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Malady Master's > Ch. 27 Plastic Surgery Procedures > Flashcards

Ch. 27 Plastic Surgery Procedures Flashcards

1
Q

Name 4 indications for a Rhytidectomy

A
  1. Loose skin and deep wrinkles
  2. Fatty neck tissue
  3. Nasolabial folds
  4. Vertical “cords” in neck
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2
Q

What are 4 things done in a facelift?

A
  1. Excess fat removed
  2. Excess skin removed
  3. Tightening underlying muscles
  4. Smooths loose face and neck skin
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3
Q

What are 2 pre-procedure consideration prior to getting a facial?

A
  1. Grow hair to cover the resulting incision in scalp while it heals
  2. Stop smoking
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4
Q

How long should you stop smoking before the procedure?

A

At least 2 week prior

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5
Q

What type of sedation are used?

A

Intravenous sedation and general anesthesia

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6
Q

Name the 4 dissection planes of a face lift and define each one in a few words

A
  1. “Classic” plane; involves only a skin flap (superficial plane)
  2. Superficial muscluloapneurotic system (SMAS) (mid-plane); involves the layer of tissue that covers the deeper structures in the cheek area and is in continuity with the platysma
  3. Superiosteal face-lift (deep plane)
  4. A combination of these techniques
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7
Q

Describe a Thread Lift procedure

A

A minimally invasive face lift using special subcutaneous suspension sutures for subtle changes

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8
Q

Name the indications of a forehead lift/brow lift

A
  1. Smooths wrinkles
  2. Soften deep frown lines
  3. Furrows between the eyes
  4. Elevate brow
  5. Lift eye brows
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9
Q

Name 2 types of techniques of a forehead lift and briefly describe the techniques

A
  1. Classic forehead lift; a lift technique involving a coronal incision that follows a headphone-like pattern, slightly behind the natural hair-line
  2. Endoscopic; describes a surgical technique in which viewing instruments is used to allow the procedure to be done via numerous incisions
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10
Q

What is another name for an Eye-lift surgery?

A

Blepharoplasty

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11
Q

Why would someone need a Blepharoplasty?

A

Baggy upper eyelids and bulging lower eyelids hat can either empeed vision or flip/roll lower eyelid

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12
Q

What does the word Photophobia mean? Does someone with Blepharoplasty usually experience this?

A

Excessive tearing due to light sensitivity that may be experienced for several weeks after surgery

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13
Q

What is Rhinoplasty?

A

Nose job

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14
Q

What is the difference between Reconstructive Rhinoplasty and Cosmetic Rhinoplasty?

A
  1. Reconstructive Rhinoplasty; is done to relieve nasal airway obstruction, can be down alone or in conjunction with a Cosmetic Rhinoplasty
  2. Cosmetic Rhinoplasty; performed for cosmetic reasons
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15
Q

Name 4 reasons why someone would want to have a Rhinoplasty

A
  1. Increase/decrease side of nose
  2. Change shape of the tip and bridge
  3. Narrow the span of the nostrils
  4. Change the angle between the nose and upper lip
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16
Q

Chin Implants

A

Can improve the neck contour, profile, and jawline

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17
Q

Cheek Implants

A

Can correct flatness in the mid face by increasing the projection of the cheek bones which rejuvenates the mid face region

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18
Q

Nasal Implants

A

Are used to better define and add projection to the dorsum (the top profile of the nose)

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19
Q

What is the common term for Augmentation Mammoplasty?

A

Breast Implants

20
Q

Name 7 reasons why someone would want/need an Augmentation Mammoplasty

A
  1. Enlarge or reshape
  2. Weight loss
  3. Child birth
  4. Aging
  5. Tubular breasts
  6. Asymmetry
  7. After mastectomy
21
Q

Name 3 considerations when choosing the size of an implant

A
  1. Condition of the breasts
  2. The body proportions
  3. The patients expectations
22
Q

What does the term Mastoplexy mean?

A

Breast lift

23
Q

Name an indication for Mastoplexy

A

If a patient’s nipples are below the level of the inframmary crease when standing

24
Q

Who gets the best results from a Mastoplexy?

A

Women with small saggy breasts

25
Q

Who are the best candidates for Mastoplexy?

A

Candidates are patients whose nipples are below the level of the inframammary crease when standing, with small saggy breasts, and the best candidates are healthy, emotionally stable women with realistic expectations

26
Q

Name 2 types of Mastoplexy (breast lift) procedures. Which one if this is most popular?

A
  1. Full-lift

2. Modified-lift

27
Q

Most popular lift procedure?

A

Lift with implant

28
Q

What type of incision is made?

A

Anchor-shaped incision following the natural contour of the breast

29
Q

Name 10 indication and symptoms for a Reduction Mammoplasty-Breast Reduction

A
  1. Back and neck pain
  2. Bad posture and deformities of the skeleton
  3. Breathing problems
  4. Pain from sports or vigorous activities
  5. Chronic back, upper neck, and shoulder pain
  6. Skin rash under the breasts
  7. Deep painful groves in the shoulders form the pressure of other bra straps
  8. Restricted levels of activities
  9. Self-esteem problems, particularly in adolescent girls
  10. Difficulty wearing or fitting into certain bras and clothing
30
Q

What is the best incision for a Reduction Mammplasty

A

The most common incision involves an anchor-shaped incision that goes around the areola, down from the areolar incision to an inframmary crease incision

31
Q

Why would someone need a Breast Reconstruction Surgery?

A

Breast cancer - mastectomy

32
Q

When is the earliest time that someone can have reconstruction surgery after a mastectomy?

A

The initial stage is usually performed immediately after the mastectomy, under the same anesthesia

33
Q

Local Tissue with Implants

A

Mastectomy patients who have adequate surrounding tissue to cover an implant will not need the use of an expander before receiving an implant. The surgeon will proceed with inserting an implant, usually under the pectoral is muscle.

34
Q

Skin Expansion

A

Combines the skin expansion and subsequent insertion of an implant. An expander is connected to a thin, flexible tube and inserted between the skin and the pectoralis muscle or between the pectoralis muscle and the ribs.

35
Q

Distant or Flap Reconstruction

A

Involves the creation and transfer of a tissue flap containing skin with fat and or underlying muscle which is taken from other parts of the body (back, buttocks, abdomen) = tummy tuck

36
Q

Musclulocutaneous Flap

A

The tissue remains attached to its original site via it’s blood supply-consists of skin, fat, and muscle-vascular leash intact, the flap is tunneled beneath adjacent skin and placed in mastectomy site.

37
Q

Free Flap

A

Most complex; requires plastic surgeon- removes desired donor flap and severs it’s vascular leash. Common donor areas (abdomen, thighs, buttocks). After dissection the flap is transplanted and the vascular leash is reconnected to blood vessels at the mastectomy site.

38
Q

What is the medical term for a tummy tuck?

A

Abdominoplasty

39
Q

Name 4 indications that an abdominoplasty will do

A
  1. Redundant lower abdominal skin
  2. Excess fat
  3. Weakened abdominal muscles that are unresponsive to diet and exercise
  4. Stretched abdominal muscles and skin beyond the point where they can return to normal by dieting or exercise due to pregnancies
40
Q

Liposuction is a widely utilized procedure in the U.S.; Name 4 other names it goes by

A
  1. Liposculpture
  2. Lipoplasty
  3. Suction-assisted lipectomy (SAL)
  4. Suction-assisted lipoplasty
41
Q

What does SAL stand for?

A

Suction-assisted lipectomy

42
Q

Name 4 reasons you would need liposuction

A
  1. Cellulite on the legs and buttocks
  2. Tone and tighten sagging skin on the neck, legs, abdomen, arms, and hands
  3. Eliminate and contour and shape specific undesired fat pockets
  4. Remove stubborn areas of fat that do not respond to diet or exercise
43
Q

When can someone go back to their normal activities after liposuction?

A
  1. Small volume; same day
  2. Large volume; overnight stay
  3. Laser assisted; just a few days
44
Q

What is another name for Mesotherapy?

A

Lipo-dissolve; it is an alternative to invasive cosmetic procedures. It employs subcutaneous injections of special formulas into the problematic areas. These formulas target the receptors of fat cells that produce or destroy fat cells.

45
Q

What is a Rhytidectomy?

A

Medical term for a face-lift; derived from the Latin roots rhytid (wrinkle) and ectomy (to remove)

Malady Master's (19 decks)

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