Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. In this way, it's similar to a general lower body lift. Five fixed. An anatomical study demonstrated that the perineal branch of. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. It has been noted in multiple studies that patients can experience persistent PFCN. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. This fold makes a usually Read More…Important dermatome & anatomical landmarks. 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. Fee $6,000+ Best to virtual consult with. On the lateral view (Fig. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . For this we have applied. This was sculpted for a national television program recently. 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. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. 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. 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. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. 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. 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. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. Final skin laxity classification results from the sum of each item grade multiplied. The main difference with our technique is the design. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. A. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. 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. Selective fat reduction centrally and laterally. 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. All patients judged the outcome as very good. infragluteal fold [2–4]. situated between the buttocks… See the full definitionBackground: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. : situated within or introduced into the gluteal muscle. 3) The length of the lower buttock lift excision should ideally not go beyond the. 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. 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. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior surface of the thigh, the infragluteal fold, the skin over the ischial tuberosity, and also the lateral anal region, scrotum or labium majus []. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Also, evaluate the angle of the infragluteal fold. 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. 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. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. Tissue samples (6 cm long x 2 mm thick) were taken. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. The infragluteal fold (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. 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. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. The author has simply combined the incisions. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. Hello and thank you for your question. 6+/-0. 35. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. 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. Infragluteal fold. A new surgical treatment method using a gluteal-fold flap (GFF) for anal stricture after total ISR is developed and it is believed that GFF transfer is an excellent option for treating anorectal strictures after totalISR. It has been noted in multiple. When the infragluteal fold line is horizontal (see Fig. Procedure. The Buttock Lift with Hyaluronic Acid and Threads. Shorter, less dimpled, and tight skinned buttocks are smoothly wider and better projecting at the mid-level. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). A photograph or two of the area would be extremely helpful in determining what the problem may be and thus the solution, if any. This horizontal crease is under the ischial tuberosity. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. The key to success for this procedure is to. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. 39. Dr. This fold is the horizontal crease under the ischial tuberosity. Open in a separate window. Indianapolis, Indiana. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. loss of the infragluteal fold [7]. 95, 4. On the upper area, markings are shown for the gluteus medius muscle. Five fixed cadavers. 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). We report a case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity. 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 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 []. 2, 3, 4. 5 and 6. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. T3 provides innervation to the midclavicular line . It arises in the median gluteal crease and follows a. 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. 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. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Red line. Barry Eppley. From here we can easily access the lower gluteal area and the internal and external posterior thigh (Fig. 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 gluteal tissue passes over the infragluteal fold at the M line; the angle of the skin fold at the infragluteal fold is between 10 and 30 . If ou still has residual excess skin and fat on the lower buttock and. implant. The gluteal sulcus (also known as the gluteal fold, tuck, fold of the buttock, or horizontal gluteal crease) is an area of the body of humans and anthropoid apes, described by a horizontal crease formed by the inferior aspect of the buttocks and the posterior upper thigh. The 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 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. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. 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. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. Increasing number of patients request body contouring and are increasingly aware of the numerous techniques now available for enhancing the gluteal region, which include the use of implants, autologous fat transfer, autologies, and combinations of more than one of these techniques often produce superior aesthetic. 6. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. the market share of other surgical as well as non-surgical body contouring approaches. Thus, you may want to consider restoring volume to your buttock and. 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 []. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. 10 The Mendieta and Sood classification is demonstrated in Fig. All patients judged the outcome as very good. circular f's. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and cadavers, respectively). 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. Dr. Dr. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. 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. We define unaesthetic buttock ptosis as sagging. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. 2. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. 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. 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]. 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 . Popularity of injectable fillers. Intergluteal cleft. There are few. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. D2 and D3 are located in the posterior portion. Read more. TLDR. 3). The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. The infragluteal fold incisions should always be closed by subdermal sutures, since these are the ports of entry of fat grafting, to prevent protrusion of fat or migration. intragluteal injection. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 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. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 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. 15. Between 2. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. 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. Five fixed cadavers were used. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. D. 1). A banana fold may form for different reasons, among which an. This crease does not reflect the lower margin of the gluteus major muscle, but. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . PDF. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. The superior tip of the intergluteal cleft. 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. Save. The skin flap was designed along the gluteal fold. Unit D has six subunits (D1–D6). Ini-tially, a deep plane is created by the 3-mm cannula. Purpose The gluteal region is a key element of beauty balance and sexual appearance. 2. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. The "sensuous triangle" is found at the junction of the lateral. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. 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. It arises in the median gluteal crease and follows. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. Tissue samples (6 cm long x 2 mm thick) were taken. And placing such a graft always runs the risk of causing an infection. 23. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. 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. 3 Excerpts; Save. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11, 2023, in Plastic and Surgery Global Open, corrections have been made to the author list and affiliations. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. Search worldwide, life-sciences literature Search. 3. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock. An outer thigh lift removes skin and fat from the outside of the thigh. Infragluteal fold excision can be performed either before or after implantation . ExpandThese implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. The inner thigh can be reached by the lower pubic incisions with the patient supine and by the infragluteal crease incisions for posterior access with the patient prone. fold [fōld] plica; a thin margin curved back on itself, or doubling. 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. 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. 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. 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 ( Fig. 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. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Infragluteal fold reconstruction is achieved by reconstruction of the buttock’s sustaining apparel through deepithelialized skin flaps anchored to deep gluteal fascia. 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 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. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. 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. A. 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. 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. Lower body lift procedures remove excess skin and lift sagging buttock tissue. This study reevaluated the fold both histologically and anatomically. The radiation oncologist clinically outlined the areas. ResultsThe infragluteal fold is a connectival fibrous band. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. FIG. Download scientific diagram | MRI sequence of the infragluteal fold with T1 VIBE MORPHO sequence (Thickness slice = 900. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. BackgroundThe gluteal fold represents an important aspect of the gluteal region. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Therefore, in each case, the high points of the buttocks are relatively light while infragluteal fold and V-shaped crease areas are relatively dark. Plastic Surgery 35 years experience. Urinary and bowel. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . Open in new tab Download slide. Reply: Staying Safe during Gluteal Fat Transplantation. 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. The entry point for fat injection is near the infragluteal fold and around the sacral triangle, which is the same as that for thread insertion. The cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. 23. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. A direct excision was performed under general anesthesia. deformity and a pleasing buttock contour. 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. The "sensuous triangle" is found at the junction of the lateral. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. 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. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. and African Americans. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Both volume and projection of the buttocks may be improved. I hope this helps. 5, irrespective of the magnitude. 12. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. Fig. Limited inferiorly by infragluteal fold. The retromuscolar technique is preferred by patients requesting a natural, sporty result. Good luck. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. 20. Answer: Double gluteal fold. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. 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 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. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. from the bone to the skin. 2 Patient Selection. 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. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. T1. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. 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 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. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. 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. Poorly placed incisions also detract from the gluteal aesthetic. Barry Eppley. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Saddlebags at the infragluteal fold level are replaced by tight flat skin. Plan on a 2-3 week recovery. circular f's the permanent. 5 and 15. The inferiorly oriented form of the muscle may be visible in males, but in. fold both histologically and anatomically. See full list on link. 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’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. Severe infragluteal fold. Expand. Gluteal Deadlifts. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Sorry for your problem. Infragluteal fold: formed superiorly by the inferior border of the gluteus maximus and inferiorly by the insertion of the semitendinosus and biceps femoris muscles in the ischial tuberosity. The flap should be fixed as low as possible to the muscle fascia. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. 17). This fold is the horizontal crease under the ischial tuberosity. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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. 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. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. One can not liposuction between the two and create a single infragluteal crease. Combining Gluteal Shaping with High-Definition Liposuction. Expand. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 3 An aged buttock region is marked. Most patients had a deep infragluteal fold. 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. Gozil R. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. 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]. 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. Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). Outer/Lateral Thigh Lift. It is one o…THE IGF. 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 ). It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). 4). 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 . ” 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. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. Results were maintained at 6 months. Figure 6. 9 and 10. Fig. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. 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. On the upper area, markings are shown for the gluteus. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. Peter Fisher M. Ozmen S. Good luck. The anatomical study. 45 This results in a ptotic butt if it is longer.