Luke’s Health System of Idaho. Best, Dr. 8% had deviated or duplicated gluteal creases, 15. It covers the area from iliac crest from above to the gluteal fold below. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. In this procedure, a doctor will remove any hair or hair follicles from the cyst and. The lesser sac may be conceptualized as the space posterior to the lesser omentum, between the posterior wall of the stomach and the surface of the peritoneum that covers the anterior surface of the left kidney 1. Hours：. A double fold or banana roll is best left untreated The fold forms in an upright standing position because in that position the skin from the back of the thigh is pushed into the buttocks creating the fold. Depending upon your physical exam findings, fat grafting back into the area can help or a lower buttock tuck may be necessary. Distributed in a linear, mirror image on each side of the skin fold. Hope this helps! The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. If a sacral dimple is paired with other symptoms such as bruising, tufts of hair or skin tags, it could be a sign of a spinal condition. Relative fixed points include the iliac crest, which is displaced cephalad in a reclining position, and theAnswer: Butt folds. Advertisement. Applicable To. e. It is also called butt crack or ass crack. 1. A technique for restoring the intergluteal cleft during the reconstruction of large perineal defects is described. Subscribe Now:More:exercise to define the gluteal f. Violation of this area can result in redundancy and creation of unfavorable skin rolls (eg, banana roll or double-gluteal fold). Six patients had an abnormal gluteal fold. At my last appointment, he refused to take blame for the outcome and refused to pay for any more correction. Buttocks. A gluteal fold can most definitely be created. Fortunately, there are a variety of ways that the backside can be improved to achieve a more uplifted, shapely butt. It is generated when the two. Capacities of 250, 300, and. In conclusion, a double gluteal fold can develop from having a high body fat percentage and from neglecting to train the glutes. Sciatic nerve, inferior gluteal vessels, and posterior femoral cutaneous nerve (arrow) arebetweengluteusmaximusmuscle(MX)and quadratus femorismuscle(QF). In more serious cases, the symptoms of dead butt syndrome can cause pain and stiffness elsewhere. fold [fōld] plica; a thin margin curved back on itself, or doubling. 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. 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. Figure 1. Set up the bench: The Larsen bench press requires a specially designed bench with a split pad. The double butt fold can also be. Since you are young with excellent skin quality, I suggest you have liposuction. The best treatment for this is VASER hi definition liposuction to tighten the area and fat transferred around it to lift the buttock and improve the fold. I have had a double gluteal fold on both cheeks since puberty and they have never fluxuated with weight gain or loss. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. cations include gluteal ptosis, double gluteal fold, banana deformity and cellulite. 913 Darion St, New Braunfels, TX 78130 is currently not for sale. 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) (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. These creases are formed as we develop. Base of dimple is visible. subcutaneous masses(M)withextension intoglutealmuscles. 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,. If you have an asymmetric gluteal crease, this can be addressed with liposuction or fat grafting around this area. 5 cm from anus. k. The specific cause of a double gluteal fold is a type of fat called cellulite. The fat-dominant SFS features a classical double-layered SFS structure. Duplicated Gluteal cleft. Keyword Search. 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. 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. I too have this double fold butt. Our technique allows for the creation of a. Wechat：huangsm30. Answer: Repair of Double Gluteal Crease with Fat Transfer. Congenital hip dislocation and bilateral club feet in an infant with Poland's anomaly. The other synonyms of gluteal cleft are anal. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. . 96. 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. The gluteal area is one of the most likely candidates to. The outer layer of epidermal cells become over-hydrated, causing swelling which weakens the skin. Medially, it is separated by an intergluteal cleft, while laterally, it is bordered by the hip region. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. Q: Dr. The gluteal fold is the crease formed by the inferior aspect of the buttocks and the posterior upper thigh. Gluteal Fold Lipoplasty The gluteal crescent fold, also called the gluteal “smile line” or interior gluteal groove, is located at. 1. subcutaneous masses(M)withextension intoglutealmuscles. Moisture-related skin breakdown is usually characterized by superficial skin loss and irregular edges, classified as MASD (moisture associated skin damage). Next, shift your weight behind you, more to your heels than the balls of. It is a skin fold and should not be treated with. Aju1985. E. How can I correct this? 2 EXPERT ANSWERS. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. Each referred participant was risk stratified based on specific physical exam findings. 7 Intrusion into these zones may lead to. First would be liposuction the other would be an incision. 1, 7 In many Asian countries, ASM is considered to be. Subscribe for more videos my body type quiz up What's up! Today we're talking glutes - s. It is a normal skin folds on many people Best, Mats Hagstrom MD. In addition, cellulite and stretch marks, which frequently appear in the gluteal region, can also be treated but without resorting to surgery. Stanton, MD says: Once the native lower gluteal fold has been disrupted (by liposuction), it will never be the same. Signs and symptoms of gluteal injuries include swelling, bleeding, and inflammation. pubic ramus. a. (B) In setting of the split gluteus maximus muscle flap and IGAP flap. pubic ramus. Littner's handiwork. Once confirmed, a 1-cm horizontal incision is made in line with the gluteal fold. . Make sure to adjust the bench so that one arm is raised higher than the other. Context: Impairments in dynamic postural control and gluteal muscle activation have been associated with the development of symptoms related to long-term injury, which are characteristic of chronic ankle instability (CAI). Each referred participant was risk stratified based on specific physical exam findings. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. Ems0. Mon~Fri：09:30AM~21:00PM. But which are the most effective gluteal fold exercises. While African American infants had almost double the risk of a duplicated crease compared with Caucasians (RR = 1. Thank you for your question regarding minimizing the appearance of your double gluteal fold. I’ve noticed my baby has a Y shaped cleft on her bottom. 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. This is an area of the body that has a lot of different names. 4%] of 14; Cases 1, 4, and 14 [Table 1]) were somewhat more likely to have abnormal gluteal folds than those without FTF (3 [4. Affected individuals. It's usually just above the crease between the buttocks. Before- and After Photos. The crease is formed by a meshwork of fibrous connective tissue stands (known as Luschka’s ligament) that loosely connects the skin to the surface of the muscles in the buttocks. Single Leg Hip Thrusts. The banana roll is a skinfold and should not be treated. Of 1096 infants included in the study, 24. The optimal treatment to get rid of gluteal fold fat is Banana Roll AirSculpt®. At my last appointment, he refused to take blame for the outcome and refused to pay for any more correction. Gluteal Region is the back and side of lateral half of pelvic region. fold·ed , fold·ing , folds v. 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. To eliminate this double fold, surgical techniques can also be used. Of 1096 infants included in the study, 24. The American Society of Plastic Surgery estimates over 28,000 procedures were performed in 2019, nearly double the number performed just 5 years prior [1, 2]. Researchers in Israel prospectively examined the role of ultrasound (US) in 254 infants younger than 6. View more property details, sales. This problem has deeply affected my self esteem and i am looking for someone with experience in correcting the issue with beautiful results. The most effective way to treat a double gluteal fold, commonly referred to as a “banana roll,” is through liposuction. . That might be a result of volume loss. (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. Applicable To. As a result, the gluteal fold has dropped significantly from where it was before as there is now a lack of fat in the posterior thigh to support the buttocks. Gluteal augmentation via autologous fat grafting, colloquially termed the “Brazilian Butt Lift” (BBL), represents one of the fastest growing areas of plastic surgery in the United States. Answer: Butt cheek crease. 95. 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 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. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. 2 /19. Background Gluteal ptosis may result from sagging of redundant skin and fat below the infragluteal fold. It is a visible border separating ass into two parts. For the buttock area, it is important to avoid deep, aggressive suctioning and to maintain the length and position of the inferior gluteal crease. Like many other conditions, hip dysplasia has a wide range of severity, from mild (loose joints) to severe (complete dislocation). We actually inject fat with movements sim- gluteal fold. Find the plastic surgeon with ELITE credentials who performs hundreds of fat transfers each year. Post author: Post published: March 11, 2023 Post category: treacle tart with weetabix Post comments: blue and white figurines made in taiwan blue and white figurines made in taiwanA sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. For best results, be sure that you obtain a consultation with a. 95. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. Hi doctors, I am 35 and exercise regularly since I am 12 year old. The mother has been doing some reading on the internet and has become worried about spina bifida. . 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. . Whatsapp：0912584822. The outer layer of epidermal cells become over-hydrated, causing swelling which weakens the skin. You wonder whether to request a spinal ultrasound. 86: Hydronephrosis: Coccygeal pit, Mongolian spot: CM ends at L2-3: N/A: N/A: Male/0. Gluteal pain or pain in the butt can be caused due to lumbar radicular pain. ( not laying or sitting directly on fat injected areas of buttock for approximately 3 weeks) Fat is very fragile and tends to die easily. At this stage, it is best to be evaluated by a plastic surgeon. This is a deposit of fat that pushes against the tissue on certain areas of the body and can show up when skin is compressed. 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. Figure 1. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. Hours：. 8%. The procedure creates a smoother, less dimpled and more toned appearance. Body. These creases are formed as we develop. The treatments applicable to eliminate or improve them belong to the field of aesthetic medicine and will also have to be accompanied. Clams. It is impossible to change because those creases are how deeper structures in the body attach to the bone and to the skin. These cysts are usually caused by a skin infection and they often. —In thisposition (Fig. 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. Saturday：09:30AM~18:00PM. Here are the characteristics of ITD: Located within the skin folds. Lie on your back with your knees bent and feet flat on the floor, close to your butt. 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. One method of approaching this problem is to consider subcision of the dermal fascial attachments combined with fat transfer to smooth your contours. Should I use SculpSure for my double gluteal fold? (Photo) Mathew C. Squats With your feet shoulder width apart, cross your arms and place a hand on each shoulder (or hold a barbell across your. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. You want to end up with your body in a straight line from. Given that the. Gluteal Fold Lipoplasty The gluteal crescent fold, also called the gluteal “smile line” or interior gluteal groove, is located at the border of the inferio. Dimple is oriented straight down (i. Line ID：675qmpxv. Gluteal Contour Improvement: Different Surgical Alternatives. First of all, a specific technique for underbutt exercises is glute isolation. such as the ischium, and radially anchored by the dermis. The lateral border of the ischial tuberosity is identified by tactile sensation. It is the most common site of intra. My exercises include moderate amount of squats and with weigh however I have not been ab. It is a visible border separating ass into two parts. a. The 2024 edition of ICD-10-CM Q82. In addition, cellulite and stretch marks, which frequently appear in the gluteal region, can also be treated but without resorting to surgery. The distinctive anatomic and radiologic features are discussed. . 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. 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. The first exercise is a glute bridge variation. Single dimple. 96. 54), the number of infants in this. This problem has deeply affected my self esteem and i am looking for someone with experience in correcting the issue with beautiful results. Squats, hip extensions, and general fat-burning exercises will do the best job of targeting a double butt. Your response and considerations will be greatly appreciated. Luke’s Health System of Idaho. This zone is inviolate. Relative fixed points include the iliac crest, which is displaced cephalad in a reclining position, and the Answer: Butt folds. Patients with FTF (3 [21. 8 - other international versions of ICD-10 Q82. How do you treat a double gluteal fold? (photo) Ryan A. Body surface anatomy seen anteriorly and posteriorly. 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. The 2024 edition of ICD-10-CM Q82. A large caliber suction drain was used and maintained for 5 days due to the large amount of fluid that had accumulated in flaps. 45 This results in a ptotic butt if it is longer. Abstract. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. 4. Anatomy. k. It is impossible to change because those. / LIPOSUCTION REVISION QUESTIONS / BOTCHED BANANA ROLL LIPO:. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. Nevertheless, accurate classification of these lesions is. It's usually just above the crease between the buttocks. in the gluteal muscles. It gradually disappears along the GF and the SFS becomes fat-dominant, making the fold increasingly less visible. The success rates for this are quite low and the complication rates relatively high making the situation worse. Background: The presence of asymmetric skin folds in the medial thigh (ASM) is often used as one of the screening items for developmental dysplasia of the hip (DDH). How to get rid of a double gluteal fold? I am 5ft 4, weigh around 47kg. A white or yellow center or tip. and extending past bilateral gluteal creases 4 cm on posterior thighs. Fig. ” Example of wording for Severe IAD: “After assisted to a semi-prone position for exam, areas of epidermal denudement are noted on. This is what I have been left with after Dr. El Fahar et al. 86:. Surgical Implications of "Fixed Points": A New Concept in Plastic Surgery Y. Plastic surgeons unfortunately on are all aware of this. Sciatic nerve, inferior gluteal vessels, and posterior femoral cutaneous nerve (arrow) arebetweengluteusmaximusmuscle(MX)and quadratus femorismuscle(QF). The treatment plan is the teric hypoplasia or hip impingement as well as significant same as that noted in the previous section. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. It’s especially going to suck if you haven’t done much strength training before, and you can expect to feel sore and. People who have a high muscle density are those that are built, have defined muscles, and have a low body fat percentage. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. When gulteal implants were needed, Silimed Quartzo low-profile oval gluteal implants were used (Silimed, Rio de Janeiro, Brasil). 8 may differ. Dear thursdaychild, Thanks for submitting your picture. You can’t control where your fat is distributed, but some people are unlucky enough to have it manifest in the glute area. The superior tip of the intergluteal. Not to mention the constant burning pain and inability to sit comfortably. 1. This can be accomplished with liposuction or specific suture techniques. See Full PDF Download PDF. [1] Then yes, your ass has a double chin! 2 NOTE: If you want to be technical, that shit that you just disclosed yourself as having is called a double butt crease, double inferior gluteal crease, double gluteal fold, or buttock ptosis. 03-3. Sunday：Closed. Pathologic entities in the gluteal region reflect the diversity of tissue types present. Positioning of the lateral prominence at the inferior gluteal fold was rated by 26. I tell my patients to expect about a 50% survival after fat transfer anD that is if they do everything to optimize survival. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. The gluteal cleft and the gluteal fold both occur normally in humans. Glute bridge. Possible pain, burning, itching and odor. The area of skin laxity can be improved with fat grafting in much the same way that a buttock can be contoured in the Brazilian buttlift. A saggy butt, no hips, double gluteal fold under my left cheek and glob of fat under my right cheek. However there are surgical maneuvers that can improve it. 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. 21 A skin dimple is present on the flat portion of the sacrum well above the upper end of the gluteal cleft. This baby’s gluteal creases are uneven (note yellow lines). 1 Given the low incidence rate of OSD at 0. 8 became effective on October 1, 2023. Expert: Rebekah. The truth about the "UNDER BOOTY. It’s a visible crease where the. The dimple in this photo is the tiny dark brown shadow below the slate grey patch at the superior end of the gluteal crease. Aju1985. The right gluteal crease is lower than the left. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It also extends from the iliac crest superiorly to the gluteal fold inferiorly. There are two ways to remove the double gluteal 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. Liposuction of the these patients, an inferior gluteal pexia is the appropriate supragluteal and waist. is skillage an african bum disease. The banana fold is not caused by an abnormality in fat distribution. Plast. The 1,708 Square Feet single family home is a 4 beds, 2 baths property. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. 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. Unfortunately liposuction of the banana roll can cause additional lines to form which is why I avoid liposuction in that area if possible. Suction of the fat in the double fold can flatten this banana or bubble. 95. Slowly breathe out while maintaining your core contracted and then raise your hips up and off the floor. Hi doctors, I am 35 and exercise regularly since I am 12 year old. These are exercises that focus solely on the glutes. Emer. OBJECTIVE. 