Facial Aesthetics

Question 1

What are the usual cosmetic reasons for completing facial plastic surgery?

Answer 1

Reverse effect of ageing

Aesthetic

Question 2

What would be considered a reason for reconstructive/functional facial plastic surgery?

Answer 2

Congenital
Trauma
Following tumour excision

Question 3

What are the most common facial plastic surgery procedures?

Answer 3

Rhinoplasty
Chin implants (Mentoplasty)
Face lift / neck lift
Blepharoplasty / Brow lift
Skin rejuvenation
Otoplasty (ears pinned)
Tumour surgery

Question 4

Otoplasty is available on the NHS for children under the age of 16. TRUE/FALSE?

Answer 4

TRUE

Question 5

What is the primary deformity which is fixed in an otoplasty?

Answer 5

Hyperplasia of anti-helix

Question 6

What is the most common cause for a rhinoplasty?

Answer 6

Trauma causing nose injury

Question 7

What other things can cause people to have a rhinoplasty?

Answer 7

Cartilage destruction causing deformity

Domestic abuse causing a deformity

Question 8

Rhinoplasty involves the skin. TRUE/FALSE

Answer 8

FALSE

it is a procedure of the facial skelton

Question 9

What changes does ageing cause?

Answer 9

Elastin and collagen in muscle lost

=> face appears wrinkled and sunken in

Question 10

What is the management ladder for ageing?

Answer 10

Botulinum toxin
Fillers
Blepharoplasty
Skin rejuvenation
Face lift

Question 11

What treatment options are available for fine wrinkling which is not helped by filler?

Answer 11

Skin peel or laser resurfacing

Question 12

Where is the incision made during a face lift?

Answer 12

temporal bone down and round ear to back of head

Question 13

What is a particular risk in face lift surgery?

Answer 13

Injury to the facial nerve

Question 14

What are the main methods of reconstruction?

Answer 14

Primary closure
Healing by secondary intention
Skin grafts
Skin flaps

Question 15

What can cause a baggy lower eyelid?

Answer 15

weakness of orbital septum

Question 16

When would you consider letting a wound heal by secondary intention?

Answer 16

When it is a clean incised wound with no clear evidence of infection

Question 17

A cancer can be excised and the wound allowed to heal by secondary intention. TRUE/FALSE?

Answer 17

TRUE

Question 18

What is a partial thickness graft and where is it taken from?

Answer 18

Only down to the dermis

Taken from the arm or thigh

Question 19

What is a full thickness skin graft?

Answer 19

All layers of the skin right down to the subcutaneous tissue

Used in facial plastic surgery procedures

Question 20

Skin flaps have a more aesthetically pleasing end result than skin grafts. TRUE/FALSE

Answer 20

TRUE