Is there a way to fix this without a BBL or injections? (Photo)

Thank you for your question and photos. The short answer to fix this non-surgically, is no. First of all, this is a very difficult area to fix even with surgery. Anatomically, there is a fibrous band that divides this medial fat pocket into two. The "clinched " part is the fat that is being pushed toward the lower part of the buttock crack. This tends to be very fibrous fat. One can attempt to liposuction this to create more of a curve and separation of the lower buttocks inferiorly. If this does not work, one might consider Dr. Mendieta's Miami thong lift to deal with this difficult anatomic area. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Dear ___jo_jo___,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

There are injectable solutions for fat removal but they might not work in one session. I believe it would be easier to correct this problem with liposuction in one session.