A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. Answer: Options to fix/shorten infragluteal fold after BBL? Well, after undergoing liposuction and BBL you know that more of the same is definitely not the answer. Limited inferiorly by infragluteal fold. ResultsThe infragluteal fold is a connectival fibrous band. deformity and a pleasing buttock contour. A banana fold may form for different reasons, among which an. The appropriately selected gluteal implant is folded in half. But so doing it may also make your buttocks look a little less full because its roundness is decreased. Answer: Double gluteal fold. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Jackson-Pratt drains are then introduced into the pocket and laid into the base of the pocket and secured with 3-0 Nylon suture (Fig. situated between the buttocks… See the full definitionBackground: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. Ini-tially, a deep plane is created by the 3-mm cannula. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Short gluteal fold. The infragluteal fold length and definition play important roles in esthetically. See full list on link. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. Also evaluate the angle 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. 2). 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. (E) The incision is closed from distal to proximal, blending into the abdominal closure when abdominoplasty is performed. FIG. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. This deepithelialized dermal flap allows for the creation of a well-defined stable infragluteal fold through an incision of the infragluteal fold and exposure of ischial tuberosity and anchor it to the ischial tuberosity. B, D, F, Postoperative views after treatment with subfascial placement of silicone elastomer implants, which increased projection, shortened the infragluteal fold, and restored volume to. Before the Implantation. PDF. implant. 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 . 5 ). Subscribe Now:More:exercise to define. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. What separates the lower buttocks from the other two sections is the infragluteal fold. After 1 year, she under- gluteal fascia. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. This technique creates a new, more aesthetically pleasing fold in order to resolve dropping skin and the presence of a double skin fold (the “banana roll”) beneath the buttocks. 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. Chasan, partook in a study examining the results of the infragluteal thigh lift. The procedure would take approximately 4 hours to complete. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Transversal slice passing through bony structures. 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. fashion, is an anatomic structure in its medial part and only a Despite this reality, the ideal gluteal shape has been crease laterally. 44 The infragluteal fold is an important indicator of gluteal. Conclusion: The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region. 22), liposuction of the inner thigh and infragluteal area may be indicated. Recent Surge in BBL Demand. Concomitant fat transplantation to the infragluteal/posterior thigh junction region during circumferential liposuction of the thigh is effective in preventing postliposuction gluteal ptosis and improving patient satisfaction. Infragluteal fold excision can be performed either before or after implantation (Fig. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. Esthetic results can be individualized to patient’s wishes/expectations: by flap design (shape, width, length, thickness), by pocket dissection (shape, width, depth), and by flap fixation (sutures, infragluteal fold reconstruction). The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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。. Barry Eppley. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. 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 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. Perception of ideal buttocks varies across cultures. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. T3 provides innervation to the midclavicular line . Indianapolis, Indiana. It has been widely accepted that one of the features of aesthetically pleasing buttocks is a short infragluteal fold that does not extend past the union of the semitendinous muscle with the biceps femoris, which is medial to the midaxial line of the thigh [4]. Expand. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. The infragluteal fold region is the lower edge of the buttocks. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. The short answer is yes. 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. Limits implant movement. An anatomical study demonstrated that the perineal branch of. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. C3 provides innervation to the supraclavicular fossa . The surgical anatomy of the subcutaneous screen on the gluteal region has. Results were maintained at 6 months. Download scientific diagram | Definitions of the lines drawn between reference points from publication: Gluteal Region Morphology: The Effect of the Weight Gain and Aging | The gluteal region is. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. 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. 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. Infragluteal fold excision can be performed either before or after implantation . Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. Tissue samples (6 cm long x 2 mm thick) were taken. ResultsThe infragluteal fold is a connectival fibrous band. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. While buttock sagging is a general term it has different types as defined by the level of the infragluteal fold. The lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. Each buttock section has its own distinct shape. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. It has been noted in multiple. Intergluteal crack height is unchanged. Increasing number of patients request body contouring and are increasingly aware of the numerous techniques now available for enhancing the gluteal region, which include the use of implants, autologous fat transfer, autologies, and combinations of more than one of these techniques often produce superior aesthetic. The infragluteal fold, which serves as the inferior border of the buttock proper, is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. 6). PDF. Save. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Grade 6 (severe ptosis): the gluteal tissue passes over the infragluteal fold at the M line; the angle of the skin fold at infragluteal fold is more than 30 Aesth Plast Surg (2018) 42:1050–1058 1051 1231) Liposuction of the buttocks, either in totality or just at the banana roll area, will result in some degree of tissue overhang at the infragluteal fold. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. lateral to the mucocutaneous junction. infragluteal fold [2–4]. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . 2. A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. The medial part of the infragluteal fold is formed by a fat pad that covers the inferior medial border of the gluteus maximus muscle. 6+/-0. The infragluteal fold is where the bottom of the buttock meets the upper thigh. For example, a cir-cumferential body lift (CBL) incision that runs straight across the back will make the buttock appear too long and rectangular or too square, depending on whetherAnswer: Surgery for left buttock ptosis. Keep your arms straight as you lift the weight with your hips and glutes. It has been widely accepted that one of the features of aesthetically pleasing buttocks is a short infragluteal fold that does not extend past the union of the semitendinous muscle with the biceps femoris, which is medial to the midaxial line of the thigh []. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. Does it have a downward 45° angle, run horizontally, or have an inverted. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. Study record managers: refer to the Data Element Definitions if submitting registration or results information. A. the infragluteal fold. And placing such a graft always runs the risk of causing an infection. Detailed Procedure Information. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. 1 43/black/F III 24 Topical and oral antibiotics Infragluteal fold, bilateral axilla, left groin 2 50/black/M III 7 Topical and oral antibiotics; surgery Buttocks, left axilla, perineumThe infragluteal fold/thigh junction (lower glu-teal cleavage) also requires definition. A. Fee $6,000+ Best to virtual consult with. This study reevaluated the fold both histologically and anatomically. On the upper area, markings are shown for the gluteus medius muscle. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. Shorter, less dimpled, and tight skinned buttocks are smoothly wider and better projecting at the mid-level. The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. ExpandThese implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Fig. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. The "sensuous triangle" is found at the junction of the lateral. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. 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. PDF. C2 – At least one cm lateral to the occipital protuberance at. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. 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. Note anterior abdominal wall. Background: The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. 6. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. 11 The safest place to inject HA in the gluteal region is the subcu-Infragluteal fold created by the ischial tuberosity, the insertions of the semiten-dinous muscle and long belly of the biceps femoris, and the lower border of the gluteus maximus. From this point of view, in our opinion, there are four salient morphologic features to be considered in the preoperative planning: anterior and posterior views, the profile, and the infragluteal fold. circular f's. 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 ). 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 retromuscolar technique is preferred by patients requesting a natural, sporty result. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. 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. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. It is critical to appropriately and systematically analyze the complex regional anatomy. Infragluteal fold. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. 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. the market share of other surgical as well as non-surgical body contouring approaches. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. The authors’ experience using. 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. The Infragluteal Thigh Lift Technique. S3 – Over the tuberosity of the ischium or infragluteal fold S4 and S5 – In the perianal area, less than one cm lateral to the mucocutaneous zone Don’t Forget to Solve all the previous Year Question asked on Important dermatomes and anatomical landmarksThe orientation of IGF fibers offers a hammock-like support system. Cuenca described the ideal buttocks for women as follows: mild lateral depression at the femoral greater trochanter, a short infragluteal fold, the supragluteal fossette corresponding to the posterior superior iliac spine, and a V-shaped sacral triangle (Fig. These structures create the fixed, well-defined subgluteal sulcus [2]. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 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. The "sensuous triangle" is found at the junction of the lateral. Save. 20 The inferior gluteal artery, supplying 2/3 of the muscle, enters from the inferior bor-The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. To our knowledge, only two variations to the classic chevron technique have been described in an attempt to improve buttock contouring following GSCT excision. 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. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Fee $6,000+ Best to virtual consult with. In short, one that enhance a patient’s figure and has a V-shaped crease of the sacral triangle, a short infragluteal fold, supragluteal fossettes, and lateral depressions. 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. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. Five fixed cadavers were used. 5 cm distal to the subgluteal fold, the sciatic nerve was consistently identified directly at the ventral end of the hyperechoic structure in all volunteers. Patients with a long buttock may. 1007/s00266-004-0133-2 Abstract The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and. &NA; Use of a local flap is often needed for closure of a defect in the. FIG. Also, evaluate the angle of the infragluteal fold. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. Dr. 23. This crease does not reflect the lower margin of the gluteus major muscle, but. Thomas Fiala answered. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. 3). Body sculpting in this region will reveal these muscles and create anatomical balance in the lower back. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. The long axis of the flap was arranged in parallel with the infragluteal fold axis. The superior border is formed by the lower border of the gluteus maximus. Care must be taken when completing the last portion of the. excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. Tissue samples (6 cm long x 2 mm thick) were taken. 