It is based at the midline and extends laterally a distance dependent on the length needed to approach the infragluteal fold when transposed if limits on the width of the flap allow. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone level is performed. 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. 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. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. 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. Peter Fisher M. 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. A V-shaped proximal gluteal crease was accentuated by the. Detailed Procedure Information. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour . 51. 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。. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. 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, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. Peter Fisher M. deformity and a pleasing buttock contour. 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]. Saddlebags at the infragluteal fold level are replaced by tight flat skin. The Buttock Lift with Hyaluronic Acid and Threads. And placing such a graft always runs the risk of causing an infection. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 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. Infragluteal fold The creases on the plantar surface of the foot are not as Infragluteal sulcus complex or constant or so well marked as on the palmar Horizontal gluteal fold surface of the hand [1]. 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. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. 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. The therapy was found comfortable with a high satisfaction rate. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. Infragluteal fold. PDF. My recommendation would be getting better contour on the left before addressing the right. 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. T3 provides innervation to the midclavicular line . [1] The Vertical Technique This approach is performed vertically from above the IGF. 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. Download scientific diagram | Definitions of the lines drawn between reference points from publication: Gluteal Region Morphology: The Effect of the Weight Gain and Aging | The gluteal region is. The infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. springer. FIG. In my humble opinion you need nothing surgical. The long axis of the flap was arranged in parallel with the infragluteal fold axis. &NA; Use of a local flap is often needed for closure of a defect in the perineogenital area. (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. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. Tissue samples (6 cm long x 2 mm thick) were taken. 6 Innervation The sciatic nerve is the largest nerve in the human body, measuring around 2 cm in diameter in adults. The "sensuous triangle" is found at the junction of the lateral. Furthermore, the infragluteal fold should form a diamond-shaped space with the inner thigh. In either case, a lower buttock lift or tuck is done to remove the overhanging tissues and recreate a fixed infragluteal fold position. Both flaps were fixed with interrupted 0-Vicryl. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. 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 aesthetic line of the infragluteal fold should generally be short, no longer than the. Chasan, partook in a study examining the results of the infragluteal thigh lift. In cases when full leg definition is wanted, two additional incisions can be placed in the posterior fold of the knee area: one medial and one lateral (Fig. 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. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. 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. 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 dissection and volume this flap provides are similar to that of the SGAP flap. 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. Methods: Six volunteers (three males and. Liposhifting is a technique that. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. 2, 3, 4. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. Five fixed. 臀下皱襞支撑性解剖学与美学研究进展. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . It is critical to appropriately and systematically analyze the complex regional anatomy. Answer: Double gluteal fold. The power of this technique is granted through the lengthened anteroposterior scar and. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). The power of this technique is granted through the lengthened anteroposterior. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. 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. 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 mid-buttock is also divided into a central and an outer zone which usually has a depression. This is not a good benefits vs risk proposition. What you are seeking is to have a uniform infragluteal crease on both sides. The skin flap was designed along the gluteal fold. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 6). Buttock ptosis or sag can also occur when the infragluteal fold attachments are lost or disrupted. Answer: Double fold. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. In the process of r. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. The key to success for this procedure is to. This study reevaluated the fold both histologically and anatomically. 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. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. In my humble opinion you need nothing surgical. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. Unit D has six subunits (D1–D6). The infragluteal fold length and definition play important roles in esthetically. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. The width of the flap and. 6. Also evaluate the angle of the infragluteal fold. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. Plan on a 2-3 week recovery. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 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. 15. This study reevaluated the fold both histologically and anatomically. The dissection for the pocket where the flap will be inserted has to stop 5 cm above the infragluteal fold to avoid injury of the medial cluneal and the cutaneous femoris posterior sensory nerve . The appropriately selected gluteal implant is folded in half. infragluteal fold is composed of fascial spicules extending . 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. 2). Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. 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. Case presentation: We report. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. 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. It can also be used to improve a double infragluteal fold, to correct infragluteal fold asymmetry, or to shorten a long buttock when combining it with an upper buttock lift. The 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 superior border is formed by the lower border of the gluteus maximus. Skin creases are features of major anatomical, morphological, surgical, and functional interest. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the apex of the sacrum (for a length of 13 ± 2 and 11 mm ± 2), and the coccyx (for a length of 19 mm ± 2 and 20 mm ± 2, all measures referring to volunteers and. The infragluteal fold is where the bottom of the buttock meets the upper thigh. The postoperative results depicted in the article demonstrate a successful. An angulated cannula can be used to easily enter the superficial space. The lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. Answer: Double gluteal fold. fashion, is an anatomic structure in its medial part and only a Despite this reality, the ideal gluteal shape has been crease laterally. Superiorly it is formed by the lower border of the gluteus maximus. Keep your arms straight as you lift the weight with your hips and glutes. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. 12. In type 1 buttock ptosis the infragluteal Read More…Background: The shape of the buttocks can take on many different forms. S2 S1 S3 S4/5. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Does it have adownward 45º angle, run horizontally, or havean inverted. 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. The flaps are undermined by only one cm. &NA; Use of a local flap is often needed for closure of a defect in the. Download scientific diagram | MRI sequence of the infragluteal fold with T1 VIBE MORPHO sequence (Thickness slice = 900. Grade III: The skin. A direct excision was performed under general anesthesia. However, one of its key-component, the infragluteal fold, has not yet been clearly defined. Read more. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Intergluteal crack height is unchanged. 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. This horizontal crease is under the ischial tuberosity. Grade 3 (borderline pre-ptosis): the fold is over the M line, but still there is no ptotic tissue at the M line. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. 3. The recovery time is at least two weeks but may be longer depending on your specific surgery. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. 4). 23. V-shaped sacral triangle . The fat graft is placed in the upper medial side for projection. The lower buttock is the most difficult area to address. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. Two supragluteal fossettes (or dimples) on either side of the medial sacral crest which correspond to the posterior superior iliac spines. The length and definition of the infragluteal fold play important roles in aesthetically. 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 structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 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. 9. 1 Anatomy of the gluteus maximus muscle and deeper structure. 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 gluteal region in patients with massive weight loss after. 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. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. The inferiorly oriented form of the muscle may be visible in males, but in. 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. Tissue samples (6 cm long x 2 mm thick) were taken. Excess tissue was removed, and wound closure was performed in multiple layers. 45 This results in a ptotic butt if it is longer. This study reevaluated the fold both histologically and anatomically. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. 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. Infragluteal fold reconstruction is fracture was diagnosed, and she underwent surgery achieved by reconstruction of the buttock’s sustaining ap- for posterior instrumentation to stabilize the fracture parel through deepithelialized skin flaps anchored to deep in orthopaedic department. The patient’s position is prone or lateral decubitus. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. The posterior thigh is the area least requested for liposuction with the exception of the proximal infragluteal fold or so-called “banana fold. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. The “sensuous triangle” is found at the junction. Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). It arises in the median gluteal crease and follows a. 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. Abstract. 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. Short gluteal fold. Save. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. This fold’s length and shape has a pre-eminent role in gluteal aesthetics: a long fold indicates a ptotic buttock, whereas a short one suggests a young. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. 39. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. 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. infragluteal fold [2–4]. Lower body lift procedures remove excess skin and lift sagging buttock tissue. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. Purpose The apparent failure of pudendal nerve surgery in some patients has led us to suggest the possibility of entrapment of other adjacent nerve structures, leading to the concept of inferior cluneal neuralgia. The use of a deepithelialized. Save. Expand. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Search worldwide, life-sciences literature Search. from the bone to the skin. 35. 23. 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. Outer/Lateral Thigh Lift. 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. A. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. 3. The infragluteal fold consists of the inferior border of the gluteal region and is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin [3]. The only way to create a sharper erase/line at the underside of the buttocks is an excisional tuck, making the existing infragluteal fold deeper. Dr. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. 7) . 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. . 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. Medicine. The invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. Combining Gluteal Shaping with High-Definition Liposuction. Both volume and projection of the buttocks may be improved. I hope this helps. The average width of the skin excision was 8 cm and the average length was 25 cm. This crease does not reflect the lower margin of the gluteus major muscle, but. For this we have applied. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. The power of this technique is granted through the lengthened anteroposterior scar and. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. It has been noted in multiple. intragluteal injection. This fold’s length and shape has a pre-eminent role in gluteal aesthetics: a long fold indicates a ptotic buttock, whereas a short one suggests a young. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. The infragluteal fold is like a horizontal line. Grade 6 (severe ptosis): the gluteal tissue passes over the infragluteal fold at the M line; the angle of the skin fold at infragluteal fold is more than 30 Aesth Plast Surg (2018) 42:1050–1058 1051 1231) Liposuction of the buttocks, either in totality or just at the banana roll area, will result in some degree of tissue overhang at the infragluteal fold. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 6. 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. 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. 6+/-0. The "sensuous triangle" is found at the junction of the lateral. In this way, it's similar to a general lower body lift. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. 1. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. FIG. Each buttock section has its own distinct shape. 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. 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. It has been noted in multiple. 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. Time and important weight variation. PDF. circular f's. Surgery was performed in the jackknife position, and flaps were elevated in the suprafascial plane. 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 []. 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. 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 . In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. Hello and thank you for your question. 6. (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. 95, 4. Destruction of this. I hope this helps. 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. . The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. This 5 cm gap between the caudal edge of the flap and the infragluteal fold can appear empty. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. Save. 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. 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 "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the vaginal introitus in 6 patients, to reconstruct the labia majora in 5, and to close a rectovaginal fistula in 4, survived without signs of impaired circulation. The 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. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). Limited inferiorly by infragluteal fold. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Once the fat has infiltrated, any PAL device can be used to equalize (distribute) the infiltrated fat (Images 15. 5 cm, 3-month follow-up). 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour ( 5 ). The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. The cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. Indianapolis, Indiana. A banana fold may form for different reasons, among which an. Also known as the Dimples of. Reply: Staying Safe during Gluteal Fat Transplantation. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 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. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. Infragluteal fold. 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. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock. Superiorly, it is formed by the lower border of the gluteus maximus. C2 – At least one cm lateral to the occipital protuberance at. 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. Helpful Barry L. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. 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. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Thomas Fiala answered. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. implant. 9 and 10. This causes movement of the infragluteal sulci in downward and lateral directions as well as lengthening of intergluteal sulcus. Subscribe Now:More:exercise to define. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Urinary and bowel. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. The "sensuous triangle" is found at the junction of the lateral. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. Results: After treatment, there was an average reduction of 4. 15. Hello and thank you for your question. Other techniques are performed either. 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. 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.