Facial Plastic Surgery Review and Insights

Explore the intricate details of facial analysis, facelift procedures, forehead anatomy, and cleft lip deviations through a comprehensive inservice review. From understanding the Frankfort horizontal plane to identifying the most commonly injured nerves, this content provides valuable insights into facial aesthetics and surgical considerations.

• Facial Plastic Surgery
• Facial Analysis
• Inservice Review
• Facelift Procedures
• Forehead Anatomy

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1. FPRS Inservice Review 2-15-12

2. Facial Analysis The Frankfort horizontal plane connects the: A. Nasion and pogonion B. Nasion and porion C. Porion and orbitale D. Stomion and rhinion

3. Facial Analysis The Frankfort horizontal plane connects the: A. Nasion and pogonion B. Nasion and porion C. Porion and orbitale D. Stomion and rhinion

4. Facelift Most commonly injured nerve: A. Marginal mandibular branch B. Frontal branch C. Buccal branch D. Great auricular nerve

5. Facelift Most commonly injured nerve: A. Marginal mandibular branch B. Frontal branch C. Buccal branch D. Great auricular nerve

6. Facelift Most commonly injured MOTOR nerve: A. Marginal mandibular branch B. Frontal branch C. Buccal branch D. Great auricular nerve

7. Facelift Most commonly injured MOTOR nerve: A. Marginal mandibular branch B. Frontal branch C. Buccal branch D. Great auricular nerve

8. Forehead Rhytids Horizontal rhytids in the glabella are cause by contraction of which muscles? A. Procerus B. Corrugator supercilii

9. Forehead Rhytids Horizontal rhytids in the glabella are cause by contraction of which muscles? A. Procerus B. Corrugator supercilii

10. Forehead Anatomy Elevator muscle Frontalis Depressor muscles: Procerus Corrugator supercilii Orbital portion of the orbicularis oculi)

11. Unilateral Cleft Lip Nose Tip and columella deviate toward: A. Cleft side B. Non-cleft side

12. Unilateral Cleft Lip Nose Tip and columella deviate towards: A. Cleft side B. Non-cleft side

13. Unilateral Cleft Lip Nose Caudal septum deviates toward: A. Cleft side B. Non-cleft side

14. Unilateral Cleft Lip Nose Caudal septum deviates toward: A. Cleft side B. Non-cleft side

15. Unilateral Cleft Lip Nose Cartilaginous and bony septum deviates toward: A. Cleft side B. Non-cleft side

16. Unilateral Cleft Lip Nose Cartilaginous and bony septum deviates toward: A. Cleft side B. Non-cleft side

17. Unilateral Cleft Lip Nose Cleft side alar base is positioned: A. Posteriorly, laterally and inferiorly B. Medially and inferiorly C. Posteriorly and medially

18. Unilateral Cleft Lip Nose Cleft side alar base is positioned: A. Posteriorly, laterally and inferiorly B. Medially and inferiorly C. Posteriorly and medially

19. Unilateral Cleft Lip Nose The lower lateral cartilage on the cleft side has an elongated: A. Lateral crus B. Medial crus

20. Unilateral Cleft Lip Nose The lower lateral cartilage on the cleft side has an elongated: A. Lateral crus B. Medial crus

22. Rhinoplasty What incisions comprise an open rhinoplasty incision? A. Mid-columellar and rim B. Mid-columellar and marginal C. Mid-columellar and intracartilaginous D. Mid-columellar and intercartilaginous

23. Rhinoplasty What incisions comprise an open rhinoplasty incision? A. Mid-columellar and rim B. Mid-columellar and marginal C. Mid-columellar and intracartilaginous D. Mid-columellar and intercartilaginous

24. Open Rhinoplasty Incisions

25. Closed Rhinoplasty Incisions

26. Rhinoplasty Maneuvers Cephalic trim / cephalic turn-in Spreader grafts / auto-spreader grafts Lateral crural steal / Lateral crural overlay Tongue-in-groove Domal sutures

27. Cephalic Trim (Turn-in)

28. (Auto) Spreader Grafts

29. Lateral Crural Steal Increases tip rotation and projection

30. Lateral Crural Overlay Increases tip rotation, decreases tip projection

31. Tongue-in-groove - Introduced to treat hanging columella Stabilizes tip, prevents ptosis Can be used to set tip projection - -

32. Intra/Interdomal Sutures

33. Dynamic Tip Ptosis What causes tip ptosis with smiling?

34. Tip Ptosis Depressor septi muscle can accentuate drooping nasal tip and shorten upper lip on animation Dissection and transposition of muscle during rhinoplasty can improve tip-upper lip relationship

35. What is wrong with this nose? A. Radix too high B. Over-rotated C. Tension nose deformity D. Rhinion too low

36. What is wrong with this nose? A. Radix too high B. Over-rotated C. Tension nose deformity D. Rhinion too low

37. Tension Nose Overdeveloped quadrangular cartilage Tents tip away from nose Tethers upper lip Abnormal exposure of maxillary gingiva Narrowed nostrils Increased columellar show

38. Nasal Tip Defect 7mm defect on nasal tip. Repair with? A. Bilobed flap B. Primary closure C. Secondary intention D. STSG

39. Nasal Tip Defect 7mm defect on nasal tip. Repair with? A. Bilobed flap B. Primary closure C. Secondary intention D. STSG

40. Hair Transplantation Most common complication of follicular unit hair transplantation? A. Erythema B. Cellulitis C. Hair loss D. Scarring

41. Hair Transplantation Most common complication of follicular unit hair transplantation? A. Erythema B. Cellulitis C. Hair loss D. Scarring

42. Hair Transplantation

43. Hair Transplantation

44. Hair Transplantation Follicular units (as opposed to hair plugs ) Telogen effluvium Trichophytic closure