Treating the Banana Fold with the Dermotuberal Anchorage Technique: Case Report

Abstract

The banana fold, or the infragluteal fold, is a fat deposit on the posterior thigh close to the gluteal crease and parallel to it. A banana fold may form for different reasons, among which an iatrogenic cause is recurrent. Although banana fold is a common problem, unrelished by most women, few procedures are targeted specifically to fight it. This report presents a severe case of iatrogenic banana fold corrected by a modification of the dermotuberal anchorage buttock-lifting technique, as reported by the author for gluteal ptosis. The operation is performed by tucking in part of the banana fold tissue caudal to the gluteal crease, sliding that tissue, after depithelization, under the buttock, and pulling it up toward the ischial tuberosity until the redundant skin on the posterior thigh is tight and the banana fold is reduced. Assessment of the results 1 year after surgery showed that the technique provided a good scar kept within the subgluteal crease, and that it satisfactorily corrected the patient’s major complaint: the banana-shaped fold.