The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior surface of the thigh, the infragluteal fold, the skin over the ischial tuberosity, and also the lateral anal region, scrotum or labium majus []. infragluteal fold [2–4]. Tissue samples (6 cm long x 2 mm thick) were taken. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. 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. Results Our. It arises in the median gluteal crease and follows. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. Save. Intergluteal cleft. 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. Five fixed. 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. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. 1 Excerpt; Save. This fold makes a usually Read More…Important dermatome & anatomical landmarks. 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. Superiorly, it is formed by the lower border of the gluteus maximus. 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. A banana fold may form for different reasons, among which an. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. The inferior gluteal area is divided into four zones by tracing a vertical line from the center of the gluteus and a horizontal line that crosses through the infragluteal fold (Fig. The histologicalCreation of an infra gluteal fold is done in the same fashion as the medial thigh tuck first described by Ted Lockwood, M. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. These structures create the fixed, well-defined subgluteal sulcus [2]. A banana fold may form for. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. 1). It has been noted in multiple studies that patients can experience persistent PFCN. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. This is typically done under local anesthesia. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. The infragluteal fold incisions should always be closed by subdermal sutures, since these are the ports of entry of fat grafting, to prevent protrusion of fat or migration. 15. circular f's the permanent. 6. implant. The abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. The dissection of 60 fixed surgical pieces showed the presence of a Buttocks' Sustaining Aparell formed by a trabecular conjunctival mesh termed main and secondary in a "beehive" aspect which may possibly be important in the maintenance of the buttock's characteristic contour. 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. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 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 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. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. Does it have a downward 45° angle, run horizontally, or have an inverted. In this way, it's similar to a general lower body lift. The flap length, determined from the distance between the perforator and the distal flap margin, was designed to be slightly longer than the defect itself. The authors present a simple and effective technique for reconstruction of the gluteal fold by a deepithelialized skin flap that is applicable for patients who have lost their naturalgluteal sulcus, with a resultant altered buttock shape, after trauma or other causes. Gozil R. 4). In the ideal buttock, the infragluteal fold should end. Infragluteal fold. 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. The purpose of this study was to perform an anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone level. 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. The procedure would take approximately 4 hours to complete. The most significant changes in circumference were found at the level of 5 to 10 cm below the infragluteal fold, corresponding to the treated area on the lateral thigh. Limited inferiorly by infragluteal fold. 1). The Infragluteal Thigh Lift Technique. 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. 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. 1. 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. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . Case presentation: We report. 51. One can not liposuction between the two and create a single infragluteal crease. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. 3. This study reevaluated the fold both histologically and anatomically. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. 45 This results in a ptotic butt if it is longer. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. Independent of the filler chosen, the marking of the area to be filled follows some of the landmarks described above in order to achieve the desired gluteal contour. The infragluteal sulcus is created right below. The procedure would take approximately 4 hours to complete. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. During this type of thigh lift, an incision is made around the waist. 1. . The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 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. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. Red line. 1 Anatomy of the gluteus maximus muscle and deeper structure. 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. 5 and 6. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. 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. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. 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]. The treatment should not focus on the central and lower. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. The key to success for this procedure is to. L3 provides innervation to the medial femoral condyle . 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. 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. 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 . Liposhifting is a technique that. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. 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. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). 5). Infragluteal fold. Results: After treatment, there was an average reduction of 4. : situated within or introduced into the gluteal muscle. 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. 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. Five fixed cadavers. V-shaped sacral triangle . Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). All patients judged the outcome as very good. Methods: Six volunteers (three males and. The "sensuous triangle" is found at the junction of the lateral. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. S4/5 In the perianal area, less than one cm. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Closure of the implant pocket should be tension-free. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. Good luck. 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. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. 9. Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. 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. It has been noted in multiple. The short answer is yes. Combining Gluteal Shaping with High-Definition Liposuction. The long axis of the flap was arranged in parallel with the infragluteal fold axis. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. 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. Tissue samples (6 cm long x 2 mm thick) were taken. 5,8 A. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. On the upper area, markings are shown for the gluteus. 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. 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. This is not a good benefits vs risk proposition. Severe infragluteal fold. The infragluteal crease [23] is found in several terms such as the gluteal crease, the infragluteal fold [24], the infragluteal sulcus [24], the horizontal gluteal fold [4], the gluteal fold [4. A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. An anatomical study demonstrated that the perineal branch of. 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. (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. Thomas Fiala answered. Besides the excessive fat accumulation, insufficient muscle tone may also contribute to the formation of saddlebags. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Indianapolis, Indiana. Also known as the Dimples of. 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). D2 and D3 are located in the posterior portion. 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. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. 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 . This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. Supragluteal fossettes. 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 purpose of this study was to perform an anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone level. 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 muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. The inclusion criteria was ptosis of the lower pole of buttocks. Fig. 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. The "sensuous triangle" is found at the junction of the lateral. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. 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. 