1. Plastic Surgery ST 240

2. Objectives  Review anatomy related to plastic surgery  Discuss diseases, conditions  Discuss Surgical procedures

3. PROCEDURES AND CONDITIONS GYNECOMASTIA CHEILOPLASTY PALATOPLASTY RHINOPLASTY RHYTIDECTOMY GANGLION CYST CTR RELEASE OF DUPUYTREN’S CONTRACTURE POLYDACTYLY SYNDACTYLY MAMMOPLASTY DERMABRASION SCAR REVISION ABDOMINOPLASTY LIPECTOMY BLEPHAROPLASTY NEOPLASMS TRIGGER FINGER REPLANTATION OF A DIGIT MASTECTOMY MENTOPLASTY

4. Skin Functions Protection Defense Preservation of fluid balance Maintain body temp Excretion of wastes Sensory input Synthesis of vitamin D

5. Bones of the Hand

6. Innervation of the Hand

7. Muscles and Tendons: Anterior View

8. Dorsal View

9. Compartments of the Hand: Anterior compartment with transverse section

10. Tendon Sheath and Pulleys

11. Preserving a Digit

12. Arteries of the forearm and hand

13. Veins of the forearm and hand

14. Pathology of the Hand Radial dysplasia or hypoplasia Syndactyly Polydactyly De Quervain’s Disease Trigger finger Dupuytren’s disease Ganglion cyst Rheumatoid arthritis Trauma

15. Actual Dissection

16. Separation

17. Polydactyly

18. Dupuytren’s Disease

19. Possible Incisions for Treatment of Dupuytren’s

20. Ganglion Cyst

21. Dorsal Ganglion Cyst

22. Removed Ganglion Cyst

23. Ventral Ganglion Cyst

24. X-Ray of Rheumatoid Hand

25. Structure of the Skin

26. Pathology Affecting the Skin Burns 1 st degree 2 nd degree 3 rd degree 4 th degree

27. Pathology, cont’d Acne vulgaris Aging Sun Exposure Neoplasms

28. Burn Depths

29. Rule of Nines

30. Skin Grafting Autologous Homografts Heterografts or xenografts STSG or FTSG

31. Skin Grafting

37. Dermatome: Oscillating- blade Type

38. Mesh Graft Device

39. Rhytidectomy

41. Rhytidectomy Incision Options: Primary & Secondary

42. Rhytidectomy

44. Blepharoplasty

45. Lower Upper

46. Blepharoplast y

47. Blepharoplasty: Marking Inferior Incision Line

48. Superior Incision Line is Marked

49. Wedge of Redundant Tissue is Removed

50. Closure Begins

51. Liposuction

52. Liposuction Equipment

53. Liposuction

55. Abdominoplasty: Primary Incisions

56. Dissection and Muscle Tightening

57. Secondary Incisions

58. Closure and Final Effect

59. Abdominoplasty

62. Reduction Mammoplasty: Pre-op

63. Planned Incision Sites

64. Excess Tissue is Removed

65. Final Effect

66. Reconstruction Mammoplasty: Augmentation; Areolar Incision

67. Creation of a Pocket

68. Pectoral Muscle Incision

69. Implant Position

70. TRAM flap Reconstruction: Abdominal Incision

71. TRAM flap rotated into position

72. Rotation Advancement Cheiloplasty Defect

73. Closed Defect

74. Palatoplasty: Bilateral Defect

75. Dissection

76. Closure

77. Cleft Lip and Palate: Unilateral Cleft Lip

78. Unilateral Cleft Palate

79. Rhinoplasty: Preoperatively

80. Rhinoplasty: Postoperatively