thePlasticsPaper - February 13th

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!
thePlasticsPaper - February 13th

In this Week's Edition

1. ✍️ Letter from P'Fella - Sci-Hub is so important.
2. πŸ“ Articles of the Week - 3 new Breast articles
3. 🧐 Weekly Quiz Competition - leaderboard
4. πŸ”  Wordle for Plastics Surgeons - harder!
4. 🎭 Upcoming Events - +20 webinars & courses.
5. 🐣 Tweets of the Week - memes, images, ideas.
6. πŸš€ New features - Flashcards!!


A Letter from P'Fella

Sci-Hub is key. Β 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.

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.


Articles of the Week

Let's focus on Breast this week

Exercise after Breast Augmentation: A RCT
Basile et al, PRS Journal Jan 2022.

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

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.
- Cooper ligaments divide the breast parenchyma.
- Superficial and deep layers of superficial fascia created a breest β€œpocket,”
- 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

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!!


Wordle for Plastic Surgeons

Created specifically for Plastics!

p.s - share your results on Twitter and @plasticsfella. The winner gets some pretty cool merch πŸ”₯


Upcoming Events

20 Webinars, Conferences, and Courses

  1. Pulvertaft Webinar: Salvage Hand Trauma - Feb 14th.
  2. BSSH Benign and Malignant Tumours of the Hand - Feb 26th
  3. Edinburgh Hand Course - Edinburgh, Feb 2022
  4. BSSH Arthritis Workshop - Manchester, Feb 2022.
  5. AWR Conference - London, Feb 2022.
  6. MWSPS Annual Meeting - UT, USA Feb 2022
  7. ASPS In-Service Exam - Virtual, March 2022.
  8. ASPS Spring Meeting - Virtual, March 2022.
  9. AAPS Centennial Meeting - San Diego, April 2022.
  10. BAAPS Masterclass in Aesthetic Practice - London, May 2022.
  11. RACS 90th Annual Scientific Conference - Brisbane, May 2022.
  12. British Burns Association Annual Meeting - Bristol, May 2022.
  13. Australian ASPS Congress - Goldcoast, June 2022
  14. Aesthetics In-Service Exam - Virtual, June 2022.
  15. ISAPS World Congress - Istanbul, July 2022
  16. ICCPCA Cleft Congress - Edinburgh, July 2022
  17. ASSH Annual Meeting - Boston, September 2022.
  18. BAAPS Annual Conference 2022 - London, September 2022.
  19. Plastic Surgery, The Meeting - Boston, October 2022.
  20. AEC Limb Reconstruction - Virtual, October 2022


Tweets of the Week

Here are 4 tweets you might have missed!


New Feature


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 πŸ‘‡

Launching in 7 days!

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