Multiple dimples were encoun-tered in 1. The Gluteus medius and minimus work together as hip abductors and are vital to normal locomotion. Pediatr Rev October 2021; 42. Although the safety of gluteal augmentation with autologous fat grafting is still controversial, the proportion of operations is increasing year by year. Buttock augmentation improves the contour, size and shape of the buttocks. OBJECTIVE Cutaneous stigmata or congenital anomalies often prompt screening for occult spinal dysraphism (OSD) in asymptomatic infants. 5–0. Common neoplasms include angiosarcoma, fibrosarcoma, leiomyosarcoma, liposarcoma. The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. Answer: Sacaral dimple. This is caused by an abnormal development of the muscles in the buttocks, often due to muscular dystrophy or other conditions. 2. Figure 1: components of beautiful buttock. In 45% of the photographs, this crease was observed, formed by two lines arising in the proximal portion of the gluteal crease. Candidal diaper dermatitis involves clinically significant infection with Candida albicans and presen. Y-shaped creases could be quite distinct with long upper creases or barely visible with short upper creases. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. A. , F. (Y-shaped) gluteal cleft in 3 8 (7%. Stumbling or changes in gait or walking. Five hundred twenty-two patients with a mean age of 6. Methods: From June 2015 to June 2018, 62 patients surgically treated for vulvar cancer were included in the study. The sacral plexus nerves help with motor and sensory function in the thighs, lower legs, feet, and pelvis. A true sacral dimple is more than just a y shaped butt crack. Osteology. The overall preferred ratio was 0. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. defined the infragluteal fold as a result of gluteal ptosis secondary to sagging of the buttocks and redundant gluteal tissue [ 9 ]. The donor site is well tolerated and scars have been hidden within the gluteal crease. of or relating to the gluteus muscles… See the full definition. Access records and results, view and pay bills, request prescription renewals, and request appointments. hemangioma, telangiectasiaBackground The buttock is the second sex feature of the human body, and the graceful buttock curve gives people confidence. The best way to get rid of that excess flab under your butt is to implement HIIT workouts with the right kinds of cardio. The patient's satisfaction was good with long-term. The gluteal region is located at the back of the body, representing the transition point between the trunk and the lower limbs. If it is, she would need surgery to have the the tethered cord snipped. The 2024 edition of ICD-10-CM Q82. This technique combines simultaneous vibration, tunnelization, and grafting. many men experience benign or malignant hypertrophy or hyperplasia (enlarging) of the prostate gland. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. Five degrees of ptosis are described with rising sagging of tissues which define and length the IGF laterally. In 45% of the photographs, this crease was observed, formed by two lines arising in the proximal portion of the gluteal crease. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. The midwife said its nothing and left it at that. ORIGINAL PAPER Proposed caudal appendage classification system; spinal cord tethering associated with sacrococcygeal eversion C. Hi moms! I am a FTM with 2 week old. Y Shaped Gluteal Cleft, It's a y shaped divot above DDs butt. Posted 15-01-11. It is considered the body’s largest muscle. Go hiking. 7 The locations of the perforators from the internal pudendal artery. With your feet shoulder width apart, place your hands on the barbell (whether on lifting blocks or in a Smith machine), with your palms either over or under the bar. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. Among. A cosmetic desire to boost the volume and shape of the buttocks. Signs and symptoms of gluteal injuries include swelling, bleeding, and inflammation. I almost thought they just made that up! A few dimples were located in the upper portion of a deviated or Y-shaped crease and were therefore slightly off-midline even though located within the gluteal crease. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. • Although most lesions occur in the midline, eccentric lesions are not inThe rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. 201. Applicable To. When performing liposuction, care must be taken to avoid certain areas of the body that had important connections between the skin and the underlying muscle. Sciatic Nerve. 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. It extends from. Piazza Summary A 360-degree Torso Tuck with gluteal autoaugmentation is a modern approach that targets a specific patient population so that they may have an incredible cosmetic result, which,. This is the American ICD-10-CM version of Q82. Fig. These four muscles fill the gluteal (buttock) region and provide it with shape and form. The access incision is in the intergluteal crease and the muscle is reached after suprafascial undermining at both sides, shaped as an inverted heart. Deep dim-ples were noted in 1. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion of the spinal cord or meninges. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. The fibres slope across the buttock at a 45 degree angle and insert onto the iliotibial tract and gluteal tuberosity of the. Kaitlin N. Posted 18/3/18. It’s above the crease in the buttocks. These patients tend to have central obesity, thin legs, and a tall pelvis. Sacral dimples can be “typical” or “atypical”. jpeds. She explained that it needs to be watched over the. These ideals include (1) lateral depression of the buttocks, (2) supragluteal fossettes, (3) a V-shaped gluteal crease (“sacral triangle”), and (4) the infragluteal fold [2–4]. Squeeze your glutes as you do this. Although the safety of gluteal augmentation with autologous fat grafting is still controversial, the proportion of operations is increasing year by year. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. In the authors’ opinion, the flap design and incision lines do not violate these characteristics. Acral localized acquired cutis laxa as presenting sign of underlying systemic amyloidosis. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. ICD-10-CM Diagnosis Code M76. The meaning of GLUTEAL is of or relating to the gluteus muscles. Dimples that may require further investigation are those that are large. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. c. 2020 Nov; 47 (11):1050-1053 Epub 2020 Sept 10. 1 Approximately 30% to 40% of patients with ankle sprains go on to subjectively report that the ankle joint feels unstable and describe episodes of “giving. Answer: The mistake of trying to create a defined crease with Liposuction. Sacral dimples can be “typical” or “atypical”. A buttock lift improves the tone of the underlying tissue in the buttocks. It is calculated by taking the distance around the waist at its narrowest point and by dividing the distance around the hips and buttocks at their widest points. Subcutaneous fat topography, and 4. 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. My son had a Y-shaped gluteal crease which is also a marker for a tethered spinal cord. Conclusion: The use of a deepithelialized double dermal flap is a safe and new way to obtain excellent results in rejuvenation of the gluteal region. 8. Now I’m freaking myself out because everything you see on google says tethered spinal cord. diseases of the male reproductive organs. The rate of OSD ranged from 12% for patients with asymmetrically deviated gluteal crease to 55% for those with other isolated cutaneous stigmata. A cosmetic desire to boost the volume and shape of the buttocks. This is what my doctor said about our DD: "It is an abnormal gluteal cleft, or Y shaped gluteal cleft, and it suggests we check for a tethered spinal cord. Gluteal crease! The top part of your butt crack! A great place to live, if you’re bacteria. J Cutan Pathol. It is a visible border separating ass into two parts. The inferior gluteal line follows a similar path but is shorter and less curved. A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. It. Purpose To provid a comprehensive and detailed review of the. A total of 44. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. Ahn, Molly J. 5 cm of the anus), and do not have an associated cutaneous abnormality [4][5][6]. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. Another remarkable finding is the inferior oblique gluteal crease that is most prominently seen in the “square” buttock . 2 months at imaging were included in the study. Gonzalez et al. Arthroscopy2021 Feb;37 (2):435-437. 3 The short infragluteal fold, supragluteal fossettes and sacral triangle are generally universally accepted, whereas mild lateral. A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. Access records and results, view and pay bills, request prescription renewals, and request appointments. We would like to show you a description here but the site won’t allow us. The superior gluteal artery transports blood from the heart to the glutes. causes Diagnosis & treatment Overview A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. Pain or tingling the legs or back; Curvature of the spine Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Male/8. Gluteus maximus is a thick flat sheet of muscle sloping from the pelvis down across the buttock at 45°. March 2017 At our 2 week appointment yesterday, our doctor pointed out that LO has a Y shaped crease above his bottom. 2. To reduce the risk of transmission, people living with anal herpes need to employ additional prevention strategies, including:The anterior gluteal line begins near the iliac crest taking a curved path posteriorly and inferiorly towards the greater sciatic notch. Buttocks are an important element of sexual attraction, and iatrogenic gluteal irregularities pose significant embarrassment to the patient. At . Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. Read below for more causes and how to treat butt boils and bumps. Background. A. My daughter has a y shaped cleft at the top of her bottom. Introduction. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 5%. In this technique, the medial thigh lift is extended posteriorly into the infra-gluteal crease; the advantage is that the posterior thigh is lifted and ptosis of the caudal buttock can be corrected. We have been told our 6 week old son has a forked gluteal (naval) cleft or I y-shaped crease at the top of his button crack. The most common MSS lesions were “simple dimple” (125 infants), defined as a soft tissue depression ≤25 mm above the anus (regardless of size or depth), and deviated gluteal fold (DGF; 53 infants), defined as any abnormal gluteal fold (including bifid or split gluteal cleft) without an underlying mass. Y shaped gluteal cleft. Researchers in Israel prospectively examined the role of ultrasound (US) in 254 infants younger than 6. The long elliptical shape of the flap allows coning of the tissue to form a more natural breast shape. The brain, spinal cord, and skin are all derived from the embryonic ectoderm; this common derivation leads to a high association between central nervous system dysraphic malformations and abnormalities of the overlying skin. Other names. Copy referenceHerpes is a common viral infection that can cause sores in the mouth or genitals. Female and Male buttocks. Gluteus medius is a fan-shaped muscle with its posterior third lying deep to the gluteus maximus. I can’t help but worry!!! 8) GLUTEAL CLEFT DEVIATION • Minimal physiologic asymmetry to significant deviation with associated asymmetric glutes • Among the patients undergoing screening for OSD , upto 8% had asymmetric gluteal cleft deviation and 7% presented with Y shaped gluteal cleft • Unclear about the significance of an isolated deviated gluteal crease The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). The dimple in this photo is the tiny dark brown shadow below the slate grey patch at the superior end of the gluteal crease. Provocation tests like the Active Piriformis Test can be used to test if a contraction of the deep gluteal muscles reproduces the recognizable buttock pain. z. We would like to show you a description here but the site won’t allow us. . A gluteal fold can most definitely be created. This is the American ICD-10-CM version of S31. . worried for my 7 weeks old son. 8% had deviated or duplicated gluteal creases, 15. Abnormal gluteal crease: status: active: date introduced: 2016-01-31: fully specified name(s) Abnormal gluteal crease (finding) synonyms: Abnormal gluteal crease: attributes - group2: Finding site: Gluteal sulcus structure 89508007: attributes - group1: Has interpretation: Abnormal 263654008: Interprets: Form of natal cleft 713556009: parents. 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. Stence, Todd C. The. Four of the most recognizable characteristics of an esthetically pleasing gluteal region are: 1. Dr. The World Health Organization classifies most soft tissue neoplasms according to the tissue of origin. Nine patients had 2 LsCMs suggestive of OSD; specifically, gluteal asymmetry and a coccygeal pit (2 infants); lumbar hair and coc-ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. 1 An occult spinal dysraphism (OSD) is covered by normal or near-normal skin, usually delaying diagnosis. Results: All profunda artery perforator flaps have been successful. Folliculitis. Congenital Spinal Dermal Sinuses Long-Term Analysis at King Hussein Medical Centeran S‑shaped gluteal crease since age 2 weeks. Corbett Wilkinson, Michael H. Also, I see in your conditions that you have anger and anxiety . 5 × 1-cm lumbosacral skin appendage (black arrow), slightly to the left of midline, plus a y-shaped gluteal cleft. Set the appropriate weight and adjust the leg pads for your height. does any of your baby have this? I will call our family doctor to have it assessed. The gluteal muscles all arise from the gluteal lines. The sciatic nerve runs under the gluteus maximus. 57: Penile torsion: Gluteal asymmetry: CM ends at L2-3: CM ends at L2-3: No clinical TCS; PT:. These are the gluteus maximus and the glutius medius. "As the pain worsens, and compensatory patterns increase, a positive feedback cycle can form which worsens the gluteal imbalance and worsen the pain," he says. Figure 3: the waist-to-hip ratio in posterior and lateral views. I can’t help but worry!!!8) GLUTEAL CLEFT DEVIATION • Minimal physiologic asymmetry to significant deviation with associated asymmetric glutes • Among the patients undergoing screening for OSD , upto 8% had asymmetric gluteal cleft deviation and 7% presented with Y shaped gluteal cleft • Unclear about the significance of an isolated deviated gluteal. Abnormal palmar reflex: 2/3 (67%)symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata (subcutaneous lipoma, vestigial tail, hairy patch, and dysplastic skin) in 31. Y-shaped creases. Included in these groups were several variations. Figure 4: Deep muscles of the gluteal region and posterior thigh, posterior view. 