ABCS Facial Cosmetic Surgery 3

Question 1

Which technique is most appropriate to address a patient with a bulbous nasal tip and poor tip projection?

Accepted Answer

Structural rhinoplasty with columellar strut and tip sutures

Answer

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

Question 2

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

Accepted Answer

Anterior lamellar shortening from skin excision

Answer

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

Question 3

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

Accepted Answer

SMAS and its deep extensions

Answer

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

Question 4

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

Accepted Answer

Suture extrusion or abscess

Answer

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

Question 5

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

Accepted Answer

Descent of the malar fat pad

Answer

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

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

ABCS Facial Cosmetic Surgery 3