# thePlasticsFella
> One platform for everything Plastic Surgery - independent, evidence-based & verified educational tools for all stages of your plastic surgery career..
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Append `.md` to any post or page URL to get the content in Markdown (for example, `/example-post.md`).

## Pages
- [P'Fella's Mission](https://www.theplasticsfella.com/about.md) - A proudly independent platform for evidence-based Plastic Surgery In the summer of 2019, thePlasticsFella came to life with a clear mission: to provide quick, reliable access to evidence-based knowledge in Plastic Surgery. What started as a humble project, aiming to craft a small set of educational…
- [Account](https://www.theplasticsfella.com/account.md)
- [NEW: Audio Library](https://www.theplasticsfella.com/audio-library.md) - QuickCuts is your audio companion to an evidence-based library of Plastic Surgery knowledge. This podcast is available here on all major podcast platforms [https://anchor.fm/jakemarksmd]. [https://www.theplasticsfella.com/audio-library/#liposuction] Every week, new content is added to the audio lib…
- [Authorship Program](https://www.theplasticsfella.com/become-an-author.md) - ThePlasticsFella has a certified authorship program. This allows the plastic surgery community to create written and video content relevant to Plastic Surgery. All content undergoes and independent 3-step validation process to ensure high standards and evidence-based practice. You will recieve cert…
- [Bookmarks](https://www.theplasticsfella.com/bookmarks.md)
- [Spend less time studying...](https://www.theplasticsfella.com/coach.md) - Request Early Access [https://forms.app/form/609031cff974c36f5bc587c4] I would like to request early beta-access [https://forms.app/form/609031cff974c36f5bc587c4] --------------------------------------------------------------------------------
- [Current Research](https://www.theplasticsfella.com/current-research.md) - This is a page dedicated to promoting collaborative research projects to help promote evidence-based practices. Here is some ongoing research that you can help support. If you want to promote your current research, then email support@theplasticsfella.com and P'Fella will take care of the rest. Burn…
- [P’Fella’s Diary](https://www.theplasticsfella.com/diary.md)
- [Medical Illustrator Program](https://www.theplasticsfella.com/medical-illustrator-program.md) - We promote and support independent medical illustrators. Your illustrations are embedded throughout the platform and promoted on social media, audio, video, and email. If you want your work promoted, and link to a personal website where you sell your skillset then that is also an option. If you are…
- [Take your pick!](https://www.theplasticsfella.com/membership.md)
- [Interview with P'Fella (Updated)](https://www.theplasticsfella.com/plastic-surgery-interview.md) - [https://www.google.com] Each year the Plastic Surgery application process seems to be getting more and more competitive. Although the quality of the applicant increases, the interview remains relatively standard. This is why successful interview preparation period is a great way to optimize your a…
- [Privacy](https://www.theplasticsfella.com/privacy.md) - ThePlasticsFella takes data privacy seriously. This privacy policy explains who we are, how we collect, share and use Personal Information, and how you can exercise your privacy rights. We recommend that you read this privacy policy in full to ensure you are fully informed. However, to make it easi…
- [rasa project (testing)](https://www.theplasticsfella.com/rasa.md)
- [Raw Data](https://www.theplasticsfella.com/raw-data.md)
- [Sign in](https://www.theplasticsfella.com/signin.md)
- [Sign up](https://www.theplasticsfella.com/signup.md)
- [Terms and Conditions](https://www.theplasticsfella.com/terms-and-conditions.md) - By clicking the “accept” button (or opening and using the software/content package if applicable), you agree to become bound by the terms of this Subscription and License Agreement (the “Agreement”). If you do not agree to these terms, click “decline” (or do not open the package and promptly return…
- [Coach · thePlasticsFella](https://www.theplasticsfella.com/testingggggggg.md)
- [The Simplest Way to Stay Updated in Plastic Surgery](https://www.theplasticsfella.com/theplasticspaper-newsletter.md) - This is the most read Plastic Surgery publication in the world Rated 9.6/10 from 300+ Reviews
- [Welcome](https://www.theplasticsfella.com/welcome.md) - -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ____

## Posts
- [Bridging Nerve Gaps, 5 Nerve Repair Tips, & How I Operate with Pedro Cavadas](https://www.theplasticsfella.com/september-6th.md) - Also: Operations that start as a bad idea, digital nerve repair guide, & 3 recommended reads.
- [3 Lymphovascular Principles, ICG Mapping, & Our Specialist Edition Is Almost Here](https://www.theplasticsfella.com/august-30th.md) - Also: ICG lymphography, reverse mapping in VLNT, & 3 interesting reads.
- [Breaking the Rules, 4 Replantation Tips, & the 6-Hour Principle](https://www.theplasticsfella.com/august-23rd.md) - Also: Snippet from How I Operate, Ischaemia time, & 3 recommended articles.
- [Bringing Plastics Education Live, 5 Lower Limb Recon Principles, & The 72-Hour Rule](https://www.theplasticsfella.com/august-16th.md) - Also: New episode of How I Operate, ALT free flap harvest guide, & 3 recommended lower limb reads.
- [Updating Plastics Pro, 3 Breast Reconstruction Decisions, & Hall-Findlay on How I Operate](https://www.theplasticsfella.com/august-9th.md) - Also: Monthly aesthetics newsletter, free nipple grafts, & 3 breast recon reads.
- [Teaching Surgery Visually, 4 Hand Surgery Principles, & Zone II Repair](https://www.theplasticsfella.com/august-2nd.md) - Also: Venous flap reconstruction, snippet from How I Operate, & evidence on Dupuytren’s disease.
- [Angrigiani on How I Operate, 3 PIA Flap Principles, & Team Updates](https://www.theplasticsfella.com/july-26th.md) - Also: What makes someone an expert?, venous outflow, & 3 PIA flap reads.
- [Perioral Rejuvenation: Assessment, Treatment Selection, & Complications](https://www.theplasticsfella.com/perioral-rejuvenation.md) - Perioral rejuvenation is a set of procedures that restore the aged appearance of the perioral region.
- [Laser Resurfacing: Assessment, Treatment Planning, & Technique](https://www.theplasticsfella.com/laser-resurfacing.md) - Laser resurfacing is a cosmetic procedure using controlled thermal injury to improve skin texture and appearance.
- [Brow Ptosis: Anatomy, Assessment, & Management](https://www.theplasticsfella.com/brow-ptosis.md) - Brow ptosis is brow descent causing visual obstruction or aesthetic imbalance. Learn anatomy, assessment, operative principles, and complications.
- [Brow Lift: Assessment, Surgical Techniques, & Outcomes](https://www.theplasticsfella.com/brow-lift.md) - Learn brow lift assessment, anatomy, surgical techniques, complications, and treatment planning for aesthetic and functional brow rejuvenation.
- [Non-Surgical Rhinoplasty: Assessment, Anatomy, & Technique](https://www.theplasticsfella.com/non-surgical-rhinoplasty.md) - Learn non-surgical rhinoplasty, including patient assessment, nasal anatomy, injection technique, complication management, and aftercare.
- [How to Assess the Ageing Face: Anatomy, Examination, & Treatment Planning](https://www.theplasticsfella.com/how-to-assess-the-ageing-face.md) - Learn how to assess the ageing face using a structured approach to anatomy, examination, photography, and treatment planning.
- [Managing Unrealistic Expectations & Patient Dissatisfaction in Plastic Surgery](https://www.theplasticsfella.com/managing-unrealistic-expectations-patient-dissatisfaction-in-plastic-surgery.md) - Learn how to manage unrealistic expectations, improve patient communication, and reduce dissatisfaction in plastic surgery practice.
- [Aesthetic Consultation: Suitability, Consent, & Treatment Planning](https://www.theplasticsfella.com/aesthetic-consultation.md) - Aesthetic consultations are clinical assessments that determine treatment suitability, safety, and patient autonomy.
- [Informed Consent in Aesthetic Practice: Assessment, Disclosure, & Documentation](https://www.theplasticsfella.com/informed-consent-in-aesthetic-practice.md) - Informed consent in aesthetic practice is a shared decision-making process confirming capacity, voluntariness, and risk understanding.
