Patients with a long buttock may. We report a case of using autologous. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . This study reevaluated the fold both histologically and anatomically. A banana fold may form for. S4/5 In the perianal area, less than one cm. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 2010. All patients judged the outcome as very good. 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. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. Good luck. This study reevaluated the fold both histologically and anatomically. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. The flap should be fixed as low as possible to the muscle fascia. infragluteal fold [2–4]. 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。. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. In the ideal gluteal aesthetics, the relationship between the infragluteal fold and the inner thigh should create a diamond shaped space, as seen in Fig. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. 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 . This study reevaluated the fold both histologically and anatomically. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. 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. Tissue samples (6 cm long × 2 mm thick) were taken at three. It has been noted in multiple. 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. This fold is the horizontal crease under the ischial tuberosity. The infragluteal fold is where the bottom of the buttock meets the upper thigh. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. On the upper area, markings are shown for the gluteus medius muscle. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. 9 and 10. 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. 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. 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. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. We developed a practical and safe pedicled flap for reconstruction of ischial pressure sores based on the rich available perforators from the internal pudendal artery and the surplus. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. 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. Medicine. This fold’s length and shape has a pre-eminent role in gluteal aesthetics: a long fold indicates a ptotic buttock, whereas a short one suggests a young. 23. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Peter Fisher M. On the upper area, markings are shown for the gluteus. The Infragluteal Thigh Lift Technique. Time and important weight variation. 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. The infragluteal fold, which The concept of the ideal shape for the gluteal region has attaches to both the ischium and the sacrum in a continuous changed over time and over cultures and still is evolving. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. . One can not liposuction between the two and create a single infragluteal crease. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11, 2023, in Plastic and Surgery Global Open, corrections have been made to the author list and affiliations. The 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 midpoints of the infragluteal sulci were marked, and then the right and left infragluteal sulci were bilaterally excised en bloc, from the ischium to the most lateral part of the gluteal-thigh junction, with 3 cm of tissue taken from the inferior and superior parts of the infragluteal fold by an elliptic incision including the skin. Infragluteal fold reconstruction is achieved by reconstruction of the buttock’s sustaining apparel through deepithelialized skin flaps anchored to deep gluteal fascia. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. 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. Red line. In the ideal buttock, the infragluteal fold should end. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. S2 S1 S3 S4/5. D2 and D3 are located in the posterior portion. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. The APEX thighlift takes advantage of the hidden scar described in earlier techniques, using an incision along the medial thigh inguinal crease (or inside that if thinning of a widened pubis is desired) that extends posteriorly into the infragluteal fold (Figure 4). The author tried not to trespass the thigh midline with the incision along the infragluteal fold. 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. 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 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. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. It has been noted in multiple studies that patients can experience persistent PFCN. V-shaped sacral triangle . This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. 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. Open in a separate window. 2. Background: The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. Figure 6. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. 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. A long infragluteal fold can also be improved and a more youthful shape be obtained. If ou still has residual excess skin and fat on the lower buttock and. PDF. The abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. Surgery was performed in the jackknife position, and flaps were elevated in the suprafascial plane. FIG. 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. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. Fig. It arises in the median gluteal crease and follows. This is often tried but never. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . Both flaps were fixed with interrupted 0-Vicryl. Severe infragluteal fold. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Higher IGF (infragluteal fold) results in a shorter buttock preferred by Asian Americans 123 Aesth. Infragluteal fold. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. It is one o…THE IGF. Manipulation using a ball-spiked pusher under. D1 has a posterior and a posteromedial surface. 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. ResultsThe infragluteal fold is a connectival fibrous band. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. 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 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. 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 skin flap was designed along the gluteal fold. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 5 T) of the pelvic region. 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. 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). 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. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. Care must be taken when completing the last portion of the. loss of the infragluteal fold [7]. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). The key to success for this procedure is to. unsatisfactory. 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 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. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. The region of the infragluteal fold has been generally ignored or inadequately treated. We define unaesthetic buttock ptosis as sagging. Save. 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. This fold makes a usually Read More…Important dermatome & anatomical landmarks. 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 infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Save. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. 3. Five fixed cadavers were used. Intergluteal cleft. But so doing it may also make your buttocks look a little less full because its roundness is decreased. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. 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. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. The postoperative results depicted in the article demonstrate a successful. 23. Peter Fisher M. 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. Infragluteal fold created by the ischial tuberosity, the insertions of the semitendinous muscle and long belly of the biceps femoris, and the lower border of the gluteus maximus. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Answer: Lower butt lift. 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. Cocke and Ricketson were the first to describe placing silicone breast implants in the subcutaneous plane with less than optimal results. The key to success for this procedure is to. Tissue samples (6 cm long x 2 mm thick) were taken. The mid-buttock is also divided into a central and an outer zone which usually has a depression. 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. L3 provides innervation to the medial femoral condyle . Results were maintained at 6 months. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Tissue samples (6 cm long x 2 mm thick) were taken. 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 "sensuous triangle" is found at the junction of the lateral. Ozmen S. Dr. 臀下皱襞支撑性解剖学与美学研究进展. Barry Eppley. Tissue samples (6 cm long x 2 mm thick) were taken. Great posted photos. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. 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. BackgroundThe gluteal fold represents an important aspect of the gluteal region. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. 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. [1] The Vertical Technique This approach is performed vertically from above the IGF. 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. After the fat graft, thread lifting is performed considering the vector. An injury specifically to the inferior gluteal nerve, which supplies the gluteus maximus muscle, results in weak extension of the hip. 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 gluteal region in patients with massive weight loss after. Poorly placed incisions also detract from the gluteal aesthetic. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . For a negative upward slant (see Fig. 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 only way to create a sharper erase/line at the underside of the buttocks is an excisional tuck, making the existing infragluteal fold deeper. Cárdenas The infragluteal fold is one of the major concerns in reshaping of the gluteal region. We report a case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity. 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. 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. Lower buttock sag is occurs when the superior skin and fat ‘fall’over the fixed infragluteal fold. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. It is critical to appropriately and systematically analyze the complex regional anatomy. 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. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . Both adipofascial flaps were rotated downward for inset in the pockets created in the buttocks. 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. 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 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. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. But so doing it may also make your buttocks look a little less full because its roundness is decreased. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. 1). 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. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. from the bone to the skin. Indianapolis, Indiana. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. lateral to the mucocutaneous junction. Infragluteal fold. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. 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). Barry Eppley. 39. Unit D has six subunits (D1–D6). A banana fold may form for different reasons, among which an. 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. 5). The inferiorly oriented form of the muscle may be visible in males, but in. My recommendation would be getting better contour on the left before addressing the right. 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. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. Liposhifting is a technique that. 2. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. 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. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Cadaveric dissection reveals that the IGF is a connective fibrous band extending from the ramus of the ischium, the apex of the sacrum, and the coccyx, to the. Thus, you may want to consider restoring volume to your buttock and. For this we have applied. The average width of the skin excision was 8 cm and the average length was 25 cm. 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. 1. In 1977 Gonzalez-Ulloa described correction of the ‘sad. Selective fat reduction centrally and laterally. It has been noted in multiple. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. 3). The "sensuous triangle" is found at the junction of the lateral. Intergluteal crack height is unchanged. See full list on link. Superiorly it is formed by the lower border of the gluteus maximus. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 3 An aged buttock region is marked. Expand. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. 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. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. Reply: Staying Safe during Gluteal Fat Transplantation. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. A banana fold may form for different reasons, among which an. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. And placing such a graft always runs the risk of causing an infection. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. CárdenasThe infragluteal fold is one of the major concerns in reshaping of the gluteal region. Also known as the Dimples of. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). 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 . Note anterior abdominal wall. Dr. Paraspinous muscles cannot be forgotten in the lower abdomen. fold both histologically and anatomically. 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. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. The author has simply combined the incisions. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. Procedure. The length and definition of the infragluteal fold play important roles in aesthetically. Infragluteal fold. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. Most patients had a deep infragluteal fold. 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. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. 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. implant. The superior border is formed by the lower border of the gluteus maximus. Keep your arms straight as you lift the weight with your hips and glutes. 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 hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. The major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. This is not a good benefits vs risk proposition. Purpose: The apparent failure of pudendal nerve surgery in some patients has led us to suggest the possibility of entrapment of other adjacent nerve structures, leading to the concept of inferior cluneal neuralgia. The infragluteal fold is like a horizontal line. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. Dr. The authors’ experience using. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. A: Thank you for your inquiry and sending your picture. 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. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. Expand. New flank tapered feminine depressed contours are limited by high and narrow pelvic rims, which help define high hipsHide glossary Glossary. 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 indicated when the maximum point of buttock fullness is at the mid to upper portion of the buttocks, which should coincide with the level of the pubic symphysis [ 4 ]. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. In this study, 84. 10 The Mendieta and Sood classification is demonstrated in Fig. An anatomical study demonstrated that the perineal branch of. Helpful Barry L. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. 45 This results in a ptotic butt if it is longer. Liposhifting is a technique which free. fashion, is an anatomic structure in its medial part and only a Despite this reality, the ideal gluteal shape has been crease laterally. The lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). The final result should be to attain a waist-to-hip ratio (WHR) close to 0. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 44 The infragluteal fold is an important indicator of gluteal aesthetics. 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. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 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. 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. The inclusion criteria was ptosis of the lower pole of buttocks. The inferior border of the infragluteal fold is formed by the insertions of the semitendinous muscle and the belly of the biceps femoris. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. The patient’s position is prone or lateral decubitus. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. 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. Open in new tab Download slide. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . Five fixed cadavers. Destruction of this. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior surface of the thigh, the infragluteal fold, the skin over the ischial tuberosity, and also the lateral anal region, scrotum or labium majus []. Grade 3 (borderline pre-ptosis): the fold is over the M line, but still there is no ptotic tissue at the M line. 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. 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. 0+/-1. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . 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. 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.