> ## Content Index > Fetch the complete content index at: https://www.theplasticsfella.com/llms.txt > Use this file to discover other available public pages before exploring further. # thePlasticsPaper - February 13th - URL: https://www.theplasticsfella.com/february-13th/ - Published: 2022-02-13T16:52:47.000Z - Updated: 2022-02-13T16:54:28.000Z - Description: Curated evidence-based Plastic Surgery, direct to your inbox. It's hard to keep up-to-date. thePlasticsPaper sends you 1 email per week - just the highlights! - Author: PlasticsFella - Tags: thePlasticsPaper **In this Week's Edition** 1\. ✍️ [Letter from P'Fella](https://www.theplasticsfella.com/theplasticspaper/february-13th/#a-letter-from-pfella) \- Sci-Hub is so important. 2\. 📝 [Articles of the Week](https://www.theplasticsfella.com/theplasticspaper/february-13th/#articles-of-the-week) \- 3 new Breast articles 3\. 🧐 [Weekly Quiz Competition](https://www.theplasticsfella.com/theplasticspaper/february-13th/#weekly-quiz-competition) \- leaderboard 4\. 🔠 [Wordle for Plastics Surgeons](https://www.theplasticsfella.com/theplasticspaper/february-13th/#wordle-for-plastic-surgeons) \- harder! 4\. 🎭 [Upcoming Events](https://www.theplasticsfella.com/theplasticspaper/february-13th/#upcoming-events) \- +20 webinars & courses. 5\. 🐣 [Tweets of the Week](https://www.theplasticsfella.com/theplasticspaper/february-13th/#tweets-of-the-week) \- memes, images, ideas. 6\. 🚀 [New features](https://www.theplasticsfella.com/theplasticspaper/february-13th/#new-feature) \- Flashcards!! --- ## ✍️ ## A Letter from P'Fella ### Sci-Hub is key. Here's why... **This is interesting.** Plastic Surgeons dislike "paying to publish" much more than "paying to read". You can see the raw data in the twitter poll below. It's interesting because it shows the general disdain for the predatory "open" journals that are "free to read". Yes, they are free but they are certainly not free. As the saying goes, there is no such thing as a free lunch. > When it comes to journals, which do you dislike more? > > — thePlasticsFella (@PlasticsFella) [February 9, 2022](https://twitter.com/PlasticsFella/status/1491504914060750852?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) It must be hard for people at PRS Global Open (yes, I know they read this), to see stats like this. It's directly against their business model. But there is a big confounder in this twitter poll - that is, the impact Sci-Hub has had on journal access. The issue of paying or signing up or going through a university portal is gone. You can get any article in the world now in just a few clicks. You can see the impact of Sci-Hub by the stats published by it's founder below. She outlines that millions and millions of articles she has made accessible! Its pretty amazing. > I updated Sci-Hub, now you can watch download statistics in real-time, monthly stats and other. Will add more in the future. > > new version is running at [https://t.co/VzYYNrOcna](https://t.co/VzYYNrOcna?ref=theplasticsfella.com) and [https://t.co/HEgPDPvqEh](https://t.co/HEgPDPvqEh?ref=theplasticsfella.com) > on the picture: number of research papers downloaded in last 30 days [pic.twitter.com/eQcXLcef6C](https://t.co/eQcXLcef6C?ref=theplasticsfella.com) > > — Alexandra Elbakyan (@ringo\_ring) [February 12, 2022](https://twitter.com/ringo%5Fring/status/1492419986291408898?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) --- ## 📝 ## Articles of the Week ### Let's focus on Breast this week **Exercise after Breast Augmentation: A RCT** *Basile et al, [PRS Journal Jan 2022.](https://journals.lww.com/plasreconsurg/Fulltext/2022/01000/Exercise%5Fafter%5FBreast%5FAugmentation%5F%5FA%5FRandomized.13.aspx?WT.mc%5Fid=HPxADx20100319xMP&ref=theplasticsfella.com)* **Aim**: is early exercise after breast augmentation is safe? **Methods**: prospective RCT to measure complications, scar, and PROMs comparing excerise at 7 days and 12 weeks. **Results**: 225 participants showed no difference in outcomes. **Conclusions**: Early excercise does not increase complication or reoperation rates or cause a reduction in scar quality after 1 year. PROM's increased in the exercise groups. **Anatomy of the Breast Fascial System: A Systematic Review** *Duncan et al, [PRS Journal Jan 2022](https://journals.lww.com/plasreconsurg/Abstract/2022/01000/Anatomy%5Fof%5Fthe%5FBreast%5FFascial%5FSystem%5F%5FA%5FSystematic.4.aspx?WT.mc%5Fid=HPxADx20100319xMP&ref=theplasticsfella.com)* **Aim:** better understanding of fascial & ligamentous breast structures **Methods:** review of anatomical, clinical, histologic, and radiologic studies **Results**: 6 distinct breast fascial structures in the literature. **Conclusions:** \- Cooper ligaments divide the breast parenchyma. \- Superficial and deep layers of superficial fascia created a breest “pocket,” \- Horizontal septum is a reliable neurovascular landmark. \- Vertical septum is a newly discovered fascial structure **Leaving the perfusion zones in DIEPS??** *Ludolph et al, [JPRAS](https://www.jprasurg.com/article/S1748-6815%2821%2900377-6/fulltext?ref=theplasticsfella.com)* **Aim:** look at perfusion patterns to determine ideal zoning in abdominal-based autologous breast reconstruction. **Methods**: Indocyanine green angiography for analysis on 100 flaps. **Results**: No major differences in size of the perfusion area and for lateral or medial located perforators to cross the midline. **Conclusions**: Abdominal zonings play a minor role --- ## 🤓 ## Weekly Quiz Competition ### 194 plastics geeks now do this weekly. The leaderboard is hotting up. Every so often, the leader will be getting a pretty sweet prize. **just a heads up... it's an upper limb question this week!!** ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2022/02/thePlastics-Quiz-Weekly-1.png) [Answer this week's question ](https://quiz.theplasticsfella.com/?ref=theplasticsfella.com) --- ## 🔠 ## Wordle for Plastic Surgeons ### Created specifically for Plastics! p.s - share your results on Twitter and [@plasticsfella.](http://twitter.com/plasticsfella?ref=theplasticsfella.com) The winner gets some pretty cool merch 🔥 ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2022/02/thePlasticsPaper-Logo-28-1-1.png) [Click to Play](https://mywordle.strivemath.com/?word=cipry&ref=theplasticsfella.com) --- ## 🎭 ## Upcoming Events ### 20 Webinars, Conferences, and Courses 1. [Pulvertaft Webinar](https://us02web.zoom.us/webinar/register/WN%5FBXVQCpYpRyWdmR3xKGshqg?ref=theplasticsfella.com): Salvage Hand Trauma - Feb 14th. 2. [BSSH](https://us02web.zoom.us/webinar/register/WN%5FQWPsAkffSIaAM3G5WIhuMA?ref=theplasticsfella.com) Benign and Malignant Tumours of the Hand - Feb 26th 3. [Edinburgh Hand Course](http://www.bapras.org.uk/professionals/training-and-education/courses-meetings-and-events/the-edinburgh-hand-course?ref=theplasticsfella.com) \- Edinburgh, Feb 2022 4. [BSSH Arthritis Workshop](https://mailchi.mp/bssh/bssh-spring-2021-abstract-submissions-open-10172149?ref=theplasticsfella.com) \- Manchester, Feb 2022. 5. [AWR Conference](http://www.bapras.org.uk/professionals/training-and-education/bapras-events/awr-europe-february-2022?ref=theplasticsfella.com) \- London, Feb 2022\. 6. [MWSPS Annual Meeting](https://www.mwsps.org/events/mwsps-annual-meeting?ref=theplasticsfella.com) \- UT, USA Feb 2022 7. [ASPS In-Service Exam](https://www.plasticsurgery.org/for-medical-professionals/education/events/in-service-exam-for-surgeons?ref=theplasticsfella.com) \- Virtual, March 2022. 8. [ASPS Spring Meeting](https://www.plasticsurgery.org/for-medical-professionals/education/events/spring-meeting?ref=theplasticsfella.com) \- Virtual, March 2022. 9. [AAPS Centennial Meeting](https://meeting.aaps1921.org/?ref=theplasticsfella.com) \- San Diego, April 2022. 