All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. lateral to the mucocutaneous junction. This is a difficult area to fix. Oh et al 26 recently demonstrated a shortening of the infragluteal fold by performing a thread lift with an elastic silicone-polyester thread. 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. situated between the buttocks… See the full definitionBackground: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. Intergluteal cleft. The cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 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. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. 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. and African Americans. 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. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. 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. The inclusion criteria was ptosis of the lower pole of buttocks. A new surgical treatment method using a gluteal-fold flap (GFF) for anal stricture after total ISR is developed and it is believed that GFF transfer is an excellent option for treating anorectal strictures after totalISR. This study reevaluated the fold both histologically and anatomically. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. Answer: Lower butt lift. The current trend is towards more fat grafting and less implant use, as fat grafting, when carefully applied, is seen as less likely to have complications. Expand. The inferior border of the infragluteal fold is formed by the insertions of the semitendinous muscle and the belly of the biceps femoris. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. 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. deformity and a pleasing buttock contour. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. An injury specifically to the inferior gluteal nerve, which supplies the gluteus maximus muscle, results in weak extension of the hip. 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 Vertical Technique This approach is performed vertically from above the IGF. Background. 12. 51. Supragluteal fossettes (one on either side), over the posterior superior iliac spine, created by the multifidus muscle, the lumbodorsal aponeurosis and the insertion. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). Cocke and Ricketson were the first to describe placing silicone breast implants in the subcutaneous plane with less than optimal results. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. Superiorly, it is formed by the lower border of the gluteus maximus. 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. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. My recommendation would be getting better contour on the left before addressing the right. Expand. A V-shaped proximal gluteal crease was accentuated by the. Limits implant movement. No adverse events were recorded. Search for termsThis area is known as a safety triangle with its apex between the sacral dimples and its base along the medial two-thirds of the infragluteal fold, on both sides. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. 4). This horizontal crease is under the ischial tuberosity. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. Poorly placed incisions also detract from the gluteal aesthetic. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. Combining Gluteal Shaping with High-Definition Liposuction. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. The appropriately selected gluteal implant is folded in half. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. circular f's the permanent. Both volume and projection of the buttocks may be improved. The author has simply combined the incisions. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Mendieta, on the other hand, described a procedure to eliminate the square shape of the inferomedial area of the gluteous in massive weight loss patients, with the hanging tissue removed by means of an incision that goes along the inner infragluteal fold and then upward lateral to the anus []. Answer: Double gluteal fold. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. What you are seeking is to have a uniform infragluteal crease on both sides. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. And placing such a graft always runs the risk of causing an infection. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 5 ). All patients judged the outcome as very good. A. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. PDF. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. L3 provides innervation to the medial femoral condyle . A banana fold may form for different reasons, among which an. from the bone to the skin. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. 2, 3, 4. &NA; Use of a local flap is often needed for closure of a defect in the. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. Excess tissue was removed, and wound closure was performed in multiple layers. : situated within or introduced into the gluteal muscle. 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. ResultsThe infragluteal fold is a connectival fibrous band. Infragluteal fold. The "sensuous triangle" is found at the junction of the lateral. 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 []. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. . In the ideal buttock, the infragluteal fold should end. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. Fee $6,000+ Best to virtual consult with. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. A direct excision was performed under general anesthesia. D. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. The length and definition of the infragluteal fold play important roles in aesthetically pleasing buttocks. Tissue. Background: The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. . 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. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. 5 cm, 3-month follow-up). Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. This study reevaluated the fold both histologically and anatomically. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. Five fixed cadavers were used. 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. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. It arises in the median gluteal crease and follows. Medicine. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. Destruction of this. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. Unit D has six subunits (D1–D6). 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. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. S2 S1 S3 S4/5. I hope this helps. On the upper area, markings are shown for the gluteus. 1 Excerpt; Save. TLDR. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. Notice in the center photograph that a fuller. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The surgical anatomy of the subcutaneous screen on the gluteal region has. 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 ]. The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region and allows for the creation of a stable and long-lasting infragluteal fold with an aesthetic buttock curvature and a defined border to the thigh region. This will produce an indentation but not make it too deep -- if the fold is too deep the buttocks collpase downward folding over the fold. 15. 45 This results in a ptotic butt if it is longer. 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. The length and definition of the infragluteal fold play important roles in aesthetically. 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. T1. The anatomical study. 20. 9. A long infragluteal fold can also be improved and a more youthful shape be obtained. Plan on a 2-3 week recovery. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. . It arises in the median gluteal crease and follows a. The fat is injected as the. 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. In the ideal gluteal aesthetics, the relationship between the infragluteal fold and the inner thigh should create a diamond shaped space, as seen in Fig. 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. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. 臀下皱襞支撑性解剖学与美学研究进展. The infragluteal fold became less evident, the but- buttock lift and augmentation with the dermal fat flap tock mass was elevated, and augmentation was achieved described was performed, resulting in correction of the with the maximum projection at midlevel of the gluteus. The gluteal region in patients with massive weight loss after. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. If ou still has residual excess skin and fat on the lower buttock and. The posterior knee-fold incisions can be closed or left open for. Our technique allows for the. Higher IGF (infragluteal fold) results in a shorter buttock preferred by Asian Americans 123 Aesth. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patientsFlap reconstruction is e cient in severe cases of infragluteal fold deformity [5], but the low patient's acceptance of sequel scar limits its application. The gluteal‐fold flap is very useful for various vulvar and buttock reconstructions because it can be adjusted to the required volume and the usefulness of this flap for anal and pelvic‐floor reconstruction was demonstrated. Dr. Also evaluate the angle of the infragluteal fold. 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. This fold makes a usually Read More…Important dermatome & anatomical landmarks. Also known as the Dimples of. Infragluteal fold. Both flaps were fixed with interrupted 0-Vicryl. 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. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. 95, 4. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. 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 key to success for this procedure is to. 39. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. 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. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. 6. Cárdenas The infragluteal fold is one of the major concerns in reshaping of the gluteal region. This is not a good benefits vs risk proposition. It is one o…THE IGF. Save. 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. loss of the infragluteal fold [7]. Time and important weight variation. 3). Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. Since its initiation, this technique has proven to be both clinically and cost-effective, with demonstratable benefits achieved with a lower. Retrospectively, however, it is clear that a better lifting effect and gluteal shortening could have been achieved if a longer scar had been used along the infragluteal fold for the patients in Figs. 4% of subjects reported increased muscle. The FCI flap is a good choice for. Urinary and bowel. The patient’s position is prone or lateral decubitus. 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. 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. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. For the subgluteal approach, the patient is placed in a prone position and a curvilinear ultrasound probe is placed in short axis at the subgluteal fold. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. The dissection of 60 fixed surgical pieces showed the presence of a Buttocks' Sustaining Aparell formed by a trabecular conjunctival mesh termed main and secondary in a "beehive" aspect which may possibly be important in the maintenance of the buttock's characteristic contour. 2, 3, 4. 17). Indianapolis, Indiana. Liposhifting is a technique which free. 39. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. loss of the infragluteal fold [7]. 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. Surgery was performed in the jackknife position, and flaps were elevated in the suprafascial plane. 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. A. 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°. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. fashion, is an anatomic structure in its medial part and only a Despite this reality, the ideal gluteal shape has been crease laterally. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. All patients judged the outcome as very good. 9. On the plantar surface of the foot, Gluteal fold we find the transverse lines and the longitudinal lines [1]. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. T3 provides innervation to the midclavicular line . All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. (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. 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 skin flap was designed along the 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. From here we can easily access the lower gluteal area and the internal and external posterior thigh (Fig. The surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. Red line. 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. The planned implication of the Sustaining Aparell may determine, through an observation of its structure, a flattening or a ptosis of the gluteal region, allowing a better understanding of the aesthetic of this region. The therapy was found comfortable with a high satisfaction rate. 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. 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. dermal flap will be performed for lifting the ptotic buttocks with ill-defined infragluteal fold. 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. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. The "sensuous triangle" is found at the junction of the lateral. 5, irrespective of the magnitude. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. 1 Anatomy of the gluteus maximus muscle and deeper structure. During this type of thigh lift, an incision is made around the waist. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. These structures create the fixed, well-defined subgluteal sulcus [2]. S3 – Over the tuberosity of the ischium or infragluteal fold S4 and S5 – In the perianal area, less than one cm lateral to the mucocutaneous zone Don’t Forget to Solve all the previous Year Question asked on Important dermatomes and anatomical landmarksThe orientation of IGF fibers offers a hammock-like support system. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. The postoperative results depicted in the article demonstrate a successful. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. Infragluteal fold. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior. 5 and 6. 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). A banana fold may form for different reasons, among which an. 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. 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 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 gluteal region in patients with massive weight loss after gastric bypass is characterized by. Liposhifting is a technique that. Download scientific diagram | MRI sequence of the infragluteal fold with T1 VIBE MORPHO sequence (Thickness slice = 900. Infragluteal fold excision can be performed either before or after implantation . The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. 5 T) of the pelvic region. 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. 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. 15. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. Gluteal fat injection mortality is approximately 1/3000 patients. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. 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. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. My recommendation would be getting better contour on the left before addressing the right. 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. 35. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. Weight gain following thighplasty may negatively affect your surgery results. Great posted photos. S3 provides innervation to the infragluteal fold . Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. This fold is the horizontal crease under the ischial tuberosity. 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 average width of the skin excision was 8 cm and the average length was 25 cm. The short answer is yes. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. 2. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 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. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. The mid-buttock is also divided into a central and an outer zone which usually has a depression. 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. When planning the new infragluteal fold, surgeons should not exceed the union of the semitendinous muscle with the biceps femoris laterally since this is the natural ending of the fold . 39. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. 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 treatment should not focus on the central and lower. For this we have applied. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. 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. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. 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. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. The fat graft is placed in the upper medial side for projection. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. The lateral border of the gluteus maximus muscle is easier to identify when the patient internally rotates the thigh. With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. This is not a good benefits vs risk proposition. Severe infragluteal fold. Transversal slice passing through bony structures. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. This was sculpted for a national television program recently. Grade III ptosis has the most skin and volume below the fold, with significant skin laxity and a more angular infragluteal fold. 2010. implant. PMID: 15940397 DOI: 10. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. A banana fold may form for different reasons, among which an. ResultsThe infragluteal fold is a connectival fibrous band. Dr. This technique creates a new, more aesthetically pleasing fold in order to resolve dropping skin and the presence of a double skin fold (the “banana roll”) beneath the buttocks. 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. A. The need for liposuction of the lower back or hips is considered. 6 The infragluteal area is a support zone for the buttock, and treatment of this area with liposuction should be avoided. By means of MR imaging of volunteers and dissection of fresh cadavers, a here presented study revealed the infragluteal fold as a connectival fibrous band extending from the ramus of the ischium, the coccyx and the apex of sacrum, without significant. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. A large redundant infragluteal crease probably cannot be repaired easily. Infragluteal fold reconstruction is achieved by reconstruction of the buttock’s sustaining apparel through deepithelialized skin flaps anchored to deep gluteal fascia. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. D2 and D3 are located in the posterior portion. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. 3 An aged buttock region is marked. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. 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. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 15. We report a case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin.