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
A 32-year-old woman with macromastia undergoes vertical scar breast reduction. Postoperatively she notes decreased nipple sensation. Which nerve is most commonly injured during inferior pedicle breast reduction?
Answer: Fourth intercostal nerve lateral cutaneous branch
The lateral cutaneous branch of the fourth intercostal nerve provides primary sensory innervation to the nipple-areola complex and is most at risk during breast reduction.
A 28-year-old patient undergoes ultrasound-assisted liposuction (VASER) for abdominal contouring. Which unique risk is associated with VASER compared to traditional liposuction?
Answer: Thermal injury to surrounding tissues
VASER uses ultrasonic energy that can generate heat, posing a unique risk of thermal injury to the skin, nerves, and surrounding tissues if used improperly.
A patient desires correction of lateral chest rolls and axillary fullness in addition to breast augmentation. Which approach best addresses the lateral breast/axillary fat during augmentation?
Answer: Adjunct liposuction of the lateral chest and axilla
Adjunct liposuction of the lateral chest and axilla effectively addresses lateral fullness without compromising the primary augmentation pocket dissection.
Which scoring system is used intraoperatively to assess adequate abdominal wall release during a fleur-de-lis abdominoplasty in massive weight loss patients?
Answer: Tension-free closure confirmed by bringing wound edges together without undue pull
Adequate tissue resection in fleur-de-lis abdominoplasty is confirmed when wound edges can be brought together without excessive tension, ensuring tension-free closure.
A massive weight loss patient requests an arm lift. She has significant ptosis of the arm skin extending from the axilla to the elbow. Which brachioplasty incision placement best addresses this extent of deformity?
Answer: Extended brachioplasty with incision from axilla to elbow along the medial arm
Extended brachioplasty with a medial arm incision from axilla to elbow is required to adequately address full-length arm skin ptosis in massive weight loss patients.
Which anatomical landmark defines the inframammary fold (IMF) and is critical in implant sizing to prevent a double-bubble deformity?
Answer: The adherence of the superficial fascia system to the underlying chest wall fascia
The IMF is formed by the adherence of the superficial fascial system to the deep chest wall fascia, and disruption or implant placement below it causes double-bubble deformity.
A patient develops hyperpigmentation and contour irregularity 6 months after laser-assisted liposuction (SmartLipo) of the inner knees. Which mechanism most likely caused the skin discoloration?
Answer: Subdermal thermal injury from laser energy causing hemosiderin deposition
Subdermal thermal injury from laser energy in laser-assisted liposuction can cause hemosiderin deposition and post-inflammatory hyperpigmentation, particularly in thin-skinned areas.