Cosmetic Dermatology Chapter 9

Question 1

Window to reverse filler-induced blindness?

Answer 1

60- to 90-minute window intially proposed (but may be as little as 10 minutes)

Question 2

Highest risk of anaphylaxis w/ filler?

Answer 2

Bovine collagen (Zyderm, Zyplast) all currently off the market

Question 3

Benefit of Tumescent anesthesia in liposuction?

Answer 3

↓ risk of major SEs, bleeding, bowel perforation, death, respiratory failure,
pulmonary embolism compared to GA

Question 4

Lymphostasis with liposuction seen in what treated area?

Answer 4

Knees and medial thighs
vs. upper extremities, like arms, can cause compartment syndrome

Question 5

Deoxycholic acid injections are used for?

Answer 5

Degradation of adipose cells “adipocytolysis” tx of submental fat contouring

Question 6

Method to tx large varicose veins?

Answer 6

Via foaming sclerosing agents at a ratio of 1:4 (liquid air)

Question 6

Ulceration w/ sclerotherapy highest in what areas?

Answer 6

Dorsal foot and ankle

Question 7

Systemic allergic run with sclerotherapy with?

Answer 7

Sodium morrhuate and lowest with polidocanol and glycerin

Question 8

Green urine, tinnitus, nausea, and vomiting?

Answer 8

Caused by ingesting Bearberry - used for UTI’s

Question 9

Bimatoprost, for growing eyelashes is classified as a?

Answer 9

Prostaglandin analog
S/E: skin discoloration, iris darkening

Question 10

Adverse effects of biotin (B7)?

Answer 10

Thyroid and troponin testing abnormalities

Question 11

Medium depth chemical peels i.e papillary to upper reticular dermis?

Answer 11

TCA 50%
Solid CO2 + TCA 35%
Jessner’s solution + TCA 35%
Glycolic acid 70% + TCA 35%

Question 12

Jessner’s peel composition?

Answer 12

14% lactic acid
14% salicylic acid
14% resorcinol in ethanol

“JESNR is LESR” = Lactate, Ethanol, Sali- cylic acid, Resorcinol”

Question 13

Salicylic acid is avoided in?

Answer 13

Strawberry allergies or aspirin allergies

Question 14

TCA 90%–100% is used for?

Answer 14

Warts, crateriform and icepick type scars

Question 15

Phenol deep peel cx?

Answer 15

Cardiac arrhythmia’s
Renal toxicity
Hypopigmentation
Scarring, milia formation
Efficacy correlates with concentration of Croton oil, Larygneal edema has been reported

Question 16

Monofilament, bidirectional, threads?

Answer 16

Silhouette Instalift (Sinclair Pharma): Poly-L-lactic acid (PLLA)

Question 17

Polydioxanone absorbable threads that come as barbed, smooth, or twisted?

Answer 17

NovaThreads

Question 18

Color to comoflauge brown?

Answer 18

White (and vice versa)

Question 19

Color to comoflauge yellow?

Answer 19

Purple

Question 20

Scale for photoaging?

Answer 20

Glogau’s Photoaging Scale

Question 21

Only type of liquid laser?

Answer 21

Rhodamine dye (pulsed dye laser [PDL])
rest are solid or gas

Question 22

Deepest penetrating laser?

Answer 22

Nd:YAG