D. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. 9. T1. 4. What separates the lower buttocks from the other two sections is the infragluteal fold. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. Her operative photo shows a disproportionally increased amount of fat distributed along the lower third of her body, giving her a wide appearance. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. 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. 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. During this type of thigh lift, an incision is made around the waist. It has been noted in multiple. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. 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. 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. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Higher IGF (infragluteal fold) results in a shorter buttock preferred by Asian Americans 123 Aesth. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. 1). In my humble opinion you need nothing surgical. 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. She underwent liposculpture using the tumescent technique with infiltrated fluid, sodium chloride, epinephrine and Lidocaine in the. The area between the iliac crest and the infragluteal fold was divided into 3 equal parts, with the upper third left undisturbed, the middle third marked for placement of the implant. The recovery time is at least two weeks but may be longer depending on your specific surgery. 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. It is divided into an inner, a central, and an outer zone. 2. 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. On the upper area, markings are shown for the gluteus medius muscle. Gozil R. 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. 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. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. The therapy was found comfortable with a high satisfaction rate. 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. 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. 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 ( Fig. A. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 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. A fusiform excision located in the posteromedial portion of the infragluteal fold is least likely to produce a visible scar (Figure 36-13). adjective. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. Five fixed cadavers were used. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone. 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. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. 20. 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 . 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. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. It arises in the median gluteal crease and follows. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. Closure of the implant pocket should be tension-free. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. Ranch & Coast founder, Dr. 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. This procedure recreates the fold on the bottom part of the butt, known as the infragluteal fold, creating a more defined separation between the butt and the thigh. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. 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 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. 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 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. 6 Those patients with some buttock volume and skin falling slightly below the infragluteal fold are described as having Grade I ptosis. We define unaesthetic buttock ptosis as sagging. 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 flap width was designed to match the broadest width of the defect, which was assessed from the inner. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 5,8 A. . Save. 44 The infragluteal fold is an important indicator of gluteal. On the upper area, markings are shown for the gluteus. Expand. Five fixed cadavers were used. Grade 3 (borderline pre-ptosis): the fold is over the M line, but still there is no ptotic tissue at the M line. Tissue samples (6 cm long 9 2 mm thick) were taken at three points from each fold bloc: the most medial point, the middle. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. 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. It is designed over the inferior portion of the buttock, with the resulting scar located just above the infragluteal fold. 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 . Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. [1] The Vertical Technique This approach is performed vertically from above the IGF. D1 has a posterior and a posteromedial surface. A banana fold may form for different reasons, among which an. 39. The anatomical study. Both adipofascial flaps were rotated downward for inset in the pockets created in the buttocks. The infragluteal fold is where the bottom of the buttock meets the upper thigh. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 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 . Five fixed cadavers were used. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. This fold makes a usually Read More…Important dermatome & anatomical landmarks. 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. Does it have a downward 45° angle, run horizontally, or have an inverted. 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. Infragluteal fold excision can be performed either before or after implantation (Fig. By utilizing an FCI flap for the reconstruction of a contour deformity in the region, the gluteal sulcus can be sufficiently reconstructed, and a pleasing buttock. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. The patient has difficulty arising from a sitting position or climbing steps. In either case, a lower buttock lift or tuck is done to remove the overhanging tissues and recreate a fixed infragluteal fold position. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip joint and overlying fat and is not formed by the lower border of the gluteus maximus muscle, which crosses the fold obliquely. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. Grade II ptosis includes moderate skin and volume below the fold, with a more angular infragluteal fold moving inferomedially from the lateral thigh. PDF. 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. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. Answer: Double gluteal fold. The infragluteal fold, which is one of the main determinants for gluteal attractiveness, is located in this unit . The surgical anatomy of the subcutaneous screen on the gluteal region has. Tissue. In my humble opinion you need nothing surgical. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold . 45 This results in a ptotic butt if it is longer. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). An outer thigh lift removes skin and fat from the outside of 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 thigh circumference measured at 3 predefined levels decreased on average by 2. 6+/-0. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. Both volume and projection of the buttocks may be improved. intragluteal injection. A: Thank you for your inquiry and sending your picture. unsatisfactory. Ini-tially, a deep plane is created by the 3-mm cannula. 