April 30, 2025 | DoubleButt Crease
Have you ever looked in the mirror or at photos and noticed a deep crease in your lower inner buttocks that doesn’t seem quite right? Maybe you’ve researched it and know that plastic surgeons refer to it as a “double butt crease” or “inner gluteal fold”. In layman’s terms some describe it as an “elephant butt” or “frog butt”. However, all you know is that it’s affecting the shape of your backside and making you feel self-conscious. There’s no need to worry because you’re definitely not alone, and there are effective solutions available to correct the problem. In this blog, we’ll delve into everything you need to know about double butt crease deformity—what causes it, why traditional treatments may not correct it, and how innovative procedures like the Miami Thong Lift can finally smooth things out.
6 Min Read:
What Is Double Butt Crease Deformity?
A double butt crease deformity refers to the appearance of an extra or secondary vertical crease above the inferior gluteal fold, which is the natural crease where your buttocks meet your upper thigh. This second, sometimes deeper crease can distort the natural shape of your buttocks, making them appear flatter and even saggy.
While some people are born with this condition, others develop it because of factors like weight fluctuations, liposuction that was performed incorrectly, or the natural aging process. And while it may seem like a purely cosmetic concern, double butt crease deformity can affect your confidence and body image, making you feel self-conscious in swimwear, fitted clothing, or during intimate moments with your partner.
Common Causes of Double Butt Crease Deformity
When you’re looking for a solution to your double butt crease deformity, the first thing you and your plastic surgeon will do is determine what caused the condition in your case. The causes of this frustrating issue can generally be grouped into three main categories: genetics, aging, and lifestyle factors.
Genetics
For some people, a double butt crease is inevitable because it’s simply a result of genetics. In these instances, the condition is caused by the way fat is naturally distributed on your buttocks, where your skin attachment points are, and how your connective tissues are designed. These are all determined by genetics and can predispose you to develop a secondary gluteal crease. This form of double butt crease may be noticeable from a young age and is often unaffected by changes in your weight or level of physical activity.
Aging
As you’re probably aware, our skin loses elasticity as we age, and the underlying tissues may sag or move lower than you’d like them to. This can cause the gluteal fold to droop, creating a double butt crease. Age also causes natural volume loss in your buttocks and upper thighs, which can also make any existing creases appear deeper or more defined. Together, all of these factors can cause this deformity to become more pronounced, especially in older adults.
Lifestyle Factors
As previously mentioned, weight fluctuations are often a common cause of double butt crease deformity. Significant weight gain, weight loss, or changes in body composition (like gaining or losing muscle) can also stretch your skin and how fat is distributed in your lower buttock area. When fat is quickly lost or gained, your skin may not “bounce back” properly, which can cause irregular folds or indentations. A sedentary lifestyle can also add to a double butt crease deformity due to pressure on the gluteal area from sitting for long periods.
Additionally, some cosmetic procedures may cause or worsen this condition. Overaggressive liposuction or poorly executed fat transfer surgery can result in restricted skin movement and scar contracture, both of which can contribute to a double crease.
Why Traditional Liposuction & Fat Transfer May Not Work to Correct Double Butt Crease Deformity
When people notice irregularities in their buttocks, their first thought might be to correct them by undergoing fat transfer or liposuction. While these are very popular procedures used to enhance your body contour in various ways, they’re not always the best way to correct a double butt crease deformity, and may even worsen the problem. For these reasons, it is vital that you select a board-certified plastic surgeon who has extensive experience in body procedures—specifically in treating this condition. They can correctly diagnose the issue, pinpoint the causes, and perform the cosmetic procedures that will give you the most effective and aesthetically pleasing results.
Limitations of Liposuction
Liposuction is solely designed to remove excess fat, not to address the connective tissue structure under your skin. In the case of a double butt crease, the problem isn’t just about having too much excess fat but instead about the tightly tethered or abnormal adhesion of the skin to the tissues underneath. Removing even a little bit of fat can sometimes worsen this condition by deflating the area and making the crease more noticeable. Additionally, aggressive liposuction performed too close to the gluteal fold can cause the formation of scar tissue, which can worsen existing creases or create secondary folds.
Fat Transfer Limitations
Fat transfer, such as in Brazilian Butt Lift (BBL) procedures, involves injecting fat into your buttocks to enhance their shape and increase volume. While this is a popular and effective procedure for these purposes, it isn’t as successful when it comes to addressing deep creases. Injected fat tends to fill the areas surrounding where it is placed, but may not be able to lift the tethered skin or camouflage the indentations caused by a double crease. And, if the tethered skin prevents fat from settling into the intended areas, you may be left with lumpy or uneven results.
How the Miami Lift Corrects Double Butt Crease Deformity
The Miami Thong Lift, or Miami Lift, is an innovative surgical technique specifically designed to correct deformities in the lower buttock, like the double butt crease. Developed by surgeons who are experts in body contouring, this procedure goes beyond mere cosmetic enhancements and addresses the structural cause of the issue.
The Miami Lift involves placing discreet incisions within the natural central gluteal cleft through which the underlying tissue and fat are manipulated. Liposuction, fat transfer, a full buttock lift, or buttock implants may be added (depending on your unique anatomy) to achieve the desired results. The Miami Lift offers several benefits, including:
- Targeting skin tethering that causes the double crease
- Repositioning and reshaping tissue to create smoother contours
- Adding fat grafting when necessary to shape and restore volume
- Improving the symmetry and aesthetics of your buttocks
Discover the Miami Lift in El Paso, TX
Double butt crease deformity can be a frustrating issue, but Dr. Frank Agullo and the Miami Lift are here to provide you with an effective solution. While traditional fat transfer or liposuction may not adequately address the problem, advanced techniques like the Miami Lift offer a structural solution to restore the beauty of your booty. To learn more and explore whether a Miami Lift is right for you, schedule a consultation with Dr. Agullo today by calling (915) 590-7900 or completing the online contact form.
