The average width of the skin excision was 8 cm and the average length was 25 cm. 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. &NA; Use of a local flap is often needed for closure of a defect in the perineogenital area. Procedure. Infragluteal fold excision can be performed either before or after implantation (Fig. 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. The recovery time is at least two weeks but may be longer depending on your specific surgery. 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. Tissue samples (6 cm long x 2 mm thick) were taken. In short, one that enhance a patient’s figure and has a V-shaped crease of the sacral triangle, a short infragluteal fold, supragluteal fossettes, and lateral depressions. Also known as the Dimples of. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. After 1 year, she under- gluteal fascia. Peter Fisher M. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. 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. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. 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. Grade 3 (borderline pre-ptosis): the fold is over the M line, but still there is no ptotic tissue at the M line. I hope this helps. A. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. 00 µm). The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Limited inferiorly by infragluteal fold. 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. 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. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. 15. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. The inclusion criteria was ptosis of the lower pole of buttocks. Severe infragluteal fold. 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. Great posted photos. It has been noted in multiple. PDF. Superiorly it is formed by the lower border of the gluteus maximus. 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 need for liposuction of the lower back or hips is considered. Fig. The Infragluteal Thigh Lift Technique. 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 cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. Supragluteal fossettes (one on either side), over the posterior superior iliac spine, created by the multifidus muscle, the lumbodorsal aponeurosis and the insertion. Expand. Infragluteal fold excision can be performed either before or after implantation . 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. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. Poorly placed incisions also detract from the gluteal aesthetic. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. 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. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. Good luck. Results were maintained at 6 months. 2) Loose skin from loss of buttock volume creates skin folds that obscures the infragluteal fold. Keep your arms straight as you lift the weight with your hips and glutes. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. Expand. The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. Saddlebags at the infragluteal fold level are replaced by tight flat skin. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. We report a case of using autologous. FIG. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock. 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. Cuenca described the ideal buttocks for women as follows: mild lateral depression at the femoral greater trochanter, a short infragluteal fold, the supragluteal fossette corresponding to the posterior superior iliac spine, and a V-shaped sacral triangle (Fig. A direct excision was performed under general anesthesia. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. Buttock ptosis is acceptable and fairly common when located at the inner part of the thigh close to the pubis, but is considered unaesthetic when located at the posterior and lateral parts of the buttock. C2 – At least one cm lateral to the occipital protuberance at. We report a case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold 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. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. 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. 5). Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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. Both volume and projection of the buttocks may be improved. Medicine. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. In the process of r. 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. 0+/-1. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. The "sensuous triangle" is found at the junction of the lateral. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock 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 . Study record managers: refer to the Data Element Definitions if submitting registration or results information. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. Plan on a 2-3 week recovery. Outer/Lateral Thigh Lift. Great posted photos. Save. Increasing number of patients request body contouring and are increasingly aware of the numerous techniques now available for enhancing the gluteal region, which include the use of implants, autologous fat transfer, autologies, and combinations of more than one of these techniques often produce superior aesthetic. : situated within or introduced into the gluteal muscle. A. Tissue samples (6 cm long × 2 mm thick) were taken at three. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. 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. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. 6). 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. It is critical to appropriately and systematically analyze the complex regional anatomy. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 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. This fold makes a usually Read More…Important dermatome & anatomical landmarks. One can not liposuction between the two and create a single infragluteal crease. This is typically done under local anesthesia. Does it have a downward 45° angle, run horizontally, or have an inverted. 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. Selective fat reduction centrally and laterally. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. Figure 6. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. Abstract. 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 []. situated between the buttocks… See the full definitionBackground: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. 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. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. My recommendation would be getting better contour on the left before addressing the right. 2. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. The inferiorly oriented form of the muscle may be visible in males, but in. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. The "sensuous triangle" is found at the junction of the lateral. All patients judged the outcome as very good. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. And placing such a graft always runs the risk of causing an infection. Body sculpting in this region will reveal these muscles and create anatomical balance in the lower back. This causes movement of the infragluteal sulci in downward and lateral directions as well as lengthening of intergluteal sulcus. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. It is used for correcting sagging lower buttock tissue that either hangs over the existing infragluteal fold or when the infragliuteal folds has dropped creating an elongated buttock shape. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. 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. Which of these fibers provides. Five fixed cadavers were used. 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. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. International Standards for the Classification of Spinal Cord InjuryShe also had infragluteal fold or the infragluteal banana roll. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. The infragluteal fold is where the bottom of the buttock meets the upper thigh. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. All patients judged the outcome as very good. To our knowledge, only two variations to the classic chevron technique have been described in an attempt to improve buttock contouring following GSCT excision. The 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. 95, 4. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. 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. &NA; Use of a local flap is often needed for closure of a defect in the. springer. 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 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. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 6. The infragluteal fold is where the bottom of the buttock meets the upper thigh. 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. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. Limits implant movement. 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. D. 1). An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. and African Americans. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Expand. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. 20. If too much fullness exists, the area that should be a diamond-shaped space is a straight line, which is much less appealing. 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. Besides the excessive fat accumulation, insufficient muscle tone may also contribute to the formation of saddlebags. Also evaluate theangle of the infragluteal fold. 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. Save. On the plantar surface of the foot, Gluteal fold we find the transverse lines and the longitudinal lines [1]. The “sensuous triangle” is found at the junction. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. Does it have a downward 45º angle, run horizontally, or have an inverted upward. 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. 5 ). The posterior knee-fold incisions can be closed or left open for. Answer: Lower butt lift. This study reevaluated the fold both histologically and anatomically. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. The "sensuous triangle" is found at the junction of the lateral. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Between 2. It is divided into an inner, a central, and an outer zone. 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 []. The power of this technique is granted through the lengthened anteroposterior scar and. L3 provides innervation to the medial femoral condyle . 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . The skin flap was designed along the gluteal fold. Tissue samples (6 cm long x 2 mm thick) were taken. For a negative upward slant (see Fig. 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. Plan on a 2-3 week recovery. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. 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. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. A large redundant infragluteal crease probably cannot be repaired easily. Excess tissue was removed, and wound closure was performed in multiple layers. Tissue samples (6 cm long x 2 mm thick) were taken. Superiorly it is formed by the lower border of the gluteus maximus. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. 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. 5). This supports the thigh tissue in its lifted position and enhances the infragluteal fold. 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. Surgery was performed in the jackknife position, and flaps were elevated in the suprafascial plane. 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). Infragluteal fold reconstruction is achieved by reconstruction of the buttock’s sustaining apparel through deepithelialized skin flaps anchored to deep gluteal fascia. D2 and D3 are located in the posterior portion. loss of the infragluteal fold [7]. 15. Complete 10 to 15 reps. An outer thigh lift removes skin and fat from the outside of the thigh. 臀下皱襞支撑性解剖学与美学研究进展. Save. T1. Perception of ideal buttocks varies across cultures. 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. 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 author has simply combined the incisions. implant. Grade III: The skin. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. intragluteal injection. The patient has difficulty arising from a sitting position or climbing steps. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. deformity and a pleasing buttock contour. 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, 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. infragluteal fold is composed of fascial spicules extending . 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. ” 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. In the ideal buttock, the infragluteal fold should end. 8): Fig. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. Dr. A banana fold may form for different reasons, among which an. Notice in the center photograph that a fuller. A. 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 “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 3 An aged buttock region is marked. 2). Both flaps were fixed with interrupted 0-Vicryl. The gluteal region in patients with massive weight loss after. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. Also evaluate the angle of the infragluteal fold. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. When the infragluteal fold line is horizontal (see Fig. 5 and 6. 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. It is one o…THE IGF. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. 2, 3, 4. Read more. 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. 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. 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. This is a difficult area to fix. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. PDF. 4. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. Infragluteal fold. 5 cm, 3-month follow-up). Patients with a long buttock may. The superior tip of the intergluteal cleft. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. A banana fold may form for. 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 ). The therapy was found comfortable with a high satisfaction rate. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. V-shaped sacral triangle . The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. . ResultsThe infragluteal fold is a connectival fibrous band. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. An anatomical study demonstrated that the perineal branch of. 51. A disadvantage is that the lower floor of the buttocks often remains ‘emptied’, while good vascularization can be cited as an advantage. 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]. 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. 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. 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. It is indicated when the maximum point of buttock fullness is at the mid to upper portion of the buttocks, which should coincide with the level of the pubic symphysis [ 4 ]. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. What separates the lower buttocks from the other two sections is the infragluteal fold. The Buttock Lift with Hyaluronic Acid and Threads. 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 . 1 Anatomy of the gluteus maximus muscle and deeper structure. Fig. Thomas Fiala answered. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). Furthermore, the infragluteal fold should form a diamond-shaped space with the inner thigh. On the lateral view (Fig. 9 and 10. 3). On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. ResultsThe infragluteal fold is a connectival fibrous band. Answer: Double gluteal fold. 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. Intergluteal crack height is unchanged. 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. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. 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. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. Also evaluate the angle of the infragluteal fold. Liposhifting is a technique that. The infragluteal fold became less evident, the but- buttock lift and augmentation with the dermal fat flap tock mass was elevated, and augmentation was achieved described was performed, resulting in correction of the with the maximum projection at midlevel of the gluteus. 6. However, there is no clear anatomical description of the infragluteal fold,. CárdenasThe infragluteal fold is one of the major concerns in reshaping of the gluteal region. 1. C3 provides innervation to the supraclavicular fossa . It is critical to appropriately and systematically analyze the complex regional anatomy. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. This horizontal crease is under the ischial tuberosity. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. 23. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. The infragluteal sulcus is created right below. A photograph or two of the area would be extremely helpful in determining what the problem may be and thus the solution, if any. The implant was inserted through an infragluteal fold incision. 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. Other techniques are performed either. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. 45 This results in a ptotic butt if it is longer. No major complications or. 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.