fold [fōld] plica; a thin margin curved back on itself, or doubling. Recent Surge in BBL Demand. Results The infragluteal fold is a connectival brous 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. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. Abstract. 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. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. The implant was inserted through an infragluteal fold incision. This crease does not reflect the lower margin of the gluteus major muscle, but. 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. However, there is no clear anatomical description of the infragluteal fold,. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior. ResultsThe infragluteal fold is a connectival fibrous band. 35. Intergluteal cleft. Thus, you may want to consider restoring volume to your buttock and. It arises in the median gluteal crease and follows a. Cárdenas The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Dr. Oh et al 26 recently demonstrated a shortening of the infragluteal fold by performing a thread lift with an elastic silicone-polyester thread. It arises in the median gluteal crease and follows. The area between the iliac crest and the infragluteal fold was divided into 3 equal parts, with the upper third left undisturbed, the middle third marked for placement of the implant. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. The region of the infragluteal fold has been generally ignored or inadequately treated. Saddlebags at the infragluteal fold level are replaced by tight flat skin. 8): Fig. Answer: Double gluteal fold. 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. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. In 1977 Gonzalez-Ulloa described correction of the ‘sad. 1). adjective. Read more. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. Gluteal fat injection mortality is approximately 1/3000 patients. Grade 4 (mild ptosis): the gluteal tissue passes over the infragluteal fold at the M line; on the lateral view, we evaluate the angle of the skin fold at the infragluteal fold; in Grade 4, the angle is less than 10°. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. And placing such a graft always runs the risk of causing an infection. Fig. 臀下皱襞支撑性解剖学与美学研究进展. Save. Answer: Double gluteal fold. Supragluteal fossettes (one on either side), over the posterior superior iliac spine, created by the multifidus muscle, the lumbodorsal aponeurosis and the insertion. intragluteal injection. The Buttock Lift with Hyaluronic Acid and Threads. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). 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. With sagging of the muscle belly, the infragluteal fold is decreased or lost, and atrophy of the buttock is obvious with time. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. D1 has a posterior and a posteromedial surface. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Note anterior abdominal wall. excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. 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 key to success for this procedure is to. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. 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. Superiorly, it is formed by the lower border of the gluteus maximus. 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. 4). (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. In my humble opinion you need nothing surgical. 17). Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. 9. Fee $6,000+ Best to virtual consult with. 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. 5 and 6. The infragluteal fold is where the bottom of the buttock meets the upper thigh. 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. S2 S1 S3 S4/5. the gluteal tissue passes over the infragluteal fold at the M line; the angle of the skin fold at the infragluteal fold is between 10 and 30 . 3 Excerpts; Save. Fee $6,000+ Best to virtual consult with. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. springer. Ranch & Coast founder, Dr. 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. Created for people with ongoing healthcare needs but benefits everyone. 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. [1] The Vertical Technique This approach is performed vertically from above the IGF. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. . Does it have a downward 45º angle, run horizontally, or have an inverted upward. 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. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. The dissection and volume this flap provides are similar to that of the SGAP flap. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. The lower buttock is the most difficult area to address. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. A. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. A banana fold may form for different reasons, among which an. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. 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. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. unsatisfactory. and African Americans. 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. 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. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. 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). This was sculpted for a national television program recently. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. D2 and D3 are located in the posterior portion. 15. Paraspinous muscles cannot be forgotten in the lower abdomen. When planning the new infragluteal fold, surgeons should not exceed the union of the semitendinous muscle with the biceps femoris laterally since this is the natural ending of the fold . Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. 3. This fold is the horizontal crease under the ischial tuberosity. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Five fixed cadavers were used. ResultsThe infragluteal fold is a connectival fibrous band. My recommendation would be getting better contour on the left before addressing the right. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 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 key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . Hello and thank you for your question. It has been noted in multiple. The cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. Which of these fibers provides. Popularity of injectable fillers. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. The mid-buttock is also divided into a central and an outer zone which usually has a depression. 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. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. Ozmen S. Plan on a 2-3 week recovery. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. The gluteal region in patients with massive weight loss after. A small ellipse of posterior thigh and inferior gluteal tissue approximately 3-1/2" long will allow access to place permanent sutures from the SFS to the ischial tuberosity (from the fat below the skin to the bones at the. It has been noted in multiple studies that patients can experience persistent PFCN. &NA; Use of a local flap is often needed for closure of a defect in the perineogenital area. Five fixed cadavers were used. 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. 22), liposuction of the inner thigh and infragluteal area may be indicated. 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 ). The patient’s position is prone or lateral decubitus. 51. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. We define unaesthetic buttock ptosis as sagging. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Supragluteal fossettes. See full list on link. BackgroundThe gluteal fold represents an important aspect of the gluteal region. Plan on a 2-3 week recovery. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. Selective fat reduction centrally and laterally. Also evaluate the angle of the infragluteal fold. Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. In this way, it's similar to a general lower body lift. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . 95, 4. A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. 23. On the plantar surface of the foot, Gluteal fold we find the transverse lines and the longitudinal lines [1]. The posterior knee-fold incisions can be closed or left open for. On the other hand, some slight to moderate redundant infragluteal creases might be candidates for simple surgical repair. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. Liposhifting is a technique that. 2) Loose skin from loss of buttock volume creates skin folds that obscures the infragluteal fold. This is a difficult area to fix. Patient with skin laxity of the gluteal area must be carefully advised that little change of this problem will be achieved, especially at the level of infragluteal fold. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. 5). The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 39. Skin creases are features of major anatomical, morphological, surgical, and functional interest. Cadaveric dissection reveals that the IGF is a connective fibrous band extending from the ramus of the ischium, the apex of the sacrum, and the coccyx, to the. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. 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. Tissue. Clinical Presentation. 0+/-1. Cocke and Ricketson were the first to describe placing silicone breast implants in the subcutaneous plane with less than optimal results. What separates the lower buttocks from the other two sections is the infragluteal fold. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). Infragluteal fold excision can be performed either before or after implantation (Fig. The "sensuous triangle" is found at the junction of the lateral. 6. PDF. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. The average width of the skin excision was 8 cm and the average length was 25 cm. Gluteal Deadlifts. A banana fold may form for different reasons, among which an. But so doing it may also make your buttocks look a little less full because its roundness is decreased. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. 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. 3). My recommendation would be getting better contour on the left before addressing the right. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. Dr. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. Keep your arms straight as you lift the weight with your hips and glutes. 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. A banana fold may form for different reasons, among which an. Sorry for your problem. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. On the upper area, markings are shown for the gluteus. Expand. Also evaluate the angle of the infragluteal fold. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 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. 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. C3 provides innervation to the supraclavicular fossa . The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. Transversal slice passing through bony structures. This study reevaluated the fold both histologically and anatomically. 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 lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 3) The length of the lower buttock lift excision should ideally not go beyond the. 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. Each buttock section has its own distinct shape. Superiorly it is formed by the lower border of the gluteus maximus. 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. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. 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 ]. circular f's. Both volume and projection of the buttocks may be improved. 1). The aesthetic line of the infragluteal fold should generally be short, no longer than the. 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. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. For the subgluteal approach, the patient is placed in a prone position and a curvilinear ultrasound probe is placed in short axis at the subgluteal 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 . 5, irrespective of the magnitude. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. The infragluteal fold is like a horizontal line. 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. Fig. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. 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. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 3). You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. 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 long axis of the flap was arranged in parallel with the infragluteal fold axis. Severe infragluteal fold. I hope this helps. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. 2010. 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. PDF. 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. 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. It has been noted in multiple. 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. 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. The need for liposuction of the lower back or hips is considered. The Scarpa’s. Reply: Staying Safe during Gluteal Fat Transplantation. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. The upper-inner thigh holds a high stem. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to 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. 这个皱褶并不反映臀大肌的下缘，有肌肉表面与深筋膜的纤维性连接，起源于臀部内侧三分之一的真皮，以坚固的隔膜形式与臀筋膜交织在一. The lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. After the fat graft, thread lifting is performed considering the vector. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. Dr. 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. 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. No major complications or. The use of a deepithelialized. The main difference with our technique is the design. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. 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. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. 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. 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. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. 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]. 2). This is often tried but never. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Good luck. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. Infragluteal fold excision can be performed either before or after implantation (Fig. 9 and 10. loss of the infragluteal fold [7]. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. The infragluteal fold length and definition play important roles in esthetically. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Body sculpting in this region will reveal these muscles and create anatomical balance in the lower back. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone. The therapy was found comfortable with a high satisfaction rate. 3 An aged buttock region is marked. It has been noted in multiple. 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. 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 []. Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . 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 . Tissue samples (6 cm long × 2 mm thick) were taken at three. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. 5,8 A. Infragluteal fold reconstruction is achieved by reconstruction of the buttock’s sustaining apparel through deepithelialized skin flaps anchored to deep gluteal fascia. 12. PMID: 15940397 DOI: 10. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. 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. While buttock sagging is a general term it has different types as defined by the level of the infragluteal fold. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. The FCI flap is a good choice for. The average width of the skin excision was 8 cm and the average length was 25 cm. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. Search for termsThis area is known as a safety triangle with its apex between the sacral dimples and its base along the medial two-thirds of the infragluteal fold, on both sides. Urinary and bowel. implant. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. The "sensuous triangle" is found at the junction of the lateral. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). 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. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . Five fixed. 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. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. S3 Over the ischial tuberosity or infragluteal fold (depending on the patient their skin can move up, down or laterally over the ischii). Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. The power of this technique is granted through the lengthened anteroposterior scar and. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. To our knowledge, only two variations to the classic chevron technique have been described in an attempt to improve buttock contouring following GSCT excision. Save. Does it have a downward 45° angle, run horizontally, or have an inverted. 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]. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. This is a horizontal crease under the ischial tuberosity. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. 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. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. Also evaluate theangle of the infragluteal fold. Perception of ideal buttocks varies across cultures. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. 5). 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. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. Indianapolis, Indiana. 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. 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. Gozil R. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. com The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. (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. An outer thigh lift removes skin and fat from the outside of the thigh. The midpoints of the infragluteal sulci were marked, and then the right and left infragluteal sulci were bilaterally excised en bloc, from the ischium to the most lateral part of the gluteal-thigh junction, with 3 cm of tissue taken from the inferior and superior parts of the infragluteal fold by an elliptic incision including the skin. 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 lateral length of the infragluteal fold measures the degree of buttocks ptosis. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. 4). 44 The infragluteal fold is an important indicator of gluteal. In the ideal buttock, the infragluteal fold should end. The inclusion criteria was ptosis of the lower pole of buttocks. 1 Anatomy of the gluteus maximus muscle and deeper structure. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. PDF. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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. In the process of r. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh.