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Brian K. Brzowski, MD answers: Butt lift for asymmetric gluteal crease?

My right buttock cheek is larger and also lower than the left cheek. Its very visible that the right cheek has a lower gluteal crease or fold. I would like to lift the lowered right cheek and slightly augment the thinner left cheek via fat grafting to achieve balance. My skin is in good condition.

I was looking into the buttock lift procedure to have done just on my right cheek but I don't want any major scarring from the wedge of skin that is removed. Is there anyway to contour my backside without having a large scar so that my right cheek could be lifted and my left cheek could be slightly augmented?


Brian K. Brzowski, MD
6 months ago

Jenpy,

If the differences in volume and the crease position are not too bad, you certainly could expect improvement in the asymmetries. However, don't put too much faith in the ability of lifting the buttock to affect the appearance of the fold -- it won't move it; it will just adjust the tissue above, hopefully making it look elevated.

Nonetheless, you will have a scar from the buttock lift, but it should be acceptable to you if you are reasonable in your expectations.

One other thought to consider is whether some liposuction just below the fold (at the upper end of the backside of your thigh) would help. It is a tricky area that seems to always want to remain a little irregular after treatment, but it would be worth considering if you have a big asymmetry.

Go see a plastic surgeon with experience in body contouring, and you'll get your best recommendation for how to proceed.

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