Missing gluteal fold - how do you fix it? (photos)

Question

For some reason my right side has 0 gluteal fold and I have no idea why. I’ve been trying to search for the term to find procedures to fix it but I can’t find it. What causes a lack of a gluteal fold on one side and how do you fix it?

Ryan A. Stanton, MD · Answer

Every human body has some asymmetries when comparing the left and right halves.  However some variations are more dramatic. In your case, you’ve had a developmental variation where you’re right infragluteal fold did not develop as naturally as the left. Unfortunately there is no good way to go now create a seamless natural gluteal fold without a long scar (i.e. a lower buttock tuck). One thing for sure, there is absolutely no “nonsurgical” way to do it and this includes ripoff fillers such a Sculptra and others similar marketed for augmenting the butt on can hips.  Hope this helps.

Stanley Okoro, MD · Answer

Thanks for your question and the photo you provided. Not everyone has a buttock fold. If you want to create one, this would require a surgical procedure. My patients are placed under general anesthesia, excess skin to the lower pole of the buttocks is removed and an incision is placed where your fold will be created. After 4- 6 weeks that incision forms a scar which appears to be a buttock fold. Make sure you consult with a board certified plastic surgeon.

Scott W. Vann, MD, FACS · Answer

I do not know what caused you to have uneven folds but it is very common to have uneven parts of the body. I see lots of uneven breasts, ears, eye lids,etc. Probably simply something you were born with. I doubt you can achieve perfect symmetry, but some simple liposuction etching would improve the look and form more of a line for your fold with no scar. I would not recommend an open excision of the area, the scar is not worth it. Good luck.

Daniel Barrett, MD · Answer

Dear Fantastic560453,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kristine Brecht, MD (license suspended) · Answer

Dear Bothell,
Genetics and environment can effect our body. Good history and PE may help to figure out contributing causes of your buttock issue.
Fat transfer may be one of the best volumizing solutions. My patients are typically just needing one treatment, but 1-2 more treatments are desired by some for bigger results.
Best. DrBrecht 
Seattle, Wa

Missing gluteal fold - how do you fix it? (photos)

Answers (5)