Which of these fibers provides. . It arises in the median gluteal crease and follows. 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 should stop in the midbuttock or slightly lateral, in which a short fold has a youthful appearance. From here we can easily access the lower gluteal area and the internal and external posterior thigh (Fig. Expand. It is one o…THE IGF. It was not until 1973 that gluteal augmentation was performed for cosmetic purposes. the infragluteal fold. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. For example, a cir-cumferential body lift (CBL) incision that runs straight across the back will make the buttock appear too long and rectangular or too square, depending on whetherAnswer: Surgery for left buttock ptosis. 5). But so doing it may also make your buttocks look a little less full because its roundness is decreased. 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. Both computed tomographic (CT) and magnetic resonance (MR) venography can be used to document compression of the left renal and iliac veins, to measure ovarian vein diameters, and to. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. : situated within or introduced into the gluteal muscle. 23. The infragluteal fold, which attaches to both the ischium and the sacrum in a continuous fashion, is an anatomic structure in its medial part and only a crease laterally. infragluteal fold, and small portions of the lateral anal/perineal region [1,3]. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. Also, evaluate the angle of the infragluteal fold. The posterior knee-fold incisions can be closed or left open for. 45 This results in a ptotic butt if it is longer. 6. We recommend the lower buttock lift for patients who suffer from sagging skin beneath the lower fold of their buttocks (the infragluteal fold). The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. Increasing number of patients request body contouring and are increasingly aware of the numerous techniques now available for enhancing the gluteal region, which include the use of implants, autologous fat transfer, autologies, and combinations of more than one of these techniques often produce superior aesthetic. This fold’s length and shape has a pre-eminent role in gluteal aesthetics: a long fold indicates a ptotic buttock, whereas a short one suggests a young. The ideal candidates for FCI flap for breast reconstruction, as for any other free flaps, are non-smokers and non-obese patients. It arises in the median gluteal crease and follows. 3) In a lower buttock lift in my hands, it is a combination of tissue removal AND the recreation of an infragluteal fold. Mendieta, on the other hand, described a procedure to eliminate the square shape of the inferomedial area of the gluteous in massive weight loss patients, with the hanging tissue removed by means of an incision that goes along the inner infragluteal fold and then upward lateral to the anus []. The implant was inserted through an infragluteal fold incision. The only way to create a sharper erase/line at the underside of the buttocks is an excisional tuck, making the existing infragluteal fold deeper. Skin creases of the trunk 1 (Fig 1) include the inframammary crease, the suprapubic crease, the oblique skin crease of the groin, and the infragluteal crease. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. PDF. Does it have a downward 45º angle, run horizontally, or have an inverted upward. A. 2. The need for liposuction of the lower back or hips is considered. This study reevaluated the fold both histologically and anatomically. Annotations in Figures 4 to to6 6 highlight improvements in skin condition and localized depression, improvement of gluteal shape, and shorter infragluteal fold, thus representing successful treatment. The abdomen, hips, thighs, dorsum and infragluteal fold were the treated areas. The long axis of the flap was arranged in parallel with the infragluteal fold axis. Usually, the access is a midline incision located above the IGF, or it is performed above the buttock. Higher IGF (infragluteal fold) results in a shorter buttock preferred by Asian Americans 123 Aesth. 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. Does it have a downward 45° angle, run horizontally, or have an inverted. 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 . This corrects the article "Vectorial Treatment of Infragluteal Fold" in volume 11, e4750. 5 Mendieta’s ptosis evaluation utilizing skin fold angles for classification. 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. 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 sulcus is created right below. This study reevaluated the fold both histologically and anatomically. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. In the ideal buttock, the infragluteal fold should end. 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. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. Also evaluate the angle of the infragluteal fold. Grade 4 (mild ptosis): the gluteal tissue passes over the infragluteal fold at the M line; on the lateral view, we evaluate the angle of the skin fold at the infragluteal fold; in Grade 4, the angle is less than 10°. Peter Fisher M. Great posted photos. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. 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 . These considerations guide the technique, which includes three distinct approaches for PLLA injection based on patient input regarding the most. 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. ExpandThese implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. The average width of the skin excision was 8 cm and the average length was 25 cm. Butt tuck surgery help people attain rounder, smoother and natural-looking buttocks. 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. Peter Fisher M. Adequate gluteal projection and a well-defined infragluteal fold are two of the main criteria defining aesthetically pleasant buttocks [4, 5]. Download : Download full-size image; Figure 6. 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. 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. 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. Tissue samples (6 cm long x 2 mm thick) were taken. No major complications or. After the fat graft, thread lifting is performed considering the vector. 1). Manipulation using a ball-spiked pusher under. The fat is injected as the. Final skin laxity classification results from the sum of each item grade multiplied. [1] The Vertical Technique This approach is performed vertically from above the IGF. The key to success for this procedure is to. V-shaped sacral triangle . On the upper area, markings are shown for the gluteus. Results: After treatment, there was an average reduction of 4. 