Dents on both butt cheeks - what can I do to get rounder cheeks? (photos)

Question

I’ve had issue with dents in the top of both of my butt cheeks for a while now. One side is deeper than the other and when I sit on a hard surface, I notice that my butt cheek folds where the indent is. I’m 141 lbs and around 5’3/5’4 and started working out again a few months ago. I’ve not had any trauma or injections to my butt cheeks so unsure what is causing this and what I can do to stop it getting worse and help have rounder cheeks?

Ryan A. Stanton, MD · Answer

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.

I have often encountered patients with your similar anatomy and concerns. I have found that the best, most reliable and permanent solution is a combination of liposuction to the very most upper buttock/love handle area and  buttock implants to pop out the “dent” region.

There are currently only two FDA approved surgical options for augmenting the buttock/hip area:  1) Buttock and cosmetic Hip Implants (which are soft semi-solid silicone rubber implants that cannot rupture &/or leak) and 2)Brazilian Butt Lift (aka BBL) - which utilizes the patients own fat from liposuction then transfers this fat into the buttock. On the other hand, using Sculptra is a dangerous waste of money and is NOT FDA approved. and/or hips and   . So what it comes down to, like any surgery, is proper patient selection and long-term results. Implants provide the only guarantee for a sustained permanent result and tend to be ideal for perking up not only lean or deflated buttocks but also providing substantial projection to any butt, which is what every single patient wants.

Please note that an extremely few number of board certified plastic surgeons specialize in buttock or hip implants, so you may need to travel far and away from home to find this particular surgeon. Glad to help.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Yes the indents look symmetrical so may not be from a trauma. Its very difficult to assess whether or not the skin over this area is adhered down unless a physical exam is performed. If the skin is not tight around that area then it is possible to fill the indentation with fat to improve the appearance of the deformity.

Daniel Barrett, MD · Answer

Dear saff_07,
it is hard to tell for sure without an examination. Based in your photos, it looks like you would benefit from fat transfer. 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

Felix Omar Márquez, MD · Answer

Hi, thanks for your question and photos. You can have great results with BBL or fat transfer to the buttocks. The procedure consists of collecting fat from another area of your body and injecting it into the butt. Consult a board-certified plastic surgeon in your area for an in-person exam. Good luck!

Douglas Taranow, DO, FACOS · Answer

Dear Saff,
You would look much better with release of the bands under the skin of your buttock dents and fat transfer to fill in the deficit. 
Best wishes 
Dr. Taranow

Dents on both butt cheeks - what can I do to get rounder cheeks? (photos)

Answers (6)

Answer: Butt cheeks

Answer: Butt cheeks

Answer: Buttock dents

Answer: Buttock dents

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Everything you need to know about Butt Augmentation

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Dents on both butt cheeks - what can I do to get rounder cheeks? (photos)

Answers (6)

Answer: Butt cheeks

Answer: Butt cheeks

Answer: Buttock dents

Answer: Buttock dents

Browse related questions

Recommended reading

Everything you need to know about Butt Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.