Introduction. If your lump is soft and easy to move around. This cyst and the overlying skin in the area can become infected, forming a painful abscess. Chafing. OBJECTIVE. “High-risk” dimples are defined as those that are (1) deep; (2) larger than 0. My doctor told me it's from leaving a little bit of water moisture there when you get out of the shower but even when I make sure I Extra dry the area still appears. Intertrigo, or intertriginous dermatitis, is a common inflammatory condition of skin folds characterized by moist erythema, malodor, weeping, pruritus, and tenderness ( picture 1A-D ). 1. It also extends from the iliac crest superiorly to the gluteal fold inferiorly. If you have an asymmetric gluteal crease, this can be addressed with liposuction or fat grafting around this area. Patient safety considerations include thromboembolism. Understanding where and how to activate these. Pathologic entities in the gluteal region reflect the diversity of tissue types present. The crooked gluteal fold seems to be caused by more fat on one side than the other. Boils on buttocks can occur due to various factors such as bacterial infection and STDs. Typically, pilonidal cysts occur after puberty. 8 may differ. Horizontal crease cannot be created. thin, shiny skin over time. And pictures of rashes in medical textbooks often feature white models. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. include a low anterior scar that gently slopes superior to help with waist accentuation and addressing lateral thigh contour. Included in these groups were several. This is a kind of rash that would take place in your gluteal crack or perianal area. Mendieta has described a different buttock height by dividing the sacral height, from L5-S1 to the superior end of the intergluteal crease, by the length of the intergluteal crease. D. It’s usually just above the crease between the buttocks. nervous system sacral dimples Pediatrics in Review Vol. Intergluteal cleft rashes, also known as intertrigo, are a common inflammatory skin condition caused by skin-to-skin friction and intensified by heat and moisture. 5cm · >5mm diameter · Not midline in location · Base not visible (Schenk, 2006) Return to Referral and Diagnosis Return to Surgery and Follow-up Simple Sacral Intragluteal Dimple Dimple within a symmetric gluteal crease AND less than 5 m i nd a etrWITH h sc u abno m l it es A soc ia t. The dimple in this photo is the tiny dark brown shadow below the slate grey patch at the superior end of the gluteal crease. It is a common skin condition affecting opposing cutaneous or muco-cutaneous surfaces. Intertrigo is a rash that results from irritation of the skin in body folds (eg, armpits, under the breasts, belly, buttocks, groin, and sometimes between fingers or toes). Signs and symptoms of gluteal injuries include swelling, bleeding, and inflammation. Cuenca-Guerra and Quezada published the first systematic approach to gluteal aesthetic classification in 2004 . Sacral Dimple. It is commonly seen in the skin between the buttocks (butt. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. A buttock tuck is kind of like a tummy tuck for the buttock in that it removes the banana rolls and/or loose sagging skin from not only the lower buttock but also the back of the thigh to tighten both areas and create a more defined buttock crease. Flexural psoriasis is sometimes called inverse psoriasis and describes psoriasis localised to the skin folds and genitals. Both sides are commonly affected. The most common causes for bumps on the butt include skin conditions like cysts, boils, warts, or skin abscess. Itchiness. The scientific name for the single gluteal fold is the infra gluteal fold. It is located beneath the ilium and behind the pubis. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. A V-shaped crease (sacral triangle), which arises from the proximal end of the gluteal crease and extends toward the sacral fossettes. It may look different depending on your skin color, ranging from pink on white skin to brown or gray on brown or Black skin. The superior gluteal nerve is responsible for innervation of the gluteus medius, gluteus minimus, and tensor fasciae latae muscles. A. The dimple in this photo is the tiny dark brown shadow below the. In the crease of the neck. A 1-year-old female presented with a mass and a dimple on her right lower buttock (Fig. One thing for sure, there is absolutely no “nonsurgical” way to do it and this includes ripoff fillers such a Sculptra and others similar marketed for augmenting the butt on can hips. The following are the possible causes that can lead to the development of boils on your buttocks: 1. 7 The locations of the perforators from the internal pudendal artery. The patient is able to sit, has full pelvic range of motion, and sexual intercourse. Zywicke and Curtis J. Every patient is unique, so please call our offices at 678-566-7200 to schedule a personalized consultation. Gluteal muscles, located on the back of the hip (buttocks) The adductor muscles on the inner thigh bring the leg back to the center when out to the side; The iliopsoas muscle, which extends from the lower back to upper thigh bone (femur) Quadriceps, a group of four muscles that comprise the front of the thighBackground. The gluteal cleft is just above the anus. It is a visible border separating ass into two parts. Honey: Rubbing honey on. Folliculitis can be caused by an infection from bacteria, yeast. The superficial muscles in the gluteal region consist of the three glutei and the tensor fascia lata. In the armpits. In the abdomen, a liposarcoma can grow in the retroperitoneum, or membrane covering the abdominal organs. A boil, or skin abscess, is a collection of pus that forms in the skin. In fact, an inflamed hair follicle ( folliculitis ) is the most common cause of red, inflamed pimples on your butt. 3%] of 70; p = 0. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. irritated skin. APR with en bloc resection of the posterior wall of the vagina. The medical term for intertrigo is intertriginous dermatitis . 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. Sweat, urine, and. 0 are deemed ideal, especially if one-third to one-quarter of the buttock extends above the intergluteal crease and if one-third to one. It is generated when the two buttocks are brought together and. Pilonidal cysts tend to occur on a person’s lower back, just above the cleft of the buttocks. a. The gluteal cleft and the gluteal fold both occur normally in humans. Answer: Buttock crease. Bedsores occur at areas of abnormal pressure on the body: In a wheelchair, this is usually the tailbone (coccyx) or buttocks area, shoulder blades, spine, or backs of the arms or legs. Symptoms of pilonidal cysts include pain, redness, swelling, fever, and discharge of blood or pus. Q82. Inferior : gluteal folds. A. Do loaded squats to work the glutes, hamstrings and quads and to release anabolic hormones – testosterone and growth hormone -- which build muscle mass for a rounded look and more of a butt crease. Synonym: sulcus gluteus, gluteal furrow. The outer border of a skin ulcer is often raised and inflamed. Buttock pain can result from a variety of different causes, including osteoarthritis, sciatica, piriformis syndrome, sacroiliac joint dysfunction, hamstring tendonitis, trochanteric bursitis, coccydynia, and hemorrhoids. Sorry for your problem. Haha. It mostly involves the face and limbs but can occur anywhere on the body, including between the buttocks. A thick, yellow, smelly material that sometimes drains from the cyst. Acute tinea cruris may present as a moist and exudative rash. Typical dimples are found at the skin on the lower back near the buttocks crease. 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. Synonyms: Anal cleft, Crena ani. Gluteal royalty-free images. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. 5 cm of the anus, has a base that can be visualized and is not associated with other abnormalities on exam. With hiking up the back of the thigh tissues (like pulling up a pair of pants), we are able to add tissue (Auto-Augmentation) to the buttock. Gluteal thigh rotation flap is raised as fasciocutaneous flap superiorly to gluteal crease. 10 /15. A gluteal fold in and of itself is the area where the buttocks are separated from the upper thigh. Therefore, MRI was recommended and. It courses inferiorly and exits the pelvic cavity via the greater sciatic foramen while passing inferiorly to the piriformis muscle. Its origin is broad, spanning across the ilium, sacrum, coccyx, thoracolumbar fascia, and sacrotuberous ligament. Answer: Double gluteal fold. The functions of the muscles include extension, abduction, external rotation, and. Boils are pus-filled lumps on the skin that can occur anywhere on the body, including the buttocks. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears. With irritation from direct pressure, over time the inflamed area enlarges to become a firm. The intergluteal cleft (a. Pain or tingling the legs or back; Curvature of the spineThe 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. 2-7. With the gluteal tissue mainly supplied by the direct cutaneous perforators from the internal pudendal artery, it is now the flap of choice for vulvar reconstruction. Your current Body Mass Index estimate of 26. He introduced the notion of “Gluteal Suspension System”. Wound Ostomy Nurse, Iowa Health Home Care, USA. ulcers. Browse 93 gluteal muscles photos and images available, or start a new search to explore more photos and images. Boils symptoms and signs include the following: A firm reddened pea-sized bump. Browse Getty Images' premium collection of high-quality, authentic Gluteal stock photos, royalty-free images, and pictures. 8% had deviated or duplicated gluteal creases, 15. But it actually stems from an. Butt psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks, gluteal cleft ("crack") anus, and pubic area. I started glute hip thrusting with a progression scheme, 3x a week, 3-5 sets of 5-8 reps, depending on day with anywhere from 60-75% of my max squat. Six patients had an abnormal gluteal fold. Witch hazel: Witch hazel is effective in treating rashes on the buttocks and genital area, according to research published in the Journal of Cutaneous Medicine and Surgery. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. Pilonidal sinus disease is an inflammatory condition involving the hair follicles that can occur anywhere along the crease between the buttocks, which runs from the bone at the bottom of the spine (sacrum) to the anus. Gluteal tendinopathy is a type of tendon disorder in your hips and buttocks area (gluteal region). Although gluteal lift as part of the. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. The patient re-attended A&E three weeks later with increased buttock swelling and discomfort. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. This can cause problems starting around age 2-3 (potty training age) is when parents start to see some signs. Back dimples are the set of dimples that are on your lower back. A rash bordered with small blisters. Sacral dimples or pits are common. Granuloma gluteale infantum is characterised by asymptomatic firm erythematous or violaceous nodules. Intertrigo is inflammation of skinfolds caused by skin-on-skin friction. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. Causes and Risk Factors. None of the patients examined had a deviated crease in association with an underlying massThe after pictures below are two months after buttock augmentation with an implant and fat transfer. Physical examination revealed no ecchymosis or trauma. Healed incisions lie within gluteal cleft and crease and groin creases. The intergluteal cleft (a. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. Moisture-associated skin damage (MASD) is the general term for inflammation or skin erosion caused by prolonged exposure to a source of moisture such as urine, stool, sweat, wound drainage, saliva, or mucus. It’s a visible crease where the buttocks naturally fold over and create a physical line in the skin. a dimple larger or deeper than 5 millimeters (mm) discoloration. redness. The anterior gluteal line is the middle curved gluteal line on the hip bone. Yeast Infection on Skin: Pictures, Causes, Symptoms, Remedy. Contained within the region are muscles, lymphatic vessels and neurovascular structures. 5 cm superior to the inferior gluteal crease (Figs. Cutaneous Manifestation of Occult Spinal Dysraphism. The gluteal region and posterior thigh contain various blood vessels and nerves that supply the muscles, bones, and skin of the region. In the best case scenario, it makes your folds more symmetric, but comes at the expense of an. Summary. You may experience pain or tingling under your skin a. The surgeon will be able to determine if you just need a gluteal fold or if you benefit from additional volume. You can treat a fungal infection by using antifungal powders, creams, or sprays. Strong gluteal muscles help in hip extension as well as stabilization of the joint. 1 Similarly in 2016, the United States saw a 26% increase, more than 18,000 operations,. It can be mistaken for other causes of low back pain. Deep gluteal syndrome used to be called piriformis syndrome, because healthcare providers thought the pain always came from the piriformis, a muscle in your buttock, pressing on your sciatic nerve. , Ersek) have attempted to hide incisions in the medial gluteal crease. 5 cm of the anus, has a base that can be visualized and is not associated with other abnormalities on exam. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. 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. It is a visible border separating ass into two parts. Hip dysplasia is often referred to as Developmental Dysplasia of the Hip (DDH). Ultrasound is valuable for imaging of infants and young children and for evaluating superficial lesions. Takeaway. Contact Information. Ice or Heat. The ventrogluteal IM injection site will be found exactly in the middle of the peace sign. They don't usually cause problems or need treatment unless they get infected. 3 March 2011 111A double buttock crease can occur with liposuction or naturally. Scale is most prominent at the leading edge of the. Herpes simplex infection of the lower back and buttocks, also called sacral herpes simplex or genital herpes, is a common recurrent skin condition associated with infection by the herpes simplex virus (HSV). photo by Janelle Aby, MD. Fungal infections may occur for varied reasons, but immediately the infection takes place, the end result will be the emergence of a red, circular rash, that often comes with rounded edges, and which may have a noticeable odor. Some aren't visible, while others can look like a small pit or dimple in the skin. a fatty lump. It usually looks like a reddish rash. Find a Doctor; Procedures; Photos & Reviews; Beauty News; Procedures. Of 1096 infants included in the study, 24. The skin around the ulcer can be discolored, raised, or thickened. Answer: Update to previous question regarding removal of banana roll / double gluteal crease. Fortunately, the condition does not cause any pain. Personally I prefer the look without the crease but regardless making one is some thing that should be left to the hands of God. a. Aesthetic surgery of the buttocks encompasses many forms. Online Appointment：. 0553, Fisher’s exact test). 8 became effective on October 1, 2023. Boils are usually pea-sized, but can grow as large as a golf ball. It originates from the posterior gluteal line of the ilium, the gluteal and erector spinae aponeuroses, the dorsal surface of the lower sacrum, the side of the coccyx, and the sacrotuberous ligament. It may sound funny, and of course, we can laugh about it. Most causes of buttock pain can be addressed with at-home treatments, physical therapy, and medication, if needed. This delicate skin is more likely to get infected than psoriasis in other areas. VOTED MOST HELPFUL. FS/ S/ OHP/ B/ DL. It may also be caused by an allergic reaction, chemical irritant, or a viral, fungal, or bacterial skin infection. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. a lower buttock tuck). Breast Augmentation; Tummy Tuck; RhinoplastyThe psoriasis butt of a joke. Our data show isolated variations in gluteal crease appearance are common in newborns. Most. IP is usually found in the groins, vulva, axillae, submammary folds, gluteal cleft, navel, intergluteal crease, penis, lips, and web spaces. It extends from the upper iliac crests to the lower gluteal fold of the skin. The two sides of the V extend toward the supragluteal fossettes and are formed by the insertion of the gluteus maximus into the lumbodorsal aponeurosis. This can be accomplished with liposuction or specific suture techniques. Psoriasis. But it actually stems from an. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. 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. gluteal fold: [ fōld ] plica; a thin margin curved back on itself, or doubling. Treatment usually requires having a pilonidal cyst removed surgically. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. Rozzelle. Here are some of the conditions that can cause pain in your buttocks, as well as tips to help you figure out which one you might have. The inferior gluteal crease is used as an access point to build up part of the medial inferior gluteal muscle, part of zone 8 depressions, part of the upper gluteal muscle, but mainly for the central gluteal muscleSymptoms. Typically, pilonidal cysts occur after puberty. The other synonyms of gluteal cleft are anal cleft, gluteal sulcus, natal cleft and intergluteal cleft. A pilonidal cyst is a small sac that sticks up from inside the skin. Sacroiliitis can cause pain and stiffness in the buttocks or lower back, and the pain might go down one or both legs. When promptly identified, prognosis is good. Oral thrush; This is a candida infection that takes place either in the mouth or throat. In the armpits. Symptoms include a red or reddish-brown rash that can appear anywhere skin rubs together or traps wetness. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. In 2 cases, there were differences in respondents’ choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . Liposuction of the area under the buttock crease can result in lack of support of the buttock, leading to a deflated and overhanging lower buttock with folds of loose skin just below the buttock crease. In the crease of the neck. Prevention includes wearing appropriate clothing and using anti-chafing products or petroleum jelly. Learn more about how to deal with. “Acne-like bumps on the buttocks are caused by inflammation of hair follicles, which is called folliculitis,” says MacKelfresh. The gluteal muscles are a superficial group of hip muscles that are situated in the gluteal region, overlying the posterior aspect of the pelvic girdle. The damaging effects of moisture, pressure, friction, and shear on human tissue are well. blistering. Back dimples. skin tags. C: Photograph showing a large dermal sinus superior to gluteal crease. The gluteal sulcus is formed by the posterior horizontal skin crease of the hip joint and overlying fat and is not formed by the lower border of the gluteus maximus muscle, which crosses the fold obliquely. Sacroiliitis can cause pain and stiffness in the buttocks or lower back, and the pain might go down one or both legs. The rash can be identified by its scaly border or blister-like bumps around its edges. Included in these groups were several variations. A sarcoma that starts in a bone is also going to cause pain, among other symptoms. An abscess occurs when an anal gland becomes clogged with bacteria, fecal matter, and foreign. Thanks for the pictures and provided information as well. Browse Getty Images' premium collection of high-quality, authentic Gluteal Cleft stock photos, royalty-free images, and pictures. Hello and thank you for your question. A white or yellow center or tip. 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. Peter Fisher M. Armpits and groin. The gluteal muscles can be divided into 2 groups that are responsible for the main movements of the hip joint Hip joint The hip joint is a ball-and-socket joint formed by the head of the femur and the acetabulum of the pelvis. Boils are usually pea-sized, but can grow as large as a golf ball. Home remedies may help speed up the recovery process. Heat may be better for deeper bursitis in. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with Caucasians. In my opinion, adding volume with an autologous fat transfer would be the best option in your case. Slide show: Types of psoriasis. Soft tissues include muscle, fat,. Tel: (844) 968-6363Fax: (818) 351-8126. Overview. Between the buttocks. Hi moms! I am a FTM with 2 week old. ”. Buttocks; Crease of the buttocks; What can relieve the itch: Keeping the area dry and applying a non-prescription treatment for jock itch can often cure this skin condition. The moisture increases the friction, which. Gluteal adipose tissue was collected from the lateral aspect of the lower extremity just below the gluteal crease. In addition to performing these four days of exercises, try adding cardio that works your. Keep the area clean, wash it gently with mild soap, and pat it dry. In an upright standing position some people create a fold at the intersection between the buttocks and the back of the thigh. Answer: Gluteal fold can definitely be created. This includes the femur(also known as the thighbone) and the iliotibial tract or band, which is made up of connective tissue that runs up the thigh. Intertrigo can be worsened by any conditions causing increased heat, wetness, and friction. , The vertical line starts from sacrum to the perineum. Step 2: Start sliding your legs gradually apart, as though doing a small split. com. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. Healthy newborns often have smaller dimples within the gluteal crease. Bruising. Gluteal Fold Lipoplasty The gluteal crescent fold, also called the gluteal “smile line” or interior gluteal groove, is located at. Anus: Rashes at the anus can cause rectal bleeding and pain with passing stools. The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures. 38. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. Although they are harmless, they can be bothersome especially if they are large, raised and itchy. 6% had dimples, and 24. This page provides a comprehensive outlook of this condition with pictures, causes and how you can remove,. Symptoms of pilonidal cysts include pain, redness, swelling, fever, and discharge of blood or pus. In the groin area. Staphylococcus aureus is a known type of bacterium that is responsible for the formation of boils on the skin surface. At this stage, it is best to be evaluated by a plastic surgeon. 815 gluteal stock photos, vectors, and illustrations are available royalty-free. Deviated single creases were found in 8. I agree with one of the earlier responders that the best way to elevate and create a gluteal crease is by anchoring the fascia to the ischial tuberosity. You can also set the smartphone camera on a 10 second timer to take some still pictures of your butt. No other skin changes are seen. Anomalies of the gluteal crease had the lowest proportion of agreement. Ultrasound is valuable for imaging of infants and young children and for. This cyst and the overlying skin in the area can become infected, forming a painful abscess. It is the most common site of intra. But if it's infected, the skin around the cyst may be swollen and painful. The infragluteal fold became less evident, the buttock mass was elevated, and augmentation was achieved with the maximum projection at midlevel of the gluteus. 01 [convert to ICD-9-CM] Gluteal tendinitis, right hip. Pictures of different types of diaper rash. In the best case scenario, it makes your folds more symmetric, but comes at the expense of an. The edges are diffuse and irregular. These include: Piriformis syndrome. –Maceration or a whitening of skin maySacral Herpes. Intertrigo is an inflammatory process that affects the skin and it may be caused by moisture trapped between the skin folds, heat and humidity, improper air circulation, and friction between the skin fold. The other synonyms of gluteal cleft are anal cleft, gluteal sulcus, natal cleft and intergluteal cleft. 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. An estimated 1 in every 100 babies is treated for hip dysplasia in some form. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. The success rates for this are quite low and the complication rates relatively high making the situation worse. k. Flaking or peeling of the skin around the genital area. In your groin. Since your photos show lack of fullness of the lower lateral buttocks, fat injection of this area will help contour of the butocks and help hide the incision of this area. Initiating factors include moisture and friction associated with an absence of air circulation in deep skin folds. The infragluteal crease 1 appears in literature as several terms such as “gluteal crease,” “infragluteal fold,” “infragluteal sulcus,” 19 “horizontal gluteal fold,” “gluteal fold,” “inferior buttock crease,” “lower gluteal crease,” and “inferior gluteal crease. The fullness in your inner gluteal fold was present in your before pictures. The disorder causes the tendon tissue to break down or deteriorate. It’s important not to mistake the. Answer: Double lower buttock crease treatment. A butt bruise is caused by direct impact to the body, commonly from falls, motor vehicle accidents, bumping into things, or being struck by an object or. By Perrine Juillion / October 25, 2019. Pain and a burning sensation. The accompanying symptoms will vary in women, men and toddlers. 7. The V crease is formed by two lines arising in the proximal portion of the gluteal crease. It’s usually located near the tailbone at the top of the buttocks crease. gallstones, kidney stones, liver disease, diseases of the female reproductive, and. In rare instances, changes in skin color and/or the appearance of dark spots may be a sign of skin cancer. In most cases, the discoloration is nothing to worry about. It can be mistaken for other causes of low back pain. [1] Gluteal muscle tears are common injuries, and the gluteus. Definition. Pitanguy 1 was the first to propose a solution; according to his first report in 1964, his technique addressed both buttock ptosis and the trochanter adipose tissue, which produced a long scar along the gluteal crease that extended nearly to the anterior. Hyperpigmentation is the abnormal darkening of the skin, often in patches. Answer: Double gluteal fold. Sometimes people have extra folds in the buttock region. 1.