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Facial Cosmetic 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 Facial Cosmetic Surgery flashcards as text
  1. Which technique is most appropriate to address a patient with a bulbous nasal tip and poor tip projection?

    Answer: Structural rhinoplasty with columellar strut and tip sutures

    Structural rhinoplasty using a columellar strut graft and interdomal/transdomal sutures increases tip projection and refines tip shape.

  2. A patient presents with lower eyelid retraction and scleral show following lower blepharoplasty. What is the most likely cause?

    Answer: Anterior lamellar shortening from skin excision

    Removing too much skin from the lower lid creates anterior lamellar shortage, pulling the lid margin downward and exposing the sclera.

  3. Which fascial layer is the primary target of the deep plane facelift to release the key facial retaining ligaments?

    Answer: SMAS and its deep extensions

    The deep plane facelift releases the zygomatic and masseteric cutaneous ligaments by operating beneath the SMAS, allowing composite tissue mobilization.

  4. What is the most common complication of otoplasty using the Mustardé suture technique?

    Answer: Suture extrusion or abscess

    Permanent sutures used in Mustardé otoplasty can extrude through the skin or become infected, especially with permanent braided sutures.

  5. In the treatment of facial aging, which structure most directly contributes to nasolabial fold deepening with age?

    Answer: Descent of the malar fat pad

    Inferior descent of the malar fat pad off the zygoma accentuates the nasolabial fold by accumulating tissue at that crease.

  6. Which blood supply consideration is most critical when designing a forehead flap for nasal reconstruction?

    Answer: Supratrochlear artery must be included in the pedicle

    The paramedian forehead flap relies on the supratrochlear artery as its axial blood supply, which must be included in the medially based pedicle.

  7. When performing osteotomies in rhinoplasty to close an open roof deformity, what is the correct sequence of cuts?

    Answer: Medial osteotomy then lateral osteotomy

    Medial osteotomies are performed first to create a mobile segment that then pivots after lateral osteotomies to close the open roof.