3plastic Surgery - Aesthetic Flashcards
Aka forehead lift, to minimize frown lines
Browlift
How is lower lid incision done?
Subciliary incision
Hematoma becomes true surgical emergency when?
Formed in retro-orbital region
What layer is being tightened by facelif?
Smas or superficial musculoaponeurotic system
Facelift procedure in wc smas layer is elevated
Sub smas tech
Continuous with smas layer
Platysmal layer
Most common facelift complication
Hematoma
Applying lateral traction on cheek skin to open valve
Cottle sign
Deformity in dorsum? Tx?
Osteotomies
Tip of the nose tx?
Reduce width and sew cartilages
Added in liposuction to improve diffusion fluid
Hyaluronidase
In lipo, when is procedure terminated?
%dip for every 150mL fat?
1%
Fluid to fat replacement?
3:1
Cause of death in lipos?
Hypovol
Sepsis
Fat emboli
Beat candidate for lipo?
Goal weight is close
Fat resistant to diet+execise
Std licdocaine dosage limit in liposuction?
35mg/kg
Explain autologous fat grafting
Fat obtained is used again
Most common body contour procedure
Abdominoplasty
Arm lift, has visible scar after surgery
Brachioplasty
Combination of panniculectomy , thigh and butt lift
Circumferential lower body lift
Most important outcome in aesthetic surg
Px satisfaction
To prevent spreading of labia what should be done?
Anchor deep thigh fascia to colles fascia
T or f? Long vertical incision is necessary for excessive inner thigh
T
Causes of macromastia
Hormones
Obesity
Genes
Keyhole incision done in what procedure?
Reduction mammaplasty
Descent of breast tissue below the nipple
Paeudoptosis or bottoming out
Use of epinephrine in tumescent procedure
Limit blood loss
What if scar in arm lift is found in the axilla?
Limited shoulder excursion and require revision
Unique complication jn thigh/buttock lift?
Change in shape of genital region
Triad of macromastia
Back pain
Bra groove
Rashes in inframammary fold
Scar formed in breast mammaplasty
Inverted T
Breast complication that can result in a firm mass of scar vs neoplastic mass
Fat necrosis
What happens if xs large breasts?
Nipple graft (full thickness)
Ex of long term conplication of mammaplasty
Breastfeeding
Pseudoptosis
No breast volume removal, reshaping
Mastopexy
3 commonly used incisions in augmentation
Periareolar
Inframammary
Axillary
Only saline implants are used in this technique
Transumbilical
Preferred position of implants in breast
Subprctoral, esp in saline kasi may rippling
Differnce bet saline and silico implants
Silicone slow, unnoticeable, confirmed by mri.
3 most common reason for reop in augment
Contracture
Malposition
Ptosis
For gynecomastia in males, what procedure?
Liposuction
Skin excision