Those patients with severe skin laxity, along with a laterally extending infragluteal fold with an angle of greater than 30° are classified as having Grade III ptosis ( Fig. This is a difficult area to fix. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. By means of MR imaging of volunteers and dissection of fresh cadavers, a here presented study revealed the infragluteal fold as a connectival fibrous band extending from the ramus of the ischium, the coccyx and the apex of sacrum, without significant. All patients judged the outcome as very good. Detailed clinical assessments of infragluteal fold, degree of flaccidity, projection, gluteal shape, and skin surface irregularities are required to define the overall objectives of the procedure. All patients judged the outcome as very good. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. Other techniques are performed either as standalone or in association with other procedures, such as: fat transfer also called Brazilian 'butt lift' hydrogel and silicone buttock injections; Complications. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3rds of the posterior thigh, the infragluteal fold, as well as the lateral anal region, scrotum, and labia majora through its inferior cluneal and pudendal nerve branches. D. 1 Excerpt; Save. The gluteal‐fold flap is very useful for various vulvar and buttock reconstructions because it can be adjusted to the required volume and the usefulness of this flap for anal and pelvic‐floor reconstruction was demonstrated. The infragluteal fold became less evident, the but- buttock lift and augmentation with the dermal fat flap tock mass was elevated, and augmentation was achieved described was performed, resulting in correction of the with the maximum projection at midlevel of the gluteus. The surgical anatomy of the subcutaneous screen on the gluteal region has. D. Background: The Skin Laxity Severity Scale for the buttocks was previously developed to separately assess buttock ptosis, a scalloped appearance of the skin, infragluteal fold, localized fat on the lower third of the buttocks, and linear depressed lesions. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. 1. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. Answer: Double fold. 45 This results in a ptotic butt if it is longer. A short infragluteal fold lying in the horizontal crease under the ischial tuberosity, which does not extend beyond the medial two-thirds of the posterior thigh. It has been noted in multiple. Between 2. Note anterior abdominal wall. Destruction of this. L3 provides innervation to the medial femoral condyle . Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 9 and 10. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Those patients with severe skin laxity, along with a laterally extending infragluteal fold with an angle of greater than 30° are classified as having Grade III ptosis . All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. (aka tuck) The most important factor to guide implant selection is its base’s vertical and horizontal dimensions, which should fit the buttock leaving at least 5 cm between the pocket dissection limit and the infragluteal fold and 2 cm lateral to the sacrum. To our knowledge, only two variations to the classic chevron technique have been described in an attempt to improve buttock contouring following GSCT excision. This study reevaluated the fold both histologically and anatomically. Cocke and Ricketson were the first to describe placing silicone breast implants in the subcutaneous plane with less than optimal results. 臀下皱襞（The infragluteal fold，IGF） [1，2]是臀区与股后区之间形成的皮肤皱褶。. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. Grade III: The skin. We developed a practical and safe pedicled flap for reconstruction of ischial pressure sores based on the rich available perforators from the internal pudendal artery and the surplus of skin at the. 5 cm, 3-month follow-up). In cases when full leg definition is wanted, two additional incisions can be placed in the posterior fold of the knee area: one medial and one lateral (Fig. Weight gain following thighplasty may negatively affect your surgery results. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Ini-tially, a deep plane is created by the 3-mm cannula. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone level is performed. 35. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. Does it have a downward 45º angle, run horizontally, or have an inverted upward. S3 provides innervation to the infragluteal fold . In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. S4/5 In the perianal area, less than one cm. Detailed Procedure Information. In the pre-op photo, the patient presents with significant lipodystrophy of the iliac crest roll hips, periumbilical lower abdomen, anteromedial and posterolateral saddlebags, and the infragluteal fold banana rolls. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Infragluteal fold. A long infragluteal fold can also be improved and a more youthful shape be obtained. The Buttock Lift with Hyaluronic Acid and Threads. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. Both flaps were fixed with interrupted 0-Vicryl. By utilizing an FCI flap for the reconstruction of a contour deformity in the region, the gluteal sulcus can be sufficiently reconstructed, and a pleasing buttock. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the vaginal introitus in 6 patients, to reconstruct the labia majora in 5, and to close a rectovaginal fistula in 4, survived without signs of impaired circulation. Five fixed cadavers. intragluteal injection. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Patients with a long buttock may. Tissue samples (6 cm long x 2 mm thick) were taken. The inferiorly oriented form of the muscle may be visible in males, but in. 2 Patient Selection. The infragluteal fold was marked as the lower limit to ensure preservation of the structure and thus avoid ptosis of the gluteal mass and implant displacement. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. The power of this technique is granted through the lengthened anteroposterior. This fold is the horizontal crease under the ischial tuberosity. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. It is indicated when the maximum point of buttock fullness is at the mid to upper portion of the buttocks, which should coincide with the level of the pubic symphysis [ 4 ]. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Consistent features of beautiful buttocks: lateral depression, infragluteal fold, supragluteal fossettes. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 4). A. 17). The way to correct this is to directly cut out that area but you will have to be wiling to accept a scar inside the new crease. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. Sorry for your problem. Also evaluate the angle of the infragluteal fold. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and cadavers, respectively). And placing such a graft always runs the risk of causing an infection. PMID: 15940397 DOI: 10. Plastic Surgery 35 years experience. Peter Fisher M. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. Results: Our technique allows wide exposure for tumour resection and functional restoration of the pelvic floor while placing the scars in anatomical locations and restoring buttock. PDF. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. Plan on a 2-3 week recovery. loss of the infragluteal fold [7]. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. The posterior knee-fold incisions can be closed or left open for. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The inferior border of the infragluteal fold is formed by the insertions of the semitendinous muscle and the belly of the biceps femoris. C2 – At least one cm lateral to the occipital protuberance at. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 6. . Fig. The therapy was found comfortable with a high satisfaction rate. The dissection for the pocket where the flap will be inserted has to stop 5 cm above the infragluteal fold to avoid injury of the medial cluneal and the cutaneous femoris posterior sensory nerve . Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). The short answer is yes. BackgroundThe gluteal fold represents an important aspect of the gluteal region. It is one o…THE IGF. It has been noted in multiple. I hope this helps. Limits implant movement. The flap width was designed to match the broadest width of the defect, which was assessed from the inner. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Le Louarn and Pascal’s incision was made horizontally along the inguinal fold without descending into the gluteal crease; they also treated the excess fat with liposuction and the skin laxity with serial resections. In this way, it's similar to a general lower body lift. 0+/-1. The postoperative resultsMethods: We describe a new technique for immediate reconstruction of GSCTs using buried dermal-fat flaps and a low transverse scar in the infragluteal fold. A direct excision was performed under general anesthesia. With sagging of the muscle belly, the infragluteal fold is decreased or lost, and atrophy of the buttock is obvious with time. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. Download scientific diagram | MRI sequence of the infragluteal fold with T1 VIBE MORPHO sequence (Thickness slice = 900. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. Fig. &NA; Use of a local flap is often needed for closure of a defect in the. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. The infragluteal fold, which attaches to both the ischium and the sacrum in a continuous fashion, is an anatomic structure in its medial part and only a crease laterally. 2, 3, 4. The aesthetic line of the infragluteal fold should generally be short, no longer than the. The length and definition of the infragluteal fold play important roles in aesthetically. Background: Sagging of the buttocks is a well known body change that can occur due to natural aging, weight loss or as a sequelae from buttock implant removal. Thomas Fiala answered. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. The patient’s position is prone or lateral decubitus. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. The procedure can be performed as a single procedure or as in cases of massive weight loss in the context of a lower body lift (circumferential abdominoplasty, belt. 5 ). With your feet shoulder width apart, place your hands on the barbell (whether on lifting blocks or in a Smith machine), with your palms either over or under the bar. After the fat graft, thread lifting is performed considering the vector. Hello and thank you for your question. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. Great posted photos. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. Procedure. The second incision is placed at the midpoint of the infragluteal fold. FIG. Other procedures commonly done include lifts and changing the infragluteal fold length. The gluteal sulcus (also known as the gluteal fold, tuck, fold of the buttock, or horizontal gluteal crease) is an area of the body of humans and anthropoid apes, described by a horizontal crease formed by the inferior aspect of the buttocks and the posterior upper thigh. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. Infragluteal fold: It is the horizontal crease under the ischial tuberosity composed of the lower edge of the gluteus maximus muscle and usually does not extend beyond the union of the semitendinous muscle with the biceps femoris. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. (E) The incision is closed from distal to proximal, blending into the abdominal closure when abdominoplasty is performed. The need for liposuction of the lower back or hips is considered. deformity and a pleasing buttock contour. Purpose The apparent failure of pudendal nerve surgery in some patients has led us to suggest the possibility of entrapment of other adjacent nerve structures, leading to the concept of inferior cluneal neuralgia. The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. Tissue samples (6 cm long x 2 mm thick) were taken. Also, evaluate the angle of the infragluteal fold. PAP flap breast reconstruction leads to improved aesthetic proportions of the proximal thigh and buttock, ideal for patients with ptotic tissue of the inferior buttocks and medial thigh, a poorly defined infragluteal fold, and inadequate anterior-posterior buttock projection. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. 3 Excerpts; Save. Results: The Buttocks' SLSS is composed by 5 clinical aspects of skin laxity graded from absent (0) to severe (3): buttocks ptosis, skin scalloped appearance, infragluteal fold, localized fat on the lower third of the buttocks, and linear depressed lesions. The infragluteal fold is a fixed and well-defined structure that serves as the inferior border of the buttock proper and is formed by subcutaneous fat and thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin . unsatisfactory. The postoperative results depicted in the article demonstrate a successful. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. This procedure recreates the fold on the bottom part of the butt, known as the infragluteal fold, creating a more defined separation between the butt and the thigh. No major complications or. The infragluteal fold is where the bottom of the buttock meets the upper thigh. The infragluteal fold, which The concept of the ideal shape for the gluteal region has attaches to both the ischium and the sacrum in a continuous changed over time and over cultures and still is evolving. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. Search worldwide, life-sciences literature Search. T1. The retromuscolar technique is preferred by patients requesting a natural, sporty result. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. For this we have applied a pedicled skin flap raised in the infragluteal fold, the technical details and surgical results of which are presented in this paper. Profunda perforator characteristics that were examined included the distance from the pubic tubercle to the infragluteal fold (IGF), the distance of the perforators from the IGF, distance posterior to the gracilis, the diameter of the perforator at fascial exit, and total number of perforators present. 44 The infragluteal fold is an important indicator of gluteal. The appropriately selected gluteal implant is folded in half. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. It is critical to appropriately and systematically analyze the complex regional anatomy. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3rds of the posterior thigh, the infragluteal fold, as well as the lateral anal region, scrotum, and labia majora through its inferior cluneal and pudendal nerve branches. Medicine. Ranch & Coast founder, Dr. Intergluteal crack height is unchanged. Answer: Double gluteal fold. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. The infragluteal fold has been reconstructed, leading to an aesthetic appearance of the gluteal region soft tissue (skin and fat) will often lead to disappointing biceps femoris laterally since this is the natural ending of results, including wide scarring, recurrence of ptosis, and the fold [2]. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip joint and overlying fat and is not formed by the lower border of the gluteus maximus muscle, which crosses the fold obliquely. The authors’ experience using. Surgery was performed in the jackknife position, and flaps were elevated in the suprafascial plane. . Paraspinous muscles cannot be forgotten in the lower abdomen. Indianapolis, Indiana. Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. But so doing it may also make your buttocks look a little less full because its roundness is decreased. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. Tissue. PDF. Red line. The main difference with our technique is the design. 3. The current trend is towards more fat grafting and less implant use, as fat grafting, when carefully applied, is seen as less likely to have complications. The option with a reasonable chance for improvement with the lowest chance of problems is to do a fat transfer with some careful infragluteal liposuctioning. Complete 10 to 15 reps. This causes movement of the infragluteal sulci in downward and lateral directions as well as lengthening of intergluteal sulcus. It is divided into an inner, a central, and an outer zone. Selective fat reduction centrally and laterally. This is not a good benefits vs risk proposition. 44 The infragluteal fold is an important indicator of gluteal aesthetics. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. The infragluteal crease is found in several terms such as the gluteal crease, the infragluteal fold , the infragluteal sulcus , the horizontal gluteal fold , the gluteal fold , the inferior buttock crease , the lower gluteal crease, and the inferior gluteal crease. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. The entry point for fat injection is near the infragluteal fold and around the sacral triangle, which is the same as that for thread insertion. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. The key to success for this procedure is to. Both volume and projection of the buttocks may be improved. loss of the infragluteal fold [7]. What separates the lower buttocks from the other two sections is the infragluteal fold. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh skin and fat. S2 S1 S3 S4/5. 6). The dissection and volume this flap provides are similar to that of the SGAP flap. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. The infragluteal crease [23] is found in several terms such as the gluteal crease, the infragluteal fold [24], the infragluteal sulcus [24], the horizontal gluteal fold [4], the gluteal fold [4. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Severe infragluteal fold. Five fixed. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and. Skin creases of the trunk 1 (Fig 1) include the inframammary crease, the suprapubic crease, the oblique skin crease of the groin, and the infragluteal crease. 00 µm). the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Saddlebags at the infragluteal fold level are replaced by tight flat skin. Five fixed cadavers were used. Superiorly it is formed by the lower border of the gluteus maximus. Keep your arms straight as you lift the weight with your hips and glutes. The most significant changes in circumference were found at the level of 5 to 10 cm below the infragluteal fold, corresponding to the treated area on the lateral thigh. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patientsFlap reconstruction is e cient in severe cases of infragluteal fold deformity [5], but the low patient's acceptance of sequel scar limits its application. : situated within or introduced into the gluteal muscle. PDF | On Jan 11, 2023, Héctor César Durán Vega and others published Vectorial Treatment of Infragluteal Fold | Find, read and cite all the research you need on ResearchGateWe describe a new technique for immediate reconstruction of GSCTs using buried dermal-fat flaps and a low transverse scar in the infragluteal fold. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The author has simply combined the incisions. excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. The patient has difficulty arising from a sitting position or climbing steps. 15. The only way to create a sharper erase/line at the underside of the buttocks is an excisional tuck, making the existing infragluteal fold deeper. 1. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). PDF. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. from the bone to the skin. Most patients in the study had a deep infragluteal fold (the fold at the bottom of the buttocks), which is the exact issue this procedure will address. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. 