FPRS Inservice Review

2-15-12

Facial Analysis

• The Frankfort horizontal plane connects the:A. Nasion and pogonionB. Nasion and porionC. Porion and orbitaleD. Stomion and rhinion

Facial Analysis

• The Frankfort horizontal plane connects the:A. Nasion and pogonionB. Nasion and porionC. Porion and orbitaleD. Stomion and rhinion

Facelift

• Most commonly injured nerve:A. Marginal mandibular branchB. Frontal branchC. Buccal branchD. Great auricular nerve

Facelift

• Most commonly injured nerve:A. Marginal mandibular branchB. Frontal branchC. Buccal branchD. Great auricular nerve

Facelift

• Most commonly injured MOTOR nerve:A. Marginal mandibular branchB. Frontal branchC. Buccal branchD. Great auricular nerve

Facelift

• Most commonly injured MOTOR nerve:A. Marginal mandibular branchB. Frontal branchC. Buccal branchD. Great auricular nerve

Forehead Rhytids

• Horizontal rhytids in the glabella are cause by contraction of which muscles?A. ProcerusB. Corrugator supercilii

Forehead Rhytids

• Horizontal rhytids in the glabella are cause by contraction of which muscles?A. ProcerusB. Corrugator supercilii

Forehead Anatomy

Elevator muscle • FrontalisDepressor muscles: • Procerus• Corrugator supercilii• Orbital portion of the

orbicularis oculi)

Unilateral Cleft Lip Nose

• Tip and columella deviate toward:A. Cleft sideB. Non-cleft side

Unilateral Cleft Lip Nose

• Tip and columella deviate towards:A. Cleft sideB. Non-cleft side

Unilateral Cleft Lip Nose

• Caudal septum deviates toward:A. Cleft sideB. Non-cleft side

Unilateral Cleft Lip Nose

• Caudal septum deviates toward:A. Cleft sideB. Non-cleft side

Unilateral Cleft Lip Nose

• Cartilaginous and bony septum deviates toward:A. Cleft sideB. Non-cleft side

Unilateral Cleft Lip Nose

• Cartilaginous and bony septum deviates toward:A. Cleft sideB. Non-cleft side

Unilateral Cleft Lip Nose

• Cleft side alar base is positioned:A. Posteriorly, laterally and inferiorlyB. Medially and inferiorlyC. Posteriorly and medially

Unilateral Cleft Lip Nose

• Cleft side alar base is positioned:A. Posteriorly, laterally and inferiorlyB. Medially and inferiorlyC. Posteriorly and medially

Unilateral Cleft Lip Nose

• The lower lateral cartilage on the cleft side has an elongated:A. Lateral crusB. Medial crus

Unilateral Cleft Lip Nose

• The lower lateral cartilage on the cleft side has an elongated:A. Lateral crusB. Medial crus

Rhinoplasty

• What incisions comprise an open rhinoplasty incision?A. Mid-columellar and rimB. Mid-columellar and marginalC. Mid-columellar and intracartilaginousD. Mid-columellar and intercartilaginous

Rhinoplasty

• What incisions comprise an open rhinoplasty incision?A. Mid-columellar and rimB. Mid-columellar and marginalC. Mid-columellar and intracartilaginousD. Mid-columellar and intercartilaginous

Open Rhinoplasty Incisions

Closed Rhinoplasty Incisions

Rhinoplasty Maneuvers

• Cephalic trim / cephalic turn-in• Spreader grafts / auto-spreader grafts• Lateral crural steal / Lateral crural overlay• Tongue-in-groove• Domal sutures

Cephalic Trim (Turn-in)

(Auto) Spreader Grafts

Lateral Crural Steal

– Increases tip rotation and projection

Lateral Crural Overlay

– Increases tip rotation, decreases tip projection

Tongue-in-groove

- Introduced to treat hanging columella

- Stabilizes tip, prevents ptosis

- Can be used to set tip projection

Intra/Interdomal Sutures

Dynamic Tip Ptosis

• What causes tip ptosis with smiling?

Tip Ptosis

• Depressor septi muscle can accentuate drooping nasal tip and shorten upper lip on animation

• Dissection and transposition of muscle during rhinoplasty can improve tip-upper lip relationship

What is wrong with this nose?

A. Radix too highB. Over-rotatedC. Tension nose

deformityD. Rhinion too low

What is wrong with this nose?

A. Radix too highB. Over-rotatedC. Tension nose

deformityD. Rhinion too low

Tension Nose

• Overdeveloped quadrangular cartilage

• Tents tip away from nose• Tethers upper lip• Abnormal exposure of

maxillary gingiva• Narrowed nostrils• Increased columellar

show

Nasal Tip Defect

• 7mm defect on nasal tip. Repair with?A. Bilobed flapB. Primary closureC. Secondary intentionD. STSG

Nasal Tip Defect

• 7mm defect on nasal tip. Repair with?A. Bilobed flapB. Primary closureC. Secondary intentionD. STSG

Hair Transplantation

• Most common complication of follicular unit hair transplantation?A. Erythema B. CellulitisC. Hair lossD. Scarring

Hair Transplantation

• Most common complication of follicular unit hair transplantation?A. Erythema B. CellulitisC. Hair lossD. Scarring

Hair Transplantation

Hair Transplantation

Hair Transplantation

• Follicular units (as opposed to “hair plugs”)• Telogen effluvium• Trichophytic closure