Chapter 16. Aesthetic Facial Analysis

Question 1

[Soft tissue anatomic landmark]

Anterior hairline in the midline.

Answer 1

Trichion

Question 2

[Soft tissue anatomic landmark]

Most prominent point of the forehead on profile

Answer 2

Glabella

Question 3

[Soft tissue anatomic landmark]
The deepest depression at the root of the nose;
typically corresponds to the nasofrontal suture

Answer 3

Nasion

Question 4

[Soft tissue anatomic landmark]
Root of the nose, a region and not a point; part of an unbroken curve that begins at the superior orbital ridge and continues along the lateral nasal wall

Answer 4

Radix

Question 5

[Soft tissue anatomic landmark]

Soft tissue correlate of the osseocartilaginous junction on the nasal dorsum

Answer 5

Rhinion

Question 6

[Soft tissue anatomic landmark]

Osseocartilaginous junction on the nasal dorsum

Answer 6

Sellion

Question 7

[Soft tissue anatomic landmark]

Point cephalic of the tip

Answer 7

Supratip

Question 8

[Soft tissue anatomic landmark]

Ideally, the most anterior projection of the nose on profile

Answer 8

Tip

Question 9

[Soft tissue anatomic landmark]

Junction of columella and upper lip

Answer 9

Subnasale

Question 10

[Soft tissue anatomic landmark]

Central portion of interlabial gap

Answer 10

Stomion

Question 11

[Soft tissue anatomic landmark]

Most posterior point between lower lip and chin

Answer 11

Mentolabial sulcus

Question 12

[Soft tissue anatomic landmark]

Most anterior midline soft tissue point of chin

Answer 12

Pogonion

Question 13

[Soft tissue anatomic landmark]

Most inferior soft tissue point on chin

Answer 13

Menton

Question 14

Line that is drawn from the superior aspect of the external auditory canal to the inferior border of the infraorbital rim while the patient’s gaze is parallel to the floor.

Answer 14

Frankfurt line

Question 15

Division of face into equal thirds (landmarks) as described by da Vinci

Answer 15

from the trichion to the glabella
from the glabella to the subnasale
from the subnasale to the menton

Question 16

Division of face into thirds (landmarks) that excludes the upper 3rd of the face

Answer 16

rom the nasion (as opposed to the labella) to the subnasale and from the subnasale to the menton

Question 17

Normal intercanthal distance

a. 25.5-37.5mm in women
b. 26.5-38.7mm in men
c. Should equal the width of one eye
d.

Question 18

On lateral view, the ala-to-tip:lobular complex ratio is considered optimal at what ratio

a. 2:1
b. 1:2
c. 1:1
d. 1:3

Answer 18

Ans. C

Question 19

Considered acceptable columellar show

a. 3-5mm
b. 5-7mm
c. 1-3mm
d. 0.5-2mm

Answer 19

Ans. A

Question 20

Using Simons method, nasal projection is approximately equeal to the length of the ______________, with a ratio of 1:1

a. Nasal tip
b. Upper lip
c. Lobule
d. Nasion

Answer 20

Ans. B

Question 21

Analysis of nasal projection by using a vertical line drawn from the nasio to the alar groove, a perpendicular line from the alar groove to the nasal tip, and a line from the tip back to the nasion (0.55-0.60 ratio)

a. Goodes method
b. Simons method
c. Crumley and Lanser method
d. Ginzalez-Ulloa method

Answer 21

Ans. A

Question 22

Specific wrinkles caused by long term facial muscle animation

Answer 22

Hyperdynamic facial lines

Question 23

Glogau photoaging classification of skin with wrinkles present at rest

a. I
b. II
c. III
d. V

Answer 23

Type I: No keratoses, few wrinkles, age 20-30 years, rarely wears makeup
Type lIl: Early lentigenes, wrinkles on animation, age 30-40 years sometimes wears makeup
Type Ill: Advanced photoaging, wrinkles present at rest, age 50-60 years, always wears makeup
Type IV: Severe photoaging, severe wrinkling, age 60-70 years, makeup has minimal benefit

Question 24

Fitzpatrick Classification of a skin type that usually burns and tans with difficulty

a. I
b. II
c. III
d. IV

Answer 24

Characteristics
I Always burns, never tans
II Usually burns, tans with difficulty
III Sometimes burns, sometimes tans
IV Rarely burns, tans with ease
V Very rarely burns, tans very easily
VI Never burns, always tans

Question 25

Skin folding secondary to loss of underlying skeletal or soft tissue support, chronologic aging or photoaging or solar damage

a. Rhytid
b. Keloid
c. Burn
d. Scar

Answer 25

Ans. A