An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. V-shaped sacral triangle . The infragluteal fold (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. The infragluteal fold became less evident, the but- buttock lift and augmentation with the dermal fat flap tock mass was elevated, and augmentation was achieved described was performed, resulting in correction of the with the maximum projection at midlevel of the gluteus. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and cadavers, respectively). The 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 . loss of the infragluteal fold [7]. 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. 1. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Also evaluate the angle of the infragluteal fold. 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]. It is critical to appropriately and systematically analyze the complex regional anatomy. The key to success for this procedure is to. A. The sciatic nerve is identified deep to the gluteus maximus muscle and superficial to the quadratus femoris muscle with the ischial tuberosity medially and the greater trochanter laterally. In this way, it's similar to a general lower body lift. Background: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. 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. 2010. 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. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. PDF. It has been noted in multiple. Five fixed. Limited inferiorly by infragluteal fold. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. After the fat graft, thread lifting is performed considering the vector. Shorter, less dimpled, and tight skinned buttocks are smoothly wider and better projecting at the mid-level. PDF | On Jan 11, 2023, Héctor César Durán Vega and others published Vectorial Treatment of Infragluteal Fold | Find, read and cite all the research you need on ResearchGateWe describe a new technique for immediate reconstruction of GSCTs using buried dermal-fat flaps and a low transverse scar in the infragluteal fold. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. Note anterior abdominal wall. 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. 4% of subjects reported increased muscle. We define unaesthetic buttock ptosis as sagging. 4). 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. One can not liposuction between the two and create a single infragluteal crease. 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]. It has been noted in multiple studies that patients can experience persistent PFCN. Higher IGF (infragluteal fold) results in a shorter buttock preferred by Asian Americans 123 Aesth. This is often tried but never. 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. 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. 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 . 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. It has been noted in multiple. 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. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. 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. Tissue samples (6 cm long x 2 mm thick) were taken. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. 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 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. Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. Infragluteal fold: formed superiorly by the inferior border of the gluteus maximus and inferiorly by the insertion of the semitendinosus and biceps femoris muscles in the ischial tuberosity. In the ideal buttock, the infragluteal fold should end. All patients judged the outcome as very good. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. 6. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. 2. This is a horizontal crease under the ischial tuberosity. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. Skin creases are features of major anatomical, morphological, surgical, and functional interest. Abstract. The flap should be fixed as low as possible to the muscle fascia. My recommendation would be getting better contour on the left before addressing the right. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. The histologicalCreation of an infra gluteal fold is done in the same fashion as the medial thigh tuck first described by Ted Lockwood, M. The fat is injected as the. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. Supragluteal fossettes. 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 of skin at the. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . 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 . 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. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. Results: After treatment, there was an average reduction of 4. Good luck. 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. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. 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 structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Patients with a long buttock may. The infragluteal fold is among the major characteristics of the gluteal region. 44 The infragluteal fold is an important indicator of gluteal aesthetics. 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 length and definition of the infragluteal fold play important roles in aesthetically. intragluteal injection. 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. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. (aka tuck)The most important factor to guide implant selection is its base’s vertical and horizontal dimensions, which should fit the buttock leaving at least 5 cm between the pocket dissection limit and the infragluteal fold and 2 cm lateral to the sacrum. Final skin laxity classification results from the sum of each item grade multiplied. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. springer. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. 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 []. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. A banana fold may form for different reasons, among which an. 10 The Mendieta and Sood classification is demonstrated in Fig. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. Which of these fibers provides. Infragluteal fold reconstruction is achieved by reconstruction of the buttock’s sustaining apparel through deepithelialized skin flaps anchored to deep gluteal fascia. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. 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 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. Superiorly it is formed by the lower border of the gluteus maximus. For many years, it was thought that this area should be suctioned aggressively, and it was never taken into account that buttock support and projection depend on it. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Methods: Six volunteers (three males and. 1. Plan on a 2-3 week recovery. The upper-inner thigh holds a high stem. Ozmen S. See full list on link. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. This is not a good benefits vs risk proposition. Created for people with ongoing healthcare needs but benefits everyone. 3), the buttock contour has a smooth C shape, without depression and ptosis. Does it have a downward 45° angle, run horizontally, or have an inverted. Patient with skin laxity of the gluteal area must be carefully advised that little change of this problem will be achieved, especially at the level of infragluteal fold. No adverse events were recorded. Both adipofascial flaps were rotated downward for inset in the pockets created in the buttocks. 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 gluteal region in patients with massive weight loss after. 4). 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 buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. 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. 95, 4. Hello and thank you for your question. 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. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. 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. : situated within or introduced into the gluteal muscle. 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 . Reply: Staying Safe during Gluteal Fat Transplantation. On the upper area, markings are shown for the gluteus medius muscle. The mid-buttock is also divided into a central and an outer zone which usually has a depression. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. It arises in the median gluteal crease and follows a. Liposhifting is a technique that. 15. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Infragluteal fold excision can be performed either before or after implantation (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. During this type of thigh lift, an incision is made around the waist. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 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. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. Most patients had a deep infragluteal fold. 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). More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 1). A direct excision was performed under general anesthesia. 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. 44 The infragluteal fold is an important indicator of gluteal. What separates the lower buttocks from the other two sections is the infragluteal fold. 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. 6. Popularity of injectable fillers. 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. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. A more objective, faster and shorter version of this scale, to be evaluated. The “sensuous triangle” is found at the junction. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Tissue. The procedure would take approximately 4 hours to complete. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. A photograph or two of the area would be extremely helpful in determining what the problem may be and thus the solution, if any. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. A direct excision was performed under general anesthesia. 35. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. Does it have adownward 45º angle, run horizontally, or havean inverted. Infragluteal fold excision can be performed either before or after implantation (Fig. A: Thank you for your inquiry and sending your picture. 5 T) of the pelvic region. Weight gain following thighplasty may negatively affect your surgery results. 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 length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. 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. If ou still has residual excess skin and fat on the lower buttock and. 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. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. Dr. 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. In the process of r. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. The need for liposuction of the lower back or hips is considered. This is a difficult area to fix. A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. It arises in the median gluteal crease and follows. The "sensuous triangle" is found at the junction of the lateral. 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. By means of MR imaging of volunteers and dissection of fresh cadavers, a here presented study revealed the infragluteal fold as a connectival fibrous band extending from the ramus of the ischium, the coccyx and the apex of sacrum, without significant. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 4. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the. from the bone to the skin. unsatisfactory. The dissection and volume this flap provides are similar to that of the SGAP flap. The flap was composed of subcutaneous tissue, and dermis if desired, and was extended laterally to the length needed to approximately reach the infragluteal fold, and then rotated. S2 S1 S3 S4/5. 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. Intergluteal cleft. 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. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. 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. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. 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 ). Most patients in the study had a deep infragluteal fold (the fold at the bottom of the buttocks), which is the exact issue this procedure will address. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . 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. 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. A long, deflated. (aka tuck) The most important factor to guide implant selection is its base’s vertical and horizontal dimensions, which should fit the buttock leaving at least 5 cm between the pocket dissection limit and the infragluteal fold and 2 cm lateral to the sacrum. But so doing it may also make your buttocks look a little less full because its roundness is decreased. 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. Answer: Double gluteal fold. D2 and D3 are located in the posterior portion. 9 and 10. 22), liposuction of the inner thigh and infragluteal area may be indicated. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. . Both flaps were fixed with interrupted 0-Vicryl. 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 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. The "sensuous triangle" is found at the junction of the lateral. 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. Gozil R. The second incision is placed at the midpoint of the infragluteal fold. The gluteal‐fold flap is very useful for various vulvar and buttock reconstructions because it can be adjusted to the required volume and the usefulness of this flap for anal and pelvic‐floor reconstruction was demonstrated. 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. It has been noted in multiple. D. All patients judged the outcome as very good. Open in a separate window. The Infragluteal Thigh Lift Technique. Peter Fisher M. But what is really being done is that the loose lower buttock skin and the fold are being removed to create a less deep infragluteal fold and smoother transition between the buttock and the thighs. infragluteal fold [2–4]. 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 descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. The "sensuous triangle" is found at the junction of the lateral. Supragluteal fossettes (one on either side), over the posterior superior iliac spine, created by the multifidus muscle, the lumbodorsal aponeurosis and the insertion. Results: Our technique allows wide exposure for tumour resection and functional restoration of the pelvic floor while placing the scars in anatomical locations and restoring buttock. A long infragluteal fold can also be improved and a more youthful shape be obtained. Between 2. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. 5 cm, 3-month follow-up). 12. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. BackgroundThe gluteal fold represents an important aspect of the gluteal region. Liposhifting is a technique that. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. Lower buttock sag is occurs when the superior skin and fat ‘fall’over the fixed infragluteal fold. Urinary and bowel. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. Infragluteal fold. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. Consistent features of beautiful buttocks: lateral depression, infragluteal fold, supragluteal fossettes. situated between the buttocks… See the full definitionBackground: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. We developed a practical and safe pedicled flap for reconstruction of ischial pressure sores based on the rich available perforators from the internal pudendal artery and the surplus of skin at the. 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. The patient has difficulty arising from a sitting position or climbing steps. Skin creases of the trunk 1 (Fig 1) include the inframammary crease, the suprapubic crease, the oblique skin crease of the groin, and the infragluteal crease. . 23. D. 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]. The region of the infragluteal fold has been generally ignored or inadequately treated. loss of the infragluteal fold [7]. Selective fat reduction centrally and 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. 5). Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. Many of the early proponents of the procedure were not open to discussing complications. Dr. The "sensuous triangle" is found at the junction of the lateral. 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 . Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. It is one o…THE IGF. It is divided into an inner, a central, and an outer zone. I hope this helps. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. The Scarpa’s. 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. 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 author tried not to trespass the thigh midline with the incision along the infragluteal fold. Ini-tially, a deep plane is created by the 3-mm cannula. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. Liposhifting is a technique which free. 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. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. 6. The inferior border of the infragluteal fold is formed by the insertions of the semitendinous muscle and the belly of the biceps femoris. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. 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. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. Fee $6,000+ Best to virtual consult with. The infragluteal fold is where the bottom of the buttock meets the upper thigh. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Notice in the center photograph that a fuller. Clinical Presentation. The authors’ experience using. 00 µm). 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. In this study, 84. 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 “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 3. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 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. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . In 1977 Gonzalez-Ulloa described correction of the ‘sad. infragluteal fold is composed of fascial spicules extending . The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Detailed clinical assessments of infragluteal fold, degree of flaccidity, projection, gluteal shape, and skin surface irregularities are required to define the overall objectives of the procedure. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 1 Excerpt; Save. Both volume and projection of the buttocks may be improved. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. 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. Plan on a 2-3 week recovery. This study reevaluated the fold both histologically and anatomically. 3 An aged buttock region is marked. The inclusion criteria was ptosis of the lower pole of buttocks. FIG. Infragluteal fold. The area between the iliac crest and the infragluteal fold was divided into 3 equal parts, with the upper third left undisturbed, the middle third marked for placement of the implant. Volume in this area is restored with careful fat. 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. 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. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. 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. It has been noted in multiple. Transversal slice passing through bony structures. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. A large redundant infragluteal crease probably cannot be repaired easily. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. S3 Over the ischial tuberosity or infragluteal fold (depending on the patient their skin can move up, down or laterally over the ischii). 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 fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . Outer/Lateral Thigh Lift. 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. In either case, a lower buttock lift or tuck is done to remove the overhanging tissues and recreate a fixed infragluteal fold position. 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. implant. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region and allows for the creation of a stable and long-lasting infragluteal fold with an aesthetic buttock curvature and a defined border to the thigh region. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. Great posted photos. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 39. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. On the plantar surface of the foot, Gluteal fold we find the transverse lines and the longitudinal lines [1]. 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. deformity and a pleasing buttock contour. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. In short, one that enhance a patient’s figure and has a V-shaped crease of the sacral triangle, a short infragluteal fold, supragluteal fossettes, and lateral depressions.