7: Facial aesthetics Flashcards
Which vasculitis causes collapse of the nasal septum?
GWP (Wegener’s)
What are the two general reasons for getting plastic surgery?
Cosmetic
Functional
In terms of aesthetic surgery, what “look” are you aiming for?
Symmetry
because everyone’s idea of beauty is different
What is rhinoplasty?
Surgical reconstruction of the nose
What sort of process can destroy the cartilage of the nose?
Inflammatory processes
e.g vasculitis
What may cause naval deviation which is treatable by rhinoplasty?
Trauma
GWP
Why is the nasal septum more likely to be deviated to the right in trauma?
People are right handed so punch the nose laterally to the patient’s right
What remnants of a facial operation must be hidden to make the patient satisfied?
Scarring
What is a mentoplasty?
Surgical reconstruction of the chin
What is otoplasty?
Surgical reconstruction of the auricles
What structures are found superficial to the muscles of facial expression?
Fat pads
Skin
What natural process causes a lot of facial changes which patients find unappealing?
Ageing
What is tried before surgery to improve the cosmetics of a patient’s face?
Botulinum toxin (Botox)
Fillers
After Botox and fillers have been tried, how are the cosmetics of a patient’s face improved?
Surgery
How does Botox work?
Injection of botulinum toxin into skeletal muscle
Temporary paralysis
Wrinkles apparently disappear
How long does Botox work for?
Around 6 months
Which cranial nerve is at risk in face lift surgery?
CN VII
leading to facial paralysis
What is surgical reconstruction of the eyelids called?
Blepharoplasty
What are the names given to surgical reconstruction of
a) the nose
b) chin
c) ears
d) eyelids?
a) Rhinoplasty
b) Mentoplasty
c) Otoplasty
d) Blepharoplasty
What is primary closure?
Closing a wound with sutures without any other intevention
good for clean, simple wounds
What is healing by secondary intention?
Allowing a wound to heal without the use of sutures
What is surgery called when it involves the use of skin from
a) other areas of the body
b) adjacent structures?
a) Skin graft
b) Skin flap
What is third intention healing?
Mixture of suturing and letting a wound healing naturally
Risk of infection
By which process do skin grafts close a wound?
Revascularisation
What needs to be preserved in cosmetic surgery?
Function
