6. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . 45 This results in a ptotic butt if it is longer. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. Infragluteal fold excision can be performed either before or after implantation (Fig. 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. (E) The incision is closed from distal to proximal, blending into the abdominal closure when abdominoplasty is performed. 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. But so doing it may also make your buttocks look a little less full because its roundness is decreased. For a negative upward slant (see Fig. The infragluteal crease is found in several terms such as the gluteal crease, the infragluteal fold , the infragluteal sulcus , the horizontal gluteal fold , the gluteal fold , the inferior buttock crease , the lower gluteal crease, and the inferior gluteal crease. A large redundant infragluteal crease probably cannot be repaired easily. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. PDF. Five fixed cadavers were used. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. This fold or crease is formed under the ischial tuberosity by the insertions of the semitendinous muscle, biceps femoris, and lower portion of the gluteus maximus. The flap width was designed to match the broadest width of the defect, which was assessed from the inner. It arises in the median gluteal crease and follows a. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. A banana fold may form for different reasons, among which an. The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Surgery was performed in the jackknife position, and flaps were elevated in the suprafascial plane. 2, 3, 4. Both computed tomographic (CT) and magnetic resonance (MR) venography can be used to document compression of the left renal and iliac veins, to measure ovarian vein diameters, and to. The fat graft is placed in the upper medial side for projection. 2, 3, 4. (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. 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. D. The average width of the skin excision was 8 cm and the average length was 25 cm. In my humble opinion you need nothing surgical. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. 15. Also known as the Dimples of. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. A direct excision was performed under general anesthesia. A V-shaped proximal gluteal crease was accentuated by the. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. circular f's. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. loss of the infragluteal fold [7]. Supragluteal fossettes. 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. 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. 39. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Combining Gluteal Shaping with High-Definition Liposuction. For this we have applied. 8): Fig. 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. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Great posted photos. The average width of the skin excision was 8 cm and the average length was 25 cm. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 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. Between 2. 45 This results in a ptotic butt if it is longer. 0+/-1. adjective. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 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 . Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. However, there is no clear anatomical description of the infragluteal fold,. The “sensuous triangle” is found at the junction. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. 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. My recommendation would be getting better contour on the left before addressing the right. This procedure recreates the fold on the bottom part of the butt, known as the infragluteal fold, creating a more defined separation between the butt and the thigh. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. 9 and 10. Destruction of this. My recommendation would be getting better contour on the left before addressing the right. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. In 1977 Gonzalez-Ulloa described correction of the ‘sad. Grade 4 (mild ptosis): the gluteal tissue passes over the infragluteal fold at the M line; on the lateral view, we evaluate the angle of the skin fold at the infragluteal fold; in Grade 4, the angle is less than 10°. Infragluteal fold: It is the horizontal crease under the ischial tuberosity composed of the lower edge of the gluteus maximus muscle and usually does not extend beyond the union of the semitendinous muscle with the biceps femoris. Expand. 2) Loose skin from loss of buttock volume creates skin folds that obscures the infragluteal fold. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. But so doing it may also make your buttocks look a little less full because its roundness is decreased. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Infragluteal fold. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. Plan on a 2-3 week recovery. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. loss of the infragluteal fold [7]. Five fixed cadavers. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. fold both histologically and anatomically. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. The upper-inner thigh holds a high stem. The "sensuous triangle" is found at the junction of the lateral. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . After the fat graft, thread lifting is performed considering the vector. All patients judged the outcome as very good. 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. 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. Infragluteal fold. Grade III ptosis has the most skin and volume below the fold, with significant skin laxity and a more angular infragluteal fold. An injury specifically to the inferior gluteal nerve, which supplies the gluteus maximus muscle, results in weak extension of the hip. It arises in the median gluteal crease and follows. 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). No major complications or. 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. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. 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. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. The skin flap was designed along the gluteal fold. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. When the infragluteal fold line is horizontal (see Fig. Supragluteal fossettes (one on either side), over the posterior superior iliac spine, created by the multifidus muscle, the lumbodorsal aponeurosis and the insertion. 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. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. Fig. An anatomical study demonstrated that the perineal branch of. 39. 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. Medicine. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The "sensuous triangle" is found at the junction of the lateral. 10 The Mendieta and Sood classification is demonstrated in Fig. The FCI flap is a good choice for. 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. 6. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. 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. 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. 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 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. 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. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. Tissue samples (6 cm long x 2 mm thick) were taken. 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. The flaps are undermined by only one cm. A banana fold may form for different reasons, among which an. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11, 2023, in Plastic and Surgery Global Open, corrections have been made to the author list and affiliations. It is divided into an inner, a central, and an outer zone. This fold is the horizontal crease under the ischial tuberosity. 臀下皱襞支撑性解剖学与美学研究进展. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. And placing such a graft always runs the risk of causing an infection. The length and definition of the infragluteal fold play important roles in aesthetically. The appropriately selected gluteal implant is folded in half. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. 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. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. This is a horizontal crease under the ischial tuberosity. 4). Gluteal fat injection mortality is approximately 1/3000 patients. The key to success for this procedure is to. ExpandThese implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. 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. 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. 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. C3 provides innervation to the supraclavicular fossa . . The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. It has been noted in multiple studies that patients can experience persistent PFCN. Fig. Five fixed cadavers were used. And placing such a graft always runs the risk of causing an infection. intragluteal injection. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. It is one o…THE IGF. The "sensuous triangle" is found at the junction of the lateral. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. spiraling anteriorly to the flank and posteriorly to the infragluteal fold, thus joining the previous flank and infragluteal. 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 infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the. In 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. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. The flap should be fixed as low as possible to the muscle fascia. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . Superiorly it is formed by the lower border of the gluteus maximus. All patients judged the outcome as very good. 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. 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 infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. The "sensuous triangle" is found at the junction of the lateral. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. 95, 4. Good luck. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Infragluteal fold. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. 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 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. A photograph or two of the area would be extremely helpful in determining what the problem may be and thus the solution, if any. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. It has been noted in multiple. Severe infragluteal fold. The area between the iliac crest and the infragluteal fold was divided into 3 equal parts, with the upper third left undisturbed, the middle third marked for placement of the implant. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. 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. Sorry for your problem. Case presentation: We report. In either case, a lower buttock lift or tuck is done to remove the overhanging tissues and recreate a fixed infragluteal fold position. The infragluteal fold, which serves as the inferior border of the buttock proper, is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin. 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. The infragluteal fold region is the lower edge of the buttocks. The lower buttock is the most difficult area to address. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. Limits implant movement. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. Many of the early proponents of the procedure were not open to discussing complications. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Background. Save. On the upper area, markings are shown for the gluteus medius muscle. Dr. Infragluteal fold reconstruction is fracture was diagnosed, and she underwent surgery achieved by reconstruction of the buttock’s sustaining ap- for posterior instrumentation to stabilize the fracture parel through deepithelialized skin flaps anchored to deep in orthopaedic department. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. The posterior thigh is the area least requested for liposuction with the exception of the proximal infragluteal fold or so-called “banana fold. What you are seeking is to have a uniform infragluteal crease on both sides. Save. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). Answer: Options to fix/shorten infragluteal fold after BBL? Well, after undergoing liposuction and BBL you know that more of the same is definitely not the answer. 44 The infragluteal fold is an important indicator of gluteal aesthetics. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. Tissue samples (6 cm long x 2 mm thick) were taken. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Plastic Surgery 35 years experience. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Answer: Options to fix/shorten infragluteal fold after BBL? Well, after undergoing liposuction and BBL you know that more of the same is definitely not the answer. Tissue samples (6 cm long × 2 mm thick) were taken at three. Lower body lift procedures remove excess skin and lift sagging buttock tissue. 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 infragluteal fold (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. 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 ). 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 patient’s position is prone or lateral decubitus. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. The superior tip of the intergluteal cleft. 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 . The infragluteal fold needs to be approached carefully, by suctioning just under the skin. Tissue. Five fixed cadavers were used. We report a case of using autologous. Thomas Fiala answered. Cárdenas The infragluteal fold is one of the major concerns in reshaping of the gluteal region. The inclusion criteria was ptosis of the lower pole of buttocks. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. Purpose The gluteal region is a key element of beauty balance and sexual appearance. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. 3 Excerpts; Save. Unit D has six subunits (D1–D6). Since its initiation, this technique has proven to be both clinically and cost-effective, with demonstratable benefits achieved with a lower. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. A more objective, faster and shorter version of this scale, to be evaluated. In type 1 buttock ptosis the infragluteal Read More…Background: The shape of the buttocks can take on many different forms. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. 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. Most patients had a deep infragluteal fold. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. Grade 6 (severe ptosis): the gluteal tissue passes over the infragluteal fold at the M line; the angle of the skin fold at infragluteal fold is more than 30 Aesth Plast Surg (2018) 42:1050–1058 1051 1231) Liposuction of the buttocks, either in totality or just at the banana roll area, will result in some degree of tissue overhang at the infragluteal fold. Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). The superior border is formed by the lower border of the gluteus maximus. ResultsThe infragluteal fold is a connectival fibrous band. The cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. Superiorly, it is formed by the lower border of the gluteus maximus. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. We define unaesthetic buttock ptosis as sagging. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. The treatment should not focus on the central and lower. Intergluteal cleft. Infragluteal fold. Does it have a downward 45° angle, run horizontally, or have an inverted. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Consistent features of beautiful buttocks: lateral depression, infragluteal fold, supragluteal fossettes. Procedure. C2 – At least one cm lateral to the occipital protuberance at. 3) The length of the lower buttock lift excision should ideally not go beyond the. 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. 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。. With your feet shoulder width apart, place your hands on the barbell (whether on lifting blocks or in a Smith machine), with your palms either over or under the bar. The dissection and volume this flap provides are similar to that of the SGAP flap. Answer: Double gluteal fold. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. This technique creates a new, more aesthetically pleasing fold in order to resolve dropping skin and the presence of a double skin fold (the “banana roll”) beneath the buttocks. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. Also evaluate theangle of the infragluteal fold. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. 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. Detailed Procedure Information. 1. Peter Fisher M. The surgical anatomy of the subcutaneous screen on the gluteal region has. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. It is based at the midline and extends laterally a distance dependent on the length needed to approach the infragluteal fold when transposed if limits on the width of the flap allow. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. Limited inferiorly by infragluteal fold. 2. Complete 10 to 15 reps. 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. Both volume and projection of the buttocks may be improved. A banana fold may form for different reasons, among which an. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. Dr. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. The Infragluteal Thigh Lift Technique. Therefore, in each case, the high points of the buttocks are relatively light while infragluteal fold and V-shaped crease areas are relatively dark. 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 histologicalCreation of an infra gluteal fold is done in the same fashion as the medial thigh tuck first described by Ted Lockwood, M. lateral to the mucocutaneous junction. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). 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. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. PDF. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 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. from the bone to the skin. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. Study record managers: refer to the Data Element Definitions if submitting registration or results information. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Red line. On the upper area, markings are shown for the gluteus. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. 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. 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. 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. Open in a separate window. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. Expand. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). 5 T) of the pelvic region. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone. This is a difficult area to fix. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. 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. Subscribe Now:More:exercise to define. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh.