Breast and Body Contouring Surgery Flashcards

A patient undergoes liposuction to the abdomen and flanks. Intraoperatively, the surgeon notices significant blood-tinged aspirate. Which technique modification best minimizes blood loss during tumescent liposuction?

Answer: Ensuring adequate epinephrine concentration in the tumescent solution

Epinephrine in the tumescent solution causes vasoconstriction that substantially reduces blood loss during liposuction.

When performing an abdominoplasty, the surgeon plans plication of the rectus diastasis. Which anatomical structure is being repaired with midline plication?

Answer: Linea alba

Diastasis recti involves stretching and thinning of the linea alba, and plication approximates the medial edges of the rectus sheaths at this midline structure.

A 38-year-old woman develops seroma 3 weeks after brachioplasty. Conservative aspiration fails after two attempts. What is the most appropriate next step?

Answer: Open drainage and quilting sutures

Persistent seroma after brachioplasty that fails repeated aspiration is best managed with open drainage and quilting sutures to obliterate dead space.

In high-definition liposuction body contouring, which muscle group is most commonly accentuated in female patients to create athletic abdominal definition?

Answer: Rectus abdominis

High-definition liposuction in women focuses on etching the rectus abdominis segments to create visible six-pack definition.

A patient requests correction of gynecomastia. Glandular tissue is firm and centrally located with minimal excess skin. Which technique is most appropriate?

Answer: Periareolar incision with direct glandular excision and liposuction

Firm, central glandular gynecomastia is best treated with periareolar direct excision combined with liposuction to address any surrounding fatty component.

During a thigh lift, which nerve is most at risk during the medial thigh dissection near the femoral triangle?

Answer: Saphenous nerve

The saphenous nerve runs along the medial thigh and is at significant risk for injury during medial thigh lift dissection near the femoral triangle.

A patient has 280 cc smooth round silicone implants placed in the dual-plane position. At 6-month follow-up, she exhibits lower pole animation deformity with pectoralis contraction. Which factor most likely contributed?

Answer: Insufficient pectoralis major muscle release inferiorly

Inadequate inferior release of the pectoralis major in dual-plane placement results in persistent muscle attachment over the lower implant pole, causing animation deformity with contraction.