Q: Dr. Eppley, I have had this problem for over 16 years since I was young. I was injected a couple of times when I was sick but now these holes have become permanent and it makes me feel ugly about myself. I can’t wear tight clothes or talk of leggings because it looks so ugly and weird. I am alway covering it up with shirts and long clothes. I feel like an outsider and so embarrassed to show myself naked. I am seriously considering a surgery but don’t know exactly what I should do. I don’t want butt implants. I am okay with my butt size. I just want the holes off or maybe filled. Any kind of miracle to make my butt even so I can be able to wear leggings without covering up my butt. I just want a normal butt.
A: As best as I can tell from the one picture you sent and knowing that these buttock deformities came from injections to treat an illness, it appears you have areas of fat atrophy (which is why they dip in) and hyperpigmentation. This is not rare from medication injections done decades ago when administered as a child or teenager. The indentations can be filled with fat injections. Whether the overlying hyperpigmented areas can be excised (cut out) and closed as an improvement will require seeing some better pictures. Ideally, fat injections to the various buttock areas should be done as a first stage followed by the excisions.
Dr. Barry Eppley