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Restoration of the Gluteal fold by a Deepithelialized Skin Flap: Preliminary Observations

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Abstract

Background

The gluteal fold represents an important aspect of the gluteal region. Destruction of this anatomic landmark as a consequence of trauma or tissue harvest can result in an aesthetically disturbing disfigurement. A technique for reconstruction of the gluteal fold and preliminary results are presented.

Methods

The newly formed gluteal fold is created by fixation of a deepithelialized skin flap to the periosteum of the tuber ischiadicum.

Results

The operative procedure is quick and easy to apply. The method is used mainly for patients with a distorted gluteal fold after tissue harvest for breast reconstruction. However, it also can be used after trauma such as that associated with burn injuries. In all patients, reconstruction of the gluteal fold yielded aesthetically pleasing and reliable results with high patient satisfaction.

Conclusions

The authors present a simple and effective technique for reconstruction of the gluteal fold by a deepithelialized skin flap. The technique is applicable for patients who have lost their natural gluteal sulcus, with a resultant altered buttock shape, after trauma or other causes.

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References

  1. ZM Arnez D Pogorelec F Planinsek U Ahcan (2004) ArticleTitleBreast reconstruction by the free transverse gracilis (TUG) flap Br J Plast Surg 57 20 Occurrence Handle1:STN:280:DC%2BD3srptFGisA%3D%3D Occurrence Handle14672674

    CAS  PubMed  Google Scholar 

  2. O Babuccu R Gozil S Ozmen M Bahcelioglu O Latifoglu MC Celebi (2002) ArticleTitleGluteal region morphology: The effect of the weight gain and aging Aesth Plast Surg 26 130 Occurrence Handle10.1007/s00266-001-0042-6

    Article  Google Scholar 

  3. RP Da Rocha (2001) ArticleTitleSurgical anatomy of the gluteal region’s subcutaneous screen and its use in plastic surgery Aesth Plast Surg 25 140 Occurrence Handle1:STN:280:DC%2BD3M3ltFantw%3D%3D

    CAS  Google Scholar 

  4. Pedroza ParticleDe (2000) ArticleTitleFat transplantation to the buttocks and legs for aesthetic enhancement or correction of deformities: Long-term results of large volumes of fat transplant Dermatol Surg 26 1145 Occurrence Handle11134992

    PubMed  Google Scholar 

  5. GG Hallock (2004) ArticleTitleFurther experience with the medial circumflex femoral (GRACILIS) perforator free flap J Reconstr Microsurg 20 115 Occurrence Handle15011118

    PubMed  Google Scholar 

  6. GG Hallock (2004) ArticleTitleThe conjoint medial circumflex femoral perforator and gracilis muscle free flap Plast Reconstr Surg 113 339 Occurrence Handle14707656

    PubMed  Google Scholar 

  7. GG Hallock (2003) ArticleTitleThe gracilis (medial circumflex femoral) perforator flap: A medial groin free flap? Ann Plast Surg 51 623 Occurrence Handle14646663

    PubMed  Google Scholar 

  8. I Hashimoto H Nakanishi H Nagae H Harada H Sedo (2001) ArticleTitleThe gluteal-fold flap for vulvar and buttock reconstruction: Anatomic study and adjustment of flap volume Plast Reconstr Surg 108 1998 Occurrence Handle1:STN:280:DC%2BD3MnpsFersg%3D%3D Occurrence Handle11743391

    CAS  PubMed  Google Scholar 

  9. AC Knol JJ Hage (1997) ArticleTitleThe infragluteal skin flap: A new option for reconstruction in the perineogenital region Plast Reconstr Surg 99 1954 Occurrence Handle1:STN:280:ByiA38vmtFA%3D Occurrence Handle9180719

    CAS  PubMed  Google Scholar 

  10. CM Lewis (1992) ArticleTitleCorrection of deep gluteal depression by autologous fat grafting Aesth Plast Surg 16 247 Occurrence Handle1:STN:280:By2A38jptlU%3D

    CAS  Google Scholar 

  11. C Papp BP Todoroff C Windhofer S Gruber (2003) ArticleTitlePartial and complete reconstruction of Achilles tendon defects with the fasciocutaneous infragluteal free flap Plast Reconstr Surg 112 777 Occurrence Handle12960858

    PubMed  Google Scholar 

  12. CS Sinnatamby (1999) Last’s anatomy, regional and applied EditionNumber10 Churchill Livingstone London 119

    Google Scholar 

  13. R Vilain JC Dardour (1986) ArticleTitleAesthetic surgery of the medial thigh Ann Plast Surg 17 176 Occurrence Handle1:STN:280:By%2BC1Mjgt1M%3D Occurrence Handle3273094

    CAS  PubMed  Google Scholar 

  14. G Wechselberger T Schoeller (2004) ArticleTitleThe transverse myocutaneous gracilis free flap: A valuable tissue source in autologous breast reconstruction Plast Reconstr Surg 114 69 Occurrence Handle15220571

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Clinical Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Innsbruck, Austria

    Georg M. Huemer M.D. & Thomas Schoeller M.D.

  2. Clinical Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria

    Karin M. Dunst M.D.

Authors
  1. Georg M. Huemer M.D.
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  2. Karin M. Dunst M.D.
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  3. Thomas Schoeller M.D.
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Corresponding author

Correspondence to Georg M. Huemer M.D..

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Huemer, G.M., Dunst, K.M. & Schoeller, T. Restoration of the Gluteal fold by a Deepithelialized Skin Flap: Preliminary Observations. Aesth Plast Surg 29, 13–17 (2005). https://doi.org/10.1007/s00266-004-0006-8

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  • DOI: https://doi.org/10.1007/s00266-004-0006-8

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