- [Ethical Decision-Making in Cosmetic Surgery: Patient Selection, Consent & Ethics](https://www.theplasticsfella.com/ethical-decision-making-in-cosmetic-surgery.md) - Learn the ethical principles of cosmetic surgery, including patient selection, consent, capacity, professional duties, and revision decisions.
- [After You Submit, 3 Research Concerns, & Can Your Study Be Reproduced?](https://www.theplasticsfella.com/july-19th.md) - Also: Episode 2 of How I Operate & the original ALT flap publication.
- [Foad Nahai on How I Operate, 5 Flap Concepts, & Ideas That Changed Our Specialty](https://www.theplasticsfella.com/july-12th.md) - Also: Latissimus Dorsi in action, gracilis myocutaneous flap harvest, evidence on reverse-flow flaps.
- [Pushing the Limits of Microsurgery, 5 Reconstructive Strategies, & How I Operate Is Live](https://www.theplasticsfella.com/july-5th.md) - Also: Behind-the-scenes on Instagram, AV loops in limb recon, & chimeric ALT musculocutaneous free flap.
- [How I Operate: Releasing Tomorrow, 3 SCIP Decisions, & Flap Failure](https://www.theplasticsfella.com/june-28th.md) - Also: What's common in skilled surgeons, evidence on venous congestion, 3 reads on microsurgery.
- [Breast Reduction Planning, 3 Pedicle Decisions, & Podcast Sneak Peek](https://www.theplasticsfella.com/june-21st.md) - Also: Knowing and teaching are different skills, Snowman pattern in reduction mammaplasty, & 3 recommended reads.
- [LVA Technique, 3 Lymphatic Decisions, & Building the Next Department](https://www.theplasticsfella.com/june-14th.md) - Also: ICG lymphography patterns, Reverse lymphatic mapping in VLNT, & 3 recommended articles.
- [The Basics Still Matter, 5 Suture Choices, & Upcoming Podcast Release](https://www.theplasticsfella.com/june-7th.md) - Also: Guide to simple interrupted suturing, knot security principles, & 3 recommended reads.
- [Why Are Doctors Leaving Their Jobs? 3 Pedicle Decisions, & Aesthetics Breast Assessment](https://www.theplasticsfella.com/may-31st.md) - Also: IMF fascial architecture, superior pedicle breast reduction, updates from the On-Call Team
- [1.2 Million Minutes of Teaching, Now Build with Us, & Podcast Teaser with JP Hong](https://www.theplasticsfella.com/may-24th.md) - Also: New visual library and 3 recommended reads on digital education.
- [Before You Submit, 3 Tips for Dog Bite Management, & Irrigation Technique](https://www.theplasticsfella.com/may-17th.md) - Also: Meet the pilot On-Call Team, evidence on dog bite primary closure, & 3 reads on bite injuries.
- [Surgical Dogma, 5 Evidence-Based Shifts, & WALANT Technique](https://www.theplasticsfella.com/may-10th.md) - Also: Microsurgery dogma discussion, evidence on pressure sore recon, & moist vs dry wound healing.
- [The Pay-to-Publish Funnel, 3 Lipofilling Tips, & Submental Lipo](https://www.theplasticsfella.com/may-3rd.md) - Also: Grassroots pilot event in Malaysia, evidence on Coleman fat grafting, & strategic lipofilling.
- [Local Flaps of the Hand, 5 Flap Decisions, & Our First Grassroots Event](https://www.theplasticsfella.com/april-26th.md) - Also: A chance to request new platform features, FDMA flap guide, & fingertip replantation.
- [Breast Reduction Principles, 3 Pedicle Decisions, & Building a Team](https://www.theplasticsfella.com/april-19th.md) - Also: Wise pattern design, pedicle vs pattern, & 3 recommended breast reduction reads.
- [Facial BCC Management, 3 Reconstruction Tips, & Excision Strategy](https://www.theplasticsfella.com/april-12th.md) - Also: Evidence on post BCC nasal recon and 3 recommended reads on facial BCC.
- [Can You Trust AI in Surgery? 3 Rhinoplasty Decisions, & Osteotomy Strategy](https://www.theplasticsfella.com/april-5th.md) - Also: Nasal tip design, open rhinoplasty guide, & 3 recommended articles.
- [Building a Plastics Community, 5 Flaps for Lower Limb Trauma, & ALT Reconstruction](https://www.theplasticsfella.com/march-29th.md) - Also: Muscle vs fasciocutaneous free flaps, Adipofascial flap coverage for tibia, & antibiotics in open fractures.
- [A New Monthly Edition (for Specialists), 5 LVA Tips, & Supermicro](https://www.theplasticsfella.com/march-22nd.md) - Also: Evidence on supermicrosurgery for lymphedema, LVA technique demonstration, & 3 recommended reads on supermicrosurgery.
- [The Community Has Spoken, 5 Metacarpal Decisions, & Thumb Fixation](https://www.theplasticsfella.com/march-15th.md) - Also: Metacarpal rotation deformities, a visual guide to metacarpal fracture fixation, & 3 recommended hand fractures articles.
- [Burns Training Gap, 2 Burn Care Tips, & STSG Basics](https://www.theplasticsfella.com/march-8th.md) - Also: Hand escharotomy, procedural pain management, & 3 recommended reads on dermal substitution.
- [A Curriculum That Travels, 3 Axillary Decisions, & Thoracodorsal Nerve Transfer](https://www.theplasticsfella.com/march-1st.md) - Also: ICBN preservation, evidence on axillary dissection, & 3 recommended reads on cutaneous SCC.
- [Predictable by Design, 3 SCIP Decisions, & Cadaver Proof](https://www.theplasticsfella.com/february-22nd.md) - Also: SCIA anatomy, venous planning, & perforasomes.
- [Technique Without Context, 4 PIA Flap Principles, & Quiz Winner Announced!](https://www.theplasticsfella.com/february-15th.md) - Also: Evidence on the PIA flap, the original PIA flap study, & dorsal hand coverage technique.
- [Local Grassroots Education, 5 Melanoma Decisions, & Staged Excision Guide](https://www.theplasticsfella.com/february-8th.md) - Also: Final round of the Sunday quiz, evidence on adjuvant therapy after melanoma excision, & 3 recommended melanoma articles.
- [Medicine vs the Knife, 5 Compartment Syndrome Lessons, & Last Call for Foundations](https://www.theplasticsfella.com/february-1st.md) - Also: Hand compartment anatomy, the Sunday quiz, & 3 compartment syndrome reads of the week.
- [The Information Age Paradox, 3 Pedicle-Saving Moves, & Mathes-Nahai in Action](https://www.theplasticsfella.com/january-25th.md) - Also: Medial gastrocnemius flap guide, the Sunday quiz, & 3 recommended muscle flap reads.
- [Join the Foundations Review Team, 5 Chemical Burn Lessons, & Burn Wound Debridement](https://www.theplasticsfella.com/january-18th.md) - Also: Foundations available to purchase, the Sunday quiz, & 3 recommended chemical burn reads.
- [Foundations Returns, 3 HA Filler Safety Rules, & the Cost of Surgical Work](https://www.theplasticsfella.com/january-11th.md) - Also: Botox precision guide, injectable anatomy, & the Sunday quiz
- [Your 2025 Wrapped: How You & 349,000 Others Used thePlasticsFella](https://www.theplasticsfella.com/january-4th.md) - The Plastics Wrapped 2025 explores how surgeons actually learn, task-first vs topic-first use, global patterns, and what builds real clinical confidence.
- [Upcoming Year-End Review, 3 Melanoma Decisions, & ALND Guide](https://www.theplasticsfella.com/december-21st.md) - Also: Recommended reads on lymph node management, the Sunday quiz, & ALND evidence.
- [2 Types of Trainees, Facial Nerve Anatomy, Reanimation Tips](https://www.theplasticsfella.com/december-14th.md) - Also: Facial nerve palsy quiz, evidence on reanimation, & 3 recommended reads.
- [The Time Index, 3 Keys in Melanoma Care, & Evidence on SLNB](https://www.theplasticsfella.com/december-7th.md) - Also: ABCDEs of melanoma detection, Glabellar flap, & the Sunday quiz.
