Answer: How can I improve my double gluteal fold on my left butt cheek? (Photo) Hello dear! Thanks for the question and provided information as well. Porokeratosis ptychotropica (PP) is a rare variant of porokeratosis characterized by pruritic, symmetrical, red-brown verrucous papules, and plaques most commonly localized within the gluteal fold. Myoresolution as an element of general. The gluteal cleft is an anatomical characteristic found in both males and females. gluteal fold synonyms, gluteal fold pronunciation, gluteal fold translation, English dictionary definition of gluteal fold. . These cysts are usually caused by a skin infection and they often. Why do I have a double gluteal fold? One common cause is simply a higher body fat percentage. Plastic surgeons unfortunately on are all aware of this. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. The gluteal fold is formed by the fibrous attachment of the gluteal skin to the deep fascia, while the lower border of the gluteus. If you have an asymmetric gluteal crease, this can be addressed with liposuction or fat grafting around this area. zones, the most important is the gluteal fold. Evaluation for potential OSD usually. Post-op massage and even negative pressure devices may be needed over the following weeks to ensure proper balance of the new tissue structures. The RC-dominant SFS is mainly distributed at the medial GF, thus forming the depressed. You may experience pain in one or both hips, your lower back, and knees. photo by Janelle Aby, MD. Depending upon your physical exam findings, fat grafting back into the area can help or a lower buttock tuck. Primarily in fascia lata at the iliotibial band; also into the gluteal tuberosity on posterior femoral surface. a. The gluteal fold is the crease formed by the inferior aspect of the buttocks and the posterior upper thigh. Figure 1. Treatment of a gluteal injury depends upon the type of the trauma. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). In our series of 15 patients, this technique produced reliable results. A dorsal view of die same infant shows the asymmetric gluteal folds and odier skin folds. Definition. Eppley, Is it achievable via liposuction or removing of excess skin to get a uniform “smile” gluteal fold across both glutes. Each referred participant was risk stratified based on specific physical exam findings. A: […] The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. little man has a duplicated gluteal cleft. Patients with FTF (3 [21. You can’t control where your fat is distributed, but some people are unlucky enough to have it manifest in the glute area. (Photos) Tania Medina de Garcia, MD says: Hello dear! Thanks for the pictures and provided information as well. If the base could not be seen, this would be called a coccygeal pit. 8 - other international versions of ICD-10 Q82. Lie on your back with your knees bent and feet flat on the floor, close to your butt. People who have a high muscle density are those that are built, have defined muscles, and have a low body fat percentage. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. It is a visible border separating ass into two parts. Study with Quizlet and memorize flashcards containing terms like Pes planus (flat feet) arch doesn't fully develop, ankles turn in Treat - orthotics, surgery, cerebral palsy Duchenne MD Nervous system disorders, *talipes equinovarus* (club foot) fixed varus and equinus deformity, calf underdevelopment - breech, - connective tissue disorder (Ehler's) -. At my last appointment, he refused to take blame for the outcome and refused to pay for any more correction. Management of these infections is discussed in detail elsewhere:Why do I have a double gluteal fold? One common cause is simply a higher body fat percentage. Fig. Had our first well check today and a scheduled ultrasound. My exercises include moderate amount of squats and with weigh however I have not been ab. Glute bridge. It is a visible border separating ass into two parts. 1. Ichioka S, Nakatsuka T. Had our first well check today and a scheduled ultrasound. However there are surgical maneuvers that can improve it. Research shows high gluteal muscle activity during a single-leg bridge compared to other gluteal strengthening exercises; however, prior studies have primarily measured muscle activity with the active lower. In conclusion, a double gluteal fold can develop from having a high body fat percentage and from neglecting to train the glutes. The distinctive anatomic and radiologic features are discussed. Squats, hip extensions, and general fat-burning exercises will do the best job of targeting a double butt. Thank you for your question. Grip the barbell with one hand in a normal position and. 5. Gluteal pain or pain in the butt can be caused due to lumbar radicular pain. In the neonatal period the asymmetry of the gluteal folds and odier skin folds is usually not as apparent as it is in diis infant. We would like to show you a description here but the site won’t allow us. basically, the top of his bum crack. —In thisposition (Fig. Definition. I’ve noticed my baby has a Y shaped cleft on her bottom. Squats, hip extensions, and general fat-burning exercises will do the best job of targeting a double butt. Sunday：Closed. Answer: Gluteal fold can definitely be created. / LIPOSUCTION REVISION QUESTIONS / BOTCHED BANANA ROLL LIPO:. