Will Fat Injections Improve My Buttock Asymmetry?

Q: Dr. Eppley,I am really considering butt augmentation (but I’m nervous).  I am a 33 year old women, who was born with one leg longer than the other and mild scoliosis.  It was no problem in the begining because it was barely noticeable.  Now, however, my shorter leg is much bigger than the longer leg, and it has caused my butt cheeks to be very uneven.  My guess is they were probably uneven all along, but now it’s very noticeable.  I can’t buy jeans or pants because they are either too big on the small side or too tight on the big side, and it makes my butt that much more noticeable.  Anyway, my left butt cheek is bigger (meaning its more round and it hangs down longer) than my right butt cheek.  Before I get this fat transfer done, is there anything else I can do on my own (maybe exercise) that will even my butt out, or is surgery my only option?  And, if surgery is my only option, will that also change as years go by, because I will always have one leg longer than the other, that causes one to be more dominant? Thanks for your time.

A: There are no exercises or any other non-surgical methods that will change your buttock size.

When it comes to buttock asymmetry, there are two obvious approaches…make the smaller side bigger or the bigger side smaller. The bigger method usually involves fat injections to the buttocks and the smaller method involves a lower buttock tuck with or without liposuction. I do not have enough information to tell you which is the more reliable approach. It is also possible that a combination of the two may give you the overall best result. I would have to see photographs of your buttocks to better answer that question.

Dr. Barry Eppley

Indianapolis, Indiana