Plastics Flashcards
What are the major nasal tip support mechanisms
- Size and shape of lower lateral cartilages 2. Attachment of the lower lateral cartilages to the septum 3. Attachment of upper to lower lateral cartilage
What kinds of defects is the bilobed flap best used for in reconstruction?
Defects of nasal tip, dorsum, and side wall 1.5 to 2 cm or less
What is the best location to harvest a split Calabrian bone graft from?
2 cm inferior to the saggital suture on the parietal bone
How much negative pressure is required to perform cervicofacial liposuction
1 atm
How many weeks after injury does type III collagen start being replaced by type I
3 weeks
Most common draw back of open approach to rhino
Tip and Supra tip edema
What is the blood supply to the temporalis flap
Deep temporal artery
Which peel requires neutralization with water or 5% sodium bicarbonate?
Glycolic acid peel
How long does it take to establish new blood supply in a full thickness skin graft?
3-5 days
What is the syndrome depicted and how could you increase nasal tip projection in this patient

Binder syndrome (maxillo-nasal dysplasia), anterior caudal septal strut graft
Which local anesthetics associated with more allergic reactions (amides or esthers)
Amides
In what layer does the facial nerve lie in the temporal region?
deep to the temporoparietal fascia
What is a normal amount of collumellar show
2-3 mm
What is the sunderland classification of nerve injury
- neuropraxia
- axonotmesis: axon transected, endoneurium preserved
- neural tube transected: axon, myelin sheath, endoneurium
- Violation of perineurium
- Complete transection of nerve, pt at risk of forming neuroma
Where does the frontal branch of the facial nerve course deep to the SMAS (important to know in face lift)
0.5 cm anterior to the tragus to 1.5 cm lateral to the supraorbital rim
What condition will still be ok to have a rhytidectomy
Cutis laxa. Less elastin but normal collagen
What is Crumley’s method for calculating nasal tip projection
3-4-5 triangle and establishes a nasal angle of 36 degrees to be ideal
where should you inject botox for forehead rhytids?
should mnot extend past midpupillary line and should not come within 1 cm of orbital rim
Which approach to repair of orbital Floor fracture most likely to cause ectropion?
Subciliary
what are the minor nasal tip support mechanisms
Dorsal cartilagenous septum, interdomal ligament, membranous septum, nasal spine, surrounding skin and soft tissue, alar side walls
What do u use for pretreatment in chemical peel
Hydroqionone Retinoin Valtrex
Dedo class IV neck
Ptotic platysma
What causes the rocker deformity
Extending the lateral osteotomies too high close to the frontal bone
What is the ideal upper eyelid height in men?
6-9 mm
