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. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. The FCI flap is a good choice for. Severe infragluteal fold. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. This fold makes a usually Read More…Important dermatome & anatomical landmarks. With sagging of the muscle belly, the infragluteal fold is decreased or lost, and atrophy of the buttock is obvious with time. 7) . For this we have applied. The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. Expand. 5). Cadaveric dissection reveals that the IGF is a connective fibrous band extending from the ramus of the ischium, the apex of the sacrum, and the coccyx, to the. One can not liposuction between the two and create a single infragluteal crease. All patients judged the outcome as very good. The spelling of co-author Felipe De Bacco’s surname name was misspelled, and the same author’s affiliation information was incorrect. Tissue samples (6 cm long x 2 mm thick) were taken. The gluteal region in patients with massive weight loss after gastric bypass is characterized by. This can include excess weight that has accumulated in the waist and buttock area. But so doing it may also make your buttocks look a little less full because its roundness is decreased. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. The infragluteal fold- thigh junction (lower gluteal cleavage) also requires definition. 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. ResultsThe infragluteal fold is a connectival fibrous band. 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. 39. This is often tried but never. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. 1) A shapely buttocks, regardless of its size, has an infragluteal crease that separates the buttocks from the posterior thigh. During this type of thigh lift, an incision is made around the waist. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near 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. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. A direct excision was performed under general anesthesia. Clinical Presentation. (D) The patient is turned to the supine position, and the legs remain spread on extender bars that are well padded. The dissection and volume this flap provides are similar to that of the SGAP flap. Therefore, indications for buttocks lifts range from subtle aesthetic reasons to a major recontouring following bariatric surgery. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. The "sensuous triangle" is found at the junction of the lateral. Superiorly, it is formed by the lower border of the gluteus maximus. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. 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]. However, there is no clear anatomical description of the infragluteal fold,. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The superior tip of the intergluteal cleft. Background: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. Additionally, I agree that a lower buttock tuck with the results scar is probably not the best of options for you. The long axis of the flap was arranged in parallel with the infragluteal fold axis. It has been noted in multiple. fold [fōld] plica; a thin margin curved back on itself, or doubling. Furthermore, the infragluteal fold should form a diamond-shaped space with the inner thigh. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. 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. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. 2) The thin strips of skin and fat are worthless as grafts because of their very low volume. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. 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 []. Grade 3 (borderline pre-ptosis): the fold is over the M line, but still there is no ptotic tissue at the M line. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 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 banana fold and the sensuous triangle is gained through the one incision on each side of the infragluteal fold. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. 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 infragluteal fold should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. 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. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. 39. 45 This results in a ptotic butt if it is longer. Many of the early proponents of the procedure were not open to discussing complications. 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. The infragluteal fold became less evident, the but- buttock lift and augmentation with the dermal fat flap tock mass was elevated, and augmentation was achieved described was performed, resulting in correction of the with the maximum projection at midlevel of the gluteus. V-shaped sacral triangle . 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. In contrast, a shorter infragluteal fold contributes to a full, taught, and youthful buttock [Babuccu O. In the article “Vectorial Treatment of Infragluteal Fold,” published as e4750 on January 11,. The infragluteal fold region is the lower edge of the buttocks. 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 (red lines) may have a downward slope (ideal with a well-defined diamond zone), be horizontal, or have an upward slope. Infragluteal fold. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. The planned implication of the Sustaining Aparell may determine, through an observation of its structure, a flattening or a ptosis of the gluteal region, allowing a better understanding of the aesthetic of this region. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. 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 infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. 8 Zones in the inferior gluteal area: 1 lower internal ( light blue ), 2 lower external ( yellow ), 3 inner thigh ( purple ), 4 outer thigh ( red ). The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. 44 The infragluteal fold is an important indicator of gluteal aesthetics. It is our preference not to use this flap much because of the scar location and occasional sciatic nerve irritation due to swelling around. A banana fold may form for different reasons, among which an. This is a difficult area to fix. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. Although the gluteal shape is open to the effects of demographic factors such as ethnicity, feeding habits, and lifestyle, according to these findings, it might be advised that in the assessment of the gluteal region. The width of the flap and. 5 T) of the pelvic region. 4). This fold is the horizontal crease under the ischial tuberosity. Answer: Double 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 ]. Augmentation of the fold with fat would help you achieve a smoother transition between the butt. The thigh circumference measured at 3 predefined levels decreased on average by 2. Poorly placed incisions also detract from the gluteal aesthetic. A banana fold may form for different reasons, among which an. The length and definition of the infragluteal fold play important roles in aesthetically. 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. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. The author tried not to trespass the thigh midline with the incision along the infragluteal fold. Dear Anna, judging from the picture posted on the forum, you seem to have buttock ptosis with a deep infra gluteal fold. The anterior axillary fold is also included in this project in comparison with the inframammary, infragluteal, and inguinal creases. implant. 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. Results Our. These structures create the fixed, well-defined subgluteal sulcus [2]. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Key elements to be evaluated include the infragluteal crease, the gluteal fold and the outer thigh skin fold [28]. 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 flap length, determined from the distance between the perforator and the distal flap margin, was designed to be slightly longer than the defect itself. 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. 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. ” 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. 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. 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. Patients with an apparent and angular infragluteal fold with. The "sensuous triangle" is found at the junction of the lateral. and African Americans. There are few. 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. The skin flap was designed along the gluteal fold. 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. Transversal slice passing through bony structures. Five fixed. infragluteal fold [2–4]. The flaps are undermined by only one cm. This fold is the horizontal crease under the ischial tuberosity. com The infragluteal fold (IGF) is a crucial anatomic landmark representing one of the major concerns in gluteal reshaping in plastic surgery. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. Incisions with ports sutured in place on the superior intergluteal crease and over the mid inferior gluteal point bilaterally. Hope this helps!Artistic rendition of relevant anatomy of the infragluteal approach. It is divided into an inner, a central, and an outer zone. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. Right now you have a partial double fold, a higher medial partial crease and a lower complete crease. A large redundant infragluteal crease probably cannot be repaired easily. In either case, a lower buttock lift or tuck is done to remove the overhanging tissues and recreate a fixed infragluteal fold position. D. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body. Tissue samples (6 cm long × 2 mm thick) were taken at three. Five fixed cadavers were used. The power of this technique is granted through the lengthened anteroposterior scar and. 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. And placing such a graft always runs the risk of causing an infection. 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 is one of the major concerns in reshaping of the gluteal region. The inclusion criteria was ptosis of the lower pole of buttocks. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. 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. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. The lower buttock is the most difficult area to address. 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. 3), the buttock contour has a smooth C shape, without depression and ptosis. 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. 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. Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold. T3 provides innervation to the midclavicular line . 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 major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. Fig. The second incision is placed at the midpoint of the infragluteal fold. Case presentation: We report. The power of this technique is granted through the lengthened anteroposterior. Since its initiation, this technique has proven to be both clinically and cost-effective, with demonstratable benefits achieved with a lower. In the process of r. Plan on a 2-3 week recovery. Conclusion: The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region. The infragluteal fold was marked as the lower limit to ensure preservation of the structure and thus avoid ptosis of the gluteal mass and implant displacement. My recommendation would be getting better contour on the left before addressing the right. loss of the infragluteal fold [7]. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. from the bone to the skin. Supragluteal fossettes. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. Does it have a downward 45º angle, run horizontally, or have an inverted upward. [1] The Vertical Technique This approach is performed vertically from above the IGF. It has been noted in multiple. Also evaluate theangle of the infragluteal fold. The implant was inserted through an infragluteal fold incision. The ideal infragluteal cleft is none at all, but instead a smooth transition from buttocks to thigh. Superiorly it is formed by the lower border of the gluteus maximus. PDF. Concomitant fat transplantation to the infragluteal/posterior thigh junction region during circumferential liposuction of the thigh is effective in preventing postliposuction gluteal ptosis and improving patient satisfaction. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. 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. 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. Does it have adownward 45º angle, run horizontally, or havean inverted. 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 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. Gluteal fat injection mortality is approximately 1/3000 patients. 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 . The authors’ experience using autologous fat transplantation to treat tissue defects led them to use this technique for correcting iatrogenic forms of banana fold and sensuous triangle deformity. The 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 invasive nature of venography has led to the investigation of noninvasive imaging modalities for diagnosis of pelvic congestion syndrome. All patients judged the outcome as very good. Medicine. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. The retromuscolar technique is preferred by patients requesting a natural, sporty result. Dr. The technical details and surgical results of a pedicled skin flap raised in the infragluteal fold, used to widen the. All patients judged the outcome as very good. 23. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Unit D has six subunits (D1–D6). Time and important weight variation. 20 The inferior gluteal artery, supplying 2/3 of the muscle, enters from the inferior bor-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 inframammary crease 5 , 13 lies over the fifth to sixth ribs. Ranch & Coast founder, Dr. 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 ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. Most patients had a deep infragluteal fold. This horizontal crease is under the ischial tuberosity. Other techniques are performed either. 1. Five fixed. 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. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. 15. Shorter, less dimpled, and tight skinned buttocks are smoothly wider and better projecting at the mid-level. 2. Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient. Most patients had a deep infragluteal fold. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. 2) Excision of the infragluteal overhang is the definitive and assorted treatment of lower buttock ptosis. Indianapolis, Indiana. 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. I hope this helps. To our knowledge, only two variations to the classic chevron technique have been described in an attempt to improve buttock contouring following GSCT excision. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. . In my opinion, adding volume with an autologous fat transfer would be the best option in your case. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. In the present, precisely for this reason, it is believed that dissection should reach the level of the infragluteal fold. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. Great posted photos. This is not a good benefits vs risk proposition. Our technique allows for the. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. A long, deflated. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 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. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. Background. The mid-buttock is also divided into a central and an outer zone which usually has a depression. In this way, it's similar to a general lower body lift. 88 and 3 cm in the circumference of the abdomen, hips and thighs, respectively. Save. The infragluteal fold is one of the key elements that determines the gluteal contour and is recognized as an important characteristic of female beauty . Excess tissue was removed, and wound closure was performed in multiple layers. The flap width was designed to match the broadest width of the defect, which was assessed from the inner. The advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. Thus, buttock ptosis is simply gluteal tissue below the skin fold, or infragluteal crease. A. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). 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 []. The infragluteal crease is found in several terms such as the gluteal crease, the infragluteal fold , the infragluteal sulcus , the horizontal gluteal fold , the gluteal fold , the inferior buttock crease , the lower gluteal crease, and the inferior gluteal crease. 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. Tissue samples (6 cm long x 2 mm thick) were taken. 3). 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. These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. On the plantar surface of the foot, Gluteal fold we find the transverse lines and the longitudinal lines [1]. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. Keep your arms straight as you lift the weight with your hips and glutes. The “banana fold,” or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. thigh, IGD (infragluteal diamond), G (Gluteus) 123 246 Aesth Plast Surg (2023) 47:245–259. Tissue samples (6 cm long x 2 mm thick) were taken. 0+/-1. What separates the lower buttocks from the other two sections is the infragluteal fold. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. In the ideal buttock, the infragluteal fold should end. 4% of subjects reported increased muscle. 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. &NA; The ideal skin‐flap reconstruction provides functional preservation and a good cosmetic outcome in both the. The postoperative results depicted in the article demonstrate a successful. D2 and D3 are located in the posterior portion. 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, which is one of the main determinants for gluteal attractiveness, is located in this unit . 这个皱褶并不反映臀大肌的下缘，有肌肉表面与深筋膜的纤维性连接，起源于臀部内侧三分之一的真皮，以坚固的隔膜形式与臀筋膜交织在一. It arises in the median gluteal crease and follows a. A. This study reevaluated the fold both histologically and anatomically. It arises in the median gluteal crease and follows. 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. And placing such a graft always runs the risk of causing an infection. Save. 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. Expand. 6+/-0. Peter Fisher M. The structure of the infragluteal fold and the degree of ptosis are the main factors that determine the aesthetic appearance. CárdenasThe infragluteal fold is one of the major concerns in reshaping of the gluteal region. 00 µm). 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. 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. BackgroundGluteal ptosis may result from sagging of redundant skin and fat. The infragluteal fold is where the bottom of the buttock meets the upper thigh. The authors’ experience using. Undermining will not go beyond the infragluteal fold, so it is important to place the template 2 cm above the fold (Figure 6). The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. 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. Patients with a long buttock may. The infragluteal fold/thigh junction (lower gluteal cleavage) also requires definition. Preoperatively, the patient is examined and the buttock’s size and shape are evaluated. Le Louarn and Pascal’s incision was made horizontally along the inguinal fold without descending into the gluteal crease; they also treated the excess fat with liposuction and the skin laxity with serial resections. After 1 year, she under- gluteal fascia. 6. 5 and 15. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. 12. This was sculpted for a national television program recently. 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. 1. 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 . The infragluteal fold is among the major characteristics of the gluteal region. Point “C” is marked in the center of the buttock, 3 cm above the infragluteal fold. The skin perforators of the pudendal artery were marked with a Doppler probe in the medial region of the gluteal fold. Search worldwide, life-sciences literature Search. 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. A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a patient who experienced fat graft overabsorption, fat graft translocation, and gluteal ptosis aggravation. Weight gain following thighplasty may negatively affect your surgery results. 4). FIG. 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. 9. Fee $6,000+ Best to virtual consult with. 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, 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. 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 appropriately selected gluteal implant is folded in half. In the anchor thighplasty technique, the medial thigh lift is extended posteriorly into the infragluteal crease. For this we have applied a pedicled skin flap raised in the infragluteal fold, the technical details and surgical results of which are presented in this paper. 3). 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 excision can be performed either before or after implantation (Fig. Other procedures commonly done include lifts and changing the infragluteal fold length. Lower body lift procedures remove excess skin and lift sagging buttock tissue. ResultsThe infragluteal fold is a connectival fibrous band. 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. PMID: 15940397 DOI: 10. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. circular f's. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an 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.