The incidence of prominent ears in the population is estimated to be:
2-5%. The incidence of prominent ears in the population is estimated to be 2-5%.
A 26-year-old woman of Asian descent who underwent rhinoplasty 5 years ago has erosion of the silicone rubber (Silastic) prothesis through the skin of the nasal tip. Physical examination shows a depressed scar in this region. Secondary rhinoplasty is planned. Use of which of the following grafts for this procedure is most appropriate to minimise volume loss?
Cartilage. For a 26-year-old woman of Asian descent who underwent rhinoplasty 5 years ago, who has erosion of the silicone rubber (Silastic) prothesis through the skin of the nasal tip and a depressed scar in this region, the use of cartilage grafts for this procedure is most appropriate to minimise volume loss.
References:
Which answer is true regarding structural fat grafting?
It can be used to augment midface hypoplasia. Use of autologous fat in the nose is well described. It can be effective in midface hypoplasia. Although controversial, breast augmentation can be undertaken effectively without pre-expansion with a suction device. The risk of blindness when injecting substances around the eye relates to retrograde propulsion of material along vessels which can occlude the retinal artery, and is limited in its reports to a small number of case reports. HIV lipodystrophy can be treated in this way effectively
1. Coleman SR, Mazzola RF. Fat injection: from filling to regeneration. St. Louis, USA: Quality Medical Publishing Inc., 2009.
The following are recognised fixation methods for endoscopic brow lift except:
Reconstruction plates. Fixation methods can be endogenous or exogenous. Although plates have been described for fixation in the endobrow, these are miniplates or resorbable plates. Reconstruction plates are too big and inappropriate for this purpose.
1. Rohrich R, Beran SJ. Evolving fixation methods in endoscopically assisted forehead rejuvenation: controversies and rationale. communications in cosmetic surgery. Plast Reconstr Surg 1997; 100(6): 1575-82.
Subplatysmal procedures for rejuvenation of the ageing neck include the following except:
Corset platysmaplasty. This is incorrect; corset platysmaplasty is not undertaken deep to platysma, but involves platysma itself. The other listed procedures are well described.
References: 1. Abood A, Malata C. Surgical rejuvenation of the aging neck. In: The evidence for plastic surgery. Stone C, Ed. Shrewsbury, UK: tfm publishing Ltd, 2008: 299-310.
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