Is there anything that can be done to even out the uneven creasing under my butt? (Photo)

Hello Stoney Harbor,
Thank you for your question regarding the uneven creasing under your buttocks and for sharing your pictures.
Based on the photos you provided, it appears that you have excess skin and a mild amount of excess fat in the upper inner posterior thigh area, commonly known as the 'banana roll'. This area is not technically part of your buttocks, but rather the back of your thighs. To address this, an upper thigh procedure would be the most effective solution.
The optimal treatment for the skin and fat in this area involves the surgical removal of both, achieved through an incision made underneath the buttocks. A crescent or banana-shaped area of skin and fat is excised from the upper back of the thigh, and the remaining skin flap is then advanced toward the buttocks.
This procedure is typically performed under general anesthesia and lasts about 3 to 4 hours. Drains are usually placed and kept in for approximately 10 days. You can expect a recovery period of about two weeks, during which wearing a compression garment for at least six weeks will be crucial to support healing and contouring.
Please consult with a board-certified plastic surgeon to discuss this procedure in detail and to understand all aspects of the surgery, including potential risks and the expected outcomes.
I hope this information helps you in considering your options to address the uneven creases under your buttocks. Wishing you the best on your journey to a more comfortable and confident you.
Sincerely,
Dr. Katzen

You really can't liposuction in this area--it can lead to disastrous results. Plastic surgeons have not performed liposuction in the banana rolls for several decades but occasionally someone will come to my office to see if they can fix a banana roll area that was liposuctioned by a non-plastic surgeon and it is so shocking to see how badly it looks and it is virtually impossible to fix.

Hello;

There is different options but Macroneedling Collagen Indiction Therapy (CIT) can help tremendously. You will need a few treatments.

Best of luck,

Randal Haworth