23. Popularity of injectable fillers. 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 . The entry point for fat injection is near the infragluteal fold and around the sacral triangle, which is the same as that for thread insertion. (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. &NA; Use of a local flap is often needed for closure of a defect in the. The key to success for this procedure is to. 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. Purpose The gluteal region is a key element of beauty balance and sexual appearance. 5). fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. Both flaps were fixed with interrupted 0-Vicryl. This is not a good benefits vs risk proposition. 15. 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]. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. Short gluteal fold. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. 22), liposuction of the inner thigh and infragluteal area may be indicated. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive liposuction. Before the Implantation. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. It is critical to appropriately and systematically analyze the complex regional anatomy. 5 cm, 3-month follow-up). Indianapolis, Indiana. Methods: Six volunteers (three males and. Manipulation using a ball-spiked pusher under. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. It is critical to appropriately and systematically analyze the complex regional anatomy. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. 8): Fig. 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 ]. 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 superior border is formed by the lower border of the gluteus maximus. 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. S3 provides innervation to the infragluteal fold . Barry Eppley. 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. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. Peter Fisher M. 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. This would go from the outer buttock fold and into the groin and possibly communicate with your prior thigh lift. S3 Over the ischial tuberosity or infragluteal fold (depending on the patient their skin can move up, down or laterally over the ischii). Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. The implant was inserted through an infragluteal fold incision. Answer: Lower butt lift. The fat graft is placed in the upper medial side for projection. (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. circular f's the permanent. Good luck. Dr. 3. This is not a good benefits vs risk proposition. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Selective fat reduction centrally and laterally. This study reevaluated the fold both histologically and anatomically. This is a horizontal crease under the ischial tuberosity. Thomas Fiala answered. Lower buttock sag is occurs when the superior skin and fat ‘fall’over the fixed infragluteal fold. 9 and 10. The FCI flap is a good choice for. The width of the flap and. The average width of the skin excision was 8 cm and the average length was 25 cm. 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. This is a difficult area to fix. 1 Anatomy of the gluteus maximus muscle and deeper structure. Patients with skin laxity and infragluteal fold ptosis may require a buttock lift or direct fold excision in order to obtain an acceptable result. 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 power of this technique is granted through the lengthened anteroposterior. Here, it continues to the midline of the thigh (halfway between the greater trochanter and the ischial tuberosity). aryepiglottic fold a fold of mucous membrane extending on each side between the lateral border of the epiglottis and the summit of the arytenoid cartilage. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. Superiorly, it is formed by the lower border of the gluteus maximus. Infragluteal fold excision can be performed either before or after implantation . The dissection and volume this flap provides are similar to that of the SGAP flap. The infragluteal area may be slightly improved after buttock augmentation resulting in less of a requirement for skin resection. A new surgical treatment method using a gluteal-fold flap (GFF) for anal stricture after total ISR is developed and it is believed that GFF transfer is an excellent option for treating anorectal strictures after totalISR. Medicine. The gluteal region in patients with massive weight loss after. ” In contrast to the rest of the posterior thigh, this fatty roll is a rather common problem (see Fig. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. The aesthetic line of the infragluteal fold should generally be short, no longer than the. Time and important weight variation consid-erably affect this region combined with the gravity’s effect. Tissue samples (6 cm long x 2 mm thick) were taken. 95, 4. Open in new tab Download slide. Also, evaluate the angle of the infragluteal fold. The "sensuous triangle" is found at the junction of the lateral. The length and definition of the infragluteal fold play important roles in aesthetically. The procedure would take approximately 4 hours to complete. New flank tapered feminine depressed contours are limited by high and narrow pelvic rims, which help define high hipsHide glossary Glossary. The original buttock lift dates back many decades before BBL surgery became popular and refers to a direct excision at the lower buttocks. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. The "sensuous triangle" is found at the junction of the lateral. Chasan, partook in a study examining the results of the infragluteal thigh lift. 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. S4/5 In the perianal area, less than one cm. com The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 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. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. The “sensuous triangle” is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. Answer: Double gluteal fold. 51. The inclusion criteria was ptosis of the lower pole of buttocks. Plan on a 2-3 week recovery. This can include excess weight that has accumulated in the waist and buttock area. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The muffin bottom can be sculpted using the tumescent technique under either IV sedation or general anesthesia. Gluteal fat injection mortality is approximately 1/3000 patients. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. The diamond-shaped space turns into a straight line, which is less aesthetically appealing. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. Then other planes are created using the same cannula in different trajectories, always from the deeper aspect to the more superficial plane. The Infragluteal Thigh Lift Technique. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. But so doing it may also make your buttocks look a little less full because its roundness is decreased. 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. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). The author tried not to trespass the thigh midline with the incision along the infragluteal fold. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. L3 provides innervation to the medial femoral condyle . 