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 on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. The superior border is formed by the lower border of the gluteus maximus. Anterior viewIn a large buttock, the infragluteal fold is more horizontal and assumes an upward inverse slope (negative angle). A case of using autologous fat transplantation to correct severe post-liposuction infragluteal fold deformity in a. Does it have adownward 45º angle, run horizontally, or havean inverted. Influence of the Recipient Site on the Outcomes of Fat Grafting in Facial Reconstructive Surgery. Thomas Fiala answered. These structures create the fixed, well-defined subgluteal sulcus [2]. The postoperative results depicted in the article demonstrate a successful. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. Selective fat reduction centrally and laterally. 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. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. 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. 1. The muscle fascial edges should approximate with ease and a “watertight” closure is performed using eight to ten simple interrupted 0 or 2-0. I think this would give a far better yield than the infragluteal fold excision or the buttock fold excision. 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. 2. All patients judged the outcome as very good. A longer infragluteal fold suggests an aged, ptotic, and deflated-looking buttock with skin and fascial excess. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. The iatrogenic forms of banana fold and sensuous triangle deformity are produced by excessive. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. The history of butt augmentation, especially in gender diverse populations, has, unfortunately, seen. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. Cosmetic surgery of the buttocks contemplates not only changes in volumes but also (and above all) a redefinition of the contours. Does it have a downward 45° angle, run horizontally, or have an inverted. B, D, F, Postoperative views after treatment with subfascial placement of silicone elastomer implants, which increased projection, shortened the infragluteal fold, and restored volume to. Expand. Clinical Presentation. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. I hope this helps. Considering its widespread innervation and many collateral branches, PFCN neuropathy has been commonly reported, primarily due to iatrogenic etiology. The "sensuous triangle" is found at the junction of the lateral. And placing such a graft always runs the risk of causing an infection. The "sensuous triangle" is found at the junction of the lateral buttocks, the lateral thigh, and the posterior thigh. Helpful Barry L. 3. Patients with a long buttock may. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Other procedures commonly done include lifts and changing the infragluteal fold length. The major drawback of implant augmentation is the substantially high rate of complications associated with its techniques. Intergluteal cleft. The infragluteal fold length and definition play important roles in esthetically pleasing buttocks. Infragluteal fold: It is the horizontal crease under the ischial tuberosity composed of the lower edge of the gluteus maximus muscle and usually does not extend beyond the union of the semitendinous muscle with the biceps femoris. The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Limits implant movement. Poorly placed incisions also detract from the gluteal aesthetic. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. Infragluteal fold. Drains are placed via stab incisions in the infragluteal fold using a #15 blade scalpel. Sensory fibers from a dermatome and cutaneous nerves provide innervation to the gluteal region. Furthermore, a diamond-shaped space should be formed between the gently sloping infragluteal fold and the inner thigh. 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. This maneuver is important to delineate the lateral margin on the gluteal area to adequately define the lower lateral transition area. 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. 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. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. 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. Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in esthetic defects in the gluteal contour. Care is taken not to remove the subcutaneous tissues at the level of the infragluteal crease. in· tra· glu· te· al -ˈglüt-ē-əl, -glü-ˈtē-əl. An anatomical description of the infragluteal fold (IGF) matching radiological and anatomical findings in describing specifically raise of the fibrous component at the bone. 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. An angulated cannula can be used to easily enter the superficial space. Note anterior abdominal wall. Results were maintained at 6 months. Its inferior border is formed by the insertions of the semitendinous muscle and the long belly of the biceps femoris in the ischial tuberosity. Medicine. Independent of the filler chosen, the marking of the area to be filled follows some of the landmarks described above in order to achieve the desired gluteal contour. The inframammary crease 5 , 13 lies over the fifth to sixth ribs. The gluteal‐fold flap is very useful for various vulvar and buttock reconstructions because it can be adjusted to the required volume and the usefulness of this flap for anal and pelvic‐floor reconstruction was demonstrated. Infragluteal fold The creases on the plantar surface of the foot are not as Infragluteal sulcus complex or constant or so well marked as on the palmar Horizontal gluteal fold surface of the hand [1]. Sagging of redundant skin and fat below the infragluteal fold is commonly observed in bariatric patients following massive weight loss and defines. A banana fold may form for. The final result should be to attain a waist-to-hip ratio (WHR) close to 0. 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. In conclusion, using a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenating the gluteal region. 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. The lateral length of the infragluteal fold measures the degree of buttocks ptosis. It is the lower boundary of the breast and is an important element of the natural ptotic appearance of the breast. Asymmetric lifts and reduction are to be performed on the buttock to correct for your present symmetry. Abstract. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. This is a difficult area to fix. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. During this type of thigh lift, an incision is made around the waist. The inframammary crease 5,13 lies o ver the fifth to sixth ribs. It is critical to appropriately and systematically analyze the complex regional anatomy. Combining Gluteal Shaping with High-Definition Liposuction. The Infragluteal Thigh Lift Technique. Sorry for your problem. A Jackson Pratt drain is then placed in each implant pocket and brought out laterally in the infragluteal fold through a separate stab incision. Lower body lift procedures remove excess skin and lift sagging buttock tissue. A banana fold may form for different reasons, among which an. These implants may be placed through bilateral supragluteal incisions, the infragluteal fold, or the intergluteal cleft incision. 23. Volume in this area is restored with careful fat. 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. In my humble opinion you need nothing surgical. This can include excess weight that has accumulated in the waist and buttock area. 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. Normally, its mean length is equal to the intergluteal fold length or 2/3 of 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]. This was sculpted for a national television program recently. Therefore, it may be preferable to wait several months after implantation to determine the amount of skin resection necessary. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 7) . Search worldwide, life-sciences literature Search. The Buttock Lift with Hyaluronic Acid and Threads. The buttock can be infiltrated through the superior gluteal mid-incision, although infiltration can also be performed through the infragluteal fold. 39. The buttocks have three different sections, the upper buttock, the mid buttock, and the lower buttock. Ini-tially, a deep plane is created by the 3-mm cannula. Liposhifting is a technique that. Purpose The gluteal region is a key element of beauty balance and sexual appearance. The dissection of 60 fixed surgical pieces showed the presence of a Buttocks' Sustaining Aparell formed by a trabecular conjunctival mesh termed main and secondary in a "beehive" aspect which may possibly be important in the maintenance of the buttock's characteristic contour. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. 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. Your infragluteal fold is barely noticeable, no women has perfect exact length, position and height of the infragluteal fold. 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. The retromuscolar technique is preferred by patients requesting a natural, sporty result. For a negative upward slant (see 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. A long infragluteal fold can also be improved and a more youthful shape be obtained. . The power of this technique is granted through the lengthened anteroposterior. Some surgeons call this a removal of banana roll; more technically, it is an infragluteal fold incision for excision of upper posterior thigh. 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. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. Fee $6,000+ Best to virtual consult with. 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. Keep your arms straight as you lift the weight with your hips and glutes. Fig. The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. 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. Paraspinous muscles cannot be forgotten in the lower abdomen. New flank tapered feminine depressed contours are limited by high and narrow pelvic rims, which help define high hipsHide glossary Glossary. This supports the thigh tissue in its lifted position and enhances the infragluteal fold. All patients showed an improved definition of the infragluteal fold, with a symmetric shape of the gluteal region. The procedure would take approximately 4 hours to complete. 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. 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. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. Save. 5 ). The procedure is indicated in patients with mild buttock ptosis with excess skin and subcutaneous tissue in the inferior gluteal fold or “banana fold. Indianapolis, Indiana. 23. Time and important weight variation consid- erably affect this region combined with the gravity’s effect. Short gluteal fold. Fee $6,000+ Best to virtual consult with. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. The flap should be fixed as low as possible to the muscle fascia. As can be appreciated from these figures, the anatomy shading provided on each pair of jeans is similar to that shown in the image of the right panel of FIG. circular f's the permanent. Following is a list of spinal nerves and points that are characteristically belonging to the dermatome of each nerve. This fold makes a usually Read More…Important dermatome & anatomical landmarks. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. The procedure can be performed as a single procedure or as in cases of massive weight loss in the context of a lower body lift (circumferential abdominoplasty, belt. However, there is no clear anatomical description of the 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. 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 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]. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. An understanding of the anatomy of the gluteal region is essential in the evaluation and planning of surgery ( Fig. 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. By adding more volume on the left and matching the right, the fold will appear as a result of this added volume. It is divided into an inner, a central, and an outer zone. This study reevaluated the fold both histologically and anatomically. Tissue samples (6 cm long x 2 mm thick) were taken. ResultsThe infragluteal fold is a connectival fibrous band. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. Ozmen S. implant. We define unaesthetic buttock ptosis as sagging. 15. Most patients had a deep infragluteal fold. The infragluteal fold needs to be approached carefully, by suctioning just under the skin. If toomuch fullness exists, the area that should be a di-amond-shaped space is instead a straight line,which is much less appealing. Severe infragluteal fold. Initially, percutaneous reduction was attempted through a small transverse incision in the infragluteal fold (figure 2). 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. 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. 