Left Butt Cheek Bigger Than the Right?

This question may be better addressed if we had photos to critique.  In my practice, I would address the smaller side with fat grafting.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

It is possible to correct your asymmetry with surgery performed on the desired side. However, please note that while results are long lasting, they will be affected by aging and the effects of gravity.You can consider a Brazilian Butt Lift or butt augmentation with implant as options.

Although a photo would be extremely helpful, yes it is possible to correct or at least significantly improve your buttock asymmetry.  Typically it is more effective to try to augment the smaller side than to reduce the lager side.  The two best and only safe and reliable ways to accomplish this is by either autologous (using your own) fat transfer or with an implant.

 

Allow me to share with you some information that you may not hear elsewhere.   There are only two proven safe and relatively effective methods for Buttock Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock Implants (semi-solid silicone rubber implants that cannot rupture &/or leak).  Both are very good options so what it comes down to, like any surgery, is proper patient selection.  Indeed because at least 50+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest.  Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred.  This can also happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflamation and subsequent scar tissue/hardening.

 

Thus buttock implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice).  I prefer to insert the implants through a single 2 ½ inch long incision over the tailbone (concealed within the crevice between the buttock cheeks).  The implant should always be placed under or within the gluteus maximus muscle.  In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle.  Therefore it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure.  And in this case too, at least in my surgical practice, the infection rate is minimized to ~5%.  Hope this helps…RAS