- [Skill School Manifesto, 3 Oncoplastic Lessons, & Foundations Referral System](https://www.theplasticsfella.com/november-30th.md) - Also: Fresh quiz round, Wise-pattern pearls, upcoming breast surgery events.
- [Apert's Hand: Clinical Features, Investigations, & Management](https://www.theplasticsfella.com/aperts-hand.md) - 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.
- [ASPS Age Trends, 4 Craniofacial Lessons, & New Quiz Winners](https://www.theplasticsfella.com/november-23rd.md) - Also: Upcoming craniofacial & cleft conferences, levator repair guide, & 3 recommended reads.
- [Surgeon Stress, 3 Lower Limb Lessons, & Platform Updates Ahead](https://www.theplasticsfella.com/november-16th.md) - Also: Gastroc flap tips, lower limb trauma events, & final round of the Sunday quiz.
- [Project "Skill School", 3D Printed Bones, & 2 Important Microsurgery Drills.](https://www.theplasticsfella.com/november-9th.md) - Also: BAPRAS Congress 2025, New journal club, & the Sunday quiz.
- [Lower Limb Examination: 5-Step Approach & Documentation](https://www.theplasticsfella.com/lower-limb-examination.md) - 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.
- [Microsurgical Principles - Angiosomes: Vascular Territories, Choke Vessels, & Delay Phenomenon](https://www.theplasticsfella.com/microsurgical-principles-angiosomes.md) - 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.
- [Paronychia & Felon: Causes, Clinical Features, & Management](https://www.theplasticsfella.com/paronychia-felon.md) - 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.
- [Compartments of the Lower Limb: Muscles, Innervation, & Blood Supply](https://www.theplasticsfella.com/compartments-of-the-lower-limb.md) - 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.
- [Describing a Fracture: Pattern, Location, & Investigations](https://www.theplasticsfella.com/describing-a-fracture.md) - 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.
- [Halloween Edition: 4 Firework + Pumpkin Injuries, & AI vs Real Surgeons](https://www.theplasticsfella.com/november-2nd.md) - Also: Video guide for finger replants, the Sunday quiz, & P'fella at BAPRAS Congress 2025!
- [Compartments of the Upper Limb: Neurovascular Anatomy & Clinical Relevance](https://www.theplasticsfella.com/compartments-of-the-upper-limb.md) - 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.
- [5 Levels of Plastic Surgery Work, Body Contouring Tips, & Last Call for Lifetime Patrons](https://www.theplasticsfella.com/october-26th.md) - Also: Huger's abdomen vascular zones, fleur-de-lis abdominoplasty markings, & Foundations sales reopen soon!
- [Special Edition: A One-Time Invitation to Shape The Plastics Fella’s Future — Limited Seats](https://www.theplasticsfella.com/october-19th.md) - 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.
- [3 Suture Studies, A Microsurgery Guide, & Foundations Waitlist Is Back!](https://www.theplasticsfella.com/october-12th.md) - Also: Suture sizes summarised, the Sunday quiz, & arterial anastomosis guide.
- [Suturing & Knot Tying: Suture Type Evaluation & Techniques](https://www.theplasticsfella.com/suturing-knot-tying.md) - 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.
- [Transposition Flap: Design Principles, Clinical Use, & Complications](https://www.theplasticsfella.com/transposition-flap.md) - Transposition flaps are essential in reconstructive surgery. An ideal option for redirecting tissue into adjacent defects, with superior cosmetic outcomes compared to simple rotation or advancement flaps.
- [Surgical Instruments: Function, Selection, & Specialty Use](https://www.theplasticsfella.com/surgical-instruments.md) - Surgical instruments improve efficiency and minimize trauma. Scalpels suit different incisions, forceps may be toothed or atraumatic, retractors provide exposure, scissors vary by tissue, & electrosurgery offers cutting & coagulation. Proper selection, handling, & set preparation enhance outcomes.
- [Suture Types & Sizes: USP System, Needle designs, & Use](https://www.theplasticsfella.com/suture-types-sizes.md) - A summary of the classification of sutures, common materials used in plastic surgery, the USP sizing system, needle designs, and practical guidelines for choosing and removing sutures.
