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This one is hard to answer without pictures or an exam. Fat grafting may be appropriate, but find a plastic surgeon with ELITE credentials who performs fat grafting hundreds of times each year. Kenneth Hughes, MD Los Angeles, CA
Thank you for your question. Fat transfer may be a viable option for fixing a buttocks cleft. There are also excisional procedures that may help. Photos and in person consultation would be helpful in giving you definitive advice. All the best.