FPRS Inservice Review 2-15-12. Facial Analysis The Frankfort horizontal plane connects the: A.Nasion and pogonion B.Nasion and porion C.Porion and orbitale.

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Presentation transcript:

FPRS Inservice Review

Facial Analysis The Frankfort horizontal plane connects the: A.Nasion and pogonion B.Nasion and porion C.Porion and orbitale D.Stomion and rhinion

Facial Analysis The Frankfort horizontal plane connects the: A.Nasion and pogonion B.Nasion and porion C.Porion and orbitale D.Stomion and rhinion

Facelift Most commonly injured nerve: A.Marginal mandibular branch B.Frontal branch C.Buccal branch D.Great auricular nerve

Facelift Most commonly injured nerve: A.Marginal mandibular branch B.Frontal branch C.Buccal branch D.Great auricular nerve

Facelift Most commonly injured MOTOR nerve: A.Marginal mandibular branch B.Frontal branch C.Buccal branch D.Great auricular nerve

Facelift Most commonly injured MOTOR nerve: A.Marginal mandibular branch B.Frontal branch C.Buccal branch D.Great auricular nerve

Forehead Rhytids Horizontal rhytids in the glabella are cause by contraction of which muscles? A.Procerus B.Corrugator supercilii

Forehead Rhytids Horizontal rhytids in the glabella are cause by contraction of which muscles? A.Procerus B.Corrugator supercilii

Forehead Anatomy Elevator muscle Frontalis Depressor muscles: Procerus Corrugator supercilii Orbital portion of the orbicularis oculi)

Unilateral Cleft Lip Nose Tip and columella deviate toward: A.Cleft side B.Non-cleft side

Unilateral Cleft Lip Nose Tip and columella deviate towards: A.Cleft side B.Non-cleft side

Unilateral Cleft Lip Nose Caudal septum deviates toward: A.Cleft side B.Non-cleft side

Unilateral Cleft Lip Nose Caudal septum deviates toward: A.Cleft side B.Non-cleft side

Unilateral Cleft Lip Nose Cartilaginous and bony septum deviates toward: A.Cleft side B.Non-cleft side

Unilateral Cleft Lip Nose Cartilaginous and bony septum deviates toward: A.Cleft side B.Non-cleft side

Unilateral Cleft Lip Nose Cleft side alar base is positioned: A.Posteriorly, laterally and inferiorly B.Medially and inferiorly C.Posteriorly and medially

Unilateral Cleft Lip Nose Cleft side alar base is positioned: A.Posteriorly, laterally and inferiorly B.Medially and inferiorly C.Posteriorly and medially

Unilateral Cleft Lip Nose The lower lateral cartilage on the cleft side has an elongated: A.Lateral crus B.Medial crus

Unilateral Cleft Lip Nose The lower lateral cartilage on the cleft side has an elongated: A.Lateral crus B.Medial crus

Rhinoplasty What incisions comprise an open rhinoplasty incision? A.Mid-columellar and rim B.Mid-columellar and marginal C.Mid-columellar and intracartilaginous D.Mid-columellar and intercartilaginous

Rhinoplasty What incisions comprise an open rhinoplasty incision? A.Mid-columellar and rim B.Mid-columellar and marginal C.Mid-columellar and intracartilaginous D.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 high B.Over-rotated C.Tension nose deformity D.Rhinion too low

What is wrong with this nose? A.Radix too high B.Over-rotated C.Tension nose deformity D.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 flap B.Primary closure C.Secondary intention D.STSG

Nasal Tip Defect 7mm defect on nasal tip. Repair with? A.Bilobed flap B.Primary closure C.Secondary intention D.STSG

Hair Transplantation Most common complication of follicular unit hair transplantation? A.Erythema B.Cellulitis C.Hair loss D.Scarring

Hair Transplantation Most common complication of follicular unit hair transplantation? A.Erythema B.Cellulitis C.Hair loss D.Scarring

Hair Transplantation

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