Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. 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. The “sensuous triangle” is found at the junction. 臀下皱襞（The infragluteal fold，IGF） [1，2]是臀区与股后区之间形成的皮肤皱褶。. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. While idiopathic neuropathy of the PFCN has been described [4], iatrogenic neuropathyFollowing administration of general anaesthesia, the patient was placed prone on a radiolucent table with a bump under the pelvis to create approximately 30° of hip flexion. It arises in the median gluteal crease and follows. 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. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. This fold makes a usually Read More…Important dermatome & anatomical landmarks. Results: After treatment, there was an average reduction of 4. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Plastic Surgery 35 years experience. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. Five fixed cadavers were used. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. 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. Intergluteal cleft. The recovery time is at least two weeks but may be longer depending on your specific surgery. Gozil R. The flap should be fixed as low as possible to the muscle fascia. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. 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. This study reevaluated the fold both histologically and anatomically. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. 5 T) of the pelvic region. Ini-tially, a deep plane is created by the 3-mm cannula. 5 and 15. 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. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. Does it have adownward 45º angle, run horizontally, or havean inverted. 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. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. implant. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 15. PMID: 15940397 DOI: 10. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. The medial part of the infragluteal fold is formed by a fat pad that covers the inferior medial border of the gluteus maximus muscle. Liposhifting is a technique which free. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. 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. This was sculpted for a national television program recently. Good luck. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. 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. from the bone to the skin. The width of the flap and. The author has simply combined the incisions. 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. 1. 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. 3. PDF. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. adjective. Five fixed cadavers were used. 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. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. Also evaluate theangle of the infragluteal fold. This study reevaluated the fold both histologically and anatomically. Does it have a downward 45° angle, run horizontally, or have an inverted. 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. 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. Fig. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Final skin laxity classification results from the sum of each item grade multiplied. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. Dr. 2. Supragluteal fossettes. . Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner 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. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. 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. Time and important weight variation. 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. The lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Dr. 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. During this type of thigh lift, an incision is made around the waist. 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. Excess tissue was removed, and wound closure was performed in multiple layers. 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. 2) Loose skin from loss of buttock volume creates skin folds that obscures the infragluteal fold. This study reevaluated the fold both histologically and anatomically. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. D. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. 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 diamond-shaped space turns into a straight line, which is less aesthetically appealing. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. Hello and thank you for your question. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. Good luck. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). 9. With sagging of the muscle belly, the infragluteal fold is decreased or lost, and atrophy of the buttock is obvious with time. The patient has difficulty arising from a sitting position or climbing steps. 2. The "sensuous triangle" is found at the junction of the lateral. 44 The infragluteal fold is an important indicator of gluteal aesthetics. Superiorly it is formed by the lower border of the gluteus maximus. 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. Infragluteal fold. 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. Indianapolis, Indiana. Red line. Outer/Lateral Thigh Lift. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. Also evaluate the angle of the infragluteal fold. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. Sorry for your problem. A V-shaped proximal gluteal crease was accentuated by the. The average width of the skin excision was 8 cm and the average length was 25 cm. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. The thigh circumference measured at 3 predefined levels decreased on average by 2. the market share of other surgical as well as non-surgical body contouring approaches. The inferior border of the infragluteal fold is formed by the insertions of the semitendinous muscle and the belly of the biceps femoris. Both flaps were fixed with interrupted 0-Vicryl. Does it have a downward 45° angle, run horizontally, or have an inverted. Recent Surge in BBL Demand. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. The posterior knee-fold incisions can be closed or left open for. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. The infragluteal fold is a fixed and well-defined structure that serves as the inferior border of the buttock proper and is formed by subcutaneous fat and thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin . The Scarpa’s. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. Severe infragluteal fold. 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. The posterior thigh is the area least requested for liposuction with the exception of the proximal infragluteal fold or so-called “banana fold. A banana fold may form for different reasons, among which an. 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. 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. The average width of the skin excision was 8 cm and the average length was 25 cm. 5,8 A. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. Poorly placed incisions also detract from the gluteal aesthetic. In the process of r. Gluteal fat injection mortality is approximately 1/3000 patients. The short answer is yes. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. 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. Tissue samples (6 cm long x 2 mm thick) were taken. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. 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. Methods: Six volunteers (three males and. It is critical to appropriately and systematically analyze the complex regional anatomy. 1 Anatomy of the gluteus maximus muscle and deeper structure. infragluteal fold is composed of fascial spicules extending . The authors’ experience using. 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 . A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. When the infragluteal fold line is horizontal (see Fig. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. No adverse events were recorded. The Infragluteal Thigh Lift Technique. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. Created for people with ongoing healthcare needs but benefits everyone. Thomas Fiala answered. My recommendation would be getting better contour on the left before addressing the right. Paraspinous muscles cannot be forgotten in the lower abdomen. the infragluteal fold. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. The second incision is placed at the midpoint of the infragluteal fold. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. Medicine. 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. No major complications or. The abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. 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. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. The procedure would take approximately 4 hours to complete. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. 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 Excerpt; Save. Skin creases are features of major anatomical, morphological, surgical, and functional interest. This crease does not reflect the lower margin of the gluteus major muscle, but. 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. 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 long axis of the flap was arranged in parallel with the infragluteal fold axis. The upper-inner thigh holds a high stem. 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. S3 Over the ischial tuberosity or infragluteal fold (depending on the patient their skin can move up, down or laterally over the ischii). 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. 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. Fig. 2010. Search worldwide, life-sciences literature Search. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. unsatisfactory. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. Closure of the implant pocket should be tension-free. The major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. Five fixed cadavers were used. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. 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. 35. 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 “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 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. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. We report a case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity. 39. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. The dissection and volume this flap provides are similar to that of the SGAP flap. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. 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. 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. 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. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). Notice in the center photograph that a fuller. A. Infragluteal fold excision can be performed either before or after implantation (Fig. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). aryepiglottic fold a fold of mucous membrane extending on each side between the lateral border of the epiglottis and the summit of the arytenoid cartilage. The 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. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. A more objective, faster and shorter version of this scale, to be evaluated. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. Which of these fibers provides. 4. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. 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]. 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. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. There are few. 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. The shape of the buttock and the presence of the infragluteal fold make the donor area for FCI flap less visible regarding the missing volume and scar position. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Keep your arms straight as you lift the weight with your hips and glutes. 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. Download scientific diagram | Definitions of the lines drawn between reference points from publication: Gluteal Region Morphology: The Effect of the Weight Gain and Aging | The gluteal region is. 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. 1). Does it have a downward 45º angle, run horizontally, or have an inverted upward. 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. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. 17). 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]. This is not a good benefits vs risk proposition. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. Before the Implantation. 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. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. It is one o…THE IGF. The inferiorly oriented form of the muscle may be visible in males, but in. 15. But so doing it may also make your buttocks look a little less full because its roundness is decreased. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . 3 An aged buttock region is marked. The surgical anatomy of the subcutaneous screen on the gluteal region has. The surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. 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. 51. 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. 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. If ou still has residual excess skin and fat on the lower buttock and. 4). The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. 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. 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. &NA; Use of a local flap is often needed for closure of a defect in the. My recommendation would be getting better contour on the left before addressing the right. The patient’s position is prone or lateral decubitus. 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. 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. Dr. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. 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 ). Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. 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. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. The inclusion criteria was ptosis of the lower pole of buttocks. Many of the early proponents of the procedure were not open to discussing complications. 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 []. Consistent features of beautiful buttocks: lateral depression, infragluteal fold, supragluteal fossettes. 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. On the other hand, some slight to moderate redundant infragluteal creases might be candidates for simple surgical repair. 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. 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. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 5 ). 3). The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. 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. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. PDF. A direct excision was performed under general anesthesia. Most patients in the study had a deep infragluteal fold (the fold at the bottom of the buttocks), which is the exact issue this procedure will address. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. 15. On the upper area, markings are shown for the gluteus medius muscle. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. S3 – Over the tuberosity of the ischium or infragluteal fold S4 and S5 – In the perianal area, less than one cm lateral to the mucocutaneous zone Don’t Forget to Solve all the previous Year Question asked on Important dermatomes and anatomical landmarksThe orientation of IGF fibers offers a hammock-like support system. On the plantar surface of the foot, Gluteal fold we find the transverse lines and the longitudinal lines [1]. 1. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Ranch & Coast founder, Dr. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. 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 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. This fold is the horizontal crease under the ischial tuberosity. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. Fee $6,000+ Best to virtual consult with. This horizontal crease is under the ischial tuberosity. Background. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. The postoperative results depicted in the article demonstrate a successful. Popularity of injectable fillers. FIG. 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). Grade III: The skin. 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. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. 6+/-0. [1] The Vertical Technique This approach is performed vertically from above the IGF. This is a difficult area to fix. 7) . A. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The skin flap was designed along the gluteal fold. The power of this technique is granted through the lengthened anteroposterior. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. 3. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. 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. 23. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. springer. 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 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. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. 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. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Our technique allows for the. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. This can include excess weight that has accumulated in the waist and buttock area.