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Definition of the Infra Gluteal Fold

Banana Fold

-The horizontal crease is under the ischial tuberosity

-It arises in the median gluteal crease and follows a lateral curve, with a proximal concavity,

See Anatomy
ischial-tuberosity
banana fold and ischial tuberosity
male-banana-fold

For Males

Men wearing jeans cut just for males, have the banana or infra gluteal fold above the bottom of the jeans pockets.

To do and not to do
  • To do : Lift the banana fold
    • at each 2 cm , from down to up
    • pushing the syringe to fight against Archimede forces
    • inject 0.1 ml at each point
    • with a needle 27g BD

  • Not to do
    • Never lift the infra gluteal area under the banana fold for men wearing mens jeans.
    • Keep the convexity of the jeans pockets below the banana fold and above the jeans pockets bottom
female-banana-fold

For Females

  • Women wearing jeans cut just for females, have the banana or infra gluteal fold under the bottom of the jeans pockets.
  • Some distance can be seen between the banana fold and the lowest point of the bottom of the jeans pocket .
To do and dore more
Treatment of the Infra Gluteal Area

How to Proceed

Points of Injection of the Banana Fold

1 point for each 2 cm
the 6 points of injection of banana fold
  • The syringe has to be in full contact with the patients skin
  • The direction and sense of injection are from down to up and absolutely parallel to the OP table.
  • As the banana fold is different from the gluteal area, there are no forbidden segments in this case.
  • The treatment of the banana fold or lifting is the same for all patients without taking in consideration the gender, the ethny and so on.

1 St Point of Injection of the Banana Fold

1 point for each square
the 1 st point of injection of banana fold

2 nd point of injection of banana fold

1 point for each 2 cm
the 2 nd point of injection of banana fold

the 3rd point of injection of banana fold

1 point for each 2 cm
the 3rd point of injection of banana fold

Go on after in same way from 3rd to 6 th point ( see picture with the 6 red arrows )
 

Precedent Step
Vectors-Tensors
Next Step
Infra Gluteal Area