- [Classification of Flaps: Design Principles, Applications, & Complications](https://www.theplasticsfella.com/classification-of-flaps.md) - Local flaps move adjacent, vascularized tissue. Classified by perfusion (random/axial/perforator), composition (cutaneous→osseomyocutaneous), and movement (advancement/rotation/transposition/interpolation). Selection hinges on defect, tension vectors, and aesthetic subunits.
- [The Reconstructive Ladder: Core Principles, the Six Rungs, & Applications](https://www.theplasticsfella.com/the-reconstructive-ladder.md) - The reconstructive ladder guides wound closure from simple to complex: secondary intention, primary closure, skin grafts, local flaps, pedicled flaps, & free tissue transfer. Choice is defect- and patient-specific, evidence-based, with “elevator” jumps when higher rungs optimize outcomes.
- [Research Methods in Plastic Surgery: Study Designs, PROMs, & Evidence Appraisal](https://www.theplasticsfella.com/research-methods-in-plastic-surgery.md) - This article summarises observational and experimental study designs, RCTs, systematic reviews/meta-analyses, PROMs, qualitative methods, and bias-appraisal tools; highlights registries, collaborative networks, and priority-setting to boost evidence quality in plastic surgery.
- [Fake Educational Metrics, 3 Perforator Tips, & Feedback on Foundations](https://www.theplasticsfella.com/october-5th.md) - Also: Angiosome classic study, the Sunday quiz, & additional reading on perforators.
- [Scrub Caps, Best Zone 1 FDP Techniques, & Fresh Quiz Round](https://www.theplasticsfella.com/september-28th.md) - Also: FDP avulsion injury classification, fixing a zone 1 FDP & 3 recommended reads.
- [Who Deserves Cadavers?, 4 SCIP Flap Tricks, & Quiz Winner!](https://www.theplasticsfella.com/september-21st.md) - Also: Building a team of experts, evidence on SCIP flaps, & 3 recommended reads.
- [Pulvertaft Debate, 6 Flexor Fixes, & Going Live with PLASTA](https://www.theplasticsfella.com/september-14th.md) - Also: Final round of the Sunday quiz, evidence on tendon grafts, & 3 recommended reads.
- [Sherpa Surgeons, 5 Finger Fracture Rules, & Upcoming Study Club](https://www.theplasticsfella.com/september-7th.md) - Also: A finger plating guide worth bookmarking, the Sunday quiz, & 3 finger fracture must-reads.
- [6 Steps to Build Better Books, AI-Generated Medical Illustrations, & Blended Surgical Education](https://www.theplasticsfella.com/august-31st.md) - Also: The Sunday quiz, upcoming events by P'Fella, & 3 recommended reads.
- [7 Deadly Sins of Research Grifters, Useful Research Tools & Sunday Quiz.](https://www.theplasticsfella.com/august-24th.md) - Also: Spotlight on Elicit, the Sunday quiz, & experience as a textbook reviewer.
- [We’re Going Live, Otoplasty Classics, & Foundations Out!](https://www.theplasticsfella.com/august-17th.md) - Also: Trapdoor flap, antia-buch flap, & the fellows' corner.
- [PRS Awards, 5 Step Blepharoplasty, & Foundations Hits Print!](https://www.theplasticsfella.com/august-10th.md) - Also: Upper lid marking for bleph, the Sunday quiz, & 3 articles to bookmark.
- [Best AI Scribe, 3 Flaps That Changed Lower Limb Surgery, & PlasticsPro Upgrade](https://www.theplasticsfella.com/august-3rd.md) - Also: New round of Sunday quiz, Foundations update, & recap of live event
- [Don’t Always Trust That Summary, 3 Lessons from Breast Reconstruction, & Recap of Live Event](https://www.theplasticsfella.com/july-27th.md) - Also: Lejour’s marking method, new journal club article, & 3 recommended reads.
- [Timing of Oral Feeding Following Head and Neck Mucosal Free Flap Reconstruction: Systematic Review & Meta-Analysis](https://www.theplasticsfella.com/journal-free-flap-reconstruction.md) - This systematic review analysed early vs late oral feeding following mucosal free flap reconstruction. Early feeding was associated with reduced fistula formation, pneumonia, and hospital stay. No increase in flap failure or dehiscence. Study heterogeneity and bias limit generalisability.
- [Breast Reduction and Mastopexy: Anatomy, Techniques, & Complications](https://www.theplasticsfella.com/breast-reduction-and-mastopexy.md) - Mastopexy and breast reduction are reshaping procedures involving skin excision and NAC repositioning. Mastopexy restores shape without volume loss, while reduction also removes tissue to ease symptoms. Technique depends on ptosis grade, volume, and patient goals.
- [P'Fella's First Live Event, 3 Truths About Surgical Training, & Foundations.](https://www.theplasticsfella.com/july-20th.md) - Also: Why journals are falling behind, the Sunday quiz, & journal club feature.
- [Advancement Flap: Design Principles, Indications, & Common Variants](https://www.theplasticsfella.com/advancement-flap.md) - Advancement flaps slide adjacent skin on a single vector to seal small–moderate defects, exploiting subdermal plexus flow and RSTLs. Best for nasal, lip, cheek, & limb gaps with adequate laxity. Plan parallel cuts, Burow triangles, & layered closure. U, H, V-Y, cervicofacial variants expand reach.
- [Ulnar Nerve Tendon Transfers: Anatomy, Presentation, & Procedure](https://www.theplasticsfella.com/ulnar-nerve-tendon-transfers.md) - Ulnar nerve tendon transfers restore key hand functions such as grip strength, key pinch, and correct clawing after ulnar nerve palsy. By transferring muscles like the extensor carpi radialis brevis (ECRB) or flexor digitorum superficialis (FDS), tendon transfers improve hand movement and strength.
- [Radial Nerve Tendon Transfers: Principles, Anatomy, & Surgery](https://www.theplasticsfella.com/radial-nerve-tendon-transfers.md) - Radial nerve tendon transfers restore wrist, finger, and thumb extension when direct nerve repair isn't possible. Using tendons like Pronator Teres or Flexor Carpi Ulnaris, the procedure requires supple joints and healthy tissue. Success rates are high, with 80-90% achieving good outcomes.
- [Lower Limb Reconstruction: Clinical Assessment, Decision Algorithm, & Flap Options](https://www.theplasticsfella.com/lower-limb-reconstruction.md) - Lower-limb soft-tissue reconstruction depends on the zone of injury, fixation needs, and distal flow. After ATLS, debride within 12h, stabilize the bone, and apply NPWT. Choose muscle or perforator flaps per defect. Post-op includes elevating the limb, monitoring the flap, & anti-coagulation.
- [Abdominoplasty: Clinical Assessment, Surgical Techniques, & Complications](https://www.theplasticsfella.com/abdominoplasty-2.md) - Abdominoplasty excises redundant abdominal skin/fat, repairs rectus diastasis, and repositions the umbilicus. Huger vascular zones guide safe flap elevation. Standard low-transverse excision with rectus plication is used. Seroma is frequent and venous thromboembolism is the most severe complication.
- [Giving Birth to a Textbook, 3 Local Anaesthetic Tricks, & Live Events](https://www.theplasticsfella.com/july-13th.md) - Also: Sneak peek at Foundations, the Sunday quiz, & how to inject LA guide.
- [Rhinoplasty: Nasal Analysis, Assessment, & Surgical Techniques](https://www.theplasticsfella.com/rhinoplasty.md) - Rhinoplasty merges airway function and aesthetics. Patient selection and nasal analysis guide strategy. Open access enables grafting; closed suits minor tweaks. Structural or preservation methods refine the septum, dorsum, & tip. Watch for airway issues, bleeding, & scarring.
- [Financial Incentives Only Work in the Short Term, 3 Scalp Flap Tips, & Quiz Winners](https://www.theplasticsfella.com/july-6th.md) - Also: Textbook update, rotation flap technique, & 3 recommended reads on scalp surgery.
