Gluteal Fold Surgery
How the fold is formed
The gluteal fold is formed by the fibrous attachment of the gluteal skin to the deep fascia, separating the upper thigh from the buttocks. The fold supports the body and provides mobility to the hips. Fat can accumulate there, and that fat is described as hard to lose. Potential causes of gluteal fold pain include muscle strains, injuries, and deep gluteal fold syndrome. Numbness and discomfort need medical attention, because they can indicate an underlying issue. This is why gluteal fold surgery is discussed when the fold is the concern.
Strength work around the fold

Photo legend
39-year-old female benefitted from a full tummy tuck with muscle plication, lipo 360, a BBL, and bilateral breast lifts.
Squats, lunges, and hip thrusts are named to strengthen and tone the muscles around the fold. Liposuction or body contouring is named to eliminate excess fat in this area. Deep gluteal fold syndrome, which can be caused by piriformis syndrome or sciatica, can also contribute to pain and discomfort. The step given for issues at the fold is to understand the cause and seek treatment.
The sulcus at the thigh
The gluteal fold, also called the gluteal sulcus, is a natural crease at the junction of the buttocks and the thighs. It is created by the inferior border of the gluteus maximus and by the attachment of the hamstring muscles to the femur. It is an anatomical landmark for surgeons. This sulcus account stays beside the skin-to-fascia account. The two origins are not averaged.
The lower border of the gluteus maximus is a separate feature that lies slightly above the fold. That same lower border can be palpated just below the fold. Both locations stay.
Pain in this account may come from piriformis syndrome, muscle strain, ligament sprain, or nerve compression. Stretches of the gluteal and hamstring muscles, heat or ice, and rest are the measures named. Persistent or severe pain is a reason to seek medical attention.
A ketogenic ratio for fold fat

Photo legend
The service designations for this patient include Tummy Tuck, HD Lipo, BBL / Fat Transfer, Breast Lift, and Mommy Makeover. 39-year-old female benefitted from a full tummy tuck with muscle plication, lipo 360, a BBL, and bilateral breast lifts.
A ketogenic diet is described as high in fat, moderate in protein, and very low in carbohydrate. The ratio is 75% fats, 20% protein, and 5% carbs. That ratio is for ketosis, in which the body burns fat instead of carbs, including fat in the gluteal region and throughout the body. The 75%, 20%, and 5% split is not replaced with another ratio.
The keto foods named are avocados, nuts, and fish. They are called rich in omega-3 fatty acids, which the text says aid fat elimination. Omega-3 fatty acids are said to reduce inflammation, improve heart health, and support weight loss. Those foods are the ones named for targeting stubborn gluteal fold fat. The inflammation, heart, and weight-loss statements stay as diet claims on this subject. They are not a surgical protocol.
With that macronutrient ratio and those omega-3 foods, the ketogenic diet is the tool named for reducing gluteal fold fat and for fat elimination throughout the body.
Pain, nerves, and the stretches named
Pain at the gluteal fold can include numbness, difficulty sitting, and lower back pain. The conditions named are deep gluteal syndrome, piriformis syndrome, and pinched nerves. Deep gluteal syndrome is compression of nerves and blood vessels in the buttock, with tingling, numbness, and pain. The same condition is also written as deep gluteal fold syndrome. Both names stay.
Piriformis syndrome is irritation of the piriformis muscle, with pain and numbness in the buttocks and down the leg. Piriformis syndrome and sciatica are also named as causes of deep gluteal fold syndrome. Pinched nerves in the lower back can result in pain at the fold.

Photo legend
From this angle, the BBL / Fat Transfer result is easier to follow. 39-year-old female benefitted from a full tummy tuck with muscle plication, lipo 360, a BBL, and bilateral breast lifts.
Stretches named for this pain are the pigeon pose, the seated figure-four stretch, and the supine piriformis stretch. Exercises named are bridges, clamshells, and hip abductions. Stretching the glutes, hips, and lower back is said to ease tightness and improve flexibility. Strengthening the gluteal muscles is said to support the area and reduce pressure. A regular routine of these stretches and exercises is the management step given for mobility and comfort.
What the operations are for
Gluteal fold surgery uses a combination of techniques to change the contour and symmetry of the buttocks and the surrounding areas. Genetics, weight fluctuations, and aging are the factors named when the shape is the reason for surgery. The aims named are to define the fold, reduce excess skin, and change the overall shape.
Ultra-Z liposuction
Ultra-Z liposuction is one gluteal fold surgery option for reshaping the gluteal smile line by removing excess fat adjacent to the folds. Ultra-Z uses ultrasonic lipolysis to break down and suction that fat. The thermal effect of an ultrasonic probe is said to prompt adhesion of the skin dermis to the deep muscular fascia, with a smoother and more defined contour. Ultra-Z is not described as VASER.
Genetics, aging, and weight fluctuations are named again as factors that accumulate stubborn fat in the fold. Suitable patients are at their ideal body weight and have localized fat in the gluteal region. The indication is dissatisfaction with the gluteal smile line despite diet and exercise.

