How to fix crooked gluteal cleft / sacral dimple? (photo)

Although no guarantees, it may be possible to centralize your gluteal cleft but will definitely first require a consultation with a board certified plastic surgeon (preferably one specializing in buttock implants as this region is familiar for making the incision and dissection). Liposuction and/or surgical transposition of the cleft are two option that come to mind of hand. Glad to help...RAS  

A physical exam would be necessary to rule out other diagnoses before a fat transfer procedure is pursued.Find
a board certified plastic surgeon who performs hundreds of
Brazilian buttlifts each year. Then look at the plastic surgeon's
website before and after photo galleries to get a sense of who can
deliver the results. Kenneth Hughes, MDLos Angeles, CA

A tough problem. The dimple could be nothing, or signify a cyst. It may be associted with chronic constipation.  Unlikely that a non-surgical approach is possible. Also, surgery may not be a good option.  An in-person exam is needed.