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Posts Tagged ‘lower buttock dimples’

Dimples of Venus – Non-Surgical and Surgical Options

Tuesday, November 17th, 2015


dimples of venisBack or buttock dimples, often called the Dimples of Venus, are believed by some to be a mark of beauty. (Venus = Roman goddess of beauty) They are bilateral skin indentations on the lower back just superior and lateral to the top of the intergluteal cleft. Some people have these lower back dimples while others do not. It is a genetic feature which can be inherited.

sacroiliac joint anatomyAnatomically they relate to the sacroiliac joints and are created by the ligaments which stretch between the posterior superior iliac spines and the skin. In spine surgery they are known as the lateral lumbar indentations which serve as landmarks for finding the superior articular facets of the sacrum as a guide to placing sacral pedicle screws.

For those who seek to have them, they may or may not be attainable. Lower back strengthening exercises are purported to create them but I have no direct evidence that this is true. While the lower back can certainly be strengthened, it is not clear how that would create indentations over the sacroiliac joints unless one already has a hint of them.

The only way to create lower back dimples is to selectively remove any subcutaneous fat between the skin and the underlying fascia of the sacroiliac joints. Injectable options do exist and could be attempted by one of two compounds. High dose steroid injections (Kenalog 40) is well know cause fat atrophy but may thin the overlying skin as well. Deoxycholic acid injections (Kybella) are more selective for dissolving fat without affecting the overlying skin. It would likely need more than one injection session to be optimally effective.

dimple of venus surgerySo called Dimple of venus surgery is fat removal limited to the desired dimple area. To be successful one had to have some subcutaneous fat to remove. Small or microcannula liposuction done under local anesthesia is one surgical option. Another approach is to make a small vertical incision and directly excise fat and sew the dermal skin edges down to the fascia with a single buried suture.

Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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