and African Americans. Procedure. For this we have applied a pedicled skin flap raised in the infragluteal fold, the technical details and surgical results of which are presented in this paper. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. The flap width was designed to match the broadest width of the defect, which was assessed from the inner. 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. 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. loss of the infragluteal fold [7]. But so doing it may also make your buttocks look a little less full because its roundness is decreased. Open in a separate window. The infragluteal fold, which attaches to both the ischium and the sacrum in a continuous fashion, is an anatomic structure in its medial part and only a crease laterally. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). The infragluteal fold, which attaches to both the ischium and the sacrum in a continuous fashion, is an anatomic structure in its medial part and only a crease laterally. Good luck. The infragluteal fold region is the lower edge of the buttocks. However, there is no clear anatomical description of the infragluteal fold,. 5). 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 procedure would take approximately 4 hours to complete. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. 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 technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. 51. After 1 year, she under- gluteal fascia. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 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. 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. The region of the infragluteal fold has been generally ignored or inadequately treated. Download : Download full-size image; Figure 6. 1 Excerpt; Save. The author has simply combined the incisions. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. 5 cm, 3-month follow-up). Oh et al 26 recently demonstrated a shortening of the infragluteal fold by performing a thread lift with an elastic silicone-polyester thread. L3 provides innervation to the medial femoral condyle . infragluteal fold is composed of fascial spicules extending . The infragluteal fold (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. 6. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. 5 and 6. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. Grade III: The skin. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. If ou still has residual excess skin and fat on the lower buttock and. Supra-gluteal fossettes (one on either side), over the poste-rior superior iliac spine, created by the multifidusThe infragluteal fold, which attaches to both the ischium and the sacrum in a continuous fashion, is an anatomic structure in its medial part and only a crease laterally. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a patient who experienced fat graft overabsorption, fat graft translocation, and gluteal ptosis aggravation. 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]. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. It has been noted in multiple studies that patients can experience persistent PFCN. 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. The therapy was found comfortable with a high satisfaction rate. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Outer/Lateral Thigh Lift. Infragluteal fold. A banana fold may form for different reasons, among which an. From 1985 until 1995, this infragluteal flap has been used to widen the vaginal introitus in 6 patients, to reconstruct the labia majora in 5, to close a rectovaginal fistula in 4, and. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. PMID: 15940397 DOI: 10. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. Supragluteal fossettes. 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 second incision is placed at the midpoint of 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. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. The use of a deepithelialized. The fat graft is placed in the upper medial side for projection. 35. 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. 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. circular f's the permanent. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. A V-shaped proximal gluteal crease was accentuated by the. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Our technique allows for the. 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. Indianapolis, Indiana. Reliable use of the gluteal thigh flap is still possible in cases where the resulting scar of a previous infragluteal transposition flap extends over the full length of the infragluteal fold (Fig. 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 surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. 3). Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. Five fixed cadavers were used. 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). A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). Poorly placed incisions also detract from the gluteal aesthetic. 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. 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. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 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. Great posted photos. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. 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. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. The average width of the skin excision was 8 cm and the average length was 25 cm. C2 – At least one cm lateral to the occipital protuberance at. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, [1] so named because it forms the visible border between the external rounded protrusions of the. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. Five fixed cadavers. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. 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. Results: After treatment, there was an average reduction of 4. 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. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. On the upper area, markings are shown for the gluteus medius muscle. loss of the infragluteal fold [7]. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. Plan on a 2-3 week recovery. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal 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 . TLDR. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. Time and important weight variation. Dr. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Other techniques are performed either. Peter Fisher M. 1 Anatomy of the gluteus maximus muscle and deeper structure. 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. Infragluteal fold excision can be performed either before or after implantation (Fig. All patients judged the outcome as very good. 2 Patient Selection. Body sculpting in this region will reveal these muscles and create anatomical balance in the lower back. 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. . In my humble opinion you need nothing surgical. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. This study reevaluated the fold both histologically and anatomically. Each buttock section has its own distinct shape. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. 3) The length of the lower buttock lift excision should ideally not go beyond the. My recommendation would be getting better contour on the left before addressing the right. Also known as the Dimples of. Expand. The infragluteal fold length and definition play important roles in esthetically. The major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. Liposhifting is a technique which free. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Fee $6,000+ Best to virtual consult with. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. 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. 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. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. What separates the lower buttocks from the other two sections is the infragluteal fold. New flank tapered feminine depressed contours are limited by high and narrow pelvic rims, which help define high hipsHide glossary Glossary. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. In this way, it's similar to a general lower body lift. The option with a reasonable chance for improvement with the lowest chance of problems is to do a fat transfer with some careful infragluteal liposuctioning. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. Peter Fisher M. D. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. 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. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. While buttock sagging is a general term it has different types as defined by the level of the infragluteal fold. The skin flap was designed along the gluteal fold. 3 Excerpts; Save. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. A: Thank you for your inquiry and sending your picture. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. And placing such a graft always runs the risk of causing an infection. 12. (E) The incision is closed from distal to proximal, blending into the abdominal closure when abdominoplasty is performed. dermal flap will be performed for lifting the ptotic buttocks with ill-defined infragluteal fold. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 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. Answer: Double fold. 44 The infragluteal fold is an important indicator of gluteal aesthetics. 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. circular f's. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. A. Skin creases are features of major anatomical, morphological, surgical, and functional interest. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. A direct excision was performed under general anesthesia. 4% of subjects reported increased muscle. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. No adverse events were recorded. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. Chasan, partook in a study examining the results of the infragluteal thigh lift. Ozmen S. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. 2. ResultsThe infragluteal fold is a connectival fibrous band. Besides the excessive fat accumulation, insufficient muscle tone may also contribute to the formation of saddlebags. In the ideal buttock, the infragluteal fold should end. The power of this technique is granted through the lengthened anteroposterior. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. Does it have adownward 45º angle, run horizontally, or havean inverted. 6. In my humble opinion you need nothing surgical. 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 buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. S4/5 In the perianal area, less than one cm. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. 4). 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. 15. 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. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. 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. 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. Destruction of this. 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 need for liposuction of the lower back or hips is considered. All patients judged the outcome as very good. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. This study reevaluated the fold both histologically and anatomically. The aesthetic line of the infragluteal fold should generally be short, no longer than the. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. Figure 6. The main difference with our technique is the design. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. We define unaesthetic buttock ptosis as sagging. The infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. 2, 3, 4. 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. The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. D1 has a posterior and a posteromedial surface. PDF. The infragluteal fold is where the bottom of the buttock meets the upper thigh. 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 radiation oncologist clinically outlined the areas. 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. 3). The abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. 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]. 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. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock. Answer: Double gluteal fold. 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 "sensuous triangle" is found at the junction of the lateral. Red line. unsatisfactory. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. The Scarpa’s. 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]. 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. Dr. Shorter, less dimpled, and tight skinned buttocks are smoothly wider and better projecting at the mid-level. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. Five fixed. 45 This results in a ptotic butt if it is longer. It arises in the median gluteal crease and follows a. 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 adding more volume on the left and matching the right, the fold will appear as a result of this added volume. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Expand. The average width of the skin excision was 8 cm and the average length was 25 cm. 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. 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 power of this technique is granted through the lengthened anteroposterior scar and. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. The inferiorly oriented form of the muscle may be visible in males, but in. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. 3. We report a case of using autologous. From here we can easily access the lower gluteal area and the internal and external posterior thigh (Fig. 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. Five fixed cadavers were used. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 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. 2). 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 ]. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. 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. 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. On the other hand, some slight to moderate redundant infragluteal creases might be candidates for simple surgical repair. S2 S1 S3 S4/5. This is a difficult area to fix. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. This can include excess weight that has accumulated in the waist and buttock area. 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). 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. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. During this type of thigh lift, an incision is made around the waist. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. 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 infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. 5 and 15. Limited inferiorly by infragluteal fold. Since its initiation, this technique has proven to be both clinically and cost-effective, with demonstratable benefits achieved with a lower. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. The length and definition of the infragluteal fold play important roles in aesthetically. adjective. 00 µm). The lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. 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°. 44 The infragluteal fold is an important indicator of gluteal aesthetics. International Standards for the Classification of Spinal Cord InjuryShe also had infragluteal fold or the infragluteal banana roll. For example, a cir-cumferential body lift (CBL) incision that runs straight across the back will make the buttock appear too long and rectangular or too square, depending on whetherAnswer: Surgery for left buttock ptosis. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patientsFlap reconstruction is e cient in severe cases of infragluteal fold deformity [5], but the low patient's acceptance of sequel scar limits its application. It has been noted in multiple. 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. It arises in the median gluteal crease and follows. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 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. Save. Infragluteal fold. 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. Transversal slice passing through bony structures. Recent Surge in BBL Demand. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. infragluteal fold [2–4]. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. This fold is the horizontal crease under the ischial tuberosity. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Fee $6,000+ Best to virtual consult with. Answer: Double gluteal fold. Also, evaluate the angle of the infragluteal fold. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. A banana fold may form for. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. Reliable use of the gluteal thigh flap is still possible in cases where the resulting scar of a previous infragluteal transposition flap extends over the full length of the infragluteal fold (Fig. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. 1. Also evaluate theangle of the infragluteal fold. 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. ResultsThe infragluteal fold is a connectival fibrous band.