certified plastic surgeon who has extensive experience with Vaser (ultrasound) and fat tissue transfer.  Best wishes, Dr. Lepore.

Is it possible to fix butt dimples? I have these dimples since I was born. (Photos)

Answers (8)

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