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Plastic Surgery

Medicine vs the Knife, 5 Compartment Syndrome Lessons, & Last Call for Foundations

Also: Hand compartment anatomy, the Sunday quiz, & 3 compartment syndrome reads of the week.

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The Information Age Paradox, 3 Pedicle-Saving Moves, & Mathes-Nahai in Action

Also: Medial gastrocnemius flap guide, the Sunday quiz, & 3 recommended muscle flap reads.

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Join the Foundations Review Team, 5 Chemical Burn Lessons, & Burn Wound Debridement

Also: Foundations available to purchase, the Sunday quiz, & 3 recommended chemical burn reads.

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Foundations Returns, 3 HA Filler Safety Rules, & the Cost of Surgical Work

Also: Botox precision guide, injectable anatomy, & the Sunday quiz

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Your 2025 Wrapped: How You & 349,000 Others Used thePlasticsFella

The Plastics Wrapped 2025 explores how surgeons actually learn, task-first vs topic-first use, global patterns, and what builds real clinical confidence.

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Upcoming Year-End Review, 3 Melanoma Decisions, & ALND Guide

Also: Recommended reads on lymph node management, the Sunday quiz, & ALND evidence.

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2 Types of Trainees, Facial Nerve Anatomy, Reanimation Tips

Also: Facial nerve palsy quiz, evidence on reanimation, & 3 recommended reads.

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The Time Index, 3 Keys in Melanoma Care, & Evidence on SLNB

Also: ABCDEs of melanoma detection, Glabellar flap, & the Sunday quiz.

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Skill School Manifesto, 3 Oncoplastic Lessons, & Foundations Referral System

Also: Fresh quiz round, Wise-pattern pearls, upcoming breast surgery events.

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Apert's Hand: Clinical Features, Investigations, & Management

Apert syndrome is a rare genetic disorder causing craniosynostosis, midface hypoplasia, and severe syndactyly. The Upton classification guides surgical correction of the hands, aiming to improve function by separating webspaces and lengthening the thumb. Surgical staging begins around 4 months.

Upper Limb

ASPS Age Trends, 4 Craniofacial Lessons, & New Quiz Winners

Also: Upcoming craniofacial & cleft conferences, levator repair guide, & 3 recommended reads.

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Surgeon Stress, 3 Lower Limb Lessons, & Platform Updates Ahead

Also: Gastroc flap tips, lower limb trauma events, & final round of the Sunday quiz.

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Project "Skill School", 3D Printed Bones, & 2 Important Microsurgery Drills.

Also: BAPRAS Congress 2025, New journal club, & the Sunday quiz.

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Lower Limb Examination: 5-Step Approach & Documentation

A lower-limb exam follows the sequence look, feel, move, and neurovascular. Inspect for deformity or wounds, palpate for tenderness and compartment tension, assess joint motion, strength, sensation, and pulses. Reassess after intervention; early pain on stretch warns of compartment syndrome.

Lower Limb

Microsurgical Principles - Angiosomes: Vascular Territories, Choke Vessels, & Delay Phenomenon

An angiosome is a 3D block of tissue supplied by a single artery-vein pair. Understanding these vascular territories and their choke-vessel connections allows surgeons to design flaps with reliable perfusion, apply delay techniques, and plan reconstructions with reduced necrosis and morbidity.

Core Principles

Paronychia & Felon: Causes, Clinical Features, & Management

Paronychia affects the nail folds and is often bacterial, while a felon is a deep abscess in the fingertip pulp, causing intense pain. Both require early recognition and drainage to prevent complications like osteomyelitis, septic arthritis, or fingertip sensory loss.

Upper Limb

Compartments of the Lower Limb: Muscles, Innervation, & Blood Supply

The thigh has three compartments (anterior, medial, posterior) and the leg has four (anterior, lateral, superficial posterior, deep posterior), each containing muscles, nerves, and vessels. Rigid fascia limits expansion, making the anterior leg most prone to compartment syndrome.

Lower Limb

Describing a Fracture: Pattern, Location, & Investigations

Fractures are three-dimensional injuries best described using the PLACES framework: Pattern, Location, Alignment, Closed/open status, Examination findings, and Special investigations. At least two orthogonal X-rays are required to assess fracture type, displacement, joint involvement, and severity.

Upper Limb

Halloween Edition: 4 Firework + Pumpkin Injuries, & AI vs Real Surgeons

Also: Video guide for finger replants, the Sunday quiz, & P'fella at BAPRAS Congress 2025!

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Compartments of the Upper Limb: Neurovascular Anatomy & Clinical Relevance

The upper limb is divided by fascia into compartments with specific muscles, nerves, and vessels. The arm has anterior (flexor) and posterior (extensor) groups & the forearm has volar, dorsal, and lateral compartments. Rising pressure causes compartment syndrome requiring urgent fasciotomy.

Upper Limb

5 Levels of Plastic Surgery Work, Body Contouring Tips, & Last Call for Lifetime Patrons

Also: Huger's abdomen vascular zones, fleur-de-lis abdominoplasty markings, & Foundations sales reopen soon!

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Special Edition: A One-Time Invitation to Shape The Plastics Fella’s Future — Limited Seats

This is your chance to become a handful of people that can shape the future of plastic surgery education. We're levelling up to a faster platform, smarter tools, and a bold new vision. We want to do it with our community: transparent and collaborative.

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3 Suture Studies, A Microsurgery Guide, & Foundations Waitlist Is Back!

Also: Suture sizes summarised, the Sunday quiz, & arterial anastomosis guide.

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Suturing & Knot Tying: Suture Type Evaluation & Techniques

Suturing choice depends on wound type. Simple interrupted sutures give strength and versatility, mattress sutures evert edges and spread tension, and deep dermal ones relieve surface stress. Subcuticular sutures improve appearance, while vertical mattress and secure knots prevent dehiscence.

Core Principles