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. y shaped butt crack. Lagertha1. Glute imbalance can cause pain up and down the kinetic chain and can cause pain in both the affected limb, as well as the opposite side, according to Dr. It covers the area from iliac crest from above to the gluteal fold below. 5%. lipomas, hairy patches, deviated gluteal fold, and skin ap-pendages. Although there is a low incidence of TCS in neonates with simple dimple and deviated gluteal fold (DGF), the optimal diagnostic workupfor these infants remains unclear. Applicable To. Request PDF | Intraspinal lesions associated with sacrococcygeal dimples | Unlabelled: OBJECT. It consists of a line at the junction of the thigh and the buttocks. GLUTEAL FLAPS. It is also called butt crack or ass crack. 1016/j. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. Posterior view and B. This area is the groove between the buttocks that. Most are blind ending, just above or within the crease of the buttocks, and do not require investigation or treatment. Both types of dimples are usually present at birth. Then an incision was made along the gluteal crease at the desired site for the final incision. RESULTS. Follow your baby's amazing development. Background The buttock is the second sex feature of the human body, and the graceful buttock curve gives people confidence. Gregory; Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. My son, 18 weeks (born 2 weeks early), has a crooked bum. 2. Q82. 12. Like the square butt, fat distribution, hip bone shape, and muscle development determine the shape. It is also the most superficial, producing the shape of the buttocks. Isolated midline dimple was the most common indication for imaging. 4. Advanced searchGross anatomy. Attachments: Originates from the gluteal (posterior) surface of the ilium, sacrum and coccyx. Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis; Tendinitis of bilateral. Common causes of tight glutes include: sitting for long periods of time. Pediatrician. Areas of the ulcer may turn black as the tissue dies. Feature Agreement Comment; Neurocutaneous: 1/1 (100%) Café au lait lesion not appreciated via telemedicine but appreciated in-person. Some consider the term spina bifida occulta. Reflect the skin flap over the gluteus maximus laterally. The Dr said its not attached & not to worry. a birthmark in the area. Bakkum, Gregory D. 6 - other international versions of ICD-10 Q82. 5 cm of the anus), and do not have an associated cutaneous abnormality [4][5][6]. The underlying bony framework, 2. Muscle. This can be accomplished with liposuction or specific suture techniques. I’ve noticed my baby has a Y shaped cleft on her bottom. 9 became effective on October 1, 2023. The gluteus medius is a broad, thick, radiating muscle, situated on the outer. The piriformis muscle is important in turning the. swelling in the area. Look for red flags. L30. Answer: Gluteal fold can definitely be created. Fig. "Genital herpes" refers to herpes that affects the anus, scrotum, vagina, penis, vulva, cervix, buttocks, and inner thighs. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. Fig. Case 1. , hemangiomas. zoemcr. Monday she will see a neuro sergion for a physical exam. Doctoral Degree. Steinbrech and Rocco C. Results: All profunda artery perforator flaps have been successful. Psoriasis affecting the buttocks is a form of genital psoriasis. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Typically, pilonidal cysts occur after puberty. Isolated midline dimple was the most common. Physical therapy exercises can help, although some people need other interventions. 4,437 satisfied customers. Multiple dimples were encountered in 1. It's usually just. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. Gluteal cleft is the vertical partition which separates buttocks. [99,100] described it as: 1. It has four borders - superior, anterior, posterior and medial borders; and three surfaces - gluteal, iliac fossa and sacropelvic. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. 4-9). Patients may seek to enhance buttock shape with buttock implants, autologous fat transfer, autologous tissue flaps, excisional procedures, or liposuction. He did great & slept through the whole thing. The horizontal gluteal crease defines the lower portions of the. The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. 13. The gluteal fold flaps are based on the dense network of perforators of the internal pudendal artery near the midline of the perineum between the anus and the ischial tuberosity (Figure 2). Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. Top Symptoms: small facial lump, yellow or white facial bump. Our technique allows for the. This is the American ICD-10-CM version of L30. Landmarks can also be used to identify the location of the emergence of the inferior gluteal artery outside the pelvis. Lateral view. 4. arthro. Skin flaking on wound bed. A posterior skin flap was elevated approximately 3 to 4 cm. 8. My son had a Y-shaped gluteal crease which is also a marker for a tethered spinal cord. 2) . The gluteus maximus has two insertion points: 1 ⁄ 3 superior. Stence, Todd C. Inverse psoriasis, also known as flexural psoriasis, is a skin condition that may develop in the armpits, under breasts, on the groin, or in other skin folds. The bones of the gluteal region contain foramina (notches), which serve as conduits for nerves and blood. The dimple in this photo is the tiny dark brown shadow below the. If mostly adipose tissue (fat), you can have Zeltiq Coolsculpting to freeze the fat. Indications. . They are on the back of the pelvic area and give padding when people sit. Now I’m freaking myself out because everything you see on google says tethered spinal cord. Sacral dimples. It is critical for one to understand the variations across ethnicities in defining gluteal esthetics. They are the second most common congenital disability after congenital heart defects [ 1 ]. Firmness. dome-shaped. This feature was observed in 45% of the photographs. • Although most lesions occur in the midline, eccentric lesions are not ingallstones, kidney stones, liver disease, diseases of the female reproductive, and. 805. Pediatrician said she wasn’t worried at all since she has good leg movement and stuff, but she’ll keep an eye on it. They may be associated with a tuft of hair. GreenSkin tags are usually raised, hand off the skin. Pilonidal cysts occur in the “gluteal crease” (butt crease) and develop because of the shape of that crease. Fat grafting to restore previously removed fat tends to not work very well and usually requires. 8. Read about recovery time, diagnostic tests, and prevention. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. Thanks to your g. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. Although gluteal lift as part of the. He underwent elective spinal cord detethering via the safe and effective, minimally. Skin, Buttock. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Hi ladies i just wondered if you could help me. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. Isolated midline dimple was the most common. 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. skin tags. Muscle. 8. Directed toward the supragluteal fossettes, these lines are formed by the insertion of the gluteus maximus in. My son, 18 weeks (born 2 weeks early), has a crooked bum crack. 6 became effective on October 1, 2023. Fayetteville, GA. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with Caucasians. Your current Body Mass Index estimate of 26. poor form while exercising. A sarcoma that starts in a bone is also going to cause pain, among other symptoms. Depth is minimal. crease翻译：折叠, （布或纸上的）褶痕，皱褶, 板球, （板球击球手击球的）区域线，击球线, 压皱；（使）起褶皱。了解更多。The first report of gluteal augmentation was described by Bartelli et al in 1969 for aesthetic and reconstructive purposes by using silicone breast implants in a patient with gluteal muscle atrophy. Dancing and. 96 per 10 000 athlete-exposures among high-risk collegiate athletes and most categorized as lateral ligament injuries. Sacral Dimple. Structure. Everyone has a gluteal fold. Keep your arms straight as you lift the weight with your hips and glutes. This is what my doctor said about our DD: "It is an abnormal gluteal cleft, or Y shaped gluteal cleft, and it suggests we check for a tethered spinal cord. 4. Long-term follow-up is needed to evaluate for possible fat necrosis of the transferred. A few dimples were located in the upper portion of a deviated or Y-shaped crease and were therefore slightly off-midline even though located within the gluteal crease. Asymmetry. 1 Given the low incidence rate of OSD at 0. The iliac crest is the superior border of the ilium extending from the anterior superior iliac spine to the posterior superior iliac spine. In evolutionary theory of human mate preferences, WHR was suggested to have evolved. Figure 4: Deep muscles of the gluteal region and posterior thigh, posterior view. We have been told our 6 week old son has a forked gluteal (naval) cleft or I y-shaped crease at the top of his button crack. Y-shaped crease and were therefore slightly off-midline even though located within the gluteal crease. Vascular loop is around the filum. Atypical dimples may be located higher up on the back or off to the side. Pilonidal cysts are common in young men. 10. Gluteal muscle contracture (GMC), as the name suggests, is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia, in severe cases hip external rotators and rarely hip joint capsule [ 1 – 3 ]. 04%, they are likely too common to be considered high risk. What causes a y-shaped crease at the top of newborns bum crease? i don't see a dimple. With this technique, the deepithelialized crescent-like zone in lateral thigh redundancy anchored to gluteal fascia through three separate incisions as used for creation of a new gluteal crease. Y-shaped crease and were. Gluteal flaps can be used as split gluteal flaps, V to Y advancement gluteal perforator flaps. It has a longer ventral segment forming two-thirds of the crest. Psoriasis affecting the buttocks is a form of genital psoriasis. Medially, an intergluteal cleft separates the two buttocks from each other, while laterally they are bounded by the hip regions. Figure 1: components of beautiful buttock. Erythema intertrigo.