8 - other international versions of ICD-10 Q82. They generally have lost weight, When gulteal implants were needed, Silimed Quartzo have poor skin quality, and quite often are. 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. A common treatment method for pilonidal cysts and abscesses is incision and drainage. This system of hospitals provides healthcare services for a wide region of the Northwest United States including remote regions and. 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. 91, 1. * Butt Exercises*The gluteal region, commonly known as the buttocks or glutes, is the posterior part of the pelvic area. tr. Get your guide at : chin exercise before and after : Anytime you gain pounds, generally, an individual generally. Cross-sectional. Some people have long ones, short ones, two of them, three of them. Some people have long ones, short ones, two of them, three of them. From the picture it appears that you have skin laxity ( strech marks ) that might contribute to the folds. Answer: Double lower buttock crease treatment. We have all these answers and more, including why some people may want to consider buttock reconstruction surgery. —BUY MY STRONG CURVES ULTIMATE GUIDE:STRONG CURVES BOOTY BANDS:The vertical line starts from sacrum to the perineum. For Fig. Sacral dimples can be “typical” or “atypical”. Q82. By entering keyword(s), you may use one or more keywords to define a search using the words: and, or, not as separators. Answer: Double fold. When an infant is born with skin lesions or abnormalities of the lower back or gluteal cleft, the possibility of an association with spinal malformations, such as tethered cord syndrome, often prompts pediatricians to recommend spinal imaging. 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. 21 The dimple has an underlying tract of epithelial and fibrous tissue that pierces the underlying fascia and posterior vertebral elements, pierces the dura, and tracks. Eppley, Is it achievable via liposuction or removing of excess skin to get a uniform “smile” gluteal fold across both glutes. Normally, its mean length is equal to the intergluteal fold length or 2/3 of it. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Not to mention the constant burning pain and inability to sit comfortably. 71: Circumcision: Duplicated gluteal fold, coccygeal pit: CM ends at L2-3: N/A: N/A 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, so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. Your response and considerations will be greatly appreciated. Violation of this area can result in redundancy and creation of unfavorable skin rolls (eg, banana roll or double-gluteal fold). 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. To eliminate this double fold, surgical techniques can also be used. The gluteal cleft is an anatomical characteristic found in both males and females. First would be liposuction the other would be an incision. 2. gluteal fold synonyms, gluteal fold pronunciation, gluteal fold translation, English dictionary definition of gluteal fold. Gluteal Fold vs Gluteal Cleft. No other skin changes are seen. 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. 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. Lower and repeat 15 to 20 times. Bend one knee into your chest and hold with both arms. Researchers in Israel prospectively examined the role of ultrasound (US) in 254 infants younger than 6. El Fahar et al. Squats, hip extensions, and general fat-burning exercises will do the best job of targeting a double butt. I never paid attention before and I just noticed them. Background Gluteal ptosis may result from sagging of redundant skin and fat below the infragluteal fold. Definition. Whatever fat that will take has taken, and shifting is unlikely. amniotic fold the folded edge of the amnion where it rises over and finally encloses the embryo. Background Gluteal ptosis may result from sagging of redundant skin and fat below the infragluteal fold. 6% had dimples, and 24. However there are surgical maneuvers that can improve it. Squat down into a 90-degree angle (the lower you go the more you. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Insertion. 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. @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. When an infant is born with skin lesions or abnormalities of the lower back or gluteal cleft, the possibility of an association with spinal malformations, such as tethered cord syndrome, often prompts pediatricians to recommend spinal imaging. These deformities can be very difficult to correct, oftentimes requiring either autologous fat grafting or. Since you are young with excellent skin quality, I suggest you have liposuction. A gluteal fold in and of itself is the area where the buttocks are separated from the upper thigh. Radicular pain caused by irritation of third, fourth and fifth lumbar nerve spreads over gluteal area and lower leg.