Practice Test Geeks(ABCS) American Board of Cosmetic Surgery Certification Practice Test
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Breast and Body Contouring Surgery Flashcards

7 cards from real ABCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Breast and Body Contouring Surgery flashcards as text

  1. A patient with Baker Grade III capsular contracture presents for revision breast surgery. What is the most appropriate surgical management?

    Answer: Total capsulectomy with implant exchange

    Baker Grade III contracture causing breast distortion is best managed with total capsulectomy and implant exchange to remove the contracted capsule and address any implant issues.

  2. A patient develops skin necrosis at the T-junction following an inverted-T mastopexy. Which preoperative factor most strongly predicts this complication?

    Answer: Active cigarette smoking

    Cigarette smoking causes microvascular vasoconstriction and significantly impairs skin flap perfusion, making the T-junction the most vulnerable point for ischemia and necrosis.

  3. During mini-abdominoplasty, the umbilicus is preserved in situ. Which patient characteristic best supports selection of the mini-abdominoplasty over a full abdominoplasty?

    Answer: Excess skin and fat primarily in the lower abdominal region below the umbilicus

    Mini-abdominoplasty is appropriate when excess skin and fat is limited to the infra-umbilical zone, allowing correction without umbilical transposition.

  4. When counseling a patient about breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), which implant surface type carries the highest known risk?

    Answer: Highly textured (macrotextured) implants such as Biocell

    BIA-ALCL has been most strongly associated with highly textured (macrotextured) implants, particularly the Allergan Biocell surface, which led to a worldwide recall in 2019.

  5. A patient presents with asymmetric breast implants: the left implant sits 2 cm higher than the right at 8 weeks post-op. The pocket appears tight superiorly on the left. What is the most likely diagnosis?

    Answer: Superior capsular contracture

    A high-riding implant with a tight superior pocket at 8 weeks is most consistent with early capsular contracture causing superior displacement of the implant.

  6. In the Lockwood classification of lateral thigh and buttock ptosis, Grade III ptosis is characterized by which finding?

    Answer: Descent below the gluteal fold with severe skin redundancy

    Lockwood Grade III lateral thigh and buttock ptosis denotes significant descent below the gluteal fold with marked skin and soft tissue redundancy.

  7. Which flap technique in autologous breast reconstruction uses the skin and fat from the inner thigh based on the profunda femoral artery perforators?

    Answer: Profunda artery perforator (PAP) flap

    The Profunda Artery Perforator (PAP) flap harvests skin and fat from the posterior inner thigh based on perforators from the profunda femoral artery.