39. An angulated cannula can be used to easily enter the superficial space. Plastic Surgery 35 years experience. Chasan, partook in a study examining the results of the infragluteal thigh lift. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Infragluteal fold reconstruction is achieved by reconstruction of the buttock’s sustaining apparel through deepithelialized skin flaps anchored to deep gluteal fascia. ” 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. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. 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. This is a difficult area to fix. 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. Higher IGF (infragluteal fold) results in a shorter buttock preferred by Asian Americans 123 Aesth. Save. It is important to recall that the inner thigh is divided in thirds; the middle is an adhesion zone, which contains only superficial fat, so over resection should be avoided in this area. 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. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. Thomas Fiala answered. (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. 6+/-0. Closure of the implant pocket should be tension-free. Infragluteal fold. D. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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]. A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. Liposhifting is a technique which free. After the fat graft, thread lifting is performed considering the vector. Five fixed cadavers were used. The major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. Keep your arms straight as you lift the weight with your hips and glutes. Time and important weight variation. On the plantar surface of the foot, Gluteal fold we find the transverse lines and the longitudinal lines [1]. The author has simply combined the incisions. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. A small ellipse of posterior thigh and inferior gluteal tissue approximately 3-1/2" long will allow access to place permanent sutures from the SFS to the ischial tuberosity (from the fat below the skin to the bones at the. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. 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. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. It is critical to appropriately and systematically analyze the complex regional anatomy. 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. Sorry for your problem. 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. The inner thigh can be reached by the lower pubic incisions with the patient supine and by the infragluteal crease incisions for posterior access with the patient prone. 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. Tissue samples (6 cm long × 2 mm thick) were taken at three. 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 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 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 abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. 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. This is a horizontal crease under the ischial tuberosity. The inclusion criteria was ptosis of the lower pole of buttocks. 2) Loose skin from loss of buttock volume creates skin folds that obscures the infragluteal fold. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 15. 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. 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. 44 The infragluteal fold is an important indicator of gluteal. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 1 43/black/F III 24 Topical and oral antibiotics Infragluteal fold, bilateral axilla, left groin 2 50/black/M III 7 Topical and oral antibiotics; surgery Buttocks, left axilla, perineumThe infragluteal fold/thigh junction (lower glu-teal cleavage) also requires definition. 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 [3]. The average width of the skin excision was 8 cm and the average length was 25 cm. 3). Time and important weight variation consid-erably affect this region combined with the gravity’s effect. This study reevaluated the fold both histologically and anatomically. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. 3. ResultsThe infragluteal fold is a connectival fibrous band. 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 []. 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. dermal flap will be performed for lifting the ptotic buttocks with ill-defined infragluteal fold. [1] The Vertical Technique This approach is performed vertically from above the IGF. Created for people with ongoing healthcare needs but benefits everyone. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Barry Eppley. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. Red line. The recovery time is at least two weeks but may be longer depending on your specific surgery. 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. 臀下皱襞支撑性解剖学与美学研究进展. 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. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. (E) The incision is closed from distal to proximal, blending into the abdominal closure when abdominoplasty is performed. 4. Five fixed cadavers were used. The skin flap was designed along the gluteal fold. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). The procedure can be performed as a single procedure or as in cases of massive weight loss in the context of a lower body lift (circumferential abdominoplasty, belt. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. Most patients had a deep infragluteal fold. 6. Save. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. Fee $6,000+ Best to virtual consult with. A. 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. 6. 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. What separates the lower buttocks from the other two sections is the infragluteal fold. The average width of the skin excision was 8 cm and the average length was 25 cm. In either case, a lower buttock lift or tuck is done to remove the overhanging tissues and recreate a fixed infragluteal fold position. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. The anatomical study. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Open in new tab Download slide. The range of indications for buttocks lifting includes discreet ptosis, moderate skin laxity in the gluteal or trochanteric areas, asymmetry, double infragluteal fold, long buttocks, and even the deformities that follow significant weight loss. T1. C3 provides innervation to the supraclavicular fossa . The superior tip of the intergluteal cleft. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. 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. And placing such a graft always runs the risk of causing an infection. Superiorly it is formed by the lower border of the gluteus maximus. 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 superior border is formed by the lower border of the gluteus maximus. A long, deflated. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. 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. New flank tapered feminine depressed contours are limited by high and narrow pelvic rims, which help define high hipsHide glossary Glossary. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 23. PMID: 15940397 DOI: 10. 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 descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. Grade III: The skin. This crease does not reflect the lower margin of the gluteus major muscle, but. lateral to the mucocutaneous junction. The long axis of the flap was arranged in parallel with the infragluteal fold axis. In the process of r. A. Barry Eppley. Detailed Procedure Information. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Also known as the Dimples of. It arises in the median gluteal crease and follows a. 6. springer. My recommendation would be getting better contour on the left before addressing the right. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Patient with skin laxity of the gluteal area must be carefully advised that little change of this problem will be achieved, especially at the level of infragluteal fold. The inferiorly oriented form of the muscle may be visible in males, but in. 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 "sensuous triangle" is found at the junction of the lateral. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. A: Thank you for your inquiry and sending your picture. 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. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. Selective fat reduction centrally and laterally. 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. This is often tried but never. 6). Both volume and projection of the buttocks may be improved. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. 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. Infragluteal fold. This is a difficult area to fix. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . On the upper area, markings are shown for the gluteus. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and cadavers, respectively). The APEX thighlift takes advantage of the hidden scar described in earlier techniques, using an incision along the medial thigh inguinal crease (or inside that if thinning of a widened pubis is desired) that extends posteriorly into the infragluteal fold (Figure 4). The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Indianapolis, Indiana. Abstract. Tissue samples (6 cm long x 2 mm thick) were taken. In type 1 buttock ptosis the infragluteal Read More…Background: The shape of the buttocks can take on many different forms. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Lower body lift procedures remove excess skin and lift sagging buttock tissue. These structures create the fixed, well-defined subgluteal sulcus [2]. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. Results: After treatment, there was an average reduction of 4. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. Skin creases are features of major anatomical, morphological, surgical, and functional interest. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. the infragluteal fold. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. fold [fōld] plica; a thin margin curved back on itself, or doubling. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. infragluteal fold [2–4]. 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. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. 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. Ozmen S. Many of the early proponents of the procedure were not open to discussing complications. Skin creases of the trunk 1 (Fig 1) include the inframammary crease, the suprapubic crease, the oblique skin crease of the groin, and the infragluteal crease. 23. Expand. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. Also evaluate theangle of the infragluteal fold. Dr. 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. Care must be taken when completing the last portion of the. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 1. The power of this technique is granted through the lengthened anteroposterior scar and. 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. Dr. 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. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. fashion, is an anatomic structure in its medial part and only a Despite this reality, the ideal gluteal shape has been crease laterally. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Thus, you may want to consider restoring volume to your buttock and. The key to success for this procedure is to. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 2, 3, 4. The treatment should not focus on the central and lower. 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. C2 – At least one cm lateral to the occipital protuberance at. Five fixed. 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. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. 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. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. The only way to create a sharper erase/line at the underside of the buttocks is an excisional tuck, making the existing infragluteal fold deeper. 臀下皱襞（The infragluteal fold，IGF） [1，2]是臀区与股后区之间形成的皮肤皱褶。. Infragluteal fold. When the infragluteal fold line is horizontal (see Fig. FIG. Indianapolis, Indiana. 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. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. 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 Infragluteal Thigh Lift Technique. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. 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. Ini-tially, a deep plane is created by the 3-mm cannula. L3 provides innervation to the medial femoral condyle . All patients judged the outcome as very good. Ranch & Coast founder, Dr. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. 5 cm distal to the subgluteal fold, the sciatic nerve was consistently identified directly at the ventral end of the hyperechoic structure in all volunteers. Note anterior abdominal wall. Gluteal Deadlifts. A direct excision was performed under general anesthesia. While buttock sagging is a general term it has different types as defined by the level of the infragluteal fold. Our technique allows for the. 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 long infragluteal fold can also be improved and a more youthful shape be obtained. . It has been noted in multiple. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. 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 is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty ( 4 ). 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. 3) The length of the lower buttock lift excision should ideally not go beyond the. 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]. Fig. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. It has been noted in multiple. 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. However, there is no clear anatomical description of the infragluteal fold,. 7) . In my humble opinion you need nothing surgical. After 1 year, she under- gluteal fascia. 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. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. Purpose The gluteal region is a key element of beauty balance and sexual appearance. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. and African Americans. Abstract. TLDR. S3 Over the ischial tuberosity or infragluteal fold (depending on the patient their skin can move up, down or laterally over the ischii). The short answer is yes. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. Expand. 4). This study reevaluated the fold both histologically and anatomically. 2. Outer/Lateral Thigh Lift. The surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. Fig. 20. The authors’ experience using. 17). A direct excision was performed under general anesthesia. The dissection for the pocket where the flap will be inserted has to stop 5 cm above the infragluteal fold to avoid injury of the medial cluneal and the cutaneous femoris posterior sensory nerve . 1. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. This was sculpted for a national television program recently. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. Background: Sagging of the buttocks is a well known body change that can occur due to natural aging, weight loss or as a sequelae from buttock implant removal. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Read more. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. Each buttock section has its own distinct shape. The posterior thigh is the area least requested for liposuction with the exception of the proximal infragluteal fold or so-called “banana fold. 10 The Mendieta and Sood classification is demonstrated in Fig. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. Infragluteal fold. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. We developed a practical and safe pedicled flap for reconstruction of ischial pressure sores based on the rich available perforators from the internal pudendal artery and the surplus of skin at the. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. This fold is the horizontal crease under the ischial tuberosity. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. The fat graft is placed in the upper medial side for projection. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. A banana fold may form for different reasons, among which an. Medicine. Gozil R. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Plan on a 2-3 week recovery. The flap should be fixed as low as possible to the muscle fascia. 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 patient has difficulty arising from a sitting position or climbing steps. 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. 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 []. Supragluteal fossettes (one on either side), over the posterior superior iliac spine, created by the multifidus muscle, the lumbodorsal aponeurosis and the insertion. An outer thigh lift removes skin and fat from the outside of the thigh. 2010. Saddlebags at the infragluteal fold level are replaced by tight flat skin. The Buttock Lift with Hyaluronic Acid and Threads. 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 . spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. But what is really being done is that the loose lower buttock skin and the fold are being removed to create a less deep infragluteal fold and smoother transition between the buttock and the thighs. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone level is performed. Most patients had a deep 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. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. No adverse events were recorded. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. 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. It has been noted in multiple. 5 and 15. ExpandThese implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. The appropriately selected gluteal implant is folded in half. Also evaluate the angle of the infragluteal fold. 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]. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Does it have a downward 45º angle, run horizontally, or have an inverted upward. Urinary and bowel. 39. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. 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. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height 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. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . In this way, it's similar to a general lower body lift. 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. 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. 5 T) of the pelvic region. Study record managers: refer to the Data Element Definitions if submitting registration or results information. The inclusion criteria was ptosis of the lower pole of buttocks. The infragluteal fold is among the major characteristics of the gluteal region. PDF | On Jan 11, 2023, Héctor César Durán Vega and others published Vectorial Treatment of Infragluteal Fold | Find, read and cite all the research you need on ResearchGateWe describe a new technique for immediate reconstruction of GSCTs using buried dermal-fat flaps and a low transverse scar in the infragluteal fold. The need for liposuction of the lower back or hips is considered. Peter Fisher M. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. 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. excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. The infragluteal fold length and definition play important roles in esthetically. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. It is critical to appropriately and systematically analyze the complex regional anatomy. Good luck. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. Superiorly it is formed by the lower border of the gluteus maximus. Background. Expand. International Standards for the Classification of Spinal Cord InjuryShe also had infragluteal fold or the infragluteal banana roll. The infragluteal sulcus is created right below.