Why is my butt crack slanted? Could it be fixed with lipo? (Photo)

Did you ever have any surgeries as a teenager? Anything for pilonidal disease? It is hard to tell with the pictures. If not, correction of deformities like that can often be done with a mixture of weight loss, liposculpting and surgery.

Weight loss or liposuction to take care of that excess fat. Liposuction is quicker in that area, but weight loss is still advised.

Hello. Thanks for your photos and questions. By the pics, it's not easy to say what is the problem. Contact a board-certified plastic surgeon in your area for a physical exam. Remember that you need to recover your ideal weight before going to Liposuction. Good luck!

During every embryological development, the posterior midline goes through a period of fusion from the two sides of your body which initially develop independently, and eventually fuse in the midline. Lower spinal area is known to have potential congenital defect, which typically happen during embryological development at the time of midline fusion.
I don’t think the sloping of your gluteal crease is related to fat distribution so Liposuction is probably not going to be best treatment. Most likely this area is best left alone. You could probably have liposuction to flatten the area out but the deviation to the left is going to be challenging to correct.
Best,
Mats Hagstrom, MD