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). El Fahar et al. February 26, 2013. pubic ramus. At my last appointment, he refused to take blame for the outcome and refused to pay for any more correction. Best, Dr. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft. A large caliber suction drain was used and maintained for 5 days due to the large amount of fluid that had accumulated in flaps. fold·ed , fold·ing , folds v. The success rates for this are quite low and the complication rates relatively high making the situation worse. When gulteal implants were needed, Silimed Quartzo low-profile oval gluteal implants were used (Silimed, Rio de Janeiro, Brasil). Answer: Double Gluteal Fold -- Get Fat Transfer / VASER Hi Definition Liposculpture. He introduced the notion of “Gluteal Suspension System”. A saggy butt, no hips, double gluteal fold under my left cheek and glob of fat under my right cheek. -G. Answer: Double lower buttock crease treatment. This baby’s gluteal creases are uneven (note yellow lines). 8 may differ. 5 cm above the anus or proximate to the coccyx, and deviated gluteal folds (DGF) including all types of folds (bifid and split symmetrical without underlying. . Answer: Repair of Double Gluteal Crease with Fat Transfer. Positioning of the lateral prominence at the inferior gluteal fold was rated by 26. Major extensor of hip joint, assists in laterally rotating the thigh; upper and middle third section of the muscle are abductors. 3. . The normal crease at the bottom of the butt is known as the infra gluteal fold. Hi doctors, I am 35 and exercise regularly since I am 12 year old. The RC-dominant SFS is mainly distributed at the medial GF, thus forming the depressed fold. Asymmetrical buttock creases can suggest hip dysplasia in infants but, like a hip click, an ultrasound or x-ray study will need to be done to determine whether the hips are normal or not. Press the bar: Push the barbell back up to the starting position, again focusing on maintaining stability. Pathologic entities in the gluteal region reflect the diversity of tissue types present. Gluteal Fold Lipoplasty The gluteal crescent fold, also called the gluteal “smile line” or interior gluteal groove, is located at. I’m super insecure about my butt because of the double fold and it even shows when wearing pants - What procedure/ treatment would be most effective for getting rid of the double fold??The fat-dominant SFS features a classical double-layered SFS structure. The use of a deepithelialized double dermal flap is a safe. The DDH Diagnosis Pathway was approved by the Medical Advisory Board of the International Hip Dysplasia Institute in December 2015 after being developed and implemented by the St. Depending upon your physical exam findings, fat grafting back into the area can help or a lower buttock tuck may be necessary. However there are surgical maneuvers that can improve it. k. The gluteal sulcus (also known as the gluteal fold, 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. Based purely upon your photos and not an in person physical exam, you may be better off playing it safe and avoiding any surgical treatment for your particular lower buttock double crease. 8% had deviated or duplicated gluteal creases, 15. See Full PDF Download PDF. There are two ways to remove the double gluteal fold. Online Appointment：. Gluteal fold flap for pelvic and perineal reconstruction following total. Many people find it challenging to get rid of the fat that clings to the gluteal fold; like the so-called "love handles" and " saddlebags ," the fat that forms around the midsection and thighs is also challenging to. Asymmetry. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. For best results, be sure that you obtain a consultation with a. Thank you for your question regarding minimizing the appearance of your double gluteal fold. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. (B) In setting of the split gluteus maximus muscle flap and IGAP flap. This can be accomplished with liposuction or specific suture techniques. Skin abscesses in other anatomical sites (eg, perianal, breast, vulvar) often require an alteration of antibiotic selection or management. Medially, the region extends to the mid-dorsal line and is called the intergluteal cleft, which is the groove that separates the buttocks from each other. Iliotibial tract of fascia lata (which. Answer: Repair of Double Gluteal Crease with Fat Transfer. El Fahar et al. A pilonidal cyst can be extremely painful especially when sitting. 96. This fold is very often duplicated or triplicated with weaker but prevalent folds going. 44 The infragluteal fold is an important indicator of gluteal aesthetics. It also extends from the iliac crest superiorly to the gluteal fold inferiorly. Your response and considerations will be greatly appreciated. Emer. Figure 1. This problem has deeply affected my self esteem and i am looking for someone with experience in correcting the issue with beautiful results. The gluteal fold is the term used to describe the horizontal skin crease that forms below the buttocks, separating the upper thigh from the buttocks. This is different from muscle mass. Liposuction of the these patients, an inferior gluteal pexia is the appropriate supragluteal and waist. Buttock fold correction. Most surgeons prefer to avoid incisions in the gluteal thigh crease because they tend to be noticeable. I too have this double fold butt. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. It is the same as trying to change the crease location in your cheek or your arm. The procedure creates a smoother, less dimpled and more toned appearance. zones, the most important is the gluteal fold. While African American infants had almost double the risk of a duplicated crease compared with Caucasians (RR = 1. 1,4 However, some believe all gluteal cleft anomalies other than dimples warrant further. and extending past bilateral gluteal creases 4 cm on posterior thighs. The "sensuous triangle" is found at the junction of the lateral. The gluteal fold is described as a natural wrinkle or fold in the skin that can be found near the top of the buttocks. It is also called butt crack or ass crack. This zone is inviolate. Aju1985. @lblake907, in some cases it’s a sacral dimple and can be a sign of spina bifida occulta, but if the spine is closed then it can be (in very rare occurrences) a sign of a tethered cord. The gluteal cleft and the gluteal fold both occur normally in humans. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. The treatment plan is the same as that noted in the previous section. . A V-shaped proximal gluteal crease was accentuated by the. At this stage, it is best to be evaluated by a plastic surgeon. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. teal fold, the adhesion of the fascia lata in the mid- dle third of the thigh, the double gluteal fold when it exists, the popliteal region, the inguinal crease, and the supra patella region. 1. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. Double gluteal foldsmight be a term you’ve not heard before. The muscles of the region consist of the gluteus maximus, medius, and minimus, as well as the piriformis, obturator internus, superior and inferior gemellus, and quadratus. Hello and thank you for your question and photos. The distinctive anatomic and radiologic features are discussed. Some people do not have a horizontal gluteal crease. Relative fixed points include the iliac crest, which is displaced cephalad in a reclining position, and theAnswer: Butt folds. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. E. Slowly breathe out while maintaining your core contracted and then raise your hips up and off the floor. Minimizing the length of the gluteal fold creates a smoother continuation between the buttock and thigh, which makes legs look longer and leaner, and the buttock look more elevated. Guess it is genetics, no good solutions here. This problem has deeply affected my self esteem. I never paid attention before and I just noticed them. Posted 06-05-18. 5'3, 115lbs, how do I get rid of a double gluteal fold? (Photo) Im 53, weigh about 115 lbs. To eliminate this double fold, surgical techniques can also be used. Infra-gluteal folds or Banana rolls are often a combination of localized fat excess and soft tissue laxity. Botched banana roll lipo: saggy butt, double gluteal fold, awkward contouring -. It is also known as the “butt crack” and “intergluteal cleft. In our experience, contraindications include gluteal ptosis, double gluteal fold, banana deformity and cellulite. Stanton, MD says: Once the native lower gluteal fold has been disrupted (by liposuction), it will never be the same. Yes, typically at 6 weeks it is "safe" to sit after a BBL. little man has a duplicated gluteal cleft. The dimple in this photo is the tiny dark brown shadow below the slate grey patch at the superior end of the gluteal crease. Lipoplasty aided in the accentuation of lumbar lordosis, which gives the impression of greater buttocks projection. The gluteal region, colloquially known as the buttock, lies posterior to the bony pelvis and is defined superiorly by the iliac crest and inferiorly ends at the gluteal fold. Six patients had an abnormal gluteal fold. 7% had lumbosacral and/or coccygeal hairiness. How do you build your lower glutes? Glute Bridge March. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. In addition, cellulite and stretch marks, which frequently appear in the gluteal region, can also be treated but without resorting to surgery. 18) the patient lies flat upon herback, with her head resting upon a pillow, herarms alongside the bod. Define gluteal fold. Moisture-related skin breakdown is usually characterized by superficial skin loss and irregular edges, classified as MASD (moisture associated skin damage). a. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. The specific cause of a double gluteal fold is a type of fat called cellulite. 03-3. In our experience, contraindications include gluteal ptosis, double gluteal fold, banana deformity and cellulite. The gluteal fold is the term used to describe the horizontal skin crease that forms below the buttocks, separating the upper thigh from the buttocks. The gluteal cleft most of the time heals on its own but if not, then a proper treatment along with a pain reliever is recommended. * Butt Exercises*The gluteal region, commonly known as the buttocks or glutes, is the posterior part of the pelvic area. -Pelvic abscess extending intobuttock inpostoperative patient. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It gradually disappears along the GF and the SFS becomes fat-dominant, making the fold increasingly less visible. For Fig. The procedure also includes removing fat from the surrounding regions such as the flanks, lateral thighs, and lower third of the buttock. Surgical Implications of "Fixed Points": A New Concept in Plastic Surgery Y. The gluteal region, colloquially known as the buttock, lies posterior to the bony pelvis and is defined superiorly by the iliac crest and inferiorly ends at the gluteal fold. Aesth Plast Surg (2011) 35:1117–1125 DOI 10. The Ortolani and Barlow tests are useful for. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. Figure 1. It’s a visible crease where the. No matter what weight I’ve been, double fold has always been visible. Answer: What would be the best way for me to get rid of my banana rolls and fix a double gluteal fold on one butt? (Photos) Based on your pictures you seem to be a good candidate for an inferior buttock lift which can be utilized to reconstruct the gluteal fold while removing loose skin in the area. We have all these answers and more, including why some people may want to consider buttock reconstruction surgery. such as the ischium, and radially anchored by the dermis. The banana fold is not caused by an abnormality in fat distribution. It is a normal skin folds on many people Best, Mats Hagstrom MD. The other synonyms of gluteal cleft are anal. I am 21, 5’6 and 170 lbs. is skillage an african bum disease. Gluteal Fold vs Gluteal Cleft. Single-lumen implants have a single lumen of silicone gel delimited by a multilayer shell, while double-lumen implants have a fixed amount of saline and silicone within them,. It’s especially going to suck if you haven’t done much strength training before, and you can expect to feel sore and. . 5. It extends from the upper iliac crests to the lower gluteal fold of the skin. Squats With your feet shoulder width apart, cross your arms and place a hand on each shoulder (or hold a barbell across your. Normal neurological examination. Plast. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with Caucasians. LWWAnswer: It is possible to correct and asymmetric gluteal crease. A butt lift, also called a gluteal or lower back lift, pulls up the skin around your butt (buttocks) to improve the shape and surface of your butt. 2. 2011, Aesthetic Plastic Surgery. Here are the characteristics of ITD: Located within the skin folds. Lower the bar: Lower the barbell to your chest slowly and with control, making sure to keep your body stable and balanced despite the asymmetrical load. Asymmetry of the thigh or gluteal folds, limb length discrepancy and restricted motion (especially abduction) can be signs of a dislocated hip. 1. This home was built in 2008 and last sold on 2023-06-26 for $--. Asymmetrical buttock creases can suggest hip dysplasia in infants but, like a hip click, an ultrasound or x-ray study will need to be done to determine whether the hips are normal or not. That might be a result of volume loss. Our technique allows for the creation of a stable and long-lasting infragluteal fold with an aesthetic buttock curvature and a defined border to the thigh region. Relative fixed points include the iliac crest, which is displaced cephalad in a reclining position, and the Answer: Butt folds. Distributed in a linear, mirror image on each side of the skin fold. Pathologic entities in the gluteal region reflect the diversity of tissue types present. 1 Given the low incidence rate of OSD at 0. 2 /19. or double gluteal folds. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. You’re much more likely to develop a double butt crease if you have over 20% body fat. Ems0. Stanton, MD says: Once the native lower gluteal fold has been disrupted (by liposuction), it will never be the same. In more serious cases, the symptoms of dead butt syndrome can cause pain and stiffness elsewhere. basically, the top of his bum crack. The 1,708 Square Feet single family home is a 4 beds, 2 baths property. It is a visible border separating ass into two parts. . Partial thickness. Minimizing the length of the gluteal fold creates a smoother continuation between the buttock and thigh, which makes legs look longer and leaner, and the buttock look more elevated. A. In conclusion, a double gluteal fold can develop from having a high body fat percentage and from neglecting to train the glutes. Radial folds present as echogenic lines that extend from the periphery to the interior of the implant. Q82. Q: Dr. Jose Gavarrete. 1007/s00266-011-9747-3 O R I G IN AL ARTI CL E • • La ´ zaro Ca ´ rdenas-Camarena Jose ´ Fernando Silva-Gavarrete Rafael Arenas-Quintana Received: 21 December 2010 / Accepted: 24 April 2011 / Published online: 26 May 2011 Springer Science+Business Media, LLC and International Society of. Sacral Dimple. The buttocks are formed by the masses of the gluteal muscles or "glutes" (the gluteus maximus muscle and the gluteus medius muscle) superimposed by a layer of fat. Advertisement. I’m super insecure about my butt because of the double fold and it even shows when wearing pants - What procedure/ treatment would be most effective for getting rid of the double fold?? GF. Surg. A common treatment method for pilonidal cysts and abscesses is incision and drainage. Banana Roll AirSculpt® Removes Gluteal Fold Fat. How do you treat a double gluteal fold? (photo) Ryan A. While performing a routine baby check, you notice an isolated 2 mm wide sacrococcygeal dimple within the gluteal fold, 20 mm from the anus, in an otherwise well baby who is moving her legs normally. The 2024 edition of ICD-10-CM Q82. stated that an accurate and meticulous dissection of muscle during gluteoplasty is possible under general anesthesia, due to the crucial benefit of the muscle paralysis effect. Hours：. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. In our experience, contraindications include gluteal ptosis, double gluteal fold, banana deformity and cellulite. There are two ways to remove the double gluteal fold. You want to end up with your body in a straight line from. 86: Hydronephrosis: Coccygeal pit, Mongolian spot: CM ends at L2-3: N/A: N/A: Male/0. May 6, 2021 at 5:44 AM. It covers the area from iliac crest from above to the gluteal fold below. 7 Intrusion into these zones may lead to. This is the American ICD-10-CM version of Q82. A: […]The "banana fold," or the infragluteal fold, is a fat deposit on the posterior thigh near the gluteal crease and parallel to it. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. Hi Graceful7080, Thank you for your question regarding how to eliminate a double gluteal fold and for providing a picture to aid in understanding your concern. Answer: Butt cheek crease. 2. When we want to change those parameters on a thin patient, gluteal implants remain the only valid alternative. Eppley, Is it achievable via liposuction or removing of excess skin to get a uniform “smile” gluteal fold across both glutes. Liposuction parallel rather than perpendic-ular to the gluteal fold may prevent the crossing of this zone. The outer layer of epidermal cells become over-hydrated, causing swelling which weakens the skin. Subscribe for more videos my body type quiz up What's up! Today we're talking glutes - s. 4 Patient 4 (photos 13, 14, 15, and 16). The intergluteal cleft (a. It is the most common site of intra. 7% had lumbosacral and/or coccygeal hairiness. circular f's the permanent. You may. The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region. For the buttock area, it is important to avoid deep, aggressive suctioning and to maintain the length and position of the inferior gluteal crease. Body surface anatomy seen anteriorly and posteriorly. Insertion. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. Methods: A total of 20 fresh female buttocks and thighs were sagittally dissected to observe the changes of the SFS along the GF, and were horizontally dissected to observe the SFS on the upper, middle, and lower levels of the buttock. The correction of gluteal ptosis and the definition of gluteal prominence can be obtained by several gluteal lifting techniques. The best way to demonstrate that the banana roll is a skinfold is to ask patients to lean over just lately during a pre-op examination in which case they universally go away. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. 1. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. Emer. Porokeratosis ptychotropica (PP) is a rare variant of porokeratosis characterized by pruritic, symmetrical, red-brown verrucous papules, and plaques most commonly localized within the gluteal fold. However there are surgical maneuvers that can improve it. Herein, we report the clinical, dermoscopy, and reflectance confocal microscopy (RCM) aspects of a case of PP in a 63-year-old Caucasian woman along. The gluteal region comprises of superficial and deep muscle groups. Once confirmed, a 1-cm horizontal incision is made in line with the gluteal fold. OBJECTIVE. Depending upon your physical exam findings, fat grafting back into the area can help or a lower buttock tuck. -Pelvic abscess extending intobuttock inpostoperative patient. 11, 12 Therefore, the presence of ASM has been thought to be an important finding for infantile DDH screening in many countries. This is an area of the body that has a lot of different names. gallstones, kidney stones, liver disease, diseases of the female reproductive, and. Posted 06-05-18. Action. The superior tip of the intergluteal. Spinal DSTs occur with a frequency of ∼1 in 2500 live births. Next, shift your weight behind you, more to your heels than the balls of your feet to protect your knees. . Urinary and bowel dysfunction are nearly universal. The gluteal fold is the area below the buttocks or the space at the lower edge of the gluteal muscle, also called the upper thigh. Thank you for your question regarding minimizing the appearance of your double gluteal fold. However there are surgical maneuvers that can improve it. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. Fortunately, there are a variety of ways that the backside can be improved to achieve a more uplifted, shapely butt. (A) To locate the inferior gluteal artery perforators (IGAPs), a perpendicular line was drawn from the posterior superior iliac spine (PSIS) to the medial gluteal fold, and IGAPs were usually found around the middle third of the line. They generally have lost weight, When gulteal implants were needed, Silimed Quartzo have poor skin quality, and quite often are. Given that the. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. They’re so obvious and they’re. A gluteal fold can be created or accentuated by adding volume in fat to the buttock (BBL) above the fold or by reducing the fat in the upper posterior thigh at and just below the fold. Find the plastic surgeon with ELITE credentials who performs hundreds of fat transfers each year. Her treatment was performed and she awoke to fat missing from areas she did not consent to be removed giving her a double gluteal fold under each cheek. Your buttock may still shrink a little bit moving forward, but this is more likely from residual swelling.