Glute Imbalance. Is it possible to correct this? (Photo)

Question

Hello, I am a 30 year old female and I have had this imbalance in my glutes at least since high school. Is it possible to correct this through unilateral glute exercises? Also is this a muscle issue or fatty tissue issue? Thanks for your help Note: I rowed for 3 years on starburt side and not sure if this caused it.

Stefan Mark Szczerba, MD · Answer

Improved I think best with some targeted fat graft to the depressed area.  It may take a few sessions though but from what I can see this could be improved.  Make sure you see someone who does a lot of fat grafting.  Best Wishes!!

Felix Omar Márquez, MD · Answer

Hi, thanks for your question and pics. You have an imbalance in your buttocks. First of all, remember that each body is different and it's not symmetrical at all. Second, you can correct that condition with a fat transfer or an implant. Another option is using dermal filler for a non-surgical and non-permanent result. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!

Mats Hagstrom, MD (license on probation) · Answer

The human body is a symmetrical and this is true for everyone. The torso is asymmetrical the face is asymmetrical and extremities are asymmetrical. That said your case is unique and this is not just baseline asymmetry. This is most likely congenital if it’s been like this most of your life. It looks like it’s directly related to the thickness of subcutaneous fat. if you have not had prior procedures or some significant trauma in the area then it’s most likely related to just an anomaly in embryological development. Usually asymmetry is based on the skeletal structure but this looks like a difference in fat distribution.
I don’t think any type of athletic activity could cause this. The hollow side is probably best treated with fat transfer. fat transfer in order to be successful requires having some healthy tissue to support the graft. I referred to that tissue as host tissue.
A successful fat transfer procedure under normal circumstances can double the thickness of the host tissue layers if the procedure is done under ideal circumstances. this definitely includes the procedure being done by someone who has done thousands of fat transfer procedures in the past and clearly understands the basic concepts of tissue grafting.
The hollow side is in my opinion less attractive and adding volume to that side would look better than doing liposuction on the other side. it’s definitely easier to remove volume then to add volume so you should ask yourself which side you like better.Delivering consistent quality liposuction and fat transfer results is more difficult than most people believe and this includes the majority of plastic surgeons as well.
If you want to move forward with surgical intervention then I would recommend starting the process of finding the right provider. Simply being board-certified with an overall good reputation is insufficient to confirm that someone has mastered both Liposuction and fat transfer.
I recommend avoiding virtual consultations whenever possible and instead schedule in person consultations.
During individual in person consultations ask each provider to open up their portfolio and show their entire collection of gluteal fat transfer cases including those that are unusual or anything that represents some thing similar to your own. That may be revision work.
Starting off by seeing an entire portfolio of quality work of primary procedures even on people with normal anatomy is a good start. And experience provider should have no difficulty showing you at least 50 sets of before and after pictures of commonly performed procedures like the BBL.
Highly experienced surgeons will have 100s or even thousands of before and after pictures for this commonly performed procedure.
 I also recommend reading all reviews and various physician review websites avoiding providers with any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling then having an abundance of positive reviews. When reviewing before and after pictures ask providers to show you examples of excellent outcomes, average outcomes and less than outcomes. We all have them and it’s fair game for patients to ask to see them. look carefully at each picture especially liposuction results to make sure there are no skin irregularities anywhere. Have the surgeon go over the pictures with you and ask which areas were treated with Liposuction and what areas were not and look carefully at transition zones between treated and untreated areas.
Don’t be in a hurry and continue having consultations until you found a surgeon you feel absolutely confident in. Even then this may take multiple procedures to correct.
Good luck,
Mats Hagstrom MD

Glute Imbalance. Is it possible to correct this? (Photo)

Answers (3)

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