In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. This fold makes a usually Read More…Important dermatome & anatomical landmarks. Also known as the Dimples of. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The second incision is placed at the midpoint of the infragluteal fold. 23. 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. A large redundant infragluteal crease probably cannot be repaired easily. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The patient’s position is prone or lateral decubitus. 9. 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. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. A direct excision was performed under general anesthesia. Results: After treatment, there was an average reduction of 4. Infragluteal fold. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. Gluteal Deadlifts. Urinary and bowel. A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. The "sensuous triangle" is found at the junction of the lateral. 4). The infragluteal fold is where the bottom of the buttock meets the upper thigh. The power of this technique is granted through the lengthened anteroposterior scar and. Procedure. 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. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. 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. All patients judged the outcome as very good. 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. Background. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. It has been noted in multiple. the banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. The long axis of the flap was arranged in parallel with the infragluteal fold axis. 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. Purpose The gluteal region is a key element of beauty balance and sexual appearance. Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. infragluteal fold [2–4]. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. This study reevaluated the fold both histologically and anatomically. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. 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. 3). 5, irrespective of the magnitude. The region of the infragluteal fold has been generally ignored or inadequately treated. ” 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. 5 cm distal to the subgluteal fold, the sciatic nerve was consistently identified directly at the ventral end of the hyperechoic structure in all volunteers. Shorter, less dimpled, and tight skinned buttocks are smoothly wider and better projecting at the mid-level. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. Tissue samples (6 cm long x 2 mm thick) were taken. 15. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . Expand. Consistent features of beautiful buttocks: lateral depression, infragluteal fold, supragluteal fossettes. Does it have a downward 45° angle, run horizontally, or have an inverted. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. 23. The Scarpa’s. 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. 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. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. loss of the infragluteal fold [7]. 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. Tissue samples (6 cm long x 2 mm thick) were taken. 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。. 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. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. Background: The Skin Laxity Severity Scale for the buttocks was previously developed to separately assess buttock ptosis, a scalloped appearance of the skin, infragluteal fold, localized fat on the lower third of the buttocks, and linear depressed lesions. The superior tip of the intergluteal cleft. 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. 3) A lower buttock lift, better defined as a buttock tuck, removes loose skin and creates an infragluteal line. Superiorly it is formed by the lower border of the gluteus maximus. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. The mid-buttock is also divided into a central and an outer zone which usually has a depression. Peter Fisher M. 这个皱褶并不反映臀大肌的下缘，有肌肉表面与深筋膜的纤维性连接，起源于臀部内侧三分之一的真皮，以坚固的隔膜形式与臀筋膜交织在一. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. 5). 5,8 A. Unit D has six subunits (D1–D6). Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. Between 2. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. Background: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. 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 . ResultsThe infragluteal fold is a connectival fibrous band. The retromuscolar technique is preferred by patients requesting a natural, sporty result. 5 ). 39. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. (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. Supragluteal fossettes. What you are seeking is to have a uniform infragluteal crease on both sides. The infragluteal fold consists of the inferior border of the gluteal region and is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin []. PMID: 15940397 DOI: 10. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. Its exact dimensions, including its thickness, are determined by the volume of tissue deemed necessary to fill out the buttock contour. Study record managers: refer to the Data Element Definitions if submitting registration or results information. 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 []. A long infragluteal fold can also be improved and a more youthful shape be obtained. The procedure would take approximately 4 hours to complete. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. 39. Since you already have a belt lipectomy or a 360 circumferential lower body lift, the skin and fat of the buttocks have already been raised. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. From 1985 until 1995, this infragluteal flap has been used to widen the vaginal introitus in 6 patients, to reconstruct the labia majora in 5, to close a rectovaginal fistula in 4, and. . Many of the early proponents of the procedure were not open to discussing complications. 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. The infragluteal fold is among the major characteristics of the gluteal region. During this type of thigh lift, an incision is made around the waist. implant. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. 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 key to success for this procedure is to. 1 Excerpt; Save. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . The "sensuous triangle" is found at the junction of the lateral. In this way, it's similar to a general lower body lift. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. The medial part of the infragluteal fold is formed by a fat pad that covers the inferior medial border of the gluteus maximus muscle. If ou still has residual excess skin and fat on the lower buttock and. 45 This results in a ptotic butt if it is longer. Also evaluate the angle of the infragluteal fold. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. 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. Which of these fibers provides. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3 rds of the posterior thigh, the infragluteal fold, as well as the lateral anal region, scrotum, and labia majora through its inferior cluneal and pudendal nerve branches. This is typically done under local anesthesia. There is a very specialized method to form infra gluteal crease, using lipo 360 with directed fat grafting under ultrasound guided injections as required in Florida, and specialized sub dermal lipo techniques with taping to form infra gluteal crease. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. PDF. Indeed once this area is damaged, typically by liposuction, it is tricky to fully repair and re-create the normal infragluteal fold again. 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. Complete 10 to 15 reps. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. This study reevaluated the fold both histologically and anatomically. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. 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. It is divided into an inner, a central, and an outer zone. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. A direct excision was performed under general anesthesia. 6. The infragluteal fold was marked as the lower limit to ensure preservation of the structure and thus avoid ptosis of the gluteal mass and implant displacement. D. 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. 35. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. This is a horizontal crease under the ischial tuberosity. 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. Volume in this area is restored with careful fat. 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 judged the outcome as very good. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. 5 cm, 3-month follow-up). The infragluteal sulcus is created right below. Dr. fold [fōld] plica; a thin margin curved back on itself, or doubling. Closure of the implant pocket should be tension-free. Grade III ptosis has the most skin and volume below the fold, with significant skin laxity and a more angular infragluteal fold. PDF. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Infragluteal fold excision can be performed either before or after implantation (Fig. 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. 44 The infragluteal fold is an important indicator of gluteal aesthetics. The infragluteal fold length and definition play important roles in esthetically. Sorry for your problem. 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. This crease does not reflect the lower margin of the gluteus major muscle, but. 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. 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 dissection and volume this flap provides are similar to that of the SGAP flap. New flank tapered feminine depressed contours are limited by high and narrow pelvic rims, which help define high hipsHide glossary Glossary. 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. Methods: Six volunteers (three males and. 4). A new technique for correction of a buttock ptosis resulting from a degloving injury is presented. 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. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. The flaps are undermined by only one cm. Dr. The power of this technique is granted through the lengthened anteroposterior scar and. Gluteal fat injection mortality is approximately 1/3000 patients. deformity and a pleasing buttock contour. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. The infragluteal fold, which The concept of the ideal shape for the gluteal region has attaches to both the ischium and the sacrum in a continuous changed over time and over cultures and still is evolving. 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 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, which is one of the main determinants for gluteal attractiveness, is located in this unit . B, D, F, Postoperative views after treatment with subfascial placement of silicone elastomer implants, which increased projection, shortened the infragluteal fold, and restored volume to. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. Fee $6,000+ Best to virtual consult with. lateral to the mucocutaneous junction. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. Lower body lift procedures remove excess skin and lift sagging buttock tissue. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. Indianapolis, Indiana. The procedure would take approximately 4 hours to complete. 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. 1 Anatomy of the gluteus maximus muscle and deeper structure. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 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. The fat is injected as the. Excess tissue was removed, and wound closure was performed in multiple layers. 2. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Subscribe Now:More:exercise to define. Superiorly it is formed by the lower border of the gluteus maximus. com The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 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. It has been noted in multiple. S3 provides innervation to the infragluteal fold . The anatomical study. The average width of the skin excision was 8 cm and the average length was 25 cm. Abstract. The abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. 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 . All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 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. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. Indianapolis, Indiana. 2, 3, 4. Answer: Double fold. 6+/-0. 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. 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. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. Time and important weight variation. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. Infragluteal fold. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. 10 The Mendieta and Sood classification is demonstrated in Fig. The hyperechoic BFL tendon might be a reliable soft tissue landmark for ultrasound localization of the infragluteal sciatic nerve. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. 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. 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 . 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. 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. Surgery was performed in the jackknife position, and flaps were elevated in the suprafascial plane. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. The thigh circumference measured at 3 predefined levels decreased on average by 2. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. The fat graft is placed in the upper medial side for projection. Note anterior abdominal wall. Concomitant fat transplantation to the infragluteal/posterior thigh junction region during circumferential liposuction of the thigh is effective in preventing postliposuction gluteal ptosis and improving patient satisfaction. T3 provides innervation to the midclavicular line . 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 3). It is one o…THE IGF. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. Ini-tially, a deep plane is created by the 3-mm cannula. Tissue samples (6 cm long x 2 mm thick) were taken. The patient has difficulty arising from a sitting position or climbing steps. We report a case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity. 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. The infragluteal fold is like a horizontal line. ResultsThe infragluteal fold is a connectival fibrous band. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. &NA; Use of a local flap is often needed for closure of a defect in the. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. The infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. 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. PAP flap breast reconstruction leads to improved aesthetic proportions of the proximal thigh and buttock, ideal for patients with ptotic tissue of the inferior buttocks and medial thigh, a poorly defined infragluteal fold, and inadequate anterior-posterior buttock projection. A photograph or two of the area would be extremely helpful in determining what the problem may be and thus the solution, if any. 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. Tissue samples (6 cm long × 2 mm thick) were taken at three. Tissue samples (6 cm long x 2 mm thick) were taken. On the upper area, markings are shown for the gluteus. 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. Ranch & Coast founder, Dr. Cárdenas The infragluteal fold is one of the major concerns in reshaping of the gluteal region. It arises in the median gluteal crease and follows a. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. 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. 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. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The flap was composed of subcutaneous tissue, and dermis if desired, and was extended laterally to the length needed to approximately reach the infragluteal fold, and then rotated. 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 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. Higher IGF (infragluteal fold) results in a shorter buttock preferred by Asian Americans 123 Aesth. 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. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. Lower buttock sag is occurs when the superior skin and fat ‘fall’over the fixed infragluteal fold. the infragluteal fold. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. Results were maintained at 6 months. The posterior knee-fold incisions can be closed or left open for. The FCI flap is a good choice for. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. 2). Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. We developed a practical and safe pedicled flap for reconstruction of ischial pressure sores based on the rich available perforators from the internal pudendal artery and the surplus of skin at the. The appropriately selected gluteal implant is folded in half. 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. 3. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. After 1 year, she under- gluteal fascia. The “sensuous triangle” is found at the junction. The posterior thigh is the area least requested for liposuction with the exception of the proximal infragluteal fold or so-called “banana fold. Notice in the center photograph that a fuller. But so doing it may also make your buttocks look a little less full because its roundness is decreased. 2, 3, 4. A more objective, faster and shorter version of this scale, to be evaluated. The "sensuous triangle" is found at the junction of the lateral. Save. Infragluteal fold. A banana fold may form for different reasons, among which an. Chasan, partook in a study examining the results of the infragluteal thigh lift. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. The power of this technique is granted through the lengthened anteroposterior. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Liposhifting is a technique which free. 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. Download : Download full-size image; Figure 6. 51. Thus, you may want to consider restoring volume to your buttock and. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. ResultsThe infragluteal fold is a connectival fibrous band. 11 The safest place to inject HA in the gluteal region is the subcu-Infragluteal fold created by the ischial tuberosity, the insertions of the semiten-dinous muscle and long belly of the biceps femoris, and the lower border of the gluteus maximus. 3 Excerpts; Save. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 2010. 1. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and cadavers, respectively). 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 []. Procedure. PDF. Patients with a long buttock may. The infragluteal fold has been reconstructed, leading to an aesthetic appearance of the gluteal region soft tissue (skin and fat) will often lead to disappointing biceps femoris laterally since this is the natural ending of results, including wide scarring, recurrence of ptosis, and the fold [2]. Both adipofascial flaps were rotated downward for inset in the pockets created in the buttocks. 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. 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. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. The Buttock Lift with Hyaluronic Acid and Threads. circular f's the permanent. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. A. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body.