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]. The infragluteal fold is like a horizontal line. The posterior femoral cutaneous nerve (PFCN) is an extensive nerve with numerous collateral branches which provide cutaneous innervation to 2/3rds of the posterior thigh, the infragluteal fold, as well as the lateral anal region, scrotum, and labia majora through its inferior cluneal and pudendal nerve branches. The infragluteal fold is among the major characteristics of the gluteal region. the market share of other surgical as well as non-surgical body contouring approaches. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh skin and fat. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. 12. A, C, E, Preoperative views of a 50-year-old woman who complained of decreased gluteal projection and buttock ptosis after suction-assisted lipoplasty. loss of the infragluteal fold [7]. Infragluteal fold. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. 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 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. To our knowledge, only two variations to the classic chevron technique have been described in an attempt to improve buttock contouring following GSCT excision. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. The buttock skin and subcutaneous tissue were advanced superiorly and rotated medially to tighten the buttocks, lateral thigh, and posterior thigh. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . 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. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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,. Most patients in the study had a deep infragluteal fold (the fold at the bottom of the buttocks), which is the exact issue this procedure will address. The power of this technique is granted through the lengthened anteroposterior scar and. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. excess skin just above the umbilicus, a redundant infragluteal fold and lack of gluteal projection. You have a beautiful result after the fat grafting and the “tuck” of the infragluteal fold may be messed up forever, doing direct incision. Fig. The power of this technique is granted through the lengthened anteroposterior scar and. Liposhifting is a technique which free. 44 The infragluteal fold is an important indicator of gluteal aesthetics. The infragluteal folds and perineal region were treated with the patient in a prone jackknife position. 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 banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. The infragluteal fold 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]. 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 . Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. 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. The mid-buttock is also divided into a central and an outer zone which usually has a depression. 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. Plastic Surgery 35 years experience. ResultsThe infragluteal fold is a connectival fibrous band. Study record managers: refer to the Data Element Definitions if submitting registration or results information. 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. 39. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. A flap involving the whole gluteal area was dissected superficially to the gluteal fascia. Note anterior abdominal wall. Ozmen S. In this way, it's similar to a general lower body lift. 3 An aged buttock region is marked. Patients with a long buttock may. PDF. 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 banana fold and the sensuous triangle is gained through the one incision on each side of 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. Fig. 22), consider infragluteal, as well as inner thigh liposuction, and possible resection of infragluteal fold skin excess . 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 average width of the skin excision was 8 cm and the average length was 25 cm. The treatment should not focus on the central and lower. 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 iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. implant. Abstract. For many years, it was thought that this area should be suctioned aggressively, and it was never taken into account that buttock support and projection depend on it. The “sensuous triangle” is found at the junction. 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 . An anatomical study demonstrated that the perineal branch of. 3 Excerpts; Save. 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. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Does it have adownward 45º angle, run horizontally, or havean inverted. infragluteal fold [2–4]. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. Final skin laxity classification results from the sum of each item grade multiplied. The surgical anatomy of the subcutaneous screen on the gluteal region has aroused the interest of plastic surgeons because of the increasing. The second incision is placed at the midpoint of the infragluteal fold. 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. 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. PDF. It arises in the median gluteal crease and follows. The procedure would take approximately 4 hours to complete. On the lateral view (Fig. Furthermore, the infragluteal fold should form a diamond-shaped space with the inner thigh. Grade III ptosis has the most skin and volume below the fold, with significant skin laxity and a more angular infragluteal fold. Thus, you may want to consider restoring volume to your buttock and. It is one o…THE IGF. Barry Eppley. 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. This study reevaluated the fold both histologically and anatomically. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. My recommendation would be getting better contour on the left before addressing the right. ExpandThese implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. 3) The length of the lower buttock lift excision should ideally not go beyond the. Paraspinous muscles cannot be forgotten in the lower abdomen. While buttock sagging is a general term it has different types as defined by the level of the infragluteal fold. The APEX thighlift takes advantage of the hidden scar described in earlier techniques, using an incision along the medial thigh inguinal crease (or inside that if thinning of a widened pubis is desired) that extends posteriorly into the infragluteal fold (Figure 4). The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. In the ideal buttock, the infragluteal fold should end. Search worldwide, life-sciences literature Search. Profunda perforator characteristics that were examined included the distance from the pubic tubercle to the infragluteal fold (IGF), the distance of the perforators from the IGF, distance posterior to the gracilis, the diameter of the perforator at fascial exit, and total number of perforators present. It is then carried inferiorly over the greater trochanter to the level of the gluteal fold. 15. 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. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. V-shaped sacral triangle . Download scientific diagram | MRI sequence of the infragluteal fold with T1 VIBE MORPHO sequence (Thickness slice = 900. 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. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. Infragluteal fold excision can be performed either before or after implantation (Fig.