the infragluteal fold. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. implant. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. This is not a good benefits vs risk proposition. Dr. 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. 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. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in 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. Cocke and Ricketson were the first to describe placing silicone breast implants in the subcutaneous plane with less than optimal results. Other techniques are performed either. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. dermal flap will be performed for lifting the ptotic buttocks with ill-defined infragluteal fold. But so doing it may also make your buttocks look a little less full because its roundness is decreased. infragluteal fold [2–4]. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. Expand. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. The "sensuous triangle" is found at the junction of the lateral. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. 9 and 10. 1 Excerpt; Save. Intergluteal cleft. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. With sagging of the muscle belly, the infragluteal fold is decreased or lost, and atrophy of the buttock is obvious with time. Furthermore, the infragluteal fold should form a diamond-shaped space with the inner thigh. All patients judged the outcome as very good. Final skin laxity classification results from the sum of each item grade multiplied. 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. Paraspinous muscles cannot be forgotten in the lower abdomen. An anatomical study demonstrated that the perineal branch of. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. It arises in the median gluteal crease and follows. Besides the excessive fat accumulation, insufficient muscle tone may also contribute to the formation of saddlebags. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. If ou still has residual excess skin and fat on the lower buttock and. A banana fold may form for different reasons, among which an. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. com The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. Ini-tially, a deep plane is created by the 3-mm cannula. Infragluteal fold. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. 6+/-0. The infragluteal fold (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. Many of the early proponents of the procedure were not open to discussing complications. 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. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. Infragluteal fold. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Weight gain following thighplasty may negatively affect your surgery results. A direct excision was performed under general anesthesia. 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. implant. 臀下皱襞支撑性解剖学与美学研究进展. 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 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. 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. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. This is a horizontal crease under the ischial tuberosity. Grade III ptosis has the most skin and volume below the fold, with significant skin laxity and a more angular infragluteal fold. This fold makes a usually Read More…Important dermatome & anatomical landmarks. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. We define unaesthetic buttock ptosis as sagging. Results Our. In 1977 Gonzalez-Ulloa described correction of the ‘sad. It is critical to appropriately and systematically analyze the complex regional anatomy. The Buttock Lift with Hyaluronic Acid and Threads. My recommendation would be getting better contour on the left before addressing the right. All patients judged the outcome as very good. 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 . 2. The infragluteal fold is where the bottom of the buttock meets the upper thigh. These structures create the fixed, well-defined subgluteal sulcus [2]. S4/5 In the perianal area, less than one cm. 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. Medicine. 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. 15. ResultsThe infragluteal fold is a connectival fibrous band. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. Poorly placed incisions also detract from the gluteal aesthetic. Methods: Six volunteers (three males and. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. 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 anatomical study. A: Thank you for your inquiry and sending your picture. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. Infragluteal fold excision can be performed either before or after implantation (Fig. By utilizing an FCI flap for the reconstruction of a contour deformity in the region, the gluteal sulcus can be sufficiently reconstructed, and a pleasing buttock. Cárdenas The infragluteal fold is one of the major concerns in reshaping of the gluteal region. 5 and 15. This causes movement of the infragluteal sulci in downward and lateral directions as well as lengthening of intergluteal sulcus. The treatment should not focus on the central and lower. . 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. From here we can easily access the lower gluteal area and the internal and external posterior thigh (Fig. Tissue samples (6 cm long x 2 mm thick) were taken. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. 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. situated between the buttocks… See the full definitionBackground: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. D. Selective fat reduction centrally and laterally. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty ( 4 ). The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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 is used for correcting sagging lower buttock tissue that either hangs over the existing infragluteal fold or when the infragliuteal folds has dropped creating an elongated buttock shape. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. Tissue samples (6 cm long x 2 mm thick) were taken. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. No adverse events were recorded. Search worldwide, life-sciences literature Search. 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 “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Answer: Double gluteal 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. Jackson-Pratt drains are then introduced into the pocket and laid into the base of the pocket and secured with 3-0 Nylon suture (Fig. Open in a separate window. Most patients had a deep infragluteal fold. There is a very specialized method to form infra gluteal crease, using lipo 360 with directed fat grafting under ultrasound guided injections as required in Florida, and specialized sub dermal lipo techniques with taping to form infra gluteal crease. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). 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. 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. 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. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. No major complications or. Ranch & Coast founder, Dr. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). Sorry for your problem. 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 iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. 2. 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. Excess tissue was removed, and wound closure was performed in multiple layers. While buttock sagging is a general term it has different types as defined by the level of 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]. For this we have applied. 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. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. It is divided into an inner, a central, and an outer zone. loss of the infragluteal fold [7]. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). 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. The width of the flap and. The flaps are undermined by only one cm. 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. A photograph or two of the area would be extremely helpful in determining what the problem may be and thus the solution, if any. 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. Grade III: The skin. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. Fig. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. Volume in this area is restored with careful fat. Expand. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. Abstract. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. 23. The inferior border of the infragluteal fold is formed by the insertions of the semitendinous muscle and the belly of the biceps femoris. Five fixed. A. Thomas Fiala answered. Most patients had a deep infragluteal fold. Good luck. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. Helpful Barry L. Created for people with ongoing healthcare needs but benefits everyone. D. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. ResultsThe infragluteal fold is a connectival fibrous band. 22), liposuction of the inner thigh and infragluteal area may be indicated. 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. FIG. Tissue samples (6 cm long x 2 mm thick) were taken. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. The flap width was designed to match the broadest width of the defect, which was assessed from the inner. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. In the process of r. Manipulation using a ball-spiked pusher under. This study reevaluated the fold both histologically and anatomically. Infragluteal fold. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. The infragluteal fold is a fixed and well-defined structure that serves as the inferior border of the buttock proper and is formed by subcutaneous fat and thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin . The power of this technique is granted through the lengthened anteroposterior. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. For a negative upward slant (see 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. Fee $6,000+ Best to virtual consult with. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. 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. 0+/-1. Hello and thank you for your question. 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. Most patients had a deep infragluteal fold. Expand. A direct excision was performed under general anesthesia. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. Oh et al 26 recently demonstrated a shortening of the infragluteal fold by performing a thread lift with an elastic silicone-polyester thread. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to 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 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. 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. fold both histologically and anatomically. 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. Complete 10 to 15 reps. adjective. Our technique allows for the. 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. Unit D has six subunits (D1–D6). This is typically done under local anesthesia. Answer: Lower butt lift. 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. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Note anterior abdominal wall. 12. 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. 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. Expand 6 A gluteal ptosis classification scheme has also been devised by Mendieta, which is similar in design to that of breast ptosis described by Regnault. 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. An outer thigh lift removes skin and fat from the outside of the thigh. The inferiorly oriented form of the muscle may be visible in males, but in. It is one o…THE IGF. 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 ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. 20. Severe infragluteal fold. Supragluteal fossettes (one on either side), over the posterior superior iliac spine, created by the multifidus muscle, the lumbodorsal aponeurosis and the insertion. Plan on a 2-3 week recovery. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . The infragluteal fold is one of the major concerns in reshaping of the gluteal region. 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. 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. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. 3. The infragluteal sulcus is created right below. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. Surgery was performed in the jackknife position, and flaps were elevated in the suprafascial plane. D1 has a posterior and a posteromedial surface. 2010. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. A long infragluteal fold can also be improved and a more youthful shape be obtained. Infragluteal fold excision can be performed either before or after implantation (Fig. 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. 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. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip joint and overlying fat and is not formed by the lower border of the gluteus maximus muscle, which crosses the fold obliquely. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone. The infragluteal crease [23] is found in several terms such as the gluteal crease, the infragluteal fold [24], the infragluteal sulcus [24], the horizontal gluteal fold [4], the gluteal fold [4. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 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. 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°. 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. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. The power of this technique is granted through the lengthened anteroposterior scar and. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. In contrast, a shorter infragluteal fold contributes to a full, taut, and youthful-looking buttockFour fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. 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 []. 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. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. 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. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. This can include excess weight that has accumulated in the waist and buttock area. PDF. Plan on a 2-3 week recovery. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. Tissue samples (6 cm long x 2 mm thick) were taken. Great posted photos. 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 length and definition of the infragluteal fold play important roles in aesthetically. A banana fold may form for different reasons, among which an. The skin flap was designed along the gluteal fold. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. 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. International Standards for the Classification of Spinal Cord InjuryShe also had infragluteal fold or the infragluteal banana roll. I hope this helps. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 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. Tissue samples (6 cm long x 2 mm thick) were taken. 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. 44 The infragluteal fold is an important indicator of gluteal aesthetics. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . the market share of other surgical as well as non-surgical body contouring approaches. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. We report a case of using autologous. 2, 3, 4. Both volume and projection of the buttocks may be improved. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. On the other hand, some slight to moderate redundant infragluteal creases might be candidates for simple surgical repair. The postoperative resultsMethods: We describe a new technique for immediate reconstruction of GSCTs using buried dermal-fat flaps and a low transverse scar in the infragluteal fold. This was sculpted for a national television program recently. Barry Eppley. The upper-inner thigh holds a high stem. Detailed Procedure Information. 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. One can not liposuction between the two and create a single infragluteal crease. When the infragluteal fold line is horizontal (see Fig. For example, a cir-cumferential body lift (CBL) incision that runs straight across the back will make the buttock appear too long and rectangular or too square, depending on whetherAnswer: Surgery for left buttock ptosis. This horizontal crease is under the ischial tuberosity. Superiorly it is formed by the lower border of the gluteus maximus. The most significant changes in circumference were found at the level of 5 to 10 cm below the infragluteal fold, corresponding to the treated area on the lateral thigh. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. TLDR. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. Read more. 5 cm, 3-month follow-up). 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. lateral to the mucocutaneous junction. The main difference with our technique is the design. Ozmen S. An injury specifically to the inferior gluteal nerve, which supplies the gluteus maximus muscle, results in weak extension of the hip. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. : situated within or introduced into the gluteal muscle. 2 Patient Selection. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. Chasan, partook in a study examining the results of the infragluteal thigh lift. Which of these fibers provides. On the upper area, markings are shown for the gluteus medius muscle. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . The "sensuous triangle" is found at the junction of the lateral. PDF. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. The patient has difficulty arising from a sitting position or climbing steps. The inclusion criteria was ptosis of the lower pole of buttocks. The region of the infragluteal fold has been generally ignored or inadequately treated. Before the Implantation. 17). Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. A short infragluteal fold lying in the horizontal crease under the ischial tuberosity, which does not extend beyond the medial two-thirds of the posterior thigh. Body sculpting in this region will reveal these muscles and create anatomical balance in the lower back. 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. 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. The Scarpa’s. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . Popularity of injectable fillers. The surgical anatomy of the subcutaneous screen on the gluteal region has. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. The postoperative results depicted in the article demonstrate a successful. The inclusion criteria was ptosis of the lower pole of buttocks. 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 noted in multiple. 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]. . The posterior thigh is the area least requested for liposuction with the exception of the proximal infragluteal fold or so-called “banana fold. 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. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. Tissue samples (6 cm long x 2 mm thick) were taken. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The power of this technique is granted through the lengthened anteroposterior scar and. The mid-buttock is also divided into a central and an outer zone which usually has a depression. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. The Infragluteal Thigh Lift Technique. Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. 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. 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. 39. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. Clinical Presentation. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 45 This results in a ptotic butt if it is longer. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. FIG. The thigh circumference measured at 3 predefined levels decreased on average by 2. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. Five fixed cadavers were used. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes.