: situated within or introduced into the gluteal muscle. 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. Answer: Lower butt lift. The infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. The radiation oncologist clinically outlined the areas. 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. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. PDF. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. 3). The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . All patients judged the outcome as very good. Each buttock section has its own distinct shape. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. The therapy was found comfortable with a high satisfaction rate. In the pre-op photo, the patient presents with significant lipodystrophy of the iliac crest roll hips, periumbilical lower abdomen, anteromedial and posterolateral saddlebags, and the infragluteal fold banana rolls. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Indianapolis, Indiana. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. 2 Patient Selection. L3 provides innervation to the medial femoral condyle . unsatisfactory. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. From this point of view, in our opinion, there are four salient morphologic features to be considered in the preoperative planning: anterior and posterior views, the profile, and the infragluteal fold. The anatomical study. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. 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. 4% of subjects reported increased muscle. 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. Dr. Note anterior abdominal wall. The medial part of the infragluteal fold is formed by a fat pad that covers the inferior medial border of the gluteus maximus muscle. Infragluteal fold. Open in new tab Download slide. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Detailed Procedure Information. 0+/-1. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. This study reevaluated the fold both histologically and anatomically. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. 39. Results: After treatment, there was an average reduction of 4. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. 6. Lower body lift procedures remove excess skin and lift sagging buttock tissue. Infragluteal fold. Infragluteal fold: It is the horizontal crease under the ischial tuberosity composed of the lower edge of the gluteus maximus muscle and usually does not extend beyond the union of the semitendinous muscle with the biceps femoris. 8): Fig. Keep your arms straight as you lift the weight with your hips and glutes. 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. Good luck. circular f's. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. 1). An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. Both adipofascial flaps were rotated downward for inset in the pockets created in the buttocks. This is not a good benefits vs risk proposition. 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). 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 use of a deepithelialized. This is a difficult area to fix. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. All patients judged the outcome as very good. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. Great posted photos. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. 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. Supragluteal fossettes. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. 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 fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). Final skin laxity classification results from the sum of each item grade multiplied. Recent Surge in BBL Demand. The infragluteal fold became less evident, the but- buttock lift and augmentation with the dermal fat flap tock mass was elevated, and augmentation was achieved described was performed, resulting in correction of the with the maximum projection at midlevel of the gluteus. 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. 4). This supports the thigh tissue in its lifted position and enhances 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. 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 postoperative results depicted in the article demonstrate a successful. This crease does not reflect the lower margin of the gluteus major muscle, but. Tissue. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. Outer/Lateral Thigh Lift. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. PMID: 15940397 DOI: 10. The main difference with our technique is the design. 臀下皱襞支撑性解剖学与美学研究进展. The short answer is yes. 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 []. Thomas Fiala answered. V-shaped sacral triangle . The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the vaginal introitus in 6 patients, to reconstruct the labia majora in 5, and to close a rectovaginal fistula in 4, survived without signs of impaired circulation. A large redundant infragluteal crease probably cannot be repaired easily. 5). Saddlebags at the infragluteal fold level are replaced by tight flat skin. 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 . Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . 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. 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. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. This can include excess weight that has accumulated in the waist and buttock area. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. An angulated cannula can be used to easily enter the superficial space. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. 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 authors’ experience using. 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 inclusion criteria was ptosis of the lower pole of buttocks. ResultsThe infragluteal fold is a connectival fibrous band. 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. Tissue samples (6 cm long x 2 mm thick) were taken. It arises in the median gluteal crease and follows. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). The planned implication of the Sustaining Aparell may determine, through an observation of its structure, a flattening or a ptosis of the gluteal region, allowing a better understanding of the aesthetic of this region. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. (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. 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. 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. 15. Combining Gluteal Shaping with High-Definition Liposuction. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. fold [fōld] plica; a thin margin curved back on itself, or doubling. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. C3 provides innervation to the supraclavicular fossa . Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. We report a case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity. 23. Time and important weight variation. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. 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 infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. 5 T) of the pelvic region. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. Expand. The surgical anatomy of the subcutaneous screen on the gluteal region has. The flap should be fixed as low as possible to the muscle fascia. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. 5,8 A. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. The aesthetic line of the infragluteal fold should generally be short, no longer than the. On the upper area, markings are shown for the gluteus medius muscle. From here we can easily access the lower gluteal area and the internal and external posterior thigh (Fig. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. Closure of the implant pocket should be tension-free. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. The infragluteal fold is where the bottom of the buttock meets the upper thigh. 3. The recovery time is at least two weeks but may be longer depending on your specific surgery. No adverse events were recorded. This is a horizontal crease under the ischial tuberosity. Save. Save. The appropriately selected gluteal implant is folded in half. Results The infragluteal fold is a connectival brous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm± 2 and 20 mm± 2, all measures referring to volunteers. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. This study reevaluated the fold both histologically and anatomically. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. The inferiorly oriented form of the muscle may be visible in males, but in. 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. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. An outer thigh lift removes skin and fat from the outside of the thigh. 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. 5 and 15. 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. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 15. With your feet shoulder width apart, place your hands on the barbell (whether on lifting blocks or in a Smith machine), with your palms either over or under the bar. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. No major complications or. The power of this technique is granted through the lengthened anteroposterior scar and. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Limits implant movement. Procedure. After the fat graft, thread lifting is performed considering the vector. deformity and a pleasing buttock contour. For this we have applied. FIG. 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. The infragluteal fold is among the major characteristics of the gluteal region. Abstract. Infragluteal fold. 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. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. These structures create the fixed, well-defined subgluteal sulcus [2]. Does it have a downward 45° angle, run horizontally, or have an inverted. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. 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 dissection and volume this flap provides are similar to that of the SGAP flap. Expand. 23. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 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. Read more. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. Selective fat reduction centrally and laterally. The length and definition of the infragluteal fold play important roles in aesthetically. . Red line. For a negative upward slant (see Fig. The infragluteal fold is like a horizontal line. 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. dermal flap will be performed for lifting the ptotic buttocks with ill-defined infragluteal fold. 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. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. 95, 4. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. 45 This results in a ptotic butt if it is longer. Paraspinous muscles cannot be forgotten in the lower abdomen. My recommendation would be getting better contour on the left before addressing the right. With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Both flaps were fixed with interrupted 0-Vicryl. In my humble opinion you need nothing surgical. 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. Ozmen S. The power of this technique is granted through the lengthened anteroposterior. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. 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 "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 3) The length of the lower buttock lift excision should ideally not go beyond the. Patients with an apparent and angular infragluteal fold with. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patientsFlap reconstruction is e cient in severe cases of infragluteal fold deformity [5], but the low patient's acceptance of sequel scar limits its application. 5 ). The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. Gluteal Deadlifts. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. Grade 4 (mild ptosis): the gluteal tissue passes over the infragluteal fold at the M line; on the lateral view, we evaluate the angle of the skin fold at the infragluteal fold; in Grade 4, the angle is less than 10°. Hello and thank you for your question. 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 inframammary crease 5,13 lies o ver the fifth to sixth ribs. A direct excision was performed under general anesthesia. New flank tapered feminine depressed contours are limited by high and narrow pelvic rims, which help define high hipsHide glossary Glossary. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. The sciatic nerve is identified deep to the gluteus maximus muscle and superficial to the quadratus femoris muscle with the ischial tuberosity medially and the greater trochanter laterally. Save. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. TLDR. This fold is the horizontal crease under the ischial tuberosity. 2. 17). Ranch & Coast founder, Dr. 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. It has been noted in multiple. 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. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. Search for termsThis area is known as a safety triangle with its apex between the sacral dimples and its base along the medial two-thirds of the infragluteal fold, on both sides. 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. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. A long infragluteal fold can also be improved and a more youthful shape be obtained. 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. Infragluteal fold The creases on the plantar surface of the foot are not as Infragluteal sulcus complex or constant or so well marked as on the palmar Horizontal gluteal fold surface of the hand [1]. Five fixed cadavers were used. 5). 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. Although remarkable results have been demonstrated, the applicability of this procedure to MWL patients has been inadequate due to limited skin removal and the risk of scar migration from dependence on. The infragluteal fold is where the bottom of the buttock meets the upper thigh. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. On the upper area, markings are shown for the gluteus. 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 ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. 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. The fat is injected as the. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. S3 provides innervation to the infragluteal fold . The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 5, irrespective of the magnitude. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. For this we have applied a pedicled skin flap raised in the infragluteal fold, the technical details and surgical results of which are presented in this paper. This fold is the horizontal crease under the ischial tuberosity. 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. The long axis of the flap was arranged in parallel with the infragluteal fold axis. Detailed clinical assessments of infragluteal fold, degree of flaccidity, projection, gluteal shape, and skin surface irregularities are required to define the overall objectives of the procedure. The flap width was designed to match the broadest width of the defect, which was assessed from the inner. By means of MR imaging of volunteers and dissection of fresh cadavers, a here presented study revealed the infragluteal fold as a connectival fibrous band extending from the ramus of the ischium, the coccyx and the apex of sacrum, without significant. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. 1. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. Background: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. 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. While buttock sagging is a general term it has different types as defined by the level of the infragluteal fold. 9 and 10. 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. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. Fig. 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 Scarpa’s. 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. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. The inclusion criteria was ptosis of the lower pole of buttocks. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3rds of the posterior thigh, the infragluteal fold, as. Does it have a downward 45° angle, run horizontally, or have an inverted. Reply: Staying Safe during Gluteal Fat Transplantation. loss of the infragluteal fold [7]. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. 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 cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 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. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Most patients had a deep infragluteal fold. Save. Our technique allows for the. 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 patient’s position is prone or lateral decubitus. Most patients had a deep infragluteal fold. 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. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 1 43/black/F III 24 Topical and oral antibiotics Infragluteal fold, bilateral axilla, left groin 2 50/black/M III 7 Topical and oral antibiotics; surgery Buttocks, left axilla, perineumThe infragluteal fold/thigh junction (lower glu-teal cleavage) also requires definition. The procedure would take approximately 4 hours to complete. Purpose: The apparent failure of pudendal nerve surgery in some patients has led us to suggest the possibility of entrapment of other adjacent nerve structures, leading to the concept of inferior cluneal neuralgia. A V-shaped proximal gluteal crease was accentuated by the. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. 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。. If ou still has residual excess skin and fat on the lower buttock and. 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. Medicine. 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 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]. C2 – At least one cm lateral to the occipital protuberance at. The second incision is placed at the midpoint of the infragluteal fold. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. 15. circular f's the permanent. This horizontal crease is under the ischial tuberosity. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. 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. 6. 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. Esthetic results can be individualized to patient’s wishes/expectations: by flap design (shape, width, length, thickness), by pocket dissection (shape, width, depth), and by flap fixation (sutures, infragluteal fold reconstruction). The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. A long, deflated. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. 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 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. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. 10 The Mendieta and Sood classification is demonstrated in Fig. 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. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. Sorry for your problem. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Tissue samples (6 cm long × 2 mm thick) were taken at three. Peter Fisher M. The thigh circumference measured at 3 predefined levels decreased on average by 2. The width of the flap and.