What Is The Best Way To Get A Uniform Infragluteal Fold – Liposuction or Lower Buttock Lift?

Q: Dr. Eppley, Is it achievable via liposuction or removing of excess skin to get a uniform “smile” gluteal fold across both glutes. This problem has deeply affected my self esteem and i am looking for someone with experience in correcting the issue with beautiful results. Your response and considerations will be greatly appreciated. 

A: Thank you for your inquiry and sending your picture. What you are seeking is to have a uniform infragluteal crease on both sides. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease.

One can not liposuction between the two and create a single infragluteal crease. This is often tried but never works. Rather this requires an excisional approach where the skin is removed along the lines of the existing two creases and put together into a single crease. (lower buttock lift/tuck) Whether the resultant scar to do so would be viewed as a worthy tradeoff is patient dependent.

Dr. Barry Eppley

Indianapolis, Indiana