How can dents/flatness in my butt be fixed? Will exercise work? (photos)

There are currently only two acceptable surgical options for augmenting and enhancing the buttock/hip area: 1) Brazilian Butt Lift (aka BBL) - utilizing the patients own fat from liposuction then transferring it into the buttock and/or hips and 2) Buttock and cosmetic Hip Implants (soft silicone rubber implants that cannot rupture &/or leak). Both are options but what it comes down to, like any surgery, is proper patient selection and long-term results. Implants provide the only guarantee of sustained permanent results. Because they are much more reliable at adding projection to the mid and lower buttock, they tend to be ideal for plumping/perking up deflated and/or flat buttocks. On the other hand, most of the fat transferred from BBL typically melts away leaving disappointing results after 12 months. Please keep in mind that an extremely few number of Board certified plastic surgeon specialize in buttock implants so you may have to travel far and away from home to find a reputable and experienced surgeon. Glad to be of help.

You would have a couple options. If you want an overall smaller butt, I'd recommend liposuction. If you want a bigger, rounder butt, your best bet would be BBL (fat transfer to the buttocks). As always, please be sure to research who performs your procedure so you can increase the changes of having the best outcome.

Dear Yodalover,
generally speaking, you want to reach your goal weight before you consider a surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. 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

A Brazilian buttlift with specific emphasis on dent correction should be considered. These corrections can be next to impossible to fix or improve and patients should have realistic expectations. Sometimes the situation requires a multitude of techniques to produce the smooth outcome a patient is seeking. It depends upon how much scar tissue is in the area and if the skin is lax enough to receive a fat transfer.

You seem like an excellent candidate for a buttock implant. Please be sure to choose a board certified plastic surgeon who specializes in this procedure and is well known in the medical community.

Hello Yodalover,
It looks like you are just carrying around alot of excess fat above and around your buttocks. Once you are at a BMI of less then 30 then you can consider having a BBL surgery to fill in dents and shape your buttocks.SincerelyDr.G

You have cellulite and the same connective tissue bands that cause cellulite also have influence on the shape of your buttocks making it flat.

The best analogy for this I can give you is try lifting up the skin on the back of your hand like you’re tempting up the skin.

Not try to do the same on the center of your palm.

You can’t because the skin of your palm is anchored into place with connective tissue bands.

The same is true for all parts of the body that can tolerate great pressure like the pressure point on the buttocks.

Disconnected tissue burns only stretch to a certain degree unless you’ve gained weight because indentation on your skin like buttons can on sofas through tufting.

Adding fat with fat transfer like a BBL can make this worse.

I suggest weight loss as the first and most appropriate option.

This may not fix your shape and you may still have cellulite but you need the weight loss regardless.

The best treatment for cellulite is succession on the worst spots.

This is sometimes done with a device called Celfina.

Liposuction may possibly be able to improve your contour if done very carefully.

I’m guessing at some point you may have been at a lower weight. If you recall if your condition was worse or better at different weights then you will know yourself the influence that weight gain can have.

Best,

Mats Hagstrom MD

What basically you need is liposculpturing or your back and your flanks as well as yourbra-rolls. This fat needs to be removed and the way we remove this is by using Vaser or BodyTite technology, so that the skin does not sag. At the same time I would like to contour your buttocks in a manner that your access fatat certain upper buttock areas can be removed and some part can be added to your mid-level, so that you have a nicely shaped buttocks. So consult a board-certified plastic surgeon near you who is experienced in body contouring surgeries.