Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Derm Surg questions > Cosmetic Surgery > Flashcards

Cosmetic Surgery Flashcards

You may prefer our related Brainscape-certified flashcards:
Dermatology Board Prep flashcards
1
Q

What bacteria produces hyaluronic acid for fillers

A

Streptococcus equi species

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name 4 hyaluronic acid fillers

A

Restylane
Juvederm
Perlane
Belotero

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the ratio of Boxtox to Dysport

A

1:3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the brand name of Onabotulinumtoxin-A

A

Botox

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the brand name of Abobotulinumtoxin-A

A

Dysport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does botox work.

A

Cleaves SNAP25 in the PREsnaptic neuron preventing acetylcholine release.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the brand name of Botulinum toxin B

A

Myoblox or Neuro/block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the difference between Botulinum A an B

A

Botox/Dysport (A) cleaves SNAP25 in the SNARE complex while Myobloc/Neuroblock cleaves Snynaptobrevin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the chemical irritant agent used in sclerotherapy

A

Chrom alum Glycerin FDA approved but off label

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is an hyperosmotic agent that is used in sclerotherapy.

A

Hypertonic Saline 18-30% FDA approved for abortions off label for sclerotherapy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name four detergents used in sclerotherapy

A

Sodium tetradecyl sulfate FDA approved
Polidocanol FDA approved
Sodium Mortuate FDA approved
Ethanolamine oleate FDA approved (mostly varices)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Deoxycholic acid

A

Kybella a bile acid used to treat sub mental fat.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How many Deoxycholic acid treatments do you need.

A

3 to 6 one month apart. 2mg/cm2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 3 S’s in the SNARE complex

A

Syntaxin
SNAP-25
Synaptobrevin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

at what concentration does TAC peel give frosting

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how do assess depth of penetration of a TCA peel

A

Frosting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how long must you wail to assess TCA frosting

A

5 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

At what concentration does TCA penetrate to the papillary dermis

A

35% Below 30% is only epidermal penetration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

At what concentration of TCA do you get reticular dermal penetration

A

50% or higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What causes the frosting in a TCA peel

A

denaturation of protien

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Name three ways to increase the TCA peel depth of penetration.

A

repeated application
pretreat with Jessners
abraid skin first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are the three levels of frosting with TCA

A

light reticular
confluent with erythema
solid without erythema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the four elements that increase longevity
to hyaluronic acid fillers

A

particle size bigger longer lasting
G’ elastic modulus the higher the more long lasting
cross links higher the more long lasting
concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

% of haluronic acid in mg/ml is made of what

A

The free HA (solubilized) + insoluble … free HA is metabolized quickly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What peel requires neutralization with either sodium bicarb or h20

A

Glycolic acid peels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What filler can be seen with regular x-ray

A

Radiesse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Fillers not seen on regular x ray can sometimes be seen on what study

A

CT and MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

At what level do you inject Radiesse?

A

dermal subQ junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Where is on place you should not inject Radiesse? and why.

A

lips, granulomas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Which lasts longer Radiesse or Voluma

A

Voluma 2 years Radiesse 15 mos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what chemical is gore tex and or soft form

A

polytetrafluoroethylene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

How long does gore tex last

A

permanent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

the poly lactic acid filler is named what

A

Sculptra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

how long does sculptra last compared to HA fillers

A

twice as long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what fillers are glycoaminoglycans

A

hyaluronic acid fillers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what level is sculptra injected at

A

upper Sub Q layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

what is the interval of sculptra injections

A

4-6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Cosmoderm is made of what

A

collagen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

How long does collagen (Cosmoderm) last in the skin

A

2-4 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What is Belotero

A

Hyaluronic acid filler used for fine lines & superficial rhytids lasts 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Hyaluronidase may cause allergic rxns to those allergic to what?

A

Bee and wasp stings, Hyaluronidase is found in venom of wasps and bees and may be responsible for allergic rxns from the stings.

42
Q

what can be used prior to a peel and for how long to prevent post inflammatory hyperpigmentation

A

2% hydroxychloroquine for 4 weeks prior to the procedure and or retin A up to one wk prior to peel

43
Q

how long should retinoic acid be stopped prior to a peel

A

1 week, use before this can help get a more uniform peel

44
Q

what is a brody peel

A

35% TCA + solid CO2

45
Q

what % of people develop auto antibodies to Botox making it less effective.

A

3%

46
Q

What drugs can enhance the effect of Botox

A

aminoglycosides (micin antibiotics), Ca channel blocker (Cardizem -Diltiazem/ Procardia-Nifedipine , cyclosporine, anticholinergics (atropine)

47
Q

besides Glycolic acid what other peel requires neutralization

A

Pyruvic acid peel

48
Q

How long should you wait to neutralize a Glycolic or Pyruvic acid peel. and what should you neutralize it with?

A

when clinical endpoint of erythema is reached at 2-4 minutes with water rinse or 10% sodium bicarbonate solution. If no erythema then neutralize no later than 5 minutes.

49
Q

Jessner’s solution is what formula

A

Resorcinol 14 gm
Sal Acid 14 gm
lactic acid 14 gm
Ethanol added to 100ml

50
Q

Modified Jessners solution replaces Resorcinol with what?

A

8% citric acid

51
Q

how do you prep the skin prior to a Jessners peel

A

degrease with alcohol then acetone scrub

52
Q

What is one nice side effect of Botox regardless of treatment site

A

Mood improves

53
Q

what component of the Baker Gordon phenol peel is responsible for the depth of penetration

A

croton oil (is a keratolytic)

54
Q

what is the freeze thaw time

A

the freeze time + the thaw time total time

55
Q

what is the temperature of liquid nitrogen

A

-196 centigrade

56
Q

What fillers need a skin test x 2 two wks apart

A

Artefill, zyplast, zyderm (all made from bovine collagen) 2% of those neg first test become allergic

57
Q

What is Hylaform known as

A

Restylane

58
Q

The hyaluronic acid in Hylaform

A

Rooster comb

59
Q

Of the three classes of sclerosants what is the only class approved by the FDA Detergent, Osmotic Irritant

A

Detergent

60
Q

What is the osmotic sclerosant and how does it work

A

23% Hypertonic Saline (half that for 1mm veins or less) it works by dehydrating and denaturing the endothelial cells

61
Q

What is the irritant sclerosant?

A

Glycerin (Chrom alum glycerol)

62
Q

what sclerosant is most likely to cause ulceration

A

23% Hypertonic Saline

63
Q

what sclerosant is most likely to cause cardiac problems

A

Sodium Morrhuate

64
Q

What sclerosant is most likely to cause venous thrombosis

A

polidocanol

65
Q

how do detergent sclerosants work?

A

They denature edothelial cells

66
Q

Name four detergent sclerosants

A

polidocanol
Sodium tetradecyl sulfate STS
Sodium Morrhuate
Ethanolamine Oleate

67
Q

Which sclerosant is most likely to give an allergic reaction

A

STS Sodium tetradecyl sulfate

68
Q

When do you do HSV prophylactic treatment for chemical peels.

A
  • Superficial peel not needed unless there is a HSV hx
  • Mid strength day before or day of for 7 days
  • Deep peel/laser resurfacing day before or day of for at least 10 days.
69
Q

damage to what organ can be caused by phenol peels?

A

phenol

70
Q

Name one absolute contraindication for Liposuction

A

Pt’s desire to use it as a weight loss technique

71
Q

What is the newest toxin for glabellar wrinkles?

A

Jeuveau (Prabotulinumtoxin A)

72
Q

How does Prabotulinumtoxin work

A

It is a type A toxin and cleaves SNAP25

73
Q

What is the conversion of Botox to Myobloc

A

1:40

74
Q

What is the conversion of Botox to Xeomin and Jeuvaue

A

1:1

75
Q

why does liposuction help with bromhidrosis and Hyperhidrosis

A

Some Sweat glands and Apocrine glands are located in the Sub Q fat and subsequent fibrosis in the dermis reduces the sweat.

76
Q

Is excessive scarring in the treatment area an absolute contraindication for liposuction or a relative contraindication.

A

absolute.

77
Q

Name four absolute contraindications for liposuction.

A

weight loss
untreated psychiatric disorders
dysmorphic syndrome
excessive scarring in the treatment area

78
Q

what is the maximum volume to be removed with tumescent liposuction

A

4500cc

79
Q

why is it better to use punch biopsy openings for the cannula than 11 blade slits

A

they want the holes to remain open in the immediate post op period to reduce edema and bruising

80
Q

what is the difference between pitting and non pitting edema

A

pitting edema is due to water, non pitting edema may be due to hypertrophic fat from lymphedema and may be amenable to liposuction treatment

81
Q

Why would you not use Bupivacaine in tumescent liposuction in place of Lidocaine?

A

Because of it’s cardiotoxic effects in larger doses.

82
Q

What are four contraindications for microneedling?

A

History of keloids
Current infection bacterial or herpes
Immunosuppression
Active acne in treatment area

83
Q

The half life of Hyaluronic acid is about 24-48 hours how is it broken down.

A

Hydrolysis into CO2 and water

84
Q

In Jessners solution contains what that may cause ochronosis

A

Resorcinol

85
Q

What is this condition and what three drugs may cause it?

A

Ochronosis

hydroquinone

Resorcinol (Used in Jessners solution)

Hexachlorophene (a phenol used in Baker Gordon peels)

86
Q

What is the size of telangiectasias?

A

1mm or less

87
Q

a venulectasia is what size

A

1 to 2 mm

88
Q

a reticular vein is what size.

A

2 to 4 mm

89
Q

Name three varicosities and their sizes.

A

telangiectasia 1 mm or less

Venulectasias 1 to 2 mm

Reticular veins 2 to 4mm

90
Q

What is the treatment for erythema ab lipoaspiration

A

none only father time

91
Q

What is the for erythema ab lipoaspiration

A

too superficial liposuction disrupting the subdermal vascular plexus

92
Q

what is the maximum dose of Lidocane with epi in tumescent liposuction?

A

55mg/Kg or 8 x the normal maxium for skin surgery

93
Q

what sclerosing agent has some anethetic properties?

A

polidocanol (think of the lido in the name)

94
Q

What is artefill? aka Bellafill

A

dermal filler of bovine collagen mixed with polymethylmethacrylate microspheres

stimulates collage formation

needs a skin test 4 weeks before

lasts 5+ years

95
Q

What muscle may get deinervated when treating crow’s feet with botox which causes a unilateral drooping mouth.

A

zygomaticus major

96
Q

What is the frankfort line when injecting Botox

A

an imaginary line from the tragus to the infraorbital rim which it is considered safe to inject above.

97
Q

What muscle creates bunny lines

A

Nasalis

98
Q

When might the risorius muscle which affects the corners of the mouth might be accidently injected if you are injecting what muscle.

A

Masseter Muscle

Make sure you inject the Masseter (for hypertrophy or clenching teeth) in the posterior 2/3 rds as you might affect the risorius in the anterior 1/3

99
Q

What is Rimabotulinumtoxin brand name

A

Myobloc/NeuroBloc

100
Q

If a person does not have a history of HSV do you need prophylaxis for a mid strength peel?

A

Yes

day before or of extending for 7 days.

Derm Surg questions (26 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions