ASPS Cosmetic & Aesthetic Surgery 4

Question 1

A patient requests a breast lift without implants. Which mastopexy pattern leaves the smallest scar?

Accepted Answer

Periareolar (Benelli) mastopexy

Answer

Periareolar (Benelli) mastopexy involves only a scar around the areolar border, making it the least visible option, though it is limited to mild ptosis correction.

Question 2

Which non-surgical treatment uses microneedling combined with radiofrequency energy to remodel collagen and tighten skin?

Accepted Answer

Morpheus8 (fractional RF microneedling)

Answer

Morpheus8 combines fractional radiofrequency with microneedling to deliver thermal energy into the dermis and subdermis, stimulating collagen remodeling and skin tightening.

Question 3

Which patient characteristic is the MOST important risk factor for poor wound healing after abdominoplasty?

Accepted Answer

Active cigarette smoking

Answer

Active cigarette smoking causes microvascular vasoconstriction and impairs tissue oxygenation, significantly increasing the risk of wound dehiscence and skin necrosis after abdominoplasty.

Question 4

What distinguishes cohesive silicone gel ('gummy bear') implants from traditional silicone gel implants?

Accepted Answer

They maintain shape and do not leak if the shell ruptures

Answer

Highly cohesive (form-stable) silicone gel implants retain their anatomic shape and the gel does not migrate if the shell ruptures, unlike earlier liquid silicone formulations.

Question 5

Submental liposuction is most effective in patients with which anatomic feature?

Accepted Answer

Good skin elasticity with isolated submental fat accumulation

Answer

Patients with good skin elasticity and isolated submental fat respond best to liposuction alone, as skin retraction will follow fat removal without the need for a lift.

(ASPS) American Society of Plastic Surgeons Practice Test

(ASPS) American Society of Plastic Surgeons Practice Test

ASPS Cosmetic & Aesthetic Surgery 4