Photo legend
#380 is shown here in a closer clinical frame. 39-year-old female benefitted from a full tummy tuck with muscle plication, lipo 360, a BBL, and bilateral breast lifts.
The American Society of Plastic Surgeons states that liposuction, sometimes referred to as lipo by patients, is a surgical procedure that involves the removal of excess fat from specific areas of the body. That sentence is the removal definition only. Ultrasonic lipolysis, adhesion of dermis to fascia, Renuvion, Attiva, the butt tuck, the keto ratio, and the two fold definitions are not that sentence.
Renuvion on the banana roll
Renuvion is a gluteal fold surgery option described as minimally invasive radiofrequency-assisted liposuction. It removes excess fat from the fold, tightens the skin, and contours the buttocks. The area below the buttocks that it targets is the banana roll. Radiofrequency is said to melt and remove fat while tightening and smoothing the skin. The procedure is performed under local anesthesia. The text says this treatment can permanently remove gluteal fold fat, with minimal scarring and a quick recovery.
Attiva and a horizontal crease
Attiva is a gluteal fold surgery option meant to create a natural horizontal gluteal crease between the buttock and the thigh. The techniques named are liposuction to remove excess fat and gluteal reshaping of the contour. Candidates are people bothered by the lack of a defined fold. Suitability also includes good overall health, realistic expectations, and a commitment to a healthy lifestyle after surgery. A consultation with a plastic surgeon is the evaluation named before Attiva.
A butt tuck, or gluteoplasty
A butt tuck, also called gluteoplasty, is a gluteal fold surgery option that removes excess skin and fat from the buttocks. The surgeon makes incisions, removes that skin and fat, then repositions and tightens the remaining tissues for a lifted contour. Sagging or drooping is the shape this operation is said to address. Risks named are infection, scarring, and asymmetry. Benefits and risks are discussed with a plastic surgeon before surgery.
Silicone implants, liposuction, and pregnancy

Photo legend
Another view from the series, still reflecting Tummy Tuck, HD Lipo, BBL / Fat Transfer, Breast Lift, and Mommy Makeover as named for this case. 39-year-old female benefitted from a full tummy tuck with muscle plication, lipo 360, a BBL, and bilateral breast lifts.
Silicone butt implants and liposuction are also named as gluteal fold surgery options. Butt implants are silicone implants inserted to add volume and projection. Liposuction is named separately to remove excess fat and sculpt a more defined appearance. Pregnancy is a shape factor in this section, kept beside genetics, aging, and weight fluctuations. Those four factors are not collapsed into one cause. A board-certified cosmetic or plastic surgeon is the person named to match a method to the patient's goals and anatomy.
FAQs about gluteal fold surgery
One account is fibrous attachment of gluteal skin to the deep fascia, separating the upper thigh from the buttocks, and supporting the body and hip mobility. The other account, also called the gluteal sulcus, is a crease at the buttocks and thighs created by the inferior border of the gluteus maximus and by the hamstring attachment to the femur. The lower border of the gluteus maximus is also said to lie slightly above the fold and to be palpable just below the fold.
The ketogenic ratio stated is 75% fats, 20% protein, and 5% carbs, used to reach ketosis so the body burns fat instead of carbs. Avocados, nuts, and fish are the omega-3 foods named with that ratio.
The operations listed are Ultra-Z liposuction, Renuvion under local anesthesia for the banana roll, Attiva for a horizontal crease, and a butt tuck that removes skin and fat. Silicone implants for volume and projection, and liposuction for fat removal, are named with them. Pregnancy, genetics, aging, and weight fluctuations remain the shape factors.
Numbness and discomfort are reasons to seek medical attention. Persistent or severe pain is also a reason. Causes named across the sections include muscle strains, injuries, deep gluteal fold syndrome, piriformis syndrome, sciatica, ligament sprain, nerve compression, and pinched nerves in the lower back. Stretches and strength work are the home measures named. They are not a substitute for that medical attention when pain persists or is severe.
Related reading
Continue with guides on this topic, or jump to a procedure, cost, or location page.
Source: /gluteal-fold-surgery/