10. [BAAPS Masterclass in Aesthetic Practice ](https://baaps.org.uk/about/events/1475/masterclass%5Fin%5Faesthetic%5Fpractice%5Fmanagement%5Fby%5Fbaaps%5Fsupport?ref=theplasticsfella.com)\- London, May 2022\. 11. [RACS 90th Annual Scientific Conference](https://plasticsurgery.org.au/event/racs-90th-annual-scientific-congress-2022/?ref=theplasticsfella.com) \- Brisbane, May 2022. 12. [British Burns Association Annual Meeting](http://www.bapras.org.uk/professionals/training-and-education/courses-meetings-and-events/british-burn-association---annual-meeting-2022?ref=theplasticsfella.com) \- Bristol, May 2022\. 13. [Australian ASPS Congress - Goldcoast, June 2022](https://plasticsurgery.org.au/event/plastic-surgery-congress/?ref=theplasticsfella.com) 14. [Aesthetics In-Service Exam](https://www.plasticsurgery.org/for-medical-professionals/education/events/life-long-learning-exercise?ref=theplasticsfella.com) \- Virtual, June 2022. 15. [ISAPS World Congress](https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwiHkYPAlpP1AhUBiFwKHTR8B1gQFnoECAIQAQ&url=https%3A%2F%2Fwww.isapsistanbul2022.com%2F&usg=AOvVaw1KHPezm4hISqyTxqmknhFY) \- Istanbul, July 2022 16. [ICCPCA Cleft Congress](https://cleft2022.com/iccpca-webinar/?ref=theplasticsfella.com) \- Edinburgh, July 2022 17. [ASSH Annual Meeting](https://www.assh.org/annualmeeting/s/?ref=theplasticsfella.com) \- Boston, September 2022. 18. [BAAPS Annual Conference 2022](https://baaps.org.uk/about/events/1477/baaps%5Fannual%5Fconference%5F2022?ref=theplasticsfella.com) \- London, September 2022\. 19. [Plastic Surgery, The Meeting](https://www.plasticsurgerythemeeting.com/?ref=theplasticsfella.com) \- Boston, October 2022. 20. [AEC Limb Reconstruction](http://www.bapras.org.uk/professionals/training-and-education/bapras-events/aec-5-1-limb-reconstruction?ref=theplasticsfella.com) \- Virtual, October 2022 --- ## 🐣 ## Tweets of the Week ### Here are 4 tweets you might have missed! > Self Portrait on a Late Shift > Oil on board > 2022[#Art](https://twitter.com/hashtag/Art?src=hash&ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) [#MedTwitter](https://twitter.com/hashtag/MedTwitter?src=hash&ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) [pic.twitter.com/NwpMJyfZpf](https://t.co/NwpMJyfZpf?ref=theplasticsfella.com) > > — Lena Ibrahim (@DrLenaIbrahim) [February 11, 2022](https://twitter.com/DrLenaIbrahim/status/1492203698201796611?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) > Nothing on this planet is stronger than the bond between orthopedic surgeons and their Stryker reps. [pic.twitter.com/UDTDJPUiAQ](https://t.co/UDTDJPUiAQ?ref=theplasticsfella.com) > > — ScratchpadMD (@scratchpadMD) [February 10, 2022](https://twitter.com/scratchpadMD/status/1491877215876882435?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) > First author on a Nature Genetics paper [pic.twitter.com/e9avBhGKZw](https://t.co/e9avBhGKZw?ref=theplasticsfella.com) > > — Oded Rechavi 🦉 (@OdedRechavi) [February 10, 2022](https://twitter.com/OdedRechavi/status/1491849255174160385?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) > this. > > by [@alexludai](https://twitter.com/alexludai?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) 🚂 [pic.twitter.com/NeMqQWNRuV](https://t.co/NeMqQWNRuV?ref=theplasticsfella.com) > > — thePlasticsFella (@PlasticsFella) [February 10, 2022](https://twitter.com/PlasticsFella/status/1491845816927068162?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) --- ## 🚀 ## New Feature ### thePlasticsFlash 🗂️ Evidence-based flashcards for rapid revision of common exam topics. P'Fella was testing the waters this week on Twitter. It was amazing to see the demand for flaschards. >98% of people said, "YES, WE WANT FLASHCARDS". SO here it is 👇 ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2022/02/thePlasticsPaper-Logo-29-1.png) **Launching in 7 days!** [Yes, notify me!!](https://flash.theplasticsfella.com/?ref=theplasticsfella.com) --- ---