ABPS Aesthetic Procedures & Patient Safety 3

Question 1

A patient requests hyaluronic acid filler for nasal tip augmentation. The most serious potential complication specific to this anatomic location is:

Accepted Answer

Vascular occlusion leading to skin necrosis or blindness via retrograde embolism

Answer

Prolonged bruising lasting more than 2 weeks

Answer

Infection requiring oral antibiotics

Answer

Asymmetry requiring touch-up injection

Question 2

Which factor is most predictive of poor psychological outcome following aesthetic surgery?

Accepted Answer

Body dysmorphic disorder (BDD) diagnosed preoperatively

Answer

BMI greater than 30

Answer

History of prior aesthetic procedures

Answer

Age older than 60 years

Question 3

The maximum recommended single-session volume of fat removed during liposuction for an outpatient procedure, per most safety guidelines, is:

Accepted Answer

5 liters of total aspirate

Answer

10 liters of total aspirate

Answer

2 liters of pure fat

Answer

No established limit exists

Question 4

A patient undergoing blepharoplasty develops sudden vision loss immediately postoperatively. The most urgent intervention is:

Accepted Answer

Immediate wound exploration and hematoma evacuation to relieve orbital compartment pressure

Answer

IV corticosteroids and ophthalmology consult in 24 hours

Answer

Warm compresses and observation for 1 hour

Answer

Topical lubricating eye drops and patch the eye

Question 5

Which patient characteristic is an absolute contraindication to outpatient aesthetic surgery under general anesthesia?

Accepted Answer

Uncontrolled obstructive sleep apnea without CPAP compliance

Answer

BMI of 28 with no comorbidities

Answer

Age 65 with well-controlled hypertension

Answer

Prior allergic reaction to penicillin

Question 6

When performing breast augmentation, which implant pocket plane is associated with the lowest rate of capsular contracture in primary augmentation?

Accepted Answer

Dual-plane (partial submuscular)

Answer

Subglandular

Answer

Subfascial

Answer

Complete submuscular

Question 7

What is the primary mechanism by which epinephrine added to tumescent solution improves safety during liposuction?

Accepted Answer

Vasoconstriction reducing systemic lidocaine absorption and blood loss

Answer

Direct fat cell lysis accelerating aspirate removal

Answer

Reducing postoperative edema by blocking histamine release

Answer

Providing additional analgesic effect synergistic with lidocaine