A direct excision was performed under general anesthesia. Download : Download full-size image; Figure 6. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. The recovery time is at least two weeks but may be longer depending on your specific surgery. 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. 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. 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. 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. Infragluteal fold. The infragluteal sulcus is created right below. lateral to the mucocutaneous junction. Tissue samples (6 cm long x 2 mm thick) were taken. 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. 45 This results in a ptotic butt if it is longer. 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 Muffin Bottom consists of sculpting three different regions at one time, the infragluteal fold, the medial posterior thigh and the lateral posterior saddlebag region. A long infragluteal fold can also be improved and a more youthful shape be obtained. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). It arises in the median gluteal crease and follows a. 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. 7) . 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 lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Limited inferiorly by infragluteal fold. The length and definition of the infragluteal fold play important roles in aesthetically. 2. Thomas Fiala answered. The mid-buttock is also divided into a central and an outer zone which usually has a depression. . 6). The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. C3 provides innervation to the supraclavicular fossa . ResultsThe infragluteal fold is a connectival fibrous band. The surgical anatomy of the subcutaneous screen on the gluteal region has. Also evaluate theangle of the infragluteal fold. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. Cocke and Ricketson were the first to describe placing silicone breast implants in the subcutaneous plane with less than optimal results. This fold makes a usually Read More…Important dermatome & anatomical landmarks. It has been noted in multiple. 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. 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. Paraspinous muscles cannot be forgotten in the lower abdomen. 35. Infragluteal fold excision can be performed either before or after implantation (Fig. This is a difficult area to fix. By means of MR imaging of volunteers and dissection of fresh cadavers, a here presented study revealed the infragluteal fold as a connectival fibrous band extending from the ramus of the ischium, the coccyx and the apex of sacrum, without significant. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. With your feet shoulder width apart, place your hands on the barbell (whether on lifting blocks or in a Smith machine), with your palms either over or under the bar. 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. Five fixed. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. There are few. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. Gozil R. BackgroundThe gluteal fold represents an important aspect of the gluteal region. Fig. loss of the infragluteal fold [7]. 3. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. Background. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. Sorry for your problem. Dr. 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. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Tissue samples (6 cm long x 2 mm thick) were taken. . 6+/-0. The flap should be fixed as low as possible to the muscle fascia. For a negative upward slant (see Fig. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. 2010. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. Procedure. This study reevaluated the fold both histologically and anatomically. 6. &NA; Use of a local flap is often needed for closure of a defect in the. Both volume and projection of the buttocks may be improved. The therapy was found comfortable with a high satisfaction rate. 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. The thigh circumference measured at 3 predefined levels decreased on average by 2. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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 . Detailed Procedure Information. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. Superiorly it is formed by the lower border of the gluteus maximus. 51. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. The postoperative results depicted in the article demonstrate a successful. On the upper area, markings are shown for the gluteus. Answer: Lower butt lift. Dr. 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. This fold is the horizontal crease under the ischial tuberosity. Excess tissue was removed, and wound closure was performed in multiple layers. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. Manipulation using a ball-spiked pusher under. Care must be taken when completing the last portion of the. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. All patients judged the outcome as very good. 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 . Plan on a 2-3 week recovery. 5 and 15. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. 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. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. 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. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. 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 aesthetic line of the infragluteal fold should generally be short, no longer than the. Abstract. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. 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. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana 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. It arises in the median gluteal crease and follows. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. 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. On the upper area, markings are shown for the gluteus medius muscle. The appropriately selected gluteal implant is folded in half. Great posted photos. Subscribe Now:More:exercise to define. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 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 infragluteal fold is one of the major concerns in reshaping of the gluteal region. Save. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. 23. Does it have a downward 45° angle, run horizontally, or have an inverted. 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. 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. Infragluteal fold. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Keep your arms straight as you lift the weight with your hips and glutes. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. 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. In 1977 Gonzalez-Ulloa described correction of the ‘sad. excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Purpose The gluteal region is a key element of beauty balance and sexual appearance. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 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, which is one of the main determinants for gluteal attractiveness, is located in this unit . Case presentation: We report. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Plan on a 2-3 week recovery. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Each buttock section has its own distinct shape. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. Open in new tab Download slide. Read more. In the process of r. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. Most patients had a deep infragluteal fold. Furthermore, the infragluteal fold should form a diamond-shaped space with the inner thigh. This horizontal crease is under the ischial tuberosity. Grade 6 (severe ptosis): the gluteal tissue passes over the infragluteal fold at the M line; the angle of the skin fold at infragluteal fold is more than 30 Aesth Plast Surg (2018) 42:1050–1058 1051 1231) Liposuction of the buttocks, either in totality or just at the banana roll area, will result in some degree of tissue overhang at the infragluteal fold. What you are seeking is to have a uniform infragluteal crease on both sides. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. An angulated cannula can be used to easily enter the superficial space. Good luck. 20. See full list on link. Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . 5 and 6. The Buttock Lift with Hyaluronic Acid and Threads. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. Tissue samples (6 cm long × 2 mm thick) were taken at three. PDF. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 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. ResultsThe infragluteal fold is a connectival fibrous band. 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. Great posted photos. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. No adverse events were recorded. 23. We report a case of using autologous. Good luck. The width of the flap and. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Infragluteal fold. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. 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. 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. The retromuscolar technique is preferred by patients requesting a natural, sporty result. Note anterior abdominal wall. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region and allows for the creation of a stable and long-lasting infragluteal fold with an aesthetic buttock curvature and a defined border to the thigh region. 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 (Figure 4). in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. Does it have adownward 45º angle, run horizontally, or havean inverted. The “sensuous triangle” is found at the junction. Short gluteal fold. The authors’ experience using. 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 FCI flap is a good choice for. The procedure would take approximately 4 hours to complete. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. Plastic Surgery 35 years experience. 1). 6. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. 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 []. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. For this we have applied a pedicled skin flap raised in the infragluteal fold, the technical details and surgical results of which are presented in this paper. The "sensuous triangle" is found at the junction of the lateral. This study reevaluated the fold both histologically and anatomically. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Ranch & Coast founder, Dr. T1. Infragluteal fold. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. Results Our. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Intergluteal crack height is unchanged. 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. 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. Expand. 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. 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 . Ozmen S. The power of this technique is granted through the lengthened anteroposterior scar and. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The patient’s position is prone or lateral decubitus. ResultsThe infragluteal fold is a connectival fibrous band. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. Indianapolis, Indiana. It has been widely accepted that one of the features of aesthetically pleasing buttocks is a short infragluteal fold that does not extend past the union of the semitendinous muscle with the biceps femoris, which is medial to the midaxial line of the thigh [4]. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Results: After treatment, there was an average reduction of 4. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. 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. Peter Fisher M. Supragluteal fossettes. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. dermal flap will be performed for lifting the ptotic buttocks with ill-defined infragluteal fold. Thus, you may want to consider restoring volume to your buttock and. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . 1 43/black/F III 24 Topical and oral antibiotics Infragluteal fold, bilateral axilla, left groin 2 50/black/M III 7 Topical and oral antibiotics; surgery Buttocks, left axilla, perineumThe infragluteal fold/thigh junction (lower glu-teal cleavage) also requires definition. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. Buttock ptosis is acceptable and fairly common when located at the inner part of the thigh close to the pubis, but is considered unaesthetic when located at the posterior and lateral parts of the buttock. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. The Infragluteal Thigh Lift Technique. Weight gain following thighplasty may negatively affect your surgery results. 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]. Also, evaluate the angle of the infragluteal fold. 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. Tissue samples (6 cm long x 2 mm thick) were taken. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The inferior gluteal area is divided into four zones by tracing a vertical line from the center of the gluteus and a horizontal line that crosses through the infragluteal fold (Fig. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. My recommendation would be getting better contour on the left before addressing the right. 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. Answer: Double fold. implant. 1 Anatomy of the gluteus maximus muscle and deeper structure. 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. 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. 6. 15. 5, irrespective of the magnitude. PDF. The fat graft is placed in the upper medial side for projection. This is a horizontal crease under the ischial tuberosity. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. 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. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 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. Concomitant fat transplantation to the infragluteal/posterior thigh junction region during circumferential liposuction of the thigh is effective in preventing postliposuction gluteal ptosis and improving patient satisfaction. Clinical Presentation. This crease does not reflect the lower margin of the gluteus major muscle, but. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. The region of the infragluteal fold has been generally ignored or inadequately treated. D1 has a posterior and a posteromedial surface. The flaps are undermined by only one cm. A V-shaped proximal gluteal crease was accentuated by the. The gluteal‐fold flap is very useful for various vulvar and buttock reconstructions because it can be adjusted to the required volume and the usefulness of this flap for anal and pelvic‐floor reconstruction was demonstrated. An outer thigh lift removes skin and fat from the outside of the thigh. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. 1). The long axis of the flap was arranged in parallel with the infragluteal fold axis. Most patients had a deep infragluteal fold. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. 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. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. 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 banana fold may form for different reasons, among which an. Liposhifting is a technique that. The planned implication of the Sustaining Aparell may determine, through an observation of its structure, a flattening or a ptosis of the gluteal region, allowing a better understanding of the aesthetic of this region. The 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. 1. The superior tip of the intergluteal cleft. 2. 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. Also evaluate the angle of the infragluteal fold. All patients judged the outcome as very good. I hope this helps. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh skin and fat. 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. A. D2 and D3 are located in the posterior portion. springer. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. D. Red line. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. Both flaps were fixed with interrupted 0-Vicryl. This fold is the horizontal crease under the ischial tuberosity. 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. A banana fold may form for different reasons, among which an. Five fixed cadavers were used. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. The infragluteal fold length and definition play important roles in esthetically. Superiorly, it is formed by the lower border of the gluteus maximus. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. The power of this technique is granted through the lengthened anteroposterior scar and. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. 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. 臀下皱襞支撑性解剖学与美学研究进展. Fig. The superior border is formed by the lower border of the gluteus maximus. Dr. The need for liposuction of the lower back or hips is considered. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. S2 S1 S3 S4/5. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. 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. 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . As can be appreciated from these figures, the anatomy shading provided on each pair of jeans is similar to that shown in the image of the right panel of FIG. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. Five fixed cadavers. 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. 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. Other techniques are performed either. Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). This is often tried but never. Complete 10 to 15 reps. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. This will produce an indentation but not make it too deep -- if the fold is too deep the buttocks collpase downward folding over the fold. 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. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior. The gluteal region in patients with massive weight loss after.