17). The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. S3 provides innervation to the infragluteal fold . It is one o…THE IGF. The posterior knee-fold incisions can be closed or left open for. Five fixed cadavers were used. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. 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. 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. The main difference with our technique is the design. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). Methods: Six volunteers (three males and. A disadvantage is that the lower floor of the buttocks often remains ‘emptied’, while good vascularization can be cited as an advantage. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. 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. Infragluteal fold. For a negative upward slant (see Fig. Tissue samples (6 cm long x 2 mm thick) were taken. 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. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. 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. 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. Cárdenas The infragluteal fold is one of the major concerns in reshaping of the gluteal region. All patients judged the outcome as very good. . Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 2, 3, 4. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. 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. The dissection and volume this flap provides are similar to that of the SGAP flap. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. 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. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. The width of the flap and. 2010. It has been noted in multiple. This is typically done under local anesthesia. Final skin laxity classification results from the sum of each item grade multiplied. 34 Ramanadham and Rohrich 35 showed that, in the face, volume is lost and the tissues sag down toward the central line as we age, producing jowls and marionette lines, which are signs of an aging face. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). Hello and thank you for your question. The anatomical study. A long, deflated. In 1977 Gonzalez-Ulloa described correction of the ‘sad. The infragluteal fold incisions should always be closed by subdermal sutures, since these are the ports of entry of fat grafting, to prevent protrusion of fat or migration. This is a difficult area to fix. 20. Five fixed. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. The infragluteal fold is among the major characteristics of the gluteal region. It arises in the median gluteal crease and follows. 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. Most patients had a deep infragluteal fold. The "sensuous triangle" is found at the junction of the lateral. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior surface of the thigh, the infragluteal fold, the skin over the ischial tuberosity, and also the lateral anal region, scrotum or labium majus []. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. 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. 5 and 15. Supra-gluteal fossettes (one on either side), over the poste-rior superior iliac spine, created by the multifidusThe 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. Good luck. Gozil R. The thigh circumference measured at 3 predefined levels decreased on average by 2. 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 case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. 5 and 6. 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. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. The infragluteal fold is where the bottom of the buttock meets the upper thigh. Fig. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Severe infragluteal fold. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. The range of indications for buttocks lifting includes discreet ptosis, moderate skin laxity in the gluteal or trochanteric areas, asymmetry, double infragluteal fold, long buttocks, and even the deformities that follow significant weight loss. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 1 Excerpt; Save. With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. The infragluteal fold is like a horizontal line. Five fixed cadavers were used. One can not liposuction between the two and create a single infragluteal crease. The key to success for this procedure is to. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 44 The infragluteal fold is an important indicator of gluteal aesthetics. Most patients had a deep infragluteal fold. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. L3 provides innervation to the medial femoral condyle . 15. 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. The flap should be fixed as low as possible to the muscle fascia. Lower buttock sag is occurs when the superior skin and fat ‘fall’over the fixed infragluteal fold. I hope this helps. The implant was inserted through an infragluteal fold incision. 1. 2 Patient Selection. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. My recommendation would be getting better contour on the left before addressing the right. The planned implication of the Sustaining Aparell may determine, through an observation of its structure, a flattening or a ptosis of the gluteal region, allowing a better understanding of the aesthetic of this region. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. Urinary and bowel. 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. D. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. Buttock ptosis is acceptable and fairly common when located at the inner part of the thigh close to the pubis, but is considered unaesthetic when located at the posterior and lateral parts of the buttock. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. What you are seeking is to have a uniform infragluteal crease on both sides. Fig. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. The histologicalCreation of an infra gluteal fold is done in the same fashion as the medial thigh tuck first described by Ted Lockwood, M. 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]. Reply: Staying Safe during Gluteal Fat Transplantation. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. 1). 6. Open in new tab Download slide. For this we have applied. 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. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. springer. The infragluteal fold consists of the inferior border of the gluteal region and is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin [3]. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. All patients judged the outcome as very good. Dr. In the process of r. Great posted photos. No adverse events were recorded. Time and important weight variation. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded.