This is not a good benefits vs risk proposition. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. 39. Combining Gluteal Shaping with High-Definition Liposuction. Indianapolis, Indiana. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. 5 and 15. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. My recommendation would be getting better contour on the left before addressing the right. 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. 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. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Results: The Buttocks' SLSS is composed by 5 clinical aspects of skin laxity graded from absent (0) to severe (3): buttocks ptosis, skin scalloped appearance, infragluteal fold, localized fat on the lower third of the buttocks, and linear depressed lesions. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . Final skin laxity classification results from the sum of each item grade multiplied. 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. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. ResultsThe infragluteal fold is a connectival fibrous band. But so doing it may also make your buttocks look a little less full because its roundness is decreased. Red line. 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. Infragluteal fold. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. The therapy was found comfortable with a high satisfaction rate. 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. 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. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. 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. 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. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. The fat is injected as the. A disadvantage is that the lower floor of the buttocks often remains ‘emptied’, while good vascularization can be cited as an advantage. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Save. 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. It is divided into an inner, a central, and an outer zone. 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. Answer: Double gluteal fold. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. It is based at the midline and extends laterally a distance dependent on the length needed to approach the infragluteal fold when transposed if limits on the width of the flap allow. Does it have a downward 45º angle, run horizontally, or have an inverted upward. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. This study reevaluated the fold both histologically and anatomically. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Save. adjective. Since you already have a belt lipectomy or a 360 circumferential lower body lift, the skin and fat of the buttocks have already been raised. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. The lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a patient who experienced fat graft overabsorption, fat graft translocation, and gluteal ptosis aggravation. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. Most patients had a deep infragluteal fold. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. 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. 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. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. C2 – At least one cm lateral to the occipital protuberance at. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. D. 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. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. 45 This results in a ptotic butt if it is longer. 44 The infragluteal fold is an important indicator of gluteal aesthetics. 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 . 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. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. Liposhifting is a technique that. Infragluteal fold excision can be performed either before or after implantation (Fig. Thomas Fiala answered. ResultsThe infragluteal fold is a connectival fibrous band. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . lateral to the mucocutaneous junction. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. 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 . A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. The surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. Infragluteal fold. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. 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. In this study, 84. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Fig. 10 The Mendieta and Sood classification is demonstrated in Fig. A new surgical treatment method using a gluteal-fold flap (GFF) for anal stricture after total ISR is developed and it is believed that GFF transfer is an excellent option for treating anorectal strictures after totalISR. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. A short infragluteal fold lying in the horizontal crease under the ischial tuberosity, which does not extend beyond the medial two-thirds of the posterior thigh. It has been 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 []. 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 . A more objective, faster and shorter version of this scale, to be evaluated. This study reevaluated the fold both histologically and anatomically. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. Recent Surge in BBL Demand. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Case presentation: We report. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. 23. The procedure would take approximately 4 hours to complete. 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. On the upper area, markings are shown for the gluteus. The average width of the skin excision was 8 cm and the average length was 25 cm. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 23. The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. 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. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. A large redundant infragluteal crease probably cannot be repaired easily. However, there is no clear anatomical description of the infragluteal fold,. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. Five fixed cadavers were used. The infragluteal fold region is the lower edge of the buttocks. 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 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. When the infragluteal fold line is horizontal (see Fig. The width of the flap and. A. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Ozmen S. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. Answer: Double fold. The power of this technique is granted through the lengthened anteroposterior. 9. 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. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. 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 infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 1 Anatomy of the gluteus maximus muscle and deeper structure. Also known as the Dimples of. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. One can not liposuction between the two and create a single infragluteal crease. It has been noted in multiple. PDF. This fold is the horizontal crease under the ischial tuberosity. The upper-inner thigh holds a high stem. Complete 10 to 15 reps. 5 T) of the pelvic region. 臀下皱襞支撑性解剖学与美学研究进展. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. 6. 3 Excerpts; Save. The dissection and volume this flap provides are similar to that of the SGAP flap. 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. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. I hope this helps. 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. Infragluteal fold excision can be performed either before or after implantation (Fig. com The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 4. S4/5 In the perianal area, less than one cm. Keep your arms straight as you lift the weight with your hips and glutes. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Background: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 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. Open in new tab Download slide. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. It has been noted in multiple. The recovery time is at least two weeks but may be longer depending on your specific surgery. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. The skin flap was designed along the gluteal fold. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. . 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. 44 The infragluteal fold is an important indicator of gluteal. 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. Limited inferiorly by infragluteal fold. C3 provides innervation to the supraclavicular fossa . ResultsThe infragluteal fold is a connectival fibrous band. 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 . 9. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. 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 ). No major complications or. The radiation oncologist clinically outlined the areas. Intergluteal cleft. 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. 