How to correct severe glute asymmetry? (Photos)

Question

18F, i think i have had this asymmetry since birth, but i only noticed it around a year back. i am satisfied with my right glute but my left glute has two prominent creases: the upper crease slants upwards and the fat ends there, the lower crease is more of a line and does not continue on my inner thigh, instead there is some fat around it from my outer glute/hip area. i want my left glute to look like my right glute: i do not mind the sagginess, cellulite etc. what are some safe procedures to achieve this?

Anna Chacon, MD, FAAD · Answer

Thank you for explaining this so clearly — and for sharing the photo. What you’re describing is actually more common than people realize, especially when the asymmetry has been present since early development.

A few important points to help frame what’s going on and what can be done safely:

1. This is likely structural, not something you caused
When asymmetry has been present since birth or adolescence, it’s usually related to:

Differences in fat pad distribution

Slight variations in muscle bulk or attachment

Natural asymmetry of the pelvis or gluteal fold anatomy

This is not from posture, exercise imbalance, or weight changes — and it’s not something you could have “prevented.”

2. Crease patterns matter more than volume
What stands out on your left side isn’t just less fullness — it’s how the gluteal fold and fat end abruptly, creating:

An upper crease where fat stops

A secondary lower line that doesn’t blend smoothly into the inner thigh

This tells me the issue is contour transition, not sagging or cellulite (which you already said you don’t mind).

3. Exercise alone usually won’t correct this
Targeted glute workouts can improve muscle tone, but they cannot reposition fat pads or erase congenital crease patterns. This is why many patients with similar asymmetry feel frustrated despite being active or fit.

4. Safe procedural options (conceptually)
The safest approaches focus on subtle contour correction, not dramatic enlargement:

Fat redistribution techniques (using your own fat) to soften harsh transitions

Small-volume structural filler or fat grafting in very specific planes to smooth the crease, not lift or “round” the buttock

Avoiding anything that overfills or puts pressure on the lower glute fold, which can worsen creasing

Procedures aimed at symmetry — not size — tend to give the most natural results in cases like yours.

5. What to be cautious about
Because you’re young and already satisfied with one side:

Aggressive augmentation

Large-volume fillers

Non-medical injectables

can actually create new asymmetries or distort the fold further over time.

The key takeaway
Your asymmetry is anatomical and benign. The goal isn’t to change your body — it’s to soften transitions and balance contours so the left side visually matches the right. When done conservatively and anatomically, correction can be subtle, safe, and natural-looking.

Most importantly: nothing about this looks abnormal or unhealthy — it’s simply a variation of normal anatomy that you’re now noticing more closely.

How to correct severe glute asymmetry? (Photos)

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