3) The length of the lower buttock lift excision should ideally not go beyond the. 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. 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. The infragluteal fold is like a horizontal line. Body sculpting in this region will reveal these muscles and create anatomical balance in the lower back. On the other hand, some slight to moderate redundant infragluteal creases might be candidates for simple surgical repair. Limits implant movement. 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]. A. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. infragluteal fold is composed of fascial spicules extending . 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. 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 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 . Plan on a 2-3 week recovery. Skin creases are features of major anatomical, morphological, surgical, and functional interest. Gluteal Deadlifts. S3 Over the ischial tuberosity or infragluteal fold (depending on the patient their skin can move up, down or laterally over the ischii). 5, irrespective of the magnitude. 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. 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. A large redundant infragluteal crease probably cannot be repaired easily. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Since its initiation, this technique has proven to be both clinically and cost-effective, with demonstratable benefits achieved with a lower. Fig. Saddlebags at the infragluteal fold level are replaced by tight flat skin. 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. The infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. Also evaluate theangle of the infragluteal fold. Answer: Double fold. Fig. Tissue samples (6 cm long x 2 mm thick) were taken. Time and important weight variation. Expand. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. 5 ). 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The therapy was found comfortable with a high satisfaction rate. 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. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. 39. 15. 3), the buttock contour has a smooth C shape, without depression and ptosis. 2010. Infragluteal fold excision can be performed either before or after implantation (Fig. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 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. Peter Fisher M. 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. 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. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. T1. 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. Expand. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. 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. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. The dissection and volume this flap provides are similar to that of the SGAP flap. 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. We define unaesthetic buttock ptosis as sagging. All patients judged the outcome as very good. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. Thus, every effort should be undertaken to preserve or reconstruct this important anatomical landmark . Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. 7) . FIG. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Liposhifting is a technique which free. Abstract. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. 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. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. 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. Both adipofascial flaps were rotated downward for inset in the pockets created in the buttocks. 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. We report a case of using autologous. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. The APEX thighlift takes advantage of the hidden scar described in earlier techniques, using an incision along the medial thigh inguinal crease (or inside that if thinning of a widened pubis is desired) that extends posteriorly into the infragluteal fold (Figure 4). The average width of the skin excision was 8 cm and the average length was 25 cm. Weight gain following thighplasty may negatively affect your surgery results. While idiopathic neuropathy of the PFCN has been described [4], iatrogenic neuropathyFollowing administration of general anaesthesia, the patient was placed prone on a radiolucent table with a bump under the pelvis to create approximately 30° of hip flexion. 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. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. Buttock ptosis is acceptable and fairly common when located at the inner part of the thigh close to the pubis, but is considered unaesthetic when located at the posterior and lateral parts of the buttock. The FCI flap is a good choice for. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 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 []. Expand. 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. The mid-buttock is also divided into a central and an outer zone which usually has a depression. 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. (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. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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. 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 . Volume in this area is restored with careful fat. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. What you are seeking is to have a uniform infragluteal crease on both sides. 95, 4. What separates the lower buttocks from the other two sections is the infragluteal fold. Perception of ideal buttocks varies across cultures. Does it have a downward 45° angle, run horizontally, or have an inverted. In my humble opinion you need nothing surgical. Results were maintained at 6 months. An angulated cannula can be used to easily enter the superficial space. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. Urinary and bowel. My recommendation would be getting better contour on the left before addressing the right. Medicine. The skin flap was designed along the gluteal fold. For a negative upward slant (see Fig. 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. 1007/s00266-004-0133-2 Abstract The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and. . The recovery time is at least two weeks but may be longer depending on your specific surgery. 臀下皱襞支撑性解剖学与美学研究进展. No adverse events were recorded. Created for people with ongoing healthcare needs but benefits everyone. The "sensuous triangle" is found at the junction of the lateral. 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). 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 close to the gluteal crease and parallel to it. Which of these fibers provides. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. The aesthetic line of the infragluteal fold should generally be short, no longer than the. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 4). Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. D. 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. It has been noted in multiple. Intergluteal crack height is unchanged. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. This study reevaluated the fold both histologically and anatomically. D. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. Tissue samples (6 cm long x 2 mm thick) were taken. Many of the early proponents of the procedure were not open to discussing complications. The flap should be fixed as low as possible to the muscle fascia. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3rds of the posterior thigh, the infragluteal fold, as. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. 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. D. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. Open in a separate window. The power of this technique is granted through the lengthened anteroposterior scar and. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. Outer/Lateral Thigh Lift. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. The infragluteal fold region is the lower edge of the buttocks. 44 The infragluteal fold is an important indicator of gluteal aesthetics. 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 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. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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. 1 Anatomy of the gluteus maximus muscle and deeper structure. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. For this we have applied. A new surgical treatment method using a gluteal-fold flap (GFF) for anal stricture after total ISR is developed and it is believed that GFF transfer is an excellent option for treating anorectal strictures after totalISR. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. The superior tip of the intergluteal cleft. 23. The need for liposuction of the lower back or hips is considered. After 1 year, she under- gluteal fascia. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. The appropriately selected gluteal implant is folded in half. ResultsThe infragluteal fold is a connectival fibrous band.