Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.1.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Facial Plastic and Cosmetic Surgery

Main Study Course Information

Course Code
RMS_049
Branch of Science
Clinical medicine; Surgery
ECTS
11.00
Target Audience
Dentistry; Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor
Ģirts Šalms

Residency Speciality

Speciality
Maxillofacial Surgeon
Supervisor of Medical Speciality
Ģirts Šalms
Contacts

-

About Study Course

Objective

Learn the morphological and functional bases of facial cosmetic problems, know and understand surgical correction options, indications and principles of patient selection, learn the most common cosmetic surgery methods by assisting in these operations, perform perioperative observation and treatment.

Learning Outcomes

Knowledge

1.Knows modern treatment methods in facial plastic and reconstructive surgery: types of lasers, tissue fillers, botulinum toxin injections, endoscopic treatment methods, cryosurgery, microwave application, radiofrequency surgery, application of individual implants for patients. Knowledge of facial cosmetic pathology to carry out patient selection, explain cosmetic surgery facilities, sustainability of results and complications.

Skills

1.Surgical skills required to assist, perform surgical steps with the patient's permission, perform post-operative treatment.

Competences

1.Able to understand the indications of cosmetic surgery, clinically assess the signs of aging and acquired deformations of the patient's face, choose the most appropriate conservative and surgical treatment method, and explain it to the patient.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-
Clinical work at Health Center 4 and Institute of Stomatology of RSU. Acquaintance with mandatory and topical literature. Attending seminars. Presentation on clinical cases.

Examination

Title
% from total grade
Grade
1.

Examination
-
-
Clinical work at Health Center 4 and Institute of Stomatology of RSU (70%). Acquaintance with mandatory and topical literature (10%). Attendance at seminars (10%). Presentation on clinical cases (10%).

Study Course Theme Plan

FULL-TIME
Part 1

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Clinical assessment of the patient for facial reconstruction surgery. Skin aging and its prevention. Preoperative assessment of the upper and lower third of the face. Types of eyebrow lift surgery. Open brow lift. Endoscopically assisted brow lift. Forehead skin lifting operations. Hair transplant techniques. Island technique. Individual hair follicle transplantation technique.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Eyelid surgery. Surgical anatomy of the upper and lower eyelids. Drooping of the upper eyelids. Upper eyelid surgical techniques. Lower eyelid surgical techniques. Complications of eyelid surgery. Repeated eyelid surgeries.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Application of laser technology in face and neck plastic surgery. Theoretical and practical aspects. Advantages and disadvantages. Application of CO2, CO2+ RF, ER-YAG lasers. Preparation of facial skin with creams before surgery. Anesthesia methods for laser surgery. Removal of skin formations using a CO2 laser. Treatment of vascular network using the ER-Yag laser. Rejuvenation of facial skin using CO2+RF laser. Lip and tongue ligament excision using CO2 and ER-YAG lasers.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Historical development of surgical techniques. Surgical anatomy of the face and neck. Face and neck skin lifting operations. Face - neck plastic according to the Baker technique. Face and neck skin lifting using SMAS excision or duplication technique. Liposuction from the face-neck area. Double chin reduction surgery. Platysma resection surgery. Complications of face and neck skin lifting operations. Secondary face and neck plastic surgery. Anatomy of the ear for children and adults. Ear plastic

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Surgical anatomy of the nose and nasal septum. Assessment of nasal function. Nose analysis for surgery planning. Nasal septum operations, surgical techniques. Taking nasal septal cartilage for transplantation. Taking a cartilage graft from the area behind the ear, from the rib. Closed rhinoplasty. Open rhinoplasty. Approaches, spins. Basic surgery techniques: nose tip, spine, wing. Nasal osteotomies. Post-traumatic nose correction surgery. Rhinoplasty for patients with congenital clefts.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Facial reshaping operations using additional materials: dermal fillers, autologous fat transplantation, botulinum toxin injections, chemical skin peelings. Cosmetics for skin renewal. Implants for restoration of face shape contour: cheek bone, chin, mandibular angle, base of nose implants. Implant materials. Cheek bone osteotomy. Lip aesthetic surgical procedures. Application of individual implants for face reconstruction operations.
Total ECTS (Creditpoints):
11.00
Number of Residency Seminars:
6
Length (weeks):
8
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Atlas of Regional and Free Flaps for Head and Neck Reconstruction. Flap Harvest and Insetting by Mark L. Urken, Mack L. Cheney, Keith E. Blackwell, et al. Hadlock; published on 2011, 2nd edition.

2.

Online source: Dissecting the Facelift. Published on Jan 26, 2018

3.

Illustrated Guide to Eyelid and Periorbital Surgery. Applied Anatomy. Examination. Blepharoplasty. By Alina Fratila / Alina Zubcov-Iwantscheff / William P. Coleman. 1st edition, 2015.

4.

Rhinoplasty: The Experts' Reference Illustrated Edition. by Anthony P. Sclafani (Editor); April 20, 2015.

5.

Stephen Baker, Pravin Patel, Jeffrey Weinzweig. Aesthetic Surgery of the Facial Skeleton. 1st edition. March 10, 2021.