In my humble opinion you need nothing surgical. Note anterior abdominal wall. Download scientific diagram | MRI sequence of the infragluteal fold with T1 VIBE MORPHO sequence (Thickness slice = 900. Urinary and bowel. Infragluteal fold The creases on the plantar surface of the foot are not as Infragluteal sulcus complex or constant or so well marked as on the palmar Horizontal gluteal fold surface of the hand [1]. 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. Body sculpting in this region will reveal these muscles and create anatomical balance in the lower back. springer. 3), the buttock contour has a smooth C shape, without depression and ptosis. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. infragluteal fold is composed of fascial spicules extending . This fold is the horizontal crease under the ischial tuberosity. 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 need for liposuction of the lower back or hips is considered. The Buttock Lift with Hyaluronic Acid and Threads. Superiorly it is formed by the lower border of the gluteus maximus. Final skin laxity classification results from the sum of each item grade multiplied. Hello and thank you for your question. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. There is a very specialized method to form infra gluteal crease, using lipo 360 with directed fat grafting under ultrasound guided injections as required in Florida, and specialized sub dermal lipo techniques with taping to form infra gluteal crease. 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 “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. 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. 15. 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. 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. The average width of the skin excision was 8 cm and the average length was 25 cm. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11, 2023, in Plastic and Surgery Global Open, corrections have been made to the author list and affiliations. Perception of ideal buttocks varies across cultures. 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 []. V-shaped sacral triangle . Plastic Surgery 35 years experience. Many of the early proponents of the procedure were not open to discussing complications. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. Infragluteal fold: formed superiorly by the inferior border of the gluteus maximus and inferiorly by the insertion of the semitendinosus and biceps femoris muscles in the ischial tuberosity. deformity and a pleasing buttock contour. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . Severe infragluteal fold. Reply: Staying Safe during Gluteal Fat Transplantation. It is divided into an inner, a central, and an outer zone. Independent of the filler chosen, the marking of the area to be filled follows some of the landmarks described above in order to achieve the desired gluteal contour. 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. The patient has difficulty arising from a sitting position or climbing steps. 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. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. Answer: Double gluteal fold. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. FIG. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. What separates the lower buttocks from the other two sections is the infragluteal fold. 5). The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. 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. Transversal slice passing through bony structures. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. This study reevaluated the fold both histologically and anatomically. The flap should be fixed as low as possible to the muscle fascia. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. 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. The region of the infragluteal fold has been generally ignored or inadequately treated. The surgical anatomy of the subcutaneous screen on the gluteal region has. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. This study reevaluated the fold both histologically and anatomically. 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。. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. Consistent features of beautiful buttocks: lateral depression, infragluteal fold, supragluteal fossettes. 51. Plan on a 2-3 week recovery. from the bone to the skin. 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. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. 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. 4). The sciatic nerve is identified deep to the gluteus maximus muscle and superficial to the quadratus femoris muscle with the ischial tuberosity medially and the greater trochanter laterally. PDF. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. 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]. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. These structures create the fixed, well-defined subgluteal sulcus [2]. 5, irrespective of the magnitude. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. 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. 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. CárdenasThe infragluteal fold is one of the major concerns in reshaping of the gluteal region. Although remarkable results have been demonstrated, the applicability of this procedure to MWL patients has been inadequate due to limited skin removal and the risk of scar migration from dependence on. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. Time and important weight variation. The purpose of this study was to perform 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. The key to success for this procedure is to. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 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. 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. 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. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. The Infragluteal Thigh Lift Technique. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. &NA; Use of a local flap is often needed for closure of a defect in the perineogenital area. Expand. Before the Implantation. The appropriately selected gluteal implant is folded in half. The shape of the buttock and the presence of the infragluteal fold make the donor area for FCI flap less visible regarding the missing volume and scar position. circular f's the permanent. 5 and 6. ResultsThe infragluteal fold is a connectival fibrous band. 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 on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Patients with a long buttock may. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Answer: Double gluteal fold. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. The anatomical study. Unit D has six subunits (D1–D6). Infragluteal fold excision can be performed either before or after implantation (Fig. For a negative upward slant (see Fig. 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. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. This was sculpted for a national television program recently. S3 provides innervation to the infragluteal fold . The infragluteal fold, often ignored or inadequately treated, is one of the most challenging areas to treat and requires a complete knowledge of the anatomy of the buttock to achieve the best aesthetic result. It is used for correcting sagging lower buttock tissue that either hangs over the existing infragluteal fold or when the infragliuteal folds has dropped creating an elongated buttock shape. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. The inner thigh can be reached by the lower pubic incisions with the patient supine and by the infragluteal crease incisions for posterior access with the patient prone. The inferior border of the infragluteal fold is formed by the insertions of the semitendinous muscle and the belly of the biceps femoris. In 1977 Gonzalez-Ulloa described correction of the ‘sad. 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. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. We report a case of using autologous. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). The recovery time is at least two weeks but may be longer depending on your specific surgery. loss of the infragluteal fold [7]. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. This fold makes a usually Read More…Important dermatome & anatomical landmarks. The implant was inserted through an infragluteal fold incision. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. The purpose of this study was to perform 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. The power of this technique is granted through the lengthened anteroposterior. C3 provides innervation to the supraclavicular fossa . 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. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. International Standards for the Classification of Spinal Cord InjuryShe also had infragluteal fold or the infragluteal banana roll. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. For this we have applied. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. Grade III: The skin. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. 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. But what is really being done is that the loose lower buttock skin and the fold are being removed to create a less deep infragluteal fold and smoother transition between the buttock and the thighs. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. 7) . dermal flap will be performed for lifting the ptotic buttocks with ill-defined infragluteal fold. The infragluteal fold is where the bottom of the buttock meets the upper thigh. Abstract. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Also evaluate the angle of the infragluteal fold. On the lateral view (Fig. The power of this technique is granted through the lengthened anteroposterior scar and. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. Dr. 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 dissection and volume this flap provides are similar to that of the SGAP flap. 5 cm, 3-month follow-up). With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. 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. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 15. No major complications or. Five fixed. 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 . 44 The infragluteal fold is an important indicator of gluteal aesthetics. D2 and D3 are located in the posterior portion. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. TLDR. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. ResultsThe infragluteal fold is a connectival fibrous band. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 23. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. 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. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. A banana fold may form for. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . Search worldwide, life-sciences literature Search. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. 5 T) of the pelvic region. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Hello and thank you for your question. Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). 44 The infragluteal fold is an important indicator of gluteal aesthetics. Intergluteal cleft. 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 . See full list on link. Dr. The upper-inner thigh holds a high stem. Barry Eppley. 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. 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 ]. Open in a separate window. D. Fee $6,000+ Best to virtual consult with. Peter Fisher M. 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. The mid-buttock is also divided into a central and an outer zone which usually has a depression. Answer: Double fold. the infragluteal fold. 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 []. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. But so doing it may also make your buttocks look a little less full because its roundness is decreased. All patients judged the outcome as very good. Besides the excessive fat accumulation, insufficient muscle tone may also contribute to the formation of saddlebags. 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. 3). A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Manipulation using a ball-spiked pusher under. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. Infragluteal fold: formed superiorly by the inferior border of the gluteus maximus and inferiorly by the insertion of the semitendinosus and biceps femoris muscles in the ischial tuberosity. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. The patient’s position is prone or lateral decubitus. Indianapolis, Indiana. I hope this helps. Download : Download full-size image; Figure 6. The histologicalCreation of an infra gluteal fold is done in the same fashion as the medial thigh tuck first described by Ted Lockwood, M. Grade III ptosis has the most skin and volume below the fold, with significant skin laxity and a more angular infragluteal fold. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. It has been noted in multiple. S3 Over the ischial tuberosity or infragluteal fold (depending on the patient their skin can move up, down or laterally over the ischii). The superior tip of the intergluteal cleft. Other techniques are performed either. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. Procedure. On the upper area, markings are shown for the gluteus medius muscle. 2. 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. 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. 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 radiation oncologist clinically outlined the areas. Supragluteal fossettes. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. Methods: Six volunteers (three males and. There are few. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. Closure of the implant pocket should be tension-free. 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. A more objective, faster and shorter version of this scale, to be evaluated. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. Gozil R. One can not liposuction between the two and create a single infragluteal crease. 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. Fee $6,000+ Best to virtual consult with. 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. Superiorly it is formed by the lower border of the gluteus maximus. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. 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 length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. Dr. There is a very specialized method to form infra gluteal crease, using lipo 360 with directed fat grafting under ultrasound guided injections as required in Florida, and specialized sub dermal lipo techniques with taping to form infra gluteal crease. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Five fixed cadavers were used. The surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Helpful Barry L. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. PDF. Tissue samples (6 cm long x 2 mm thick) were taken. ResultsThe infragluteal fold is a connectival fibrous band. The fat is injected as the. 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. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. Does it have a downward 45° angle, run horizontally, or have an inverted. Five fixed cadavers were used. Fig. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. The flap was composed of subcutaneous tissue, and dermis if desired, and was extended laterally to the length needed to approximately reach the infragluteal fold, and then rotated. The treatment should not focus on the central and lower. 2, 3, 4. 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. fold both histologically and anatomically. Expand 6 A gluteal ptosis classification scheme has also been devised by Mendieta, which is similar in design to that of breast ptosis described by Regnault. 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. Expand. 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. A long, deflated. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. Case presentation: We report. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( 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. 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 . The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. The infragluteal fold is where the bottom of the buttock meets the upper thigh. 23. Keep your arms straight as you lift the weight with your hips and glutes. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. 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. 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. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Both flaps were fixed with interrupted 0-Vicryl. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. The dissection of 60 fixed surgical pieces showed the presence of a Buttocks' Sustaining Aparell formed by a trabecular conjunctival mesh termed main and secondary in a "beehive" aspect which may possibly be important in the maintenance of the buttock's characteristic contour. Five fixed cadavers were used. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The authors’ experience using. 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. 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. Sorry for your problem. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Great posted photos. 3 An aged buttock region is marked. 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]. It has been noted in multiple. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. Infragluteal fold. Both computed tomographic (CT) and magnetic resonance (MR) venography can be used to document compression of the left renal and iliac veins, to measure ovarian vein diameters, and to. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. 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. 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. 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. Detailed Procedure Information. 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. Save. 9. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. 15. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. Procedure. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 6+/-0. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. L3 provides innervation to the medial femoral condyle . Although the gluteal shape is open to the effects of demographic factors such as ethnicity, feeding habits, and lifestyle, according to these findings, it might be advised that in the assessment 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.