ABCS Facial Cosmetic Surgery 4

Question 1

Which patient finding is a relative contraindication to upper blepharoplasty due to risk of dry eye exacerbation?

Accepted Answer

Schirmer test result of 5 mm in 5 minutes

Answer

A Schirmer test below 10 mm indicates severely reduced tear production, and upper blepharoplasty can worsen dry eye symptoms significantly.

Question 2

In facial analysis for rhinoplasty, what is the ideal nasolabial angle range for a female patient?

Accepted Answer

100–115 degrees

Answer

In females, a nasolabial angle of 100–115 degrees is aesthetically preferred, reflecting a slightly more upturned nasal tip than in males.

Question 3

Which technique best corrects a unilateral cleft lip nasal deformity characterized by a displaced alar base and shortened columella on the cleft side?

Accepted Answer

Open rhinoplasty with alar base repositioning and columellar lengthening

Answer

An open approach allows direct visualization and repositioning of the displaced alar cartilage, alar base, and columellar skin to achieve symmetry.

Question 4

Which facial aging change is primarily responsible for the 'tear trough' deformity of the lower eyelid?

Accepted Answer

Volume loss at the orbital rim and descent of the orbitomalar ligament

Answer

Volume loss over the infraorbital rim combined with ligamentous descent creates the groove characteristic of the tear trough deformity.

Question 5

A patient undergoing cervicoplasty and platysmaplasty develops a visible cord-like deformity in the midline of the neck 6 months postoperatively. What is the most likely cause?

Accepted Answer

Suture dehiscence of the platysmal corset

Answer

Failure of the platysmal corset sutures over time allows the medial platysma edges to separate, re-forming the banding deformity.

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

(ABCS) American Board of Cosmetic Surgery Certification Practice Test

ABCS Facial Cosmetic Surgery 4