This study reevaluated the fold both histologically and anatomically. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. 00 µm). 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. Procedure. Fig. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 5). 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. 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. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 2. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. The "sensuous triangle" is found at the junction of the lateral. 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. This study reevaluated the fold both histologically and anatomically. I hope this helps. The infragluteal fold consists of the inferior border of the gluteal region and is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin []. Ranch & Coast founder, Dr. 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. 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. Fee $6,000+ Best to virtual consult with. ResultsThe infragluteal fold is a connectival fibrous band. Does it have a downward 45º angle, run horizontally, or have an inverted upward. Excess tissue was removed, and wound closure was performed in multiple layers. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. PDF. Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). 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. Le Louarn and Pascal’s incision was made horizontally along the inguinal fold without descending into the gluteal crease; they also treated the excess fat with liposuction and the skin laxity with serial resections. And placing such a graft always runs the risk of causing an infection. 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. PMID: 15940397 DOI: 10. The procedure would take approximately 4 hours to complete. circular f's. 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. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 3 An aged buttock region is marked. Tissue samples (6 cm long × 2 mm thick) were taken at three. In cases when full leg definition is wanted, two additional incisions can be placed in the posterior fold of the knee area: one medial and one lateral (Fig. C2 – At least one cm lateral to the occipital protuberance at. &NA; Use of a local flap is often needed for closure of a defect in the perineogenital area. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Subscribe Now:More:exercise to define. Red line. 2010. Both flaps were fixed with interrupted 0-Vicryl. 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. Also, evaluate the angle of the infragluteal fold. Also evaluate the angle of the infragluteal fold. 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. 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. Chasan, partook in a study examining the results of the infragluteal thigh lift. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. A long infragluteal fold can also be improved and a more youthful shape be obtained. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 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. 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 upper area, markings are shown for the gluteus medius muscle. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. This study reevaluated the fold both histologically and anatomically. 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. S2 S1 S3 S4/5. Does it have a downward 45° angle, run horizontally, or have an inverted. 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. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 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. Many of the early proponents of the procedure were not open to discussing complications. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . Expand 6 A gluteal ptosis classification scheme has also been devised by Mendieta, which is similar in design to that of breast ptosis described by Regnault. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. 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 entry point for fat injection is near the infragluteal fold and around the sacral triangle, which is the same as that for thread insertion. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. 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. Five fixed. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. The infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. The inclusion criteria was ptosis of the lower pole of buttocks. 2). Hello and thank you for your question. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. All patients judged the outcome as very good. 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. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. Peter Fisher M. 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. PDF. Annotations in Figures 4 to to6 6 highlight improvements in skin condition and localized depression, improvement of gluteal shape, and shorter infragluteal fold, thus representing successful treatment. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. On the upper area, markings are shown for the gluteus. 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 dissection and volume this flap provides are similar to that of the SGAP flap. For a negative upward slant (see Fig. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. 15. It is divided into an inner, a central, and an outer zone. FIG. ResultsThe infragluteal fold is a connectival fibrous band. The superior border is formed by the lower border of the gluteus maximus. The infragluteal fold is where the bottom of the buttock meets the upper thigh. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. 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. In the pre-op photo, the patient presents with significant lipodystrophy of the iliac crest roll hips, periumbilical lower abdomen, anteromedial and posterolateral saddlebags, and the infragluteal fold banana rolls. 7) . The infragluteal fold length and definition play important roles in esthetically. One can not liposuction between the two and create a single infragluteal crease. Five fixed cadavers were used. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. fashion, is an anatomic structure in its medial part and only a Despite this reality, the ideal gluteal shape has been crease laterally. The "sensuous triangle" is found at the junction of the lateral. 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. Esthetic results can be individualized to patient’s wishes/expectations: by flap design (shape, width, length, thickness), by pocket dissection (shape, width, depth), and by flap fixation (sutures, infragluteal fold reconstruction). A disadvantage is that the lower floor of the buttocks often remains ‘emptied’, while good vascularization can be cited as an advantage. 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. Read more. 臀下皱襞支撑性解剖学与美学研究进展. 2, 3, 4. Abstract. 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. Dr. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. The gluteal region in patients with massive weight loss after. The width of the flap and. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. 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. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. Most patients had a deep infragluteal fold. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. Ozmen S. It is critical to appropriately and systematically analyze the complex regional anatomy. This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. Clinical Presentation. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. L3 provides innervation to the medial femoral condyle . Sorry for your problem. The authors’ experience using. 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 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. Tissue samples (6 cm long x 2 mm thick) were taken. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Our technique allows for the. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. D. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. The infragluteal fold is a fixed and well-defined structure that serves as the inferior border of the buttock proper and is formed by subcutaneous fat and thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin . While buttock sagging is a general term it has different types as defined by the level of 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. 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. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. (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. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. fold both histologically and anatomically. 3). The Infragluteal Thigh Lift Technique. 15. ” 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. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. FIG. 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. We report a case of using autologous. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. Search worldwide, life-sciences literature Search. 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. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. Each buttock section has its own distinct shape. Unit D has six subunits (D1–D6). It has been noted in multiple. In 1977 Gonzalez-Ulloa described correction of the ‘sad. What you are seeking is to have a uniform infragluteal crease 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. 10 The Mendieta and Sood classification is demonstrated in Fig. The superior tip of the intergluteal cleft. The aesthetic line of the infragluteal fold should generally be short, no longer than the. Infragluteal fold. The need for liposuction of the lower back or hips is considered. To our knowledge, only two variations to the classic chevron technique have been described in an attempt to improve buttock contouring following GSCT excision. fold [fōld] plica; a thin margin curved back on itself, or doubling. 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. Poorly placed incisions also detract from the gluteal aesthetic. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. Detailed Procedure Information. The retromuscolar technique is preferred by patients requesting a natural, sporty result. The upper-inner thigh holds a high stem. 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 . ResultsThe infragluteal fold is a connectival fibrous band. 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 . These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. The main difference with our technique is the design. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. The patient’s position is prone or lateral decubitus. The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region and allows for the creation of a stable and long-lasting infragluteal fold with an aesthetic buttock curvature and a defined border to the thigh region. [1] The Vertical Technique This approach is performed vertically from above the IGF. The key to success for this procedure is to. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. Procedure. A banana fold may form for different reasons, among which an. International Standards for the Classification of Spinal Cord InjuryShe also had infragluteal fold or the infragluteal banana roll. 3. 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. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. Infragluteal fold. intragluteal injection. Severe infragluteal fold. infragluteal fold is composed of fascial spicules extending . 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 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. It has been noted in multiple. The surgical anatomy of the subcutaneous screen on the gluteal region has. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. 12. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. Outer/Lateral Thigh Lift. Answer: Double gluteal fold. infragluteal fold [2–4]. Paraspinous muscles cannot be forgotten in the lower abdomen. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Cárdenas The infragluteal fold is one of the major concerns in reshaping of the gluteal region. It is used for correcting sagging lower buttock tissue that either hangs over the existing infragluteal fold or when the infragliuteal folds has dropped creating an elongated buttock shape. It arises in the median gluteal crease and follows. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). A. 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. This fold is the horizontal crease under the ischial tuberosity. 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. 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. 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. The inferior border of the infragluteal fold is formed by the insertions of the semitendinous muscle and the belly of the biceps femoris. 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. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. There are few. For the subgluteal approach, the patient is placed in a prone position and a curvilinear ultrasound probe is placed in short axis at the subgluteal fold. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 3). The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. The flap was composed of subcutaneous tissue, and dermis if desired, and was extended laterally to the length needed to approximately reach the infragluteal fold, and then rotated. 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. An angulated cannula can be used to easily enter the superficial space. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. In the process of r. 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. Care must be taken when completing the last portion of the. 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. 2, 3, 4. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. 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 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). Time and important weight variation. 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. What separates the lower buttocks from the other two sections is the infragluteal fold. 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. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. This was sculpted for a national television program recently. From here we can easily access the lower gluteal area and the internal and external posterior thigh (Fig. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . ResultsThe infragluteal fold is a connectival fibrous band. During this type of thigh lift, an incision is made around the waist. 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. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. The average width of the skin excision was 8 cm and the average length was 25 cm. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 95, 4. A: Thank you for your inquiry and sending your picture. 1). 44 The infragluteal fold is an important indicator of gluteal. Supragluteal fossettes. 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. A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. 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. Sorry for your problem. The skin flap was designed along the gluteal fold. The infragluteal fold (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. It has been noted in multiple. And placing such a graft always runs the risk of causing an infection. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. In type 1 buttock ptosis the infragluteal Read More…Background: The shape of the buttocks can take on many different forms. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Tissue samples (6 cm long x 2 mm thick) were taken. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. 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. On the other hand, some slight to moderate redundant infragluteal creases might be candidates for simple surgical repair. 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. 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. With sagging of the muscle belly, the infragluteal fold is decreased or lost, and atrophy of the buttock is obvious with time. 45 This results in a ptotic butt if it is longer. D. Also evaluate the angle of the infragluteal fold. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). The appropriately selected gluteal implant is folded in half. 2 Patient Selection. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Perception of ideal buttocks varies across cultures. 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. Liposhifting is a technique which free. 6. 6). 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock. This fold is the horizontal crease under the ischial tuberosity. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. This crease does not reflect the lower margin of the gluteus major muscle, but. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. 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. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. Selective fat reduction centrally and laterally. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. Medicine. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 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. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The midpoints of the infragluteal sulci were marked, and then the right and left infragluteal sulci were bilaterally excised en bloc, from the ischium to the most lateral part of the gluteal-thigh junction, with 3 cm of tissue taken from the inferior and superior parts of the infragluteal fold by an elliptic incision including the skin. After 1 year, she under- gluteal fascia. Liposhifting is a technique that. 6+/-0. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. A banana fold may form for different reasons, among which an. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. Limited inferiorly by infragluteal fold. Also evaluate theangle of the infragluteal fold. 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 infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. The Buttock Lift with Hyaluronic Acid and Threads. It has been noted in multiple. 6. Both adipofascial flaps were rotated downward for inset in the pockets created in the buttocks. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. It has been noted in multiple. Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. 23. Tissue samples (6 cm long x 2 mm thick) were taken. For this we have applied. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 5 and 15.