Therefore, to create an implant-pocket, either for a gluteal prosthesis or for lipoinjection, a low-angle muscle-dissection is performed in order to avoid the risk of severing any major branch inferior of the gluteal artery, which travels very close to the sacrum and to the sacrotuberous ligament.
12.
It is attached to the medial crest of the sacrum, to the spinous processes of the lumbar and the eleventh and twelfth thoracic vertebrae and the supraspinous ligament, to the back part of the inner lip of the iliac crests, and to the lateral crests of the sacrum, where it blends with the sacrotuberous and posterior sacroiliac ligaments.
13.
It arises from the front of the sacrum by three fleshy digitations, attached to the portions of bone between the first, second, third, and fourth anterior sacral foramina, and to the grooves leading from the foramina : a few fibers also arise from the margin of the greater sciatic foramen, and from the anterior surface of the sacrotuberous ligament.
14.
In surgical and body contouring praxis, the plastic surgeon creates the "'implant-pocket "' either for the gluteal prosthesis or for the injections of autologous fat by undermining the gluteus maximus muscle with a dissection technique that avoids the sacrum, the sacrotuberous ligament, and the tuberosity of the ischium; which, if accidentally cut, might isolate the posterior ( back ) portion of the muscle and lead to denervation, the loss of nerve function and of innervation.
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