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FPRS Inservice Review

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

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FPRS Inservice Review

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  1. FPRS Inservice Review 2-15-12

  2. Facial Analysis • The Frankfort horizontal plane connects the: • Nasion and pogonion • Nasion and porion • Porion and orbitale • Stomion and rhinion

  3. Facial Analysis • The Frankfort horizontal plane connects the: • Nasion and pogonion • Nasion and porion • Porion and orbitale • Stomion and rhinion

  4. Facelift • Most commonly injured nerve: • Marginal mandibular branch • Frontal branch • Buccal branch • Great auricular nerve

  5. Facelift • Most commonly injured nerve: • Marginal mandibular branch • Frontal branch • Buccal branch • Great auricular nerve

  6. Facelift • Most commonly injured MOTOR nerve: • Marginal mandibular branch • Frontal branch • Buccal branch • Great auricular nerve

  7. Facelift • Most commonly injured MOTOR nerve: • Marginal mandibular branch • Frontal branch • Buccal branch • Great auricular nerve

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

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

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

  11. Unilateral Cleft Lip Nose • Tip and columella deviate toward: • Cleft side • Non-cleft side

  12. Unilateral Cleft Lip Nose • Tip and columella deviate towards: • Cleft side • Non-cleft side

  13. Unilateral Cleft Lip Nose • Caudal septum deviates toward: • Cleft side • Non-cleft side

  14. Unilateral Cleft Lip Nose • Caudal septum deviates toward: • Cleft side • Non-cleft side

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

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

  17. Unilateral Cleft Lip Nose • Cleft side alar base is positioned: • Posteriorly, laterally and inferiorly • Medially and inferiorly • Posteriorly and medially

  18. Unilateral Cleft Lip Nose • Cleft side alar base is positioned: • Posteriorly, laterally and inferiorly • Medially and inferiorly • Posteriorly and medially

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

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

  21. Rhinoplasty • What incisions comprise an open rhinoplasty incision? • Mid-columellarand rim • Mid-columellar and marginal • Mid-columellar and intracartilaginous • Mid-columellar and intercartilaginous

  22. Rhinoplasty • What incisions comprise an open rhinoplasty incision? • Mid-columellarand rim • Mid-columellar and marginal • Mid-columellar and intracartilaginous • Mid-columellar and intercartilaginous

  23. Open RhinoplastyIncisions

  24. Closed Rhinoplasty Incisions

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

  26. Cephalic Trim (Turn-in)

  27. (Auto) Spreader Grafts

  28. Lateral Crural Steal – Increases tip rotation and projection

  29. Lateral Crural Overlay – Increases tip rotation, decreases tip projection

  30. Tongue-in-groove • Introduced to treat hanging columella • Stabilizes tip, prevents ptosis • Can be used to set tip projection

  31. Intra/Interdomal Sutures

  32. Dynamic Tip Ptosis • What causes tip ptosis with smiling?

  33. 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

  34. What is wrong with this nose? Radix too high Over-rotated Tension nose deformity Rhinion too low

  35. What is wrong with this nose? Radix too high Over-rotated Tension nose deformity Rhinion too low

  36. Tension Nose • Overdeveloped quadrangular cartilage • Tents tip away from nose • Tethers upper lip • Abnormal exposure of maxillary gingiva • Narrowed nostrils • Increased columellar show

  37. Nasal Tip Defect • 7mm defect on nasal tip. Repair with? • Bilobed flap • Primary closure • Secondary intention • STSG

  38. Nasal Tip Defect • 7mm defect on nasal tip. Repair with? • Bilobed flap • Primary closure • Secondary intention • STSG

  39. Hair Transplantation • Most common complication of follicular unit hair transplantation? • Erythema • Cellulitis • Hair loss • Scarring

  40. Hair Transplantation • Most common complication of follicular unit hair transplantation? • Erythema • Cellulitis • Hair loss • Scarring

  41. Hair Transplantation

  42. Hair Transplantation

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

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