1 Anatomy of the gluteus maximus muscle and deeper structure. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. In the ideal gluteal aesthetics, the relationship between the infragluteal fold and the inner thigh should create a diamond shaped space, as seen in Fig. Also evaluate the angle of the infragluteal fold. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Background: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. This fold or crease is formed under the ischial tuberosity by the insertions of the semitendinous muscle, biceps femoris, and lower portion of the gluteus maximus. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. the infragluteal fold. The "sensuous triangle" is found at the junction of the lateral. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. Your options are to carefully suction the fold and to either do a surgical buttock crease lift or fat injections to to butt just above the crease, or a combination thereof. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. In contrast, a shorter infragluteal fold contributes to a full, taut, and youthful-looking buttockFour fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. The infragluteal fold is like a horizontal line. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3 rds of the posterior thigh, the infragluteal fold, as well as the lateral anal region, scrotum, and labia majora through its inferior cluneal and pudendal nerve branches. 39. This will produce an indentation but not make it too deep -- if the fold is too deep the buttocks collpase downward folding over the fold. Grade III ptosis has the most skin and volume below the fold, with significant skin laxity and a more angular infragluteal fold. A banana fold may form for different reasons, among which an. The APEX thighlift takes advantage of the hidden scar described in earlier techniques, using an incision along the medial thigh inguinal crease (or inside that if thinning of a widened pubis is desired) that extends posteriorly into the infragluteal fold . Manipulation using a ball-spiked pusher under. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. 45 This results in a ptotic butt if it is longer. Most patients had a deep infragluteal fold. In 1977 Gonzalez-Ulloa described correction of the ‘sad. The “sensuous triangle” is found at the junction. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. Oh et al 26 recently demonstrated a shortening of the infragluteal fold by performing a thread lift with an elastic silicone-polyester thread. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). Popularity of injectable fillers. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. Most patients had a deep infragluteal fold. Each buttock section has its own distinct shape. This study reevaluated the fold both histologically and anatomically. Reliable use of the gluteal thigh flap is still possible in cases where the resulting scar of a previous infragluteal transposition flap extends over the full length of the infragluteal fold (Fig. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Save. The width of the flap and. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. A new surgical treatment method using a gluteal-fold flap (GFF) for anal stricture after total ISR is developed and it is believed that GFF transfer is an excellent option for treating anorectal strictures after totalISR. In the ideal buttock, the infragluteal fold should end. The inferior gluteal area is divided into four zones by tracing a vertical line from the center of the gluteus and a horizontal line that crosses through the infragluteal fold (Fig. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty ( 4 ). 1). The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. Fig. However, there is no clear anatomical description of the infragluteal fold,. 1. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. A banana fold may form for different reasons, among which an. infragluteal fold [2–4]. 51. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. The skin flap was designed along the gluteal fold. But so doing it may also make your buttocks look a little less full because its roundness is decreased. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. 15. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. Liposhifting is a technique that. Infragluteal fold reconstruction is fracture was diagnosed, and she underwent surgery achieved by reconstruction of the buttock’s sustaining ap- for posterior instrumentation to stabilize the fracture parel through deepithelialized skin flaps anchored to deep in orthopaedic department. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. 2, 3, 4. Purpose: The apparent failure of pudendal nerve surgery in some patients has led us to suggest the possibility of entrapment of other adjacent nerve structures, leading to the concept of inferior cluneal neuralgia. Mendieta, on the other hand, described a procedure to eliminate the square shape of the inferomedial area of the gluteous in massive weight loss patients, with the hanging tissue removed by means of an incision that goes along the inner infragluteal fold and then upward lateral to the anus []. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. An angulated cannula can be used to easily enter the superficial space. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. This fold’s length and shape has a pre-eminent role in gluteal aesthetics: a long fold indicates a ptotic buttock, whereas a short one suggests a young. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Expand. Barry Eppley. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. All patients judged the outcome as very good. The fat graft is placed in the upper medial side for projection. The Muffin Bottom consists of sculpting three different regions at one time, the infragluteal fold, the medial posterior thigh and the lateral posterior saddlebag region. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a patient who experienced fat graft overabsorption, fat graft translocation, and gluteal ptosis aggravation. A. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. Does it have adownward 45º angle, run horizontally, or havean inverted. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Superiorly it is formed by the lower border of the gluteus maximus. A long, deflated. aryepiglottic fold a fold of mucous membrane extending on each side between the lateral border of the epiglottis and the summit of the arytenoid cartilage. The power of this technique is granted through the lengthened anteroposterior scar and. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease.