Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. While buttock sagging is a general term it has different types as defined by the level of the infragluteal fold. It is critical to appropriately and systematically analyze the complex regional anatomy. 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 fold/thigh junction (lower gluteal cleavage) also requires definition. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. 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 ). unsatisfactory. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. A banana fold may form for different reasons, among which an. A. Red line. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. 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 upper-inner thigh holds a high stem. Oh et al 26 recently demonstrated a shortening of the infragluteal fold by performing a thread lift with an elastic silicone-polyester thread. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 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. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. 95, 4. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Expand. 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. Sorry for your problem. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. This horizontal crease is under the ischial tuberosity. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. A disadvantage is that the lower floor of the buttocks often remains ‘emptied’, while good vascularization can be cited as an advantage. This fold is the horizontal crease under the ischial tuberosity. 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. D. intragluteal injection. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. Does it have a downward 45º angle, run horizontally, or have an inverted upward. The aesthetic line of the infragluteal fold should generally be short, no longer than the. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. 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. 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. This is a difficult area to fix. The infragluteal fold is among the major characteristics of the gluteal region. Selective fat reduction centrally and laterally. The length and definition of the infragluteal fold play important roles in aesthetically. 1 Anatomy of the gluteus maximus muscle and deeper structure. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. The main difference with our technique is the design. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. 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. Fig. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 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. The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. The skin flap was designed along the gluteal 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. The power of this technique is granted through the lengthened anteroposterior scar and. Lower body lift procedures remove excess skin and lift sagging buttock tissue. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. 4% of subjects reported increased muscle. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. It has been noted in multiple. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. 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. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. The Buttock Lift with Hyaluronic Acid and Threads. 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 procedure would take approximately 4 hours to complete. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. Closure of the implant pocket should be tension-free. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. The flap should be fixed as low as possible to the muscle fascia. 7) . The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. 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. The anatomical study. All patients judged the outcome as very good. Also, evaluate the angle of the infragluteal fold. T3 provides innervation to the midclavicular line . This is not a good benefits vs risk proposition. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). The flap width was designed to match the broadest width of the defect, which was assessed from the inner. implant. 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 ( Fig. There is a very specialized method to form infra gluteal crease, using lipo 360 with directed fat grafting under ultrasound guided injections as required in Florida, and specialized sub dermal lipo techniques with taping to form infra gluteal crease. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. Procedure. (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. This is a horizontal crease under the ischial tuberosity. Concomitant fat transplantation to the infragluteal/posterior thigh junction region during circumferential liposuction of the thigh is effective in preventing postliposuction gluteal ptosis and improving patient satisfaction. 5). Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. If ou still has residual excess skin and fat on the lower buttock and. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. But so doing it may also make your buttocks look a little less full because its roundness is decreased. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. Answer: Double gluteal fold. 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. Chasan, partook in a study examining the results of the infragluteal thigh lift. PMID: 15940397 DOI: 10. 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 inferiorly oriented form of the muscle may be visible in males, but in. 5 and 15. Most patients had a deep infragluteal fold. Fee $6,000+ Best to virtual consult with. A long infragluteal fold can also be improved and a more youthful shape be obtained. Transversal slice passing through bony structures. It arises in the median gluteal crease and follows a. The postoperative results depicted in the article demonstrate a successful. Weight gain following thighplasty may negatively affect your surgery results. 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. Notice in the center photograph that a fuller. Good luck. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Figure 6. Grade III ptosis has the most skin and volume below the fold, with significant skin laxity and a more angular infragluteal fold. This study reevaluated the fold both histologically and anatomically. Gluteal fat injection mortality is approximately 1/3000 patients. 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. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. See full list on link. A long, deflated. The dissection and volume this flap provides are similar to that of the SGAP flap. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. Background. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. The "sensuous triangle" is found at the junction of the lateral. The radiation oncologist clinically outlined the areas. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. Download scientific diagram | Definitions of the lines drawn between reference points from publication: Gluteal Region Morphology: The Effect of the Weight Gain and Aging | The gluteal region is. I hope this helps. Conclusion: The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region. This 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. 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]. 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。. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Most patients had a deep infragluteal fold. fold both histologically and anatomically. An angulated cannula can be used to easily enter the superficial space. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Save. Retrospectively, however, it is clear that a better lifting effect and gluteal shortening could have been achieved if a longer scar had been used along the infragluteal fold for the patients in Figs. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. 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 near the gluteal crease and parallel to it. 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. 45 This results in a ptotic butt if it is longer. Indianapolis, Indiana. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. 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. 20. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. Also evaluate theangle of the infragluteal fold. The superior tip of the intergluteal cleft. Five fixed cadavers were used. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The infragluteal fold is like a horizontal line. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. A banana fold may form for different reasons, among which an. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. The authors’ experience using. The treatment should not focus on the central and lower. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. &NA; Use of a local flap is often needed for closure of a defect in the. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. 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. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. 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. It is critical to appropriately and systematically analyze the complex regional anatomy. 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. And placing such a graft always runs the risk of causing an infection. Tissue samples (6 cm long × 2 mm thick) were taken at three. Results: The Buttocks' SLSS is composed by 5 clinical aspects of skin laxity graded from absent (0) to severe (3): buttocks ptosis, skin scalloped appearance, infragluteal fold, localized fat on the lower third of the buttocks, and linear depressed lesions. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. In this way, it's similar to a general lower body lift. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. Body sculpting in this region will reveal these muscles and create anatomical balance in the lower back. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Cocke and Ricketson were the first to describe placing silicone breast implants in the subcutaneous plane with less than optimal results. Popularity of injectable fillers. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. Helpful Barry L. The width of the flap and. ” It can also be used to improve a double infragluteal fold, to correct infragluteal fold asymmetry, or to shorten a long buttock when combining it with an upper buttock lift. In this study, 84. 6. 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 . 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-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 . Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. 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. 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. Search worldwide, life-sciences literature Search. The FCI flap is a good choice for. Peter Fisher M. infragluteal fold [2–4]. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. 2. 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. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The authors’ experience using autologous fat transplantation to treat tissue defects led them to use this technique for correcting iatrogenic forms of banana fold and sensuous triangle deformity. This will produce an indentation but not make it too deep -- if the fold is too deep the buttocks collpase downward folding over the fold. Before the Implantation. 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 patient has difficulty arising from a sitting position or climbing steps. infragluteal fold is composed of fascial spicules extending . 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. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. 5 cm, 3-month follow-up). The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. My recommendation would be getting better contour on the left before addressing the right. Fig. Expand. 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. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. 22), liposuction of the inner thigh and infragluteal area may be indicated. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Complete 10 to 15 reps. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. After the fat graft, thread lifting is performed considering the vector. Ranch & Coast founder, Dr. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. 3. The mid-buttock is also divided into a central and an outer zone which usually has a depression. Dr. T1. Fee $6,000+ Best to virtual consult with. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. I hope this helps. Gluteal Deadlifts. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). 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. 9. . Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. Five fixed. 6+/-0. An injury specifically to the inferior gluteal nerve, which supplies the gluteus maximus muscle, results in weak extension of the hip. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. 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 ]. Combining Gluteal Shaping with High-Definition Liposuction. Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. A. 1. Grade 3 (borderline pre-ptosis): the fold is over the M line, but still there is no ptotic tissue at the M line. The power of this technique is granted through the lengthened anteroposterior scar and. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The appropriately selected gluteal implant is folded in half. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. On the upper area, markings are shown for the gluteus. 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. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. 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. 11 The safest place to inject HA in the gluteal region is the subcu-Infragluteal fold created by the ischial tuberosity, the insertions of the semiten-dinous muscle and long belly of the biceps femoris, and the lower border of the gluteus maximus. Five fixed cadavers. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. deformity and a pleasing buttock contour. Purpose The gluteal region is a key element of beauty balance and sexual appearance. loss of the infragluteal fold [7]. 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°. A direct excision was performed under general anesthesia. implant. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). The patient’s position is prone or lateral decubitus. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior. Outer/Lateral Thigh Lift. 5, irrespective of the magnitude. A more objective, faster and shorter version of this scale, to be evaluated. 00 µm). The average width of the skin excision was 8 cm and the average length was 25 cm. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. 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. Infragluteal fold. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. Tissue samples (6 cm long x 2 mm thick) were taken. Limits implant movement. This is often tried but never. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. The key to success for this procedure is to. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 15. For this we have applied. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. 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. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Intergluteal crack height is unchanged. 3). Plan on a 2-3 week recovery. Both volume and projection of the buttocks may be improved. 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. Time and important weight variation. 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 . 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. 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. (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. Note anterior abdominal wall. In the process of r. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. Final skin laxity classification results from the sum of each item grade multiplied. Case presentation: We report. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. Five fixed. C2 – At least one cm lateral to the occipital protuberance at. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. The therapy was found comfortable with a high satisfaction rate. 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. TLDR. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. Between 2. Infragluteal fold excision can be performed either before or after implantation . Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. 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. The infragluteal fold region is the lower edge of the buttocks. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). The surgical anatomy of the subcutaneous screen on the gluteal region has. This is typically done under local anesthesia. 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. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. The long axis of the flap was arranged in parallel with the infragluteal fold axis. 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. ResultsThe infragluteal fold is a connectival fibrous band. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. There are few. 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. 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.