How can I fix a missing glute crease from one side? (Photo)

Question

I'm 33 and have been pretty sedentary til recently but go to the gym 3-4x a wk now. I've also recently lost 20kg. Since my second child was born (9 yrs old now) I noticed that my glutes were uneven, i'm missing the crease on one side and seem to have a big chunk of fat missing from that same side. The other side is missing a bit of fat as well but not as much. I'd like to avoid anything surgical but am wondering what I could do to fix this?

Falguni Patel, MD, FACOG · Answer

A great and safe option for correcting glute asymmetry would be augmentation with filler. Our practice uses Radiesse, which is hyper diluted and injected throughout the area of concern - in your case this would be primary concentrated on your right glute. When we inject the product this way, it potentiates the benefits of building collagen over time and providing immediate volume replacement. This will improve the appearance and make your bilateral glutes look more symmetrical. This is considered a non-surgical treatment.

Jonghyun Hong, MD · Answer

Hello, It is Dr. Hong from Fresh Clinic, S.Korea. Among possible methods, liposuction for shaping and butt fat transfer might help. Slight improvement: [RT side only] fat transfer (harvesting might be from inner tights - slim down effect)Moderate improvement : [Both side] Liposuction of saddlebag area, back side and inner tights (underline butt line) and fill out butt and hips (hollowed area) by fat. 
Fat transfer method is less invasive, but still surgical, however safer then filer or some kind of injections. 
Best Regards

Anna Chacon, MD, FAAD · Answer

It's great to hear that you've taken steps towards a healthier lifestyle by incorporating regular gym workouts and achieving significant weight loss. Addressing muscle imbalances, including uneven glute development, can often be managed effectively through targeted exercise and lifestyle changes. Here are some strategies you can consider:

1. Targeted Strength Training
Focusing on exercises that specifically target the glute muscles can help promote balanced development. Consider incorporating the following exercises into your routine:

- Glute Bridges: These help activate and strengthen the glute muscles. Ensure you perform them with proper form, and consider doing single-leg variations to address any imbalances.
- Hip Thrusts: Similar to glute bridges but typically performed with added weight, hip thrusts are excellent for glute activation.
- Bulgarian Split Squats: This unilateral exercise can help even out muscle imbalances by working each leg independently.
- Single-Leg Deadlifts: Another unilateral exercise that targets the glutes and hamstrings, promoting balanced strength.
- Clamshells and Side-Lying Leg Raises: These exercises target the gluteus medius, which is important for hip stability and balance.

2. Progressive Overload
Gradually increase the resistance or difficulty of your glute exercises. This principle of progressive overload ensures continuous muscle growth and strength gains.

3. *Mind-Muscle Connection
Focus on the mind-muscle connection during your workouts. Make sure you're feeling the glutes working during each exercise. Sometimes, consciously engaging the muscle can lead to better activation and development.

4. Corrective Exercises
Incorporate exercises that target muscle imbalances and improve overall symmetry. A physical therapist or a certified personal trainer can help design a program tailored to your specific needs.

5. Stretching and Mobility Work
Tight muscles can contribute to imbalances. Regularly stretch and perform mobility exercises for your hips and lower body to ensure proper movement patterns.

6. Nutrition and Hydration
Adequate nutrition and hydration are crucial for muscle repair and growth. Ensure you're consuming enough protein and maintaining a balanced diet to support your fitness goals.

7. Consult a Professional
If you find that your efforts aren't yielding the desired results, consider consulting with a physical therapist, physiotherapist, or a certified personal trainer who specializes in corrective exercise. They can provide personalized assessments and recommendations.

8. Consistency and Patience
Building muscle and correcting imbalances takes time. Stay consistent with your workouts and be patient with the process. Track your progress and make adjustments as needed.

9. Posture and Daily Activities
Be mindful of your posture and daily activities. Poor posture or repetitive movements can contribute to muscle imbalances. Ensure you're maintaining good posture throughout the day and consider incorporating exercises to strengthen your core and improve overall body alignment.

By focusing on these strategies, you can work towards addressing the imbalance and improving the symmetry of your glutes. Remember, consistency and proper form are key to achieving the best results.

Arif Eroglu, MD · Answer

Hello,
With weight loss, the crease may stretch or a double line may form, but the previously existing gluteal crease will not disappear. The absence of a gluteal crease in some cases is due to a lack of structural adhesions that would normally create the crease. Generally, it’s not bilateral, but in your case, it’s a unilateral issue. The area where the subgluteal crease is missing will be identified, and some liposuction will be performed in that area. Afterward, a firm compression will be applied. Additionally, fat injections will be made to the upper part to create symmetry in shape.

Kenneth R. Francis, MD, FACS · Answer

Dear Sunshinegirl,
I love Dr. Chacon's targeted muscle development protocol to address your gluteal asymmetries non-surgically.  However, a BBL would immediately improve your appearance.  Of course, it is surgery, so know your risks before embarking.  Good luck!

How can I fix a missing glute crease from one side? (Photo)

Answers (5)

Answer: Some liposuction will be performed in that area. Afterward ...

Answer: Some liposuction will be performed in that area. Afterward ...

Answer: Buttock asymmetry

Answer: Buttock asymmetry

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How can I fix a missing glute crease from one side? (Photo)

Answers (5)

Answer: Some liposuction will be performed in that area. Afterward ...

Answer: Some liposuction will be performed in that area. Afterward ...

Answer: Buttock asymmetry

Answer: Buttock asymmetry

Browse related questions

Recommended reading

Everything you need to know about Nonsurgical Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.