Severe glute imbalance - what is the cause and how can I fix it? (Photo)

Thank you for your question regarding severe gluteal asymmetry or uneven buttocks. If you did not have trauma and the asymmetry was there as long as you can remember, I believe your condition is genetic or acquired. If it is genetic, you were born this way. It could have also been your position inside your mom's abdomen during her pregnancy. Additionally, it could've been trauma or a virus leading to muscle atrophy on your left buttock. Those could be the possible solutions. It would not be easy to exercise just one side. However, it is possible. Surgical solutions could make the smaller side or, the more significant side smaller. By this, I mean you can undergo a Brazilian butt lift with fat transfer to make your smaller buttock larger, or you could undergo a right buttock reduction either with liposuction or with a buttock lift. Therefore, I would suggest a surgical correction for your asymmetry. I hope this helps answer your question regarding buttock asymmetry.
Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Correction of moderate asymmetry that you have, can be achieved with combination of liposuction and fat grafting. It may also require proper positioning of gluteal crease, which is very important element of symmetry. In person consultation with a board certified plastic surgeon, true expert in body contouring of this kind, is recommended. Good luck.

Dear Adventurous587688,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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