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. 15. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. The treatment should not focus on the central and lower. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. Sorry for your problem. 6). ” It can also be used to improve a double infragluteal fold, to correct infragluteal fold asymmetry, or to shorten a long buttock when combining it with an upper buttock lift. The use of a deepithelialized. Since its initiation, this technique has proven to be both clinically and cost-effective, with demonstratable benefits achieved with a lower. 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 mid-buttock is also divided into a central and an outer zone which usually has a depression. The major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. The infragluteal fold is where the bottom of the buttock meets the upper thigh. Short gluteal fold. Grade III: The skin. 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. Furthermore, the infragluteal fold should form a diamond-shaped space with the inner thigh. Ini-tially, a deep plane is created by the 3-mm cannula. The infragluteal fold (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. It is important to recall that the inner thigh is divided in thirds; the middle is an adhesion zone, which contains only superficial fat, so over resection should be avoided in this area. 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. Gozil R. 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. Supragluteal fossettes (one on either side), over the posterior superior iliac spine, created by the multifidus muscle, the lumbodorsal aponeurosis and the insertion. Fee $6,000+ Best to virtual consult with. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. 15. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. Sorry for your problem. Peter Fisher M. 1. The authors’ experience using autologous fat transplantation to treat tissue defects led them to use this technique for correcting iatrogenic forms of banana fold and sensuous triangle deformity. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. Each buttock section has its own distinct shape. Popularity of injectable fillers. All patients judged the outcome as very good. 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. If ou still has residual excess skin and fat on the lower buttock and. Retrospectively, however, it is clear that a better lifting effect and gluteal shortening could have been achieved if a longer scar had been used along the infragluteal fold for the patients in Figs. 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. Also, evaluate the angle of the infragluteal fold. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 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 postoperative results depicted in the article demonstrate a successful. Annotations in Figures 4 to to6 6 highlight improvements in skin condition and localized depression, improvement of gluteal shape, and shorter infragluteal fold, thus representing successful treatment. The key to success for this procedure is to. For many years, it was thought that this area should be suctioned aggressively, and it was never taken into account that buttock support and projection depend on it. Volume in this area is restored with careful fat. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. 7) . 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]. The power of this technique is granted through the lengthened anteroposterior scar and. It has been noted in multiple. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. Infragluteal fold. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. Five fixed cadavers were used. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. 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 . What you are seeking is to have a uniform infragluteal crease on both sides. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. The "sensuous triangle" is found at the junction of the lateral. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. The "sensuous triangle" is found at the junction of the lateral. 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. Clinical Presentation. It has been noted in multiple studies that patients can experience persistent PFCN. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. The infragluteal fold is among the major characteristics of the gluteal region. 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. Save. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The medial part of the infragluteal fold is formed by a fat pad that covers the inferior medial border of the gluteus maximus muscle. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. 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. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). 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. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. This fold makes a usually Read More…Important dermatome & anatomical landmarks. 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. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. The superior border is formed by the lower border of the gluteus maximus. 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 only way to create a sharper erase/line at the underside of the buttocks is an excisional tuck, making the existing infragluteal fold deeper. 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. 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. A direct excision was performed under general anesthesia. The "sensuous triangle" is found at the junction of the lateral. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. 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. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. My recommendation would be getting better contour on the left before addressing the right. 3). 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. ResultsThe infragluteal fold is a connectival fibrous band. Procedure. The procedure would take approximately 4 hours to complete. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. T1. The superior tip of the intergluteal cleft. 2. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. Infragluteal fold. This is a horizontal crease under the ischial tuberosity. From 1985 until 1995, this infragluteal flap has been used to widen the vaginal introitus in 6 patients, to reconstruct the labia majora in 5, to close a rectovaginal fistula in 4, and. implant. 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. 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. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. 23. circular f's. 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]. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. 39. . 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. 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. In the ideal buttock, the infragluteal fold should end. 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. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. Destruction of this. This is a difficult area to fix. The average width of the skin excision was 8 cm and the average length was 25 cm. Medicine. A. The fat graft is placed in the upper medial side for projection. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. 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. Tissue samples (6 cm long x 2 mm thick) were taken. Skin creases are features of major anatomical, morphological, surgical, and functional interest. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. 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. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. The abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. 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. Expand. The infragluteal fold length and definition play important roles in esthetically. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. 5 cm, 3-month follow-up). Both flaps were fixed with interrupted 0-Vicryl. Download : Download full-size image; Figure 6. Gluteal Deadlifts. 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. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. 12. 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. Does it have a downward 45° angle, run horizontally, or have an inverted. 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 . The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. 6. The retromuscolar technique is preferred by patients requesting a natural, sporty result. 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. I hope this helps. The histologicalCreation of an infra gluteal fold is done in the same fashion as the medial thigh tuck first described by Ted Lockwood, M. Between 2. 5, irrespective of the magnitude. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. The Infragluteal Thigh Lift Technique. 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. PDF. In 1977 Gonzalez-Ulloa described correction of the ‘sad. And placing such a graft always runs the risk of causing an infection. Plastic Surgery 35 years experience. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. Urinary and bowel.