39. In the pre-op photo, the patient presents with significant lipodystrophy of the iliac crest roll hips, periumbilical lower abdomen, anteromedial and posterolateral saddlebags, and the infragluteal fold banana rolls. Open in new tab Download slide. 2). The treatment should not focus on the central and lower. Infragluteal fold revision Buttock lift The author prefers tostageexcisionalcontouring procedures in association with gluteal implants. Plastic Surgery 35 years experience. 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. Infragluteal fold excision can be performed either before or after implantation (Fig. 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. This study focuses on the histological comparison of creases of the trunk and participation of the elastic fibers in their formation. C3 provides innervation to the supraclavicular fossa . 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 inclusion criteria was ptosis of the lower pole of buttocks. Background: Overaggressive liposuction of the infragluteal region can lead to iatrogenic infragluteal fold deformity and result in aesthetic defect of gluteal contour. 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. S3 provides innervation to the infragluteal fold . 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. From this point of view, in our opinion, there are four salient morphologic features to be considered in the preoperative planning: anterior and posterior views, the profile, and the infragluteal fold. An anatomical study demonstrated that the perineal branch of. Other techniques are performed either. With your feet shoulder width apart, place your hands on the barbell (whether on lifting blocks or in a Smith machine), with your palms either over or under the bar. D. Once the shapes are more symmetric, volume enhance can be done on both sides simultaneously. A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. 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. Infragluteal fold. Both flaps were fixed with interrupted 0-Vicryl. While buttock sagging is a general term it has different types as defined by the level of the infragluteal fold. The infragluteal fold, which serves as the inferior border of the buttock proper, is formed by thick fascial insertions from the femur and pelvis through the intermuscular fascia to the skin. The infragluteal fold is one of the major concerns in reshaping of the gluteal region. 44 The infragluteal fold is an important indicator of gluteal aesthetics. With sagging of the muscle belly, the infragluteal fold is decreased or lost, and atrophy of the buttock is obvious with time. 17 The ideal infragluteal fold should be short and fixed without ptosis of the skin. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. The main goal of a butt tuck procedure is to repair lost or obstructed infragluteal. 3) The length of the lower buttock lift excision should ideally not go beyond the. A large redundant infragluteal crease probably cannot be repaired easily. The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. If done by an experienced surgeon, you should see improvement but it is not easy to create a single crisp infragluteal fold. The infragluteal fold, which The concept of the ideal shape for the gluteal region has attaches to both the ischium and the sacrum in a continuous changed over time and over cultures and still is evolving. The width of the flap and. Zone 3: Proximal inner thigh confluences with Zone 1 to recreate a round buttock and follow the infragluteal fold. Advanced SearchUndermining using electrocautery was performed to create two pockets in both buttocks bilaterally down to few centimeters above the infragluteal fold. loss of the infragluteal fold [7]. Detailed Procedure Information. The infragluteal fold on the right side was explored by dissection, whereas the infragluteal fold of the contralateral side was removed en bloc. A direct excision was performed under general anesthesia. This deepithelialized dermal flap allows for the creation of a well-defined stable infragluteal fold through an incision of the infragluteal fold and exposure of ischial tuberosity and anchor it to the ischial tuberosity. The infragluteal fold length and definition play important roles in esthetically. The power of this technique is granted through the lengthened anteroposterior scar and. 5). Background: Sagging of the buttocks is a well known body change that can occur due to natural aging, weight loss or as a sequelae from buttock implant removal. We describe an optimized and individualized approach for injecting the collagen biostimulator PLLA in the gluteal region according to the needs of each patient. More superficially, the infragluteal fold is formed by the fascial insertions into the skin. 44 The infragluteal fold is an important indicator of gluteal aesthetics. The average width of the skin excision was 8 cm and the average length was 25 cm. 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 histologicalCreation of an infra gluteal fold is done in the same fashion as the medial thigh tuck first described by Ted Lockwood, M. Patients with buttock ptosis and medial thigh skin laxity without lateral thigh redundancy are ideal candidates. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. 5 and 15. In most cases, the infragluteal fold ends at the midpoint of the inferior buttock. Patients with an apparent and angular infragluteal fold with skin drooping below it are classified as having Grade II ptosis. infragluteal fold is composed of fascial spicules extending . 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. The infragluteal fold incisions should always be closed by subdermal sutures, since these are the ports of entry of fat grafting, to prevent protrusion of fat or migration. 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). 12. The “sensuous triangle” is found at the junction. 9 and 10. Dr. Gozil R. 3. 臀下皱襞支撑性解剖学与美学研究进展. 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 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. If too much fullness exists, the area that should be a diamond-shaped space is instead a straight line, which is much less appealing. The flap width was designed to match the broadest width of the defect, which was assessed from the inner. What separates the lower buttocks from the other two sections is the infragluteal fold. Four fresh cadavers (two males, two females, accounting for 8 hemipelvis) were dissected in order to compare the radiological findings. 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. Waves and dimples can be improved down to the infragluteal fold at the junction to the thigh. Conclusion: Focused ultrasound is a safe, effective and well tolerated procedure for remodelling areas of the body.