Tissue samples (6 cm long x 2 mm thick) were taken. fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. My recommendation would be getting better contour on the left before addressing the right. It has been noted in multiple studies that patients can experience persistent PFCN. Chasan, partook in a study examining the results of the infragluteal thigh lift. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. The superior border is formed by the lower border of the gluteus maximus. After 1 year, she under- gluteal fascia. It has been noted in multiple. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. Lockwood cautioned against extending the thigh lift scar into the infragluteal fold and suggested limiting skin resection to 5 to 7 cm. I hope this helps. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 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. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. 20. Also evaluate the angle of the infragluteal fold. 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 ]. Common Butt Lift Factorslaterally, resulting in a long infragluteal fold. 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 final result should be to attain a waist-to-hip ratio (WHR) close to 0. 3) The length of the lower buttock lift excision should ideally not go beyond the. 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 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. infragluteal fold [2–4]. With this technique, the deepithelialized crescent-likeThe infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. 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. 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. This crease does not reflect the lower margin of the gluteus major muscle, but. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . A disadvantage is that the lower floor of the buttocks often remains ‘emptied’, while good vascularization can be cited as an advantage. This is not a good benefits vs risk proposition. The dissection and volume this flap provides are similar to that of the SGAP flap. However, there is no clear anatomical description of the infragluteal fold,. 5 T) of the pelvic region. 1 Anatomy of the gluteus maximus muscle and deeper structure. D. implant. (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. dermal flap will be performed for lifting the ptotic buttocks with ill-defined infragluteal fold. Weight gain following thighplasty may negatively affect your surgery results. A minor surgery: These are usually treated with a minor surgery, where the cyst, and it's entire lining, is removed. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. 3. C3 provides innervation to the supraclavicular fossa . 15. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. Liposhifting is a technique that. This study reevaluated the fold both histologically and anatomically. The thigh circumference measured at 3 predefined levels decreased on average by 2. Open in a separate window. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. Answer: Double fold. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. It is divided into an inner, a central, and an outer zone. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. Before the Implantation. Complete 10 to 15 reps. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. One can not liposuction between the two and create a single infragluteal crease. An injury specifically to the inferior gluteal nerve, which supplies the gluteus maximus muscle, results in weak extension of the hip. Many of the early proponents of the procedure were not open to discussing complications. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . 1. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. 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. 39. Destruction of this. V-shaped sacral triangle . excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. 1. The infragluteal crease [23] is found in several terms such as the gluteal crease, the infragluteal fold [24], the infragluteal sulcus [24], the horizontal gluteal fold [4], the gluteal fold [4. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. 3 An aged buttock region is marked. 2 Patient Selection. The "sensuous triangle" is found at the junction of the lateral. Plan on a 2-3 week recovery. Eppley, MD, DMDIn some instances, insertion of a buttock implant with a subsequent infragluteal-fold skin excision can be beneficial. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. Plastic Surgery 35 years experience. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. This study reevaluated the fold both histologically and anatomically. PDF. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. Severe infragluteal fold. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. 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. 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 inferiorly oriented form of the muscle may be visible in males, but in. The infragluteal fold is like a horizontal line. This fold is the horizontal crease under the ischial tuberosity. Limited inferiorly by infragluteal fold. 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. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Red line. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 8): Fig. 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. 2010. The infragluteal fold is a fixed and well-defined structure that serves as the inferior border of the buttock proper and is formed by subcutaneous fat and thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin . Selective fat reduction centrally and laterally. It is critical to appropriately and systematically analyze the complex regional anatomy. 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. 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。. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. Ranch & Coast founder, Dr. ResultsThe infragluteal fold is a connectival fibrous band. In my humble opinion you need nothing surgical. On the left gluteal region, markings are shown for the muscle-fiber orientation for the gluteus maximus muscle. Therefore, in each case, the high points of the buttocks are relatively light while infragluteal fold and V-shaped crease areas are relatively dark. A direct excision was performed under general anesthesia. The key to success for this procedure is to. 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. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. 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. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. The appropriately selected gluteal implant is folded in half. 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. Does it have a downward 45º angle, run horizontally, or have an inverted upward. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. Expand. The "sensuous triangle" is found at the junction of the lateral. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. The midpoints of the infragluteal sulci were marked, and then the right and left infragluteal sulci were bilaterally excised en bloc, from the ischium to the most lateral part of the gluteal-thigh junction, with 3 cm of tissue taken from the inferior and superior parts of the infragluteal fold by an elliptic incision including the skin. The surgical anatomy of the subcutaneous screen on the gluteal region has. 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. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. 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. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The descending branches of the inferior gluteal vessels and its accompanying nerve enter the subcutaneous tissue of the gluteal thigh flap distal. Save. 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. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. The treatment should not focus on the central and lower. Plan on a 2-3 week recovery. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. But so doing it may also make your buttocks look a little less full because its roundness is decreased. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. There are few. implant. The FCI flap is a good choice for. 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. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. 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. D2 and D3 are located in the posterior portion. The inner thigh can be reached by the lower pubic incisions with the patient supine and by the infragluteal crease incisions for posterior access with the patient prone. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. Infragluteal fold. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. The medial part of the infragluteal fold is formed by a fat pad that covers the inferior medial border of the gluteus maximus muscle. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. Gluteal fat injection mortality is approximately 1/3000 patients. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). A direct excision was performed under general anesthesia. 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. 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. 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 infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . Results Our. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . 44 The infragluteal fold is an important indicator of gluteal. Infragluteal fold. The average width of the skin excision was 8 cm and the average length was 25 cm. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. 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. and African Americans. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. L3 provides innervation to the medial femoral condyle . Five fixed cadavers were used. 5). Reply: Staying Safe during Gluteal Fat Transplantation. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. Limits implant movement. 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. 10 The Mendieta and Sood classification is demonstrated in Fig. 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. 22), liposuction of the inner thigh and infragluteal area may be indicated. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. Detailed Procedure Information. The need for liposuction of the lower back or hips is considered. Tissue samples (6 cm long x 2 mm thick) were taken. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. 34 Ramanadham and Rohrich 35 showed that, in the face, volume is lost and the tissues sag down toward the central line as we age, producing jowls and marionette lines, which are signs of an aging face. Open in new tab Download slide. A V-shaped proximal gluteal crease was accentuated by the. Via its numerous collateral branches, the posterior femoral cutaneous nerve innervates a very extensive territory including the posterior surface of the thigh, the infragluteal fold, the skin over the ischial tuberosity, and also the lateral anal region, scrotum or labium majus []. 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. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. Lower buttock sag is occurs when the superior skin and fat ‘fall’over the fixed infragluteal fold. 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]. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. Patient with skin laxity of the gluteal area must be carefully advised that little change of this problem will be achieved, especially at the level of infragluteal fold. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. New flank tapered feminine depressed contours are limited by high and narrow pelvic rims, which help define high hipsHide glossary Glossary. The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. On the other hand, some slight to moderate redundant infragluteal creases might be candidates for simple surgical repair. The flap should be fixed as low as possible to the muscle fascia. 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. No adverse events were recorded. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. Background. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. Grade II: The infragluteal fold is angulated downward, flattening at the lower 1/3 of buttock. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. It has been noted in multiple. Five fixed cadavers. Fig. The infragluteal fold is a connectival fibrous band extending from the ramus of the ischium (but not involving the ischial tuberosity, for a length of 21 mm ± 2 and 21 mm ± 3), the 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. Five fixed cadavers were used. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 51. 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. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3rds of the posterior thigh, the infragluteal fold, as. The infragluteal fold (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. 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. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. adjective. 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. 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]. 1007/s00266-004-0133-2 Abstract The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and. Background: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. from the bone to the skin. Infragluteal fold excision can be performed either before or after implantation . A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. In type 1 buttock ptosis the infragluteal Read More…Background: The shape of the buttocks can take on many different forms. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. 24 The ideal direction of the infragluteal fold from medial to lateral is downward sloping. The lower buttock is the most difficult area to address. It is one o…THE IGF. The way to correct this is to directly cut out that area but you will have to be wiling to accept a scar inside the new crease. A long, deflated. . 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 infragluteal fold is one of the major concerns in reshaping of the gluteal region. Transversal slice passing through bony structures. 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. 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. This is often tried but never. 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. buttock, infragluteal fold, or hips often produces sub-optimal aesthetic results. Infragluteal fold created by the ischial tuberosity, the insertions of the semitendinous muscle and long belly of the biceps femoris, and the lower border of the gluteus maximus. T1. The main difference with our technique is the design. 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. Good luck. 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. 2, 3, 4. Also, evaluate the angle of the infragluteal fold. Case presentation: We report. 9. 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. 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. Keep your arms straight as you lift the weight with your hips and glutes. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. Esthetic results can be individualized to patient’s wishes/expectations: by flap design (shape, width, length, thickness), by pocket dissection (shape, width, depth), and by flap fixation (sutures, infragluteal fold reconstruction). The authors present a simple and effective technique for reconstruction of the gluteal fold by a deepithelialized skin flap that is applicable for patients who have lost their naturalgluteal sulcus, with a resultant altered buttock shape, after trauma or other causes. The infragluteal fold region is the lower edge of the buttocks. MWL patients usually present with this negative angle and might need lifting procedures with or without skin resection at the infragluteal. Infragluteal fold. In either case, a lower buttock lift or tuck is done to remove the overhanging tissues and recreate a fixed infragluteal fold position. Flap reconstruction is efficient in severe cases of infragluteal fold deformity (5), but the low patient acceptance of the subsequent scars limits its application. For a negative upward slant (see Fig. Great posted photos. 1. This patient underwent a two-liter tumescent liposculpture procedure and is now six months post-op. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Barry Eppley. ResultsThe infragluteal fold is a connectival fibrous band. Results The mean operating time was 210 min, and the volume resected ranged from 550 to 640 g in each of the gluteal areas. Hello and thank you for your question. The cannula should have one orifice and be thick (4 or 5 mm), long (32 cm), and directed to the IGF and beyond. Answer: Double gluteal fold. Methods: Six volunteers (three males and three females) underwent an MRI scan (Siemens Aera® 1. The APEX thighlift takes advantage of the hidden scar described in earlier techniques, using an incision along the medial thigh inguinal crease (or inside that if thinning of a widened pubis is desired) that extends posteriorly into the infragluteal fold . 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. This horizontal crease is under the ischial tuberosity. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. 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 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. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. 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. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. 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. Five fixed. After the fat graft, thread lifting is performed considering the vector. 9 and 10. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. If ou still has residual excess skin and fat on the lower buttock and. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. Ozmen S. This fold makes a usually Read More…Important dermatome & anatomical landmarks. This is a difficult area to fix. Perception of ideal buttocks varies across cultures. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Paraspinous muscles cannot be forgotten in the lower abdomen. 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 long axis of the flap was arranged in parallel with the infragluteal fold axis. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. All patients judged the outcome as very good. This causes movement of the infragluteal sulci in downward and lateral directions as well as lengthening of intergluteal sulcus. Note anterior abdominal wall. 5 and 6. Five fixed cadavers were used. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. 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. Expand. 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 buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. Search worldwide, life-sciences literature Search. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin. All patients judged the outcome as very good. Save. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. fold [fōld] plica; a thin margin curved back on itself, or doubling. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. The lateral part of the gluteus maximus muscle tapers between the long head of the biceps femoris and the vastus lateralis muscles. D. 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. Combining Gluteal Shaping with High-Definition Liposuction. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). com The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. A large redundant infragluteal crease probably cannot be repaired easily. Both flaps were fixed with interrupted 0-Vicryl. Dr. The patient has difficulty arising from a sitting position or climbing steps. The power of this technique is granted through the lengthened anteroposterior scar and. Other techniques are performed either. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. ResultsThe infragluteal fold is a connectival fibrous band. The radiation oncologist clinically outlined the areas. 3 cm, with the greatest change at the level of 10 cm below the infragluteal fold (-3. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. PDF. Fee $6,000+ Best to virtual consult with. A. Tissue samples (6 cm long × 2 mm thick) were taken at three. Most patients had a deep infragluteal fold. 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. 1). More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 3). 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. 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. What you are seeking is to have a uniform infragluteal crease on both sides. The "sensuous triangle" is found at the junction of the lateral. This study reevaluated the fold both histologically and anatomically. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. In the ideal buttock, the infragluteal fold should end. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Gluteal Deadlifts. 4). The procedure would take approximately 4 hours to complete. Liposhifting is a technique which free. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour.