Search worldwide, life-sciences literature Search. 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. fold [fōld] plica; a thin margin curved back on itself, or doubling. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. CárdenasThe infragluteal fold is one of the major concerns in reshaping of the gluteal region. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. 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. 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. 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. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in 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. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. 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. Plastic Surgery 35 years experience. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. Procedure. Expand. 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. Tissue. 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. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Abstract. In the process of r. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. The implant was inserted through an infragluteal fold incision. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. The power of this technique is granted through the lengthened anteroposterior scar and. 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. 2, 3, 4. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. 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 major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. Selective fat reduction centrally and laterally. Methods: Six volunteers (three males and. Unit D has six subunits (D1–D6). 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. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. For a negative upward slant (see Fig. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. Excess tissue was removed, and wound closure was performed in multiple layers. A. 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. 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. A. ResultsThe infragluteal fold is a connectival fibrous band. Since you already have a belt lipectomy or a 360 circumferential lower body lift, the skin and fat of the buttocks have already been raised. In this study, 84. Lower body lift procedures remove excess skin and lift sagging buttock tissue. 5 ). The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. Supragluteal fossettes. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Dr. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. 5, irrespective of the magnitude. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. This fold is the horizontal crease under the ischial tuberosity. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. Five fixed cadavers. Infragluteal fold. 1 Excerpt; Save. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. 3 An aged buttock region is marked. Five fixed cadavers were used. 8): Fig. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. All patients judged the outcome as very good. Hello and thank you for your question. 0+/-1. Background. Besides the excessive fat accumulation, insufficient muscle tone may also contribute to the formation of saddlebags. The use of a deepithelialized. There are few. Cocke and Ricketson were the first to describe placing silicone breast implants in the subcutaneous plane with less than optimal results. The surgical anatomy of the subcutaneous screen on the gluteal region has. 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. 4). 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. Perception of ideal buttocks varies across cultures. The mid-buttock is also divided into a central and an outer zone which usually has a depression. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. I hope this helps. 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. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. from the bone to the skin. Chasan, partook in a study examining the results of the infragluteal thigh lift. 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]. 44 The infragluteal fold is an important indicator of gluteal aesthetics. 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. 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. On the upper area, markings are shown for the gluteus. 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 infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. Other techniques are performed either as standalone or in association with other procedures, such as: fat transfer also called Brazilian 'butt lift' hydrogel and silicone buttock injections; Complications. The appropriately selected gluteal implant is folded in half. Does it have a downward 45° angle, run horizontally, or have an inverted. PMID: 15940397 DOI: 10. Mendieta, on the other hand, described a procedure to eliminate the square shape of the inferomedial area of the gluteous in massive weight loss patients, with the hanging tissue removed by means of an incision that goes along the inner infragluteal fold and then upward lateral to the anus []. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. D. Answer: Double gluteal fold. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 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 postoperative results depicted in the article demonstrate a successful. Both volume and projection of the buttocks may be improved. unsatisfactory. This is often tried but never. A disadvantage is that the lower floor of the buttocks often remains ‘emptied’, while good vascularization can be cited as an advantage. Clinical Presentation. Our technique allows for the. Fig. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. This is a difficult area to fix. 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. 6. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. The second incision is placed at the midpoint of the infragluteal fold. 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. Ranch & Coast founder, Dr. Plan on a 2-3 week recovery. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. This is not a good benefits vs risk proposition. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. Fee $6,000+ Best to virtual consult with. Open in a separate window. Sorry for your problem. Tissue samples (6 cm long x 2 mm thick) were taken. Shorter, less dimpled, and tight skinned buttocks are smoothly wider and better projecting at the mid-level. The need for liposuction of the lower back or hips is considered. PDF. 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. It is used for correcting sagging lower buttock tissue that either hangs over the existing infragluteal fold or when the infragliuteal folds has dropped creating an elongated buttock shape. The 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. Expand. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. The length and definition of the infragluteal fold play important roles in aesthetically. 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 ). . Hello and thank you for your question. . Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). 3 Excerpts; Save. S3 – Over the tuberosity of the ischium or infragluteal fold S4 and S5 – In the perianal area, less than one cm lateral to the mucocutaneous zone Don’t Forget to Solve all the previous Year Question asked on Important dermatomes and anatomical landmarksThe orientation of IGF fibers offers a hammock-like support system. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. 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°. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. This study reevaluated the fold both histologically and anatomically. This fold is the horizontal crease under the ischial tuberosity. the infragluteal fold. D. And placing such a graft always runs the risk of causing an infection. The inclusion criteria was ptosis of the lower pole of buttocks. Outer/Lateral Thigh Lift. Tissue samples (6 cm long x 2 mm thick) were taken. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 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. 23. A direct excision was performed under general anesthesia. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. 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. A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. The inferior gluteal area is divided into four zones by tracing a vertical line from the center of the gluteus and a horizontal line that crosses through the infragluteal fold (Fig. See full list on link. 4. Liposhifting is a technique that. 35. Infragluteal fold excision can be performed either before or after implantation (Fig. 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. This can include excess weight that has accumulated in the waist and buttock area. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. Final skin laxity classification results from the sum of each item grade multiplied. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. It has been noted in multiple studies that patients can experience persistent PFCN. Dr. Infragluteal fold. 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. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. Manipulation using a ball-spiked pusher under. Other procedures commonly done include lifts and changing the infragluteal fold length. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). The gluteal region in patients with massive weight loss after. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. My recommendation would be getting better contour on the left before addressing the right. 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. &NA; Use of a local flap is often needed for closure of a defect in the. loss of the infragluteal fold [7]. Annotations in Figures 4 to to6 6 highlight improvements in skin condition and localized depression, improvement of gluteal shape, and shorter infragluteal fold, thus representing successful treatment. Your options are to carefully suction the fold and to either do a surgical buttock crease lift or fat injections to to butt just above the crease, or a combination thereof. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. The surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. Grade III: The skin. Read more. 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 banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. loss of the infragluteal fold [7]. Skin creases are features of major anatomical, morphological, surgical, and functional interest. BackgroundThe gluteal fold represents an important aspect of the gluteal region. Intergluteal crack height is unchanged. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. 45 This results in a ptotic butt if it is longer. 1. 1). V-shaped sacral triangle . This is typically done under local anesthesia. 1). Dr. Reply: Staying Safe during Gluteal Fat Transplantation. 15. Answer: Lower butt lift. 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 lower buttock is the most difficult area to address. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Great posted photos. 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 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. 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. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. 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 dissection for the pocket where the flap will be inserted has to stop 5 cm above the infragluteal fold to avoid injury of the medial cluneal and the cutaneous femoris posterior sensory nerve . The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . PDF. 9. Results were maintained at 6 months. 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. A more objective, faster and shorter version of this scale, to be evaluated. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. T1. 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. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Limits implant movement. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. 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 banana fold may form for different reasons, among which an. Most patients had a deep infragluteal fold. Save. This is not a good benefits vs risk proposition. Gluteal fat injection mortality is approximately 1/3000 patients. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. 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. 4). S3 provides innervation to the infragluteal fold . The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The recovery time is at least two weeks but may be longer depending on your specific surgery. Expand. Thus, you may want to consider restoring volume to your buttock and. The author has simply combined the incisions. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. 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. The cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. 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. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. 2) Loose skin from loss of buttock volume creates skin folds that obscures the infragluteal fold. During this type of thigh lift, an incision is made around the waist. A: Thank you for your inquiry and sending your picture. The "sensuous triangle" is found at the junction of the lateral. 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. 3. But so doing it may also make your buttocks look a little less full because its roundness is decreased. 2. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. What separates the lower buttocks from the other two sections is the infragluteal fold. 2 Patient Selection. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. The long axis of the flap was arranged in parallel with the infragluteal fold axis. Peter Fisher M. However, there is no clear anatomical description of the infragluteal fold,. ResultsThe infragluteal fold is a connectival fibrous band. 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 short answer is yes. Grade 3 (borderline pre-ptosis): the fold is over the M line, but still there is no ptotic tissue at the M line. Poorly placed incisions also detract from the gluteal aesthetic. 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 . 22), liposuction of the inner thigh and infragluteal area may be indicated. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. Case presentation: We report. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Patients with a long buttock may. 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. But so doing it may also make your buttocks look a little less full because its roundness is decreased. It is divided into an inner, a central, and an outer zone. Infragluteal fold. Popularity of injectable fillers. Helpful Barry L. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. 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. After 1 year, she under- gluteal fascia. Barry Eppley. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. Figure 6. The "sensuous triangle" is found at the junction of the lateral. In type 1 buttock ptosis the infragluteal Read More…Background: The shape of the buttocks can take on many different forms. 4% of subjects reported increased muscle. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Most patients had a deep infragluteal fold. An outer thigh lift removes skin and fat from the outside of the thigh. 5 and 15. Infragluteal fold. Intergluteal cleft. Also, evaluate the angle of the infragluteal fold. PDF. 1 Anatomy of the gluteus maximus muscle and deeper structure. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. Save. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. Infragluteal fold. Both flaps were fixed with interrupted 0-Vicryl. 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 infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 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. com The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. . Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. Does it have adownward 45º angle, run horizontally, or havean inverted. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. 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. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. ResultsThe infragluteal fold is a connectival fibrous band. 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. 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. 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. implant. The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. The shape of the buttock and the presence of the infragluteal fold make the donor area for FCI flap less visible regarding the missing volume and scar position. The 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 length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. Short gluteal fold. S2 S1 S3 S4/5. This technique creates a new, more aesthetically pleasing fold in order to resolve dropping skin and the presence of a double skin fold (the “banana roll”) beneath the buttocks. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. Good luck. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Five fixed cadavers were used. The Buttock Lift with Hyaluronic Acid and Threads. 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. Does it have a downward 45º angle, run horizontally, or have an inverted upward. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. 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. Peter Fisher M. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. 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. I hope this helps. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. intragluteal injection. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. 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. Liposhifting is a technique that. The infragluteal fold is where the bottom of the buttock meets the upper thigh. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. The inclusion criteria was ptosis of the lower pole of buttocks. The abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. Abstract. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. 6+/-0. 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. Superiorly it is formed by the lower border of the gluteus maximus. 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 . Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. The authors’ experience using. Subscribe Now:More:exercise to define. (E) The incision is closed from distal to proximal, blending into the abdominal closure when abdominoplasty is performed. Dr. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. infragluteal fold is composed of fascial spicules extending .