How Can My Bony Shoulders Be Fixed?

Q: Dr. Eppley, Since I was very young I’ve had very “bony” shoulders because my top bone of the scapula shows a lot. This is something I’ve been very insecure about my whole life. I’ve been Googling a lot to see what you could do about this and that’s when I found you. In 2015 a girl posted about this exact issue and her pictures looked a lot like my body. You answered her post and said that you believe it’s possible to do some kind of fat injection/transfer or implant to the shoulder to give it more of a round contour. That really gave me hope so I would really appreciate if you could try and help me.

A: Thank you for your inquiry and sending your picture. Your shoulder ‘bump’ is the AC joint of the shoulder which is more prominent in some people than others. There are two potential aesthetic approaches to lessening its prominence, fat injections or implant coverage. Fat injections would be the easiest to place with the caveat that their volume retention is not predictable. (how much survives/retained) Utltrasoft thin silicone implants can also be used, whose volume retention is assured, but requires a small incision to place.

Dr. Barry Eppley

Indianapolis, Indiana