Superiorly it is formed by the lower border of the gluteus maximus. The midpoints of the infragluteal sulci were marked, and then the right and left infragluteal sulci were bilaterally excised en bloc, from the ischium to the most lateral part of the gluteal-thigh junction, with 3 cm of tissue taken from the inferior and superior parts of the infragluteal fold by an elliptic incision including the skin. This 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. 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. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. 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. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. from the bone to the skin. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. 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. 8): Fig. For a negative upward slant (see Fig. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. The posterior thigh is the area least requested for liposuction with the exception of the proximal infragluteal fold or so-called “banana fold. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. Open in a separate window. It has been noted in multiple. Tissue samples (6 cm long x 2 mm thick) were taken. 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. The main difference with our technique is the design. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. 35. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. Tissue samples (6 cm long x 2 mm thick) were taken. The procedure would take approximately 4 hours to complete. 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. Patients with an apparent and angular infragluteal fold with. My recommendation would be getting better contour on the left before addressing the right. The superior tip of the intergluteal cleft. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. 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. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. Selective fat reduction centrally and laterally. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. 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. Most patients had a deep infragluteal fold. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). 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. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. 5 T) of the pelvic region. In 1977 Gonzalez-Ulloa described correction of the ‘sad. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Barry Eppley. 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. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. Study record managers: refer to the Data Element Definitions if submitting registration or results information. 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. A long infragluteal fold can also be improved and a more youthful shape be obtained. No adverse events were recorded. Infragluteal fold. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. 1007/s00266-004-0133-2 Abstract The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and. Notice in the center photograph that a fuller. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. And placing such a graft always runs the risk of causing an infection. C2 – At least one cm lateral to the occipital protuberance at. 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 authors present a simple and effective technique for reconstruction of the gluteal fold by a deepithelialized skin flap that is applicable for patients who have lost their naturalgluteal sulcus, with a resultant altered buttock shape, after trauma or other causes. 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。. Profunda perforator characteristics that were examined included the distance from the pubic tubercle to the infragluteal fold (IGF), the distance of the perforators from the IGF, distance posterior to the gracilis, the diameter of the perforator at fascial exit, and total number of perforators present. It has been noted in multiple studies that patients can experience persistent PFCN. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. In either case, a lower buttock lift or tuck is done to remove the overhanging tissues and recreate a fixed infragluteal fold position. 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. Good luck. On the plantar surface of the foot, Gluteal fold we find the transverse lines and the longitudinal lines [1]. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Note anterior abdominal wall. 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. International Standards for the Classification of Spinal Cord InjuryShe also had infragluteal fold or the infragluteal banana roll. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. The lower buttock is the most difficult area to address. Plastic Surgery 35 years experience. Save. 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. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Between 2. Each buttock section has its own distinct shape. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 51. 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. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. The need for liposuction of the lower back or hips is considered. The "sensuous triangle" is found at the junction of the lateral. Thomas Fiala answered. Intergluteal cleft. 4). Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. CárdenasThe infragluteal fold is one of the major concerns in reshaping of the gluteal region. The major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. Combining Gluteal Shaping with High-Definition Liposuction. Grade III: The skin. 4). . fold both histologically and anatomically. 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. In this study, 84. S2 S1 S3 S4/5. 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. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. 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. 15. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. The flap length, determined from the distance between the perforator and the distal flap margin, was designed to be slightly longer than the defect itself. Helpful Barry L. The infragluteal fold length and definition play important roles in esthetically. On the other hand, some slight to moderate redundant infragluteal creases might be candidates for simple surgical repair. What you are seeking is to have a uniform infragluteal crease on both sides. 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. 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. 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. Grade 3 (borderline pre-ptosis): the fold is over the M line, but still there is no ptotic tissue at the M line. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . 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. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 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. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. 5 ). 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. Infragluteal fold. 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. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. Infragluteal fold excision can be performed either before or after implantation (Fig. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. 15. 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. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. Dr. A long, deflated. 44 The infragluteal fold is an important indicator of gluteal aesthetics. Infragluteal fold created by the ischial tuberosity, the insertions of the semitendinous muscle and long belly of the biceps femoris, and the lower border of the gluteus maximus. Cuenca described the ideal buttocks for women as follows: mild lateral depression at the femoral greater trochanter, a short infragluteal fold, the supragluteal fossette corresponding to the posterior superior iliac spine, and a V-shaped sacral triangle (Fig. The recovery time is at least two weeks but may be longer depending on your specific surgery. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The flaps are undermined by only one cm. 1 Excerpt; Save. Five fixed cadavers were used. . Does it have adownward 45º angle, run horizontally, or havean inverted. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3rds of the posterior thigh, the infragluteal fold, as well as the lateral anal region, scrotum, and labia majora through its inferior cluneal and pudendal nerve branches. The 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. A: Thank you for your inquiry and sending your picture. infragluteal fold is composed of fascial spicules extending . amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. It is critical to appropriately and systematically analyze the complex regional anatomy. 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. 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. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. Good luck. The infragluteal fold, often ignored or inadequately treated, is one of the most challenging areas to treat and requires a complete knowledge of the anatomy of the buttock to achieve the best aesthetic result. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. This is a difficult area to fix. 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. All patients judged the outcome as very good. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. 20 The inferior gluteal artery, supplying 2/3 of the muscle, enters from the inferior bor-The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. One can not liposuction between the two and create a single infragluteal crease. 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). in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Oh et al 26 recently demonstrated a shortening of the infragluteal fold by performing a thread lift with an elastic silicone-polyester thread. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. Poorly placed incisions also detract from the gluteal aesthetic. This is not a good benefits vs risk proposition. The Buttock Lift with Hyaluronic Acid and Threads. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. If ou still has residual excess skin and fat on the lower buttock and. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 2, 3, 4. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Medicine. (aka tuck) The most important factor to guide implant selection is its base’s vertical and horizontal dimensions, which should fit the buttock leaving at least 5 cm between the pocket dissection limit and the infragluteal fold and 2 cm lateral to the sacrum. We define unaesthetic buttock ptosis as sagging. The treatment should not focus on the central and lower. What separates the lower buttocks from the other two sections is the infragluteal fold. A direct excision was performed under general anesthesia. 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. Procedure. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 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. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. Which of these fibers provides. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. In the ideal buttock, the infragluteal fold should end. 2. situated between the buttocks… See the full definitionBackground: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. 4. The upper-inner thigh holds a high stem. Does it have a downward 45° angle, run horizontally, or have an inverted. 3 An aged buttock region is marked. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. Dr. 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 . 这个皱褶并不反映臀大肌的下缘，有肌肉表面与深筋膜的纤维性连接，起源于臀部内侧三分之一的真皮，以坚固的隔膜形式与臀筋膜交织在一. the infragluteal fold. 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. The infragluteal fold was marked as the lower limit to ensure preservation of the structure and thus avoid ptosis of the gluteal mass and implant displacement. Fee $6,000+ Best to virtual consult with. Expand. circular f's the permanent. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. Gluteal fat injection mortality is approximately 1/3000 patients. The patient has difficulty arising from a sitting position or climbing steps. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Both volume and projection of the buttocks may be improved. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. 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. Expand. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty ( 4 ). The "sensuous triangle" is found at the junction of the lateral. Limits implant movement. The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. 5). Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 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. 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). A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. With sagging of the muscle belly, the infragluteal fold is decreased or lost, and atrophy of the buttock is obvious with time. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. Destruction of this. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. 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]. 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. 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 . Five fixed. Dr. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. It has been noted in multiple. 23. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. 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. Answer: Double gluteal fold. The radiation oncologist clinically outlined the areas. 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. Both flaps were fixed with interrupted 0-Vicryl. This fold’s length and shape has a pre-eminent role in gluteal aesthetics: a long fold indicates a ptotic buttock, whereas a short one suggests a young. This is not a good benefits vs risk proposition. (E) The incision is closed from distal to proximal, blending into the abdominal closure when abdominoplasty is performed. We report a case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . Infragluteal fold. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. PDF. The infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. Infragluteal fold. Ozmen S. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. 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 "sensuous triangle" is found at the junction of the lateral. Outer/Lateral Thigh Lift. Purpose The gluteal region is a key element of beauty balance and sexual appearance. 12. Most patients had a deep infragluteal fold. Keep your arms straight as you lift the weight with your hips and glutes. 3). Weight gain following thighplasty may negatively affect your surgery results. These structures create the fixed, well-defined subgluteal sulcus [2]. Thus, you may want to consider restoring volume to your buttock and. The flap should be fixed as low as possible to the muscle fascia. Answer: Double fold. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. 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. By utilizing an FCI flap for the reconstruction of a contour deformity in the region, the gluteal sulcus can be sufficiently reconstructed, and a pleasing buttock. 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 posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3 rds of the posterior thigh, the infragluteal fold, as well as the lateral anal region, scrotum, and labia majora through its inferior cluneal and pudendal nerve branches. The way to correct this is to directly cut out that area but you will have to be wiling to accept a scar inside the new crease. 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 []. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. This study reevaluated the fold both histologically and anatomically. Fig. This is a difficult area to fix. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. The FCI flap is a good choice for. 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. 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. 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. FIG. An injury specifically to the inferior gluteal nerve, which supplies the gluteus maximus muscle, results in weak extension of the hip. 3. Also evaluate theangle of the infragluteal fold. 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 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. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. Lower body lift procedures remove excess skin and lift sagging buttock tissue. A. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Indianapolis, Indiana. 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. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. Unit D has six subunits (D1–D6). 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. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. The infragluteal fold has been reconstructed, leading to an aesthetic appearance of the gluteal region soft tissue (skin and fat) will often lead to disappointing biceps femoris laterally since this is the natural ending of results, including wide scarring, recurrence of ptosis, and the fold [2]. 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 infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. 3 Excerpts; Save. Results: After treatment, there was an average reduction of 4. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. Five fixed cadavers were used. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. To our knowledge, only two variations to the classic chevron technique have been described in an attempt to improve buttock contouring following GSCT excision. The infragluteal fold is where the bottom of the buttock meets the upper thigh. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3rds of the posterior thigh, the infragluteal fold, as well as the lateral anal region, scrotum, and labia majora through its inferior cluneal and pudendal nerve branches. The short answer is yes. Limited inferiorly by infragluteal fold. 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. The histologicalCreation of an infra gluteal fold is done in the same fashion as the medial thigh tuck first described by Ted Lockwood, M. Save. This fold is the horizontal crease under the ischial tuberosity. ResultsThe infragluteal fold is a connectival fibrous band. This study reevaluated the fold both histologically and anatomically. This is often tried but never. 2). The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. 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 surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . Both adipofascial flaps were rotated downward for inset in the pockets created in the buttocks. 1). 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. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. A banana fold may form for different reasons, among which an. 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. 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). Clinical Presentation. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. In this way, it's similar to a general lower body lift. 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 "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. No major complications or. D1 has a posterior and a posteromedial surface. 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. It is critical to appropriately and systematically analyze the complex regional anatomy. Other techniques are performed either. 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. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. 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. 5 and 15. Abstract. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. 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. Also evaluate the angle of the infragluteal fold. A. 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.