ABCS Breast and Body Contouring Surgery 3

Question 1

A patient who had a previous Roux-en-Y gastric bypass requests body contouring after losing 120 lbs. Which nutritional deficiency most commonly impairs wound healing in this population?

Accepted Answer

Protein and zinc deficiency

Answer

Massive weight loss patients after gastric bypass frequently develop protein and zinc deficiencies, both of which critically impair wound healing and collagen synthesis.

Question 2

During breast augmentation, a surgeon uses the inframammary fold incision and develops a pocket in the subglandular plane. Which complication is more common with subglandular versus submuscular placement?

Accepted Answer

Capsular contracture

Answer

Subglandular implant placement has a higher rate of capsular contracture compared to submuscular placement, likely due to reduced tissue coverage and bacterial contamination.

Question 3

A lower body lift is planned for a massive weight loss patient. The incision is placed to excise the circumferential excess. Which structure must be preserved to prevent lymphedema of the lower extremity?

Accepted Answer

Superficial inguinal lymph nodes

Answer

The superficial inguinal lymph nodes lie near the lower body lift incision, and their disruption can cause significant lower extremity lymphedema.

Question 4

Which classification system is used to categorize breast ptosis in preoperative mastopexy planning?

Accepted Answer

Regnault classification

Answer

The Regnault classification defines breast ptosis grades based on the nipple position relative to the inframammary fold.

Question 5

A patient undergoes power-assisted liposuction (PAL) of the outer thighs. Which advantage does PAL offer over traditional liposuction in fibrous areas?

Accepted Answer

Mechanical oscillation reduces surgeon fatigue and improves fat disruption in fibrous tissue

Answer

PAL uses mechanical oscillation of the cannula to break up fibrous fatty tissue more efficiently while reducing surgeon fatigue compared to manual technique.

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

ABCS Breast and Body Contouring Surgery 3