Horizontal Gluteal Crease

The boundary where the convexity of the 'glutes' meets the upper end of the posterior thigh; the horizontal crease is formed by a meshwork of fibrous connective tissue stands known as Luschka's ligament that loosely connects the skin to the gluteal muscles in the buttocks; not everyone has a horizontal crease, but it can’t be created surgically; any attempt to produce a horizontal crease below the buttocks by liposuction is unwise and often results in a crease that appears unnaturally scooped-out, and furrowed; it is most apparent when bending over, and stretching the affected area; excessive fat removal evokes discomfort when sitting on a hard surface; too much liposuction in the area of the horizontal crease cannot be repaired; the cosmetic risks outweigh the possible benefits

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