- [Upper Eyelid Anatomy: Layers, Neurovascular Supply, & Clinical Applications](https://www.theplasticsfella.com/upper-eyelid-anatomy.md) - The upper eyelid contains a mixture of skin, muscle, fat, tarsal plate, and conjunctiva and is divided into 3 compartments (anterior, middle, and posterior lamellae). Understanding the anatomy is fundamental for oculoplastics.
- [Velopharyngeal Dysfunction (VPD): Anatomy, Clinical Assessment, & Surgical Management](https://www.theplasticsfella.com/velopharyngeal-dysfunction.md) - Velopharyngeal dysfunction (VPD) is the inability to close the velopharyngeal sphincter during speech, resulting in hypernasal speech, nasal air escape, poor oral pressure, and reduced intelligibility.
- [Lower Eyelid Anatomy: Anatomical Layers & Surgical Relevance](https://www.theplasticsfella.com/lower-eyelid-anatomy.md) - Lower-eyelid surgery demands precise knowledge of its three lamellae: skin-orbicularis anteriorly, septum with fat pads and SOOF centrally, and tarsus-conjunctiva with retractors posteriorly. Key ligaments, vessels, and lacrimal drainage define support, aging changes, and surgical risk.
- [Abdominal Wall Anatomy: Surface Landmarks, Skeletal Structure, & Layers](https://www.theplasticsfella.com/abdominal-wall-anatomy.md) - The abdominal wall supports and protects organs, anchors trunk motion, and adapts to pressure shifts. Anterolateral muscles, fascial layers, and key landmarks (linea alba, arcuate line, inguinal canal) guide flap harvest and hernia repair, making precise anatomy vital in reconstruction.
- [Perineal Reconstruction: Indications, Principles, & Flap Options](https://www.theplasticsfella.com/perineal-reconstruction.md) - Perineal reconstruction uses local, regional, or free flaps, often gracilis or VRAM, to close oncologic, traumatic, or infectious defects. Goals: fill dead space, provide vascular coverage, protect pelvic organs, preserve continence and sexual function, and cut wound issues.
- [Blepharoplasty: Anatomy, Evaluation, & Surgical Technique](https://www.theplasticsfella.com/blepharoplasty.md) - Blepharoplasty rejuvenates eyelids. Upper: excise extra skin and fat to fix dermatochalasis. Lower: transconjunctival or transcutaneous access to adjust fat, release ligaments, and support the canthus. Preop check dry eye, MRD1, laxity, vector. The biggest risk is retrobulbar hematoma.
- [Cleft Palate: Anatomy, Classification, & Surgical Repair](https://www.theplasticsfella.com/cleft-palate.md) - Isolated cleft palate is a congenital gap in hard/soft palate behind incisive foramen. Classified into complete, incomplete, or submucous. Repair before 18 months (Furlow, intravelar veloplasty) to restore speech, protect growth, & prevent fistula. Monitor for VPD, fistula, & maxillary retrusion.
- [Compartment Syndrome of the Hand: Clinical Assessment, Investigations, & Management](https://www.theplasticsfella.com/hand-compartment-syndrome.md) - Compartment syndrome of the hand is a rare surgical emergency where rising intracompartmental pressure (often after trauma) causes ischemic pain out of proportion, especially on passive stretch. It’s diagnosed clinically; urgent fasciotomy within 6 h is crucial to preserve tissue and function.
- [External Ear Anatomy: Neurovascular Supply, Landmarks, & Aesthetic Subunits](https://www.theplasticsfella.com/anatomy-of-the-ear.md) - External ear: elastic cartilage with tight skin, ridges (helix, concha, tragus) that channel sound into the 25 mm S-shaped external auditory canal, terminating at the tympanic membrane. Blood via superficial temporal and posterior auricular branches. Sensory via V3, VII, X, C2-3.
- [Systematic Review and Meta-Analysis of Mobilisation Following Open Reduction and Internal Fixation of Hand Fractures](https://www.theplasticsfella.com/journal-hand-fractures.md) - A systematic review (53 studies, 1,822 hand fractures) examined the timing of mobilisation post-ORIF. Immediate mobilisation showed faster healing but higher adverse events. Delