Evaluate Surgical & Non-Surgical Cosmetic Procedures Workbook

CDNSCP02 EVALUATE SURGICAL AND NON-SURGICAL COSMETIC PROCEDURES ASSE SSME NT T ASK 2 -WORK BOOK Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 1 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ASSESSMENT MARKING SHEET Student Name Accredited Course 52850WA Advanced Diploma of Cosmetic Dermal Science 52854WA Graduate Diploma of Cosmetic Dermal Science MARKING & FEEDBACK Date of Assessment Assessment Feedback Completed Satisfactorily Satisfactory Not Yet Satisfactory Assessor Declaration I confirm that I have provided feedback to and advised the above-named student of the outcome of this assessment task. Assessor Name / Signature Date

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 2 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx WORKBOOK INSTRUCTIONS Ensure you have opened this workbook and followed the on-screen instructions before typing directly into the workbook. If you use another format or preview, your assessor will not be able to provide you with feedback. Once complete, please save a copy for yourself and upload a completed version to your assessor via the student portal. You can obtain the answers for the activities through the online lectures, additional reading material and Internet searches. All questions must be attempted. Feedback and assistance are available from your assessor prior to the assignments due date. IMPORTANT: Please do not copy and paste answers from lecture notes. (Please see the AACDS Study Guide/Academic Writing section if you’re unsure what this means).

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 3 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 1 F ACIAL A GEING T ERMINOLOGY Match the number to the corresponding ageing characteristic Yes No Characteristic No Characteristic 16 Deepening nasolabial crease 15 Cheek sagging and fat atrophy changes 2 Forehead rhytids (wrinkles) and ptosis (drop) 26 Rhytids and mid-neck hollowing 4 Brow ptosis 17 Facial rhytids and sagging 6 Upper lid redundancy (skin excess) and ptosis 18 Perioral rhytids 7 Lateral canthal rhytids 19 Upper lip fat atrophy and lengthening 20 Thinning and atrophy of the vermillion (red lip) 11 Malar bag formation 1 Thinning on the hair and receding hairline 23 Submaxillary gland ptosis 9 Lower lid redundancy and rhytids 21 Chin ptosis 10 Lower lid fat hypertrophy (fat excess) 24 Submental fat accumulation 12 Cheek rhytids 22 Jowl formation 13 Preauricular rhytids 27 Cervical rhytids 14 Nasal tip ptosis 3 Glabellar rhytids 5 Temporal rhytids and ptosis 8 Nasal root rhytids 25 Platysmal banding Assessor’s comments switch 23 and 27

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 4 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 2 Yes No Your task is to assess her face in terms of its proportions (Using the Rule of thirds and the Rule Fifths) and identify any aging characteristics. Describe the facial proportions or characteristics that may be improved by cosmetic surgery or non-surgical procedures. Proportioning and symmetry. The first image does not show great proportions using the rule of thirds. The proportion between the hair line to the glabella is not correct as the beginning of the line is placed where the hairline may not even begin as she has a frigne covering the area and the bottom of the line ends inbetween her eyes. The glabella to the nasal tip is also not correct as it begins from her eyeline and ends on the top of her lip, and finally the nasal tip to the chin begins from her upper lip and then ends on the chin. The second image does not show great proportions using the rule of fifths. The proportion between outercanthal and the ear is not correct as it does not extend to the end of the ear. The other proportions seem to be in line with the rule of fifths. Non- Surgical Procedures that I would recommend to this patient would be: Botuliumn Toxin to her Lateral canthal lines, and bunny lines and potentially to the Platysmal bands Lateral Cheek filler - to add volume back to her cheeks Lip Augemtation with dermal filler - as the top lip is slimmer than her bottom lip giving the 1-2 ratio. Oral Commissure Filler - adding voluma to plump the oral commissure lines, creating a more youthful look Surgical Procedcures that I would recommend to this patient would be: Brow lift - to correct brow ptosis, asymmetry and upper lid droop. Lower Blephraplasty - to correct puffiness Neck Lift - to create a more defined and youghtful looking neck. Assessor’s comments Question 3 Yes No Patient motivation for cosmetic surgery generally falls into 3 categories: normalization, beautification and rejuvenation. History shows us that these categories are greatly influenced by culture, society and even a fashion trend. Below are a series of photos in which you will need to identify the most likely motivator for seeking cosmetic intervention/surgery.

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 5 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Michael had his earlobes enlarged in his 20s. He’s now seeking corrective surgery to his earlobes. His motivation for cosmetic surgery would be considered (please tick): Normalisation Beautification Rejuvenation Briefly explain your answer The patient may no longer like his appearance and potentially is wanting to advance in his career where appearance impacts how people see him. Assessor’s comments

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 6 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Charmaine is 24-years-old and is seeking cosmetic surgery to augment her breasts from a B cup to an C cup. Her motivation for cosmetic surgery would be considered (please tick): Normalisation Beautification Rejuvenation Briefly explain your answer The patient does not feel confident with her current breast size and is seeking breast augementation to help build her confiedence and feel more beautiful in her clothes Assessor’s comments Martha is in her 30s and has been concerned about her thin lips since she was in high school. She is seeking cosmetic intervention to slightly augment her upper lip. Her motivation for cosmetic surgery would be considered (please tick): Normalisation Beautification Rejuvenation Briefly explain your answer The patient has always been self concious about her lips and potentially feels that they disappear when she smiles. By seeking cosmetic intervention she will be able to enhance her lips making her feel more confident especially when smiling. Assessor’s comments Steve is seeking an otoplasty (ear pinning). His motivation for cosmetic surgery would be considered (please tick): Normalisation Beautification Rejuvenation Briefly explain your answer The patient is not wanting unwanted attention when he goes about his daily life. Potentially he may have been bullied or picked on in his younger years because of his appearance. By seeking otoplasty he will be able to correct his ears and appear more "normal" Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 7 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 8 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Alice is a 21-year-old seeking a breast augmentation to achieve a B cup. Her breast tissue is so minimal that she cannot fill an A cup bra. Her motivation for cosmetic surgery would be considered (please tick): Normalisation Beautification Rejuvenation Briefly explain your answer The patient coulde be very self concious about the type of outfits that she wears as she feels she may look more "boyish" in clothing due to the lack of breasts that she has. By seeking breast augmentation she is able to correct this and achieve a larger breast size that is "normal" and feel more confident in the outfits she is wanting to wear. Assessor’s comments Brian is a 42-year-old seeking a chin implant to create a more balanced appearance to his profile. His motivation for cosmetic surgery would be considered (please tick): Normalisation Beautification Rejuvenation Briefly explain your answer The patient is self concious about his appearance he may have been for quite some time. By seeking cosmetic surgery he will be able to correct his chin and create a more chisled profile. Giving him the confidence to be in photos and be at public events. Assessor’s comments Question 4 Yes No a) Indications for cosmetic surgery must also consider patient psychology. In your own words, describe the condition of body dysmorphic disorder (BDD). It is a disorder that is very difficult to diagnose as patients feel ashamed on what they are feeling and hate being under doctors care. The patient spends endless hours looking at themselves trying to fix what they see as wrong. They will seek different types of procedures and spend hours exercising believe that will "fix" what they perceive as wrong with their bodies. They will also compare themselves with others around them who they believe is a perfect image and in their minds that is their goal of who they wish to be. Assessor’s comments

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 9 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx b) Explain the potential implications of cosmetic intervention on a patient with BDD. By treating someone with BDD you can potentially come across constant disastifaction with their outcomes of the procedures they go under, as they will see differently to what the surgeon or cosmetic nurse/doctor sees. The Dr./Nurse will see that they have corrected what the patient has asked for however in the patients eyes they will still see the "imperfection" as not corrected and will be unhappy. Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 10 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 2 T HE C OSMETIC P RACTICE E NVIRONMENT /P RE & P OST -O PERATIVE C ARE Question 1 Yes No Explain the need for pre-operative and post-operative guidelines within a medical practice. This is to ensure the success of the procedure, also to check the patient is fit to have the procedure that they are wanting. It is essential the patient understands how to look after themselves post-op as this will impact their healing time and how body/face will look after everything has healed. Assessor’s comments Question 2 Yes No What roles does a cosmetic nurse have in a theatre environment? To assist the surgeon during the procedure as well as setting up the theatre room before the procedure commences. The nurse also do the pre-operative assessment and prep the patient for surgery. Assessor’s comments Question 3 Yes No List 8 pieces of equipment required in a theatre and recovery room unit? 1. Defibrillator 2. Self inflating oxygen mask 3. Oxygen 4. Medications 5. Sterlizer 6. Sterile equipment 7. Operation table/bed 8. Suction Machine Assessor’s comments Question 4 Yes No List 3 examples of complementary dermal therapies performed pre surgery. 1. Chemical Peels 2. LED Light Therapies 3. Non-Invasive Body Contouring Assessor’s comments Question 5 Yes No List 3 examples of pre and post-operative patient care that the dermal therapist may perform. 1. Microdermabrasions or Hydrodermabrasions 2. Chemical Peels 3. LED Light Therapies

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 11 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Assessor’s comments Question 6 Yes No To complete this activity, please choose one case study only from Assessment Task 1 - Portfolio of Case Studies. Complete the below Pre and Post-Operative Care Plan. Pre and Post-Operative Care Plan Assessment Patient name: Courtney Surgical procedure: Breast Augmentation Procedure date: June 15 Consulting surgeon : Dr Brown Date Treatment and comments 29 th March Initial Consultation with Dr Brown, She provides detailed information about the procedure, what to expect, gains informed consent, quotes pricing for the procedure and gives aditional information to take home. Appointments are made for pre-op check and dermal therapy consultation. 31 st March Courtney sees the nurse for her pre-op check and then sees the dermal therapist for a consulation regarding her concerns of her decoletage. The DT discusses the treatment plan which includes skin preparation, the use of cosmeceuticals. The DT gains informed consent and quotes pricing for the treatment plan + cosmeceuticals. Her first ipl rejuvenation treatment is booked for 2 weeks time. 6 th April 1st IPL - BBL HERO - Main focus is to remove pigmented lesions and reducing talengiectasia. Benefits are increasing dermal fibers and skin rejuvenation to aid the healing process post op 4 th May 2nd IPL - BBL HERO - Increasing dermal fibers, removing any pigmentation + redness in the decolletage, improving any textural irregularities Courtney has pointed out during her consultation. 18 th May 1st Microdermabrasion + LED: 633nm -Main focus is to renew and increase cellular production which aids in wound healing post op. + LED :633nm - Increases cellular renewal, improving the blood and oxygen circulation which will aid in her healing post op. 1 st June 2nd Microdermabrasion + LED :633nm - Increases cellular renewal, improving the blood and oxygen circulation which will aid in her healing post op. Surgery 15 th June Courtney is prepared for surgery by the nurse. Dr. Brown performs the procedure. Nurses monitor Courtney for up to 2 hours post op and is given details verbal and written post op instructions 16 th June Courtney returns to the clinic for bandage removal, the nurse assess wounds and patient wellbeing. Post-op instructions are reiterated. 22 nd June Courtney returns to the clinic 7 days post op, her wounds are cleaned by the nurse. Dr Brown checks the progress and recommends the DT to perform LED treatments to aid her recovery. DT performs LED same day - 1st Led: 830nm - aids in pain relief, wound healing, skin rejuventation & increases the blood and oxygen circulation aiding in her post op care. 24 th June

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 12 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx 2 nd LED 830nm: Encourage cellular renewal & promote wound healing Skin maintenance: Would recommend Courtney to use cosmeceuticals, Retinol to increase cell renewal, collagen synthesis for wound healing, lactic acid to keep the skin supple and well hydrated and encourage cellular turn over, Vitamin C to increase collagen synthesis. Continue with LEDs, microdermabrasions to reduce scar formation and encourage cellular turn over Scar management: scar therapy gel, regular LEDs & microdermabrasions, Skin needling if she has not formed a Keloid Scar Further recommendations or amendments by consulting surgeon: Come for a 2 week check up to see how the implant are settling. Post procedure to wear a compression bra that is fitted correctly to aid in supporting the breast. on the day of the procedure it is best if Courtney has someone to drop her off and pick her up as she will not be in a good state to drive herself home and have assistant around the house for the first couple of days post op. Courtney will have limited arm motion for the first 5 - 7 days and is advised to not lift anything between 2 - 5 kgs. She cannot exercise for the first 2 weeks post op by 4 - 6 weeks she will be able to begin some light exercises at the gym. Consulting Surgeon’s Signature: Example Date: 1.2.30 Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 13 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 3 Which surgical cosmetic procedure will address the following ageing characteristics? Yes No 1. Brow Lift 2. Blephraplasty 3. Lower Blephraplasty 4. Mid Face Lift 5. S-Lift 6. Liposuction 7. Platysma Plication 8. Neck Lift Patient Consultations – Advising Marge When a patient like Marge comes for a consultation, she will usually discuss her areas of concern. For example, if she were concerned with jowls and neck banding, you would discuss the procedures that address this. She may or may not be concerned with other ageing areas so it would be inappropriate to suggest she needs full-face rejuvenation. It is usually the job of the consulting surgeon to discuss additional procedures to complement or enhance the other procedure(s). Assessor’s comments 1. Brow ptosis and horizontal forehead lines 2. Upper lid ptosis and/or fat hypertrophy 3. Lower lid wrinkles and/or fat hypertrophy 4. Nasolabial folds 5. Marionette lines and jowling 6. Submental fat hypertrophy 7. Neck banding 8. Horizontal neck wrinkles

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 14 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 4 I NCISION SITES FOR FACE , EYE AND NECK SURGERY Match the incisions sites with the labels below Yes No No Incision No Incision No Incision No Incision 7 Lower Blepharoplasty 8 Platysma Plication 1 S-Lift 5 Mid Brow Lift 4 Open Rhinoplasty 3 Coronal Brow Lift 6 Upper Blepharoplasty 2 Face Lift Assessor’s comments 3 8 5 6 7 1 2 4

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 15 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 5 R EVISION Q UESTIONS Question 1 Yes No When would a patient be more suitable to a face-lift as opposed to an S lift? When a patient has more concerns or needing neck changes as the S-Lift will not address these concerns Resubmission|| Patients within the age range of 40s-50s are more suited for a face lift than s-lift as they have more of a droop in the lower face (cheeks to neck) that an S-Lift will not be able to correct. A face lift is able to define the jawline, reduce the appearance of jowls and slightly improve the nasiolabial folds. Assessor’s comments Question 2 Yes No What ageing characteristic would a mid face lift address? Loss of muscle tone to the mid section of the face, lower eyelids, corners of the mouth and deep nasolabial folds. Assessor’s comments Question 3 Yes No Would a brow lift address heavy upper lids due to excess fat? – Explain why? No as the lift, only lifts the skin along with the fat not removing the fat itself. A blephraplasty would be a more suitable treatment. Assessor’s comments Question 4 Yes No What is the name of the incision a surgeon would use to address excess skin on the lower eyelid? Subciliary Approach Assessor’s comments Question 5 Yes No What does the acronym SMAS stand for and what is its function? SMAS: Superficial Muscular Aponeurontic System. It connects the facial muscles to the dermis and its purpose is to transmit, distribute/amplify the activity of all facial muscles including the most superficial fascial planes of the face and neck area. Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 16 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 6 Yes No Discuss the surgical significance of the SMAS It plays a vital role in rhytidectomy (face lifts). It allows for surgical manuevering and tightening of the SMAS for complete facial rejuventation. It is more valuable to enhance the lower 3 rd of the face than midface. Assessor’s comments Question 7 Yes No Provide three examples of when threads would be indicated as opposed to a face-lift or brow lift? Mild NLF with great skin integrity Mild accordian lines - with great skin integrity Mild Jowling with great skin integrity Assessor’s comments Question 8 Yes No A common question asked by patients considering a facelift or any type of cosmetic facial surgery is, “How long will it last? ” Briefly describe how you would explain the longevity of a facelift to a patient. Ensure to discuss both intrinsic and extrinsic factors. They can last from 2 - 10 years, however you can never stop time from continuing the natural ageing process. Major extrinsic factors would be constant exposure to UVR will rapidly diminish the effects of the procedure. Intrinsic factors would be smoking and consuming alcohol as it depletes the water and salts in the body which drys the skin making it more wrinkled and grey over time. To prolong the effects of the face lift following a regular skincare routine with cosmeceuticals as they utilise active ingredients to help minimize fine lines, uneven skin tone or dull complexion and continue to keep skin cells active. Cosmetic injectables can also reduce movement in the muscles preventing fine lines, dermal fillers are able to add volume and definition to enhance facial features. Dermal therapies also prolong the effects as they promote new cellular growth and encourage collagen and elastin to develop keeping the skin soft, suptle and rejuventated. Assessor’s comments

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 17 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 6 C HANGING S HAPES Question 1 Yes No The outcome of a rhinoplasty is to achieve (please choose one answer): a) A smaller nose b) An augmented nose c) A nose which is harmonious with other facial features d) A refined, fashionable nose Assessor’s comments Question 2 Yes No Many patients will ask you if Medicare will cover a “nose - job”. How would you explain the facts? Unfortunately, Rhinoplasties that are done for aesthetic reasons are not considered a medical necessity, so it is not covered by medicare. Assessor’s comments Question 3 Yes No Swelling is often an issue with rhinoplasty and many patients in the early stages become concerned that they have not achieved the refinement and definition they wanted. Explain how you would reassure the patient? I would reassure the patient that it is normal to have swelling for up to 12 months and once the swelling has settled only 5% of cases need corrective/further surgery. Assessor’s comments Question 4 Yes No When would a surgeon perform an open rhinoplasty as opposed to a closed rhinoplasty? When altering the nasal structures for more complex cases. Assessor’s comments Question 5 Yes No From what age can an otoplasty be performed? around 5 years old Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 19 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 6 Yes No Identify 3 factors that need to be considered when operating on children. Explain why they are a concern. 1. Wound Care: Children require assistance with looking after and caring for their dressings, stitches ect. Parents understand and will follow the surgeons instructions to help 2. Anaesthesia: can be given 1 of 2 different ways, it can be delivered through a gas mask or through an iv drip, the parent or guardian can stay alongside the child until they have fallen asleep. 3. Parental/Care Giver Consent: Children require consent before going ahead with any surgical procedures, they cannot provide the consent themselves as they not capable to do so. Assessor’s comments Question 7 Yes No Facial implants can make a significant change to the facial structure and appearance. Which of the following anatomical and ageing changes may indicate an implant? Receding chin Low profile rhinion Flattened malar region Reconstructive surgery Hooded upper eyelids Jowls Brow ptosis Pitted acne scaring Flattened submalar region Pre-jowl sulcus Assessor’s comments one more to select from the list

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 20 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 8 Yes No Racial variations and rhinoplasty Using the image, identify the race (Caucasian, African, Asian) of nose A, B and C and then research and discuss what you think are the most commonly requested changes for each nose. A B C Nose A African: they desiree nasal refinement while preserving their cultural identity. The main objective is to improve the definition and projection of the nasal tip, augment the dorsum and reduce the alar base. Nose B Asian: The nasal bridge is often lower and flatter in Asians and is the most common reason this patient group seeks rhinoplasty. By augmenting the dorsal height is usually necessary in some cases, thius may need to be quite a significant increase. Nose C Caucasian: It includes various techniques and can address any number of aesthetic complaints a patient may have about their nose. The ultimate goal is an aesthetically pleasing nose that is in harmony with the rest of the face. Assessor’s comments

Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 21 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 7 S KIN C ANCER AND R ECONSTRUCTION Question 1 Yes No List 3 causes of skin cancer. 1. UVR - most known causes of skin cancer 2. Sun Tanning Beds 3. Excessive periods of sun exposure Assessor’s comments Question 2 Yes No Select the correct answer true / false Question True/False UVR has a shorter wavelength than visible light True UVA is responsible for aging True UVR does not penetrate the clouds False Only 10% of UVB reaches the dermis True UVC should not be a concern True Australia has the highest rate of skin cancer in the world True Assessor’s comments Question 3 Yes No List 4 ways to detect skin cancer early. 1. Non healing ulcers 2. Checking new lesions 3. Changing skin lesions ABCDE 4. Regular skin check ups Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 22 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 4 Yes No List 3 characteristics of the following: Lesion Characteristic SCC 1. Red sore scaly lumps 2. May become an ulcer, bleed and become painful 3. May metastasize BCC 1. Slow growing 2. Pink or pigmented raised lesions 3. Can have talangectasian and pigmentation Melanoma 1. Can appear as a raised or flat pigmented lesion 2. Can appear in a mole especially dysplastic moles 3. Can appear anywhere on the body Assessor’s comments Question 5 Yes No Explain the need to refer suspicious skin lesions to a Doctor. To get the lesion biopsied to confirm whether the lesions is benign or malignant also to prevent the lesion metastasizing or spreading. Assessor’s comments Question 6 Yes No List 3 non-surgical treatments for skin cancers: 1. Photo Dynamic Therapy (PDT) 2. Superficial Radiation 3. Picato Assessor’s comments Question 7 Yes No List 3 types of the main reconstructive methods for skin cancers: 1. Ellecpise & Suture 2. Skin Grafts 3. Flaps Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 24 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 8 Yes No (Research www.cancer.org.au to help you answer the following questions) What is the body’s primary requirement for vitamin D? It is a nutrient your body needs for building and maintaining healthy bones as the body can only absorb calcium. Vitamin D also regulates other cellular functions in the body. Assessor’s comments Question 9 Yes No Is there a strong relationship between vitamin D deficiency and cancer? Explain. There have been studies to suggest that Vitamin D deficiency has been associated with a variety of cancers. It is believed that Vitamin D influences cancer prevalence, risk and survival, hence the need to asses Vitamin D levels in cancer. Assessor’s comments Question 10 Yes No As a Dermal Therapist or Cosmetic Nurse, what advice can you provide your patients to help prevent skin cancer? As a Dermal Therapist I advise clients on using broad spectrum spf as it will protect them from UVA & UVB, especially the clients who are outdoors or working in the office. I advise them to get regular skin checks to keep track of their lesions. Assessor’s comments Question 11 Yes No How would you explain to a patient how much sun exposure is required to prevent vitamin D deficiency? Best way is to have small doses of sun exposure when the UV index is is 3 or above. During the summer before the hours of 10am - 3pm and during Autumn & Winter the UV index drops below 3 so best time to have sun exposure is the middle of the day. You only need to spend a few minutes in the sun a couple times a week to prevent Vitamin D deficiency. Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 25 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 8 L IPOSUCTION A ND N ON -I NVASIVE B ODY C ONTOURING M ODALITIES View the “Liposuction and non - invasive body contouring patient assessment video” conducted by Dr Jayson Oates and Claire Ross DT. This video is located under the week seven lecture material tab on the student portal. Once viewed, please answer the following questions: Question 1 Yes No Explain two reasons why a patient may be better indicated to a non-invasive rather than a surgical (liposuction) option for body contouring. 1. If cellulite is a concern post fat removal 2. If downtime is a concern for the patient. Assessor’s comments Question 2 Yes No Explain two reasons why a patient may be better indicated to a surgical (liposuction) rather than a non-invasive body contouring option. 1. Excess skin laxity, the skin contracts during the procedure which aids in tightening the skin. 2. If the patient is wanting to remove larger quantity of fat in 1 session. Assessor’s comments Question 3 Yes No In which of the following situations would the patient be considered not an ideal candidate for liposuction? (You may select more than one answer) A patient who is quite petite A patient whose primary concern in cellulite A patient whose weight tends to fluctuate A patient who doesn’t exercise regularly A patient who is very fit and muscular A patient who is obese Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 26 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 27 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 9 B OTULINUM T OXIN How Botulinum Toxin (BTX) effects muscle movement: Skeletal muscle fibres contract only under the control of the nervous system. Communication occurs between the nervous system and a muscle fibre at a specialised intracellular connection is known as a neuromuscular junction (NMJ) . The end of the nerve fibre (at the NMJ) has a specialised expanded area called the synapse , which contains vesicles filled with molecules of acetylcholine (a neurotransmitter). Acetylcholine molecules are released into the synaptic cleft , which then binds to receptors on the muscle fibre. This process changes the muscle fibres permeability to sodium ions resulting in an action potential or muscle contraction. BTX attaches to receptors at the nerve synapse cleaving a protein called SNAP-25 , which incapacitates the SNARE complex. When the snare complex is incapacitated the release of acetylcholine is blocked resulting in muscle relaxation. Question 1 Yes No Reorder the numbers in the correct sequence of demonstrating the BTX mechanism of action using the following key events: Key Events Order 1. Release of acetylcholine into the synaptic cleft is blocked 5 2. Cleaves a protein (SNAP-25) at the neuromuscular junction 3 3. Botox is injected 1 4. New, fully functional snyapses are formed 8 5. The SNARE complex is incapacitated 4 6. The effected muscle is relaxed for a period of 3 to 4 months 7 7. BTX attaches to receptors in the nerve synapse 2 8. The affected muscle is unable to receive the chemical stimulus required for movement 6 Assessor’s comments switch 4 and 5

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 28 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 2 Yes No Label the following diagram in the table below A. Obicularis Occuli B. Zygomaticus Minor C. Masseter D. Depressor Labii Angular Oris E. Frontalis F. Corrugator G. Nasalis H. Levator Labii Superious Alque Nasi I. Obicularis Oris J. Mentalis Assessor’s comments E F G H I J A B C D

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 29 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 3 Yes No State the name of the muscle(s) that are responsible for the development of the following dynamic lines: Dynamic Lines Muscle(s) Glabella frown lines Resubmission || Procerus, Corrugator Supercilii & Depressor Supercilii Nasal root lines Resubmission || Levator Labii Superioris Alaeque Nasi Lateral canthal lines (‘Crows feet’) Obicularis Oculi Under eye lines Obicularis Oculi Nasal scrunch (‘bunny nose’) Nasalis Horizontal forehead lines Frontalis Perioral lines Obicularis Oris Chin wrinkling (‘popply chin’) Mentalis Cheek lines Resubmission|| Zygomaticus Major and Minor Platysmal banding Platysma Brow asymmetry Resubmission|| Frontalis, Orbicularis Occuli Assessor’s comments the glabella has 2 muscles in this complex, the procerus and which other? nasal root lines - incorrect cheek lines - incorrect brow asymmetry - the frontalis and which other muscle affects the brow? 07.10.2023 glabella - not frontalis, which other muscle is part of this complex along with the procerus? nasal root lines - incorrect, review, the muscle is similar to to area being asked Question 4 Yes No In your own words, how would you describe what Botulinum Toxin is, how it works and any other important factors to a new client who has never had the treatment before? It temporaily relaxes the muscle to help smoothe and soften the dynamic lines (fine lines) in the area. It lasts about 3-4 months, once it wears off the muscle returns to normal use. Generally it can take up to 2 weeks for the botulinum toxin to be absorbed and relax the muscle. Nurses like to see you for 2 weeks post treatment for a review to ensure everything is fine. There can be minor bruising in the area and raised bumps as well in the area treated. Assessor’s comments Question 5 Yes No On average, how many units are commonly used when treating the following areas with Botulinum Toxin (using Botox®)? Crow’s feet (both sides) 24 units (12 per side)

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 30 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Glabellar 20 units Upper lip 4 units Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 31 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 6 Yes No Discuss how Botulinum Toxin can complement dermal therapy procedures? Dermal therapies work on resurfacing the skin to restore youth back to the skin, which encourages cellular renewal, collagen and elastin production. Botox aids in relxing the muscles which reduces the movement which softens the dynamic lines. Assessor’s comments Question 7 Yes No Explain the Therapeutic Goods Administration’s role in Botox and Fillers. Their role is to approve the products to be used within Australia that they will not be harmful and approve the indications for treatment areas. Assessor’s comments Question 8 Yes No Which of the following would be considered an absolute contra-indication to Botulinum Toxin? Blepharospasm Type 2 Diabetes Cerebral Palsy Myasthenia gravis Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 32 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 10 D ERMAL F ILLERS Question 1 Yes No State the dermal filler, which is more suited to a fold, line, scar or wrinkle. Please ensure to discuss at least 2 different brands of filler to show understanding. Acne Scar Aquamid: A Permanent filler consists of 2.5% cross-linked polyacrylamide and 97.5% water. A soft pilabile filler and also has a natural feel. Juverderm Volite: A low concentration of hyaluronic acid that is placed into the skin with a number of fine injections. Improves the quality of the skin, hydrating and skin elasticity. Wrinkle Restylane Vital: A skin booster that is injected into the deep dermis and is tailored to improve the appearance of mature skin, focusing on hydration, plumpness and elasticity. Juvederm Volift: An injectable filler that can be used for the treatment of deeper skin lines and wrinkles. It can also be used for facial contouring and restoring lost volume in the midface. 1 2 3 4

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 33 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Line Teoxane RHA 1: Smooths and plumps the skin on the face. Allows the filler to stretch and adapt to the natural movement in the face. It has been designed to correct small wrinkles and fine lines. Profhilo: Pushes out deep creases in the lower face, it is injected under the skin where it is able to absorb the water and causes the skin on the surface to appear more youthful and more volume. Fold Teoxane RHA 3: Indicated for the treatment of deep-set wrinkles on extremely mobile areas of the face, nasogenian furrows and verticle lip lines. Sunken areas of the face can also be restored with this dermal filler. Scultpra: Permanent filler that specifies in diminishing the appearance of fine lines and wrinkles in the nasolabial folds. Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 34 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 2 Yes No Describe the loss of facial fat pads in the ageing process. The fat pads dimish and sag which causes the upper and middle parts of our face to loose it structure and fullness, while the lower half of the face gains a heavier appearance. Assessor’s comments Question 3 Yes No At age 55 (above image), what areas of the face would likely need augmenting with dermal fillers? Cheeks, NLF, Jawline, Chin, Lips Assessor’s comments Question 4 Yes No What is hyaluronic acid, how does it work? A natural aid which is found in the intercellular tissue. Its structure is similar to the gel that is a watery fluid which turns over every few days, hence why fillers dissolve with time. Assessor’s comments Question 5 Yes No List 3 different injecting techniques when administering dermal fillers. 1. Fanning 2. Cross-Hatching 3. Threading Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 35 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 36 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 6 Yes No Each syringe of dermal filler is usually 1ml. On average, how many mls are required for the following areas? Lip augmentation 1mL Upper cheek augmentation 2mL Tear troughs 1mL - 0.5mL in each side Assessor’s comments Question 7 Yes No List 2 advantages and 2 disadvantages of the use of permanent fillers versus temporary fillers. Advantages 1. Do not need continual treatment in the area 2. Happy patients move onto other areas for permanent filler Disadvantages 1. There are permanent risks 2. Not ideal for first time patients Assessor’s comments Question 8 Yes No Which of the following would be considered an absolute contra-indication to dermal fillers? COVID-19 positive HIV positive Cellulitis Type 2 Diabetes Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 37 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 11 B REAST S URGERY Question 1 Yes No If you had no other history, which of the classifications above would be suitable for a normal female aged between 28- 40 years? 2 Assessor’s comments Question 2 Yes No Describe the different breast implants available. Silicone: an elastomer shell filled with silicone or cohesive gel, it is soft and natural in texture which makes it he most popular choice for breast augmentation Saline: a silicone elastomer shell filled with saline solution, it has low palpability and the smooth texture of the implant feels like normal breast tissue. Fat Transfer: This combines implants with fat transfer which allows plastic surgeons to customise breast augmentation especially if there is a difference between the breastssymmetry. Assessor’s comments Question 3 Yes No What are the different placement options for breast implants? Why would you choose one over the other? Placement of the breast implant is variable. It can either be placed over/under the pectoral muscle or a combination of both by spliting the pectoralis and placing the implant half over and half under. When choosing the options of the placement for the implant it all depends on the chest structure, shape, volume, firmness and which aesthetic look the patient is wanting. Sub-glandullar When the implant is placed over the muscle there is less pain associated and minimal recovery time because only the fat and skin have been disrupted. If a saline implant has been used they are more evident to touch, rippling 2 3 4 1

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 38 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx under the skin and can look more unatural. In some cases implants that have been placed over the muscle have lead to premature breast ptosis, higher risk of capsular contraction and known to interfere with mamograms. Sub-muscular When the implant is placed under the muscle there is more pain and discomfort associated and longer recovery periods due to the skin, fat and muclse being disrupted. However this option is mostly preferred as it gives the best outcomes as anatomically only 2/3 of the implant lies beneath the pectoralis. Long term positive results for sub- muscular placement prevents premature breast ptosis, an excellent option for patients who have little to no natural breast tissue as there is no obvious outline of the implant. There is known to be less risk of capsular contraction and known to minimally interfere with mamograms. Assessor’s comments Question 4 Yes No State and describe the different surgical approaches for breast augmentation surgery. Transaxillary: the placement of the incision in the armpit. The incision is 2 - 4cm and the implant is placed above or beneath the pectoralis muscle. Inframammary: The placement of the incision is along the bottom crease of the breast, near the ribcage. The incision is 4-5 cm and the implant is placed above or beneath the pectoralis muscle. Periareola: The placement of the incision is around the areola border. The incision is semi-circular, and the implant is placed above or below the pectoral muscle, this type of surgical approach is most sutiable for saline implants. Transumbilical: The placement of the incision is in the navel (bely button) which allows the implant to be placed into the breat pocket, above or below the pectoralis muscle. Most common in USA, some clients prefer this method as it is the least invasive method, quicker recovery and reduced surgery time. Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 39 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Question 5 Yes No Identify 2 situations where breast surgery is not appropriate. 1. Active breast cancer` 2. Teenage Client Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 40 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx ACTIVITY 12 O RAL AND M AXILLOFACIAL S URGERY Question 1 Yes No Explain the differences in qualifications and training between an Oral Maxillofacial Facial Surgeon and a Facial Plastic Surgeon. Oral Maxillofacial Facial Surgeon: someone who specizlises in surgery of the mouth, face, and jaw. This medical speciality of dentistry requires additional education and training in oral and maxillofacial surgery. Minimum of 4years of surgical taining and encompasses a comprehensive training programme which requires the following as prerequsities of dental degree and full registration as a dentist in Australia/a medical degree and full registration as a medical practitioner in Australia / and a full year of surgery in general rotations. Facial Plastic Surgeon: the surgical specialist pathway includes a minimum of 12 years medical and surgical education, including at least 5 years of specicalist postgraduate training. The five year postgraduate surgical education and training projgram for surgical registars in reconstructive and cosmetic plastic surgery is provide by the Royal Australasian College of Surgeons and administed by the Australian Society of Plastic Surgeons. They complete MD or MBBS and then go on to FRACS. Assessor’s comments Case Study 2 Yes No Andy has been referred to an oral and maxillofacial surgeon by his dentist. At the consultation, the doctor assesses him and notes he has significant mandibular hyperplasia. Andy not only has problems chewing, but is also very concerned about his appearance. What would be the sequence of events Andy would go through to correct mandibular hyperplasia? Conedylar Hyperplasia can be difined as the excessive growth of one condyle over the contralateral, causing an increase in bone mass of varying degree in instances where the subject's growth has decreased or ceased. The diagnosis of this pathology is initially made with facial analysis and imaging the patient frequently consults for dental alterations, motivated by use of corrective orthodontic devices to correct malocclusion. Treatment Options: The paitent, high condylectomy in conjunction with orthognatic surgery to treat the functional and esthetic problems of facial asymmetries with a class 3 /under bite. Bimaxillary orthognatic surgery to correct the occlisal cant, the axial tooth position and the midline of the chin. The installation of facial implants collaborates with the cosmetic treatments.

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 41 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Assessor’s comments

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 42 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx Case Study 3 Yes No Mary has a “weak chin”. She has been to see a cosmetic surgeon who has recommended a chin implant and an oral and maxillofacial surgeon who has recommended she correct this problem with a genioplasty. What are the disadvantages and advantages of these 2 procedures? Please discuss the process of distraction osteogenesis in your answer. Chin augmentation is a facial plastic surgery that helps create a larger, more projected, or a carved chin in individuals who desire to define their facial features. This can take the configuration of chin rounding by osteotomy or chin height reduction. Chin implants are placed internally through the lower lip or externally under the chin improving the anterior, lateral, and downward projection of the chin. Advantages : -augments facial asymmetry and deficiencies lying in the chin, cheek, and jaw. -strengthens a weak or an underdeveloped chin. -increases the height and width, giving you a chiseled chin -aids with a sharp jawline -the procedure are relatively quick to perform and give permanent results. Disadvantages: -there are chances of infection which could lead to implant removal -risk of postoperative minimal bleeding, infection or swelling -contouring abnormalities may occur due to uneven resorption or implant displacement Genioplasty is a surgical procedure performed by specialists designed to enhance the appearance of the face by harmonising the jaws, nose, chin and smile. It involves changing the shape of the chin to alter a patients' facial profile and symmetry. Advantages: -surgical accuracy -the specialist surgeon analyses the individual's facial shape using 3 dimensional computer software to simulte and predict the ideal facial dimensions. Use of this type of surgical guide enables accurate positioning of the chin using minimally invasive surgical approaches resulting in shorter surgery duration and also reduces the risk of complications for the patient. -the bone heals very well and once it has completed healing and remodelling there are ususally no visible signs of surgery . -the shape of the chin can be resized and repositioned in any direction Disadvantages: -temporary or permanent numbness at the surgical site

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Niche Education Group Pty Ltd AUSTRALASIAN ACADEMY OF COSMETIC DERMAL SCIENCE ©2022 Version 2.3 17 Nov 2022 43 https://d.docs.live.net/e51b54898ab89bed/Documents/Dermal Science/Evaulate Surgical ^0 Non-Sugrical Prodcedures/Workbook^MResponse (3).docx -damage to lower teeth -bleeding -infection -persistent facial asymmetry Distraction osteogenesis is the treatment for selected deformities and defects of the oral and facial skeleton. It means the slow movement apart of two bony segments in a manner such that new bone is allowed to fill in the gap created by separating bony segments. It provides the oral and maxillofacial surgeon with an easy to place and use distracton device that can be used to slowly grow bone in selected areas of bone loss that has occurred in the upper and lower jaws. The newly formed bone can then serve as an excellent foundation for dental implants. The surgical procedure itself is less invasive so there is usually less pain and swelling and to eliminates the need for a second surgical site to harvest bone graft material. However, distracton oesteogenesis is associated with greater stability when used in major cases where significant movement of bony segments are involved. Assessor’s comments

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Workbook 1 CDNSCP02 2023 Eddition.x

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