Breast & Cosmetic
What is the next step following reduction mammaplasty when the resection specimen contains invasive ductal carcinoma?
Determine tumor margins; decide on completion mastectomy
How is a hanging columella treated?
Trimming of the caudal margin of the septum and medial crura of the lower lateral cartilage
What is the Antia-Buch flap used for?
Lesions located on the lateral rim of the helix (tissue used from postauricular skin to reconstruct the helical margin)
What is the treatment for chronic ectropion and excessive scleral show after a chemical burn?
Full thickness skin grafting
What type of genioplasty should be performed in a patient with sagittal deficiency and vertical excess with class I occlusion?
Jumping genioplasty (moves chin superiorly and anteriorly)
What is a critical factor in deciding breast contouring (e.g. mastopexy) following implant removal?
Preoperative ptosis (remains unchanged following removal
What is the best flap to use for a defect of the lateral nasal ala?
nasolabial flap (superiorly based)
Where on the avulsed pinna is anastomosis of the arteries most appropriate?
The posterior surface (larger arteries enter the pinna on the posterior surface)
What is the mechanism of involutional ectropion?
Laxity of the lower lid from the lower lid retractors becoming disinserted from the tarsal plate
Where should the brow peak in a female patient undergoing browlifting?
At the lateral limbus to lateral canthal area
What best determines performing contouring and implant removal in the same setting?
Thickness of residual breast (minimum thickness of 4cm required)
What should be used for a defect of the lateral nasal wall above the ala?
cheek advancement flap
Treatment of an auricular hematoma by needles aspiration is likely to result in what?
Seroma
What is the treatment for involutional ectropion?
lateral canthoplasty, lateral wedge excision, or excising of a full-thickness wedge from the lateral canthal region
What branch of the facial nerve is injured most frequently during a face lift?
Buccal (maybe?, depends on sources)
Compared to traditional transaxillary submuscular breast augmentation, endoscopic techniques are associated with a decreased rate of what?
Malpositioning of the implant
A defect of the caudal third of the nose centrally?
Frontonasal flap (rieger flap)
A 6-year old boy with an obtuse concha-mastoid angle with a normal antihelical fold is best treated by what technique?
Setback of the concha using concha-mastoid sutures (Furnas)
What structure does the common canaliculus enter the lacrimal sac posterior to?
The medial canthal tendon
What effect do corticosteroids have on edema and ecchymosis following rhytidectomy?
none
Breast ptosis results from elongation and laxity of what structure?
Coopers ligaments
What skin characteristics negatively affect results after rhinoplasty?
Thick skin with large sebaceous glands (skin envelope does not conform easily)
What are 3 common causes of prominent ears?
Enlarged conchal bowl, obtuse concha-mastoid angle, loss of the antihelical fold
What muscle is most commonly injured in upper lid blepharoplasty?
Compared with primary rhytidectomy, distortion of the hairline is more or less frequent in secondary rhytidectomy?
More likely to occur; if the same incisions are used, recession of the temporal hairline, obliteration of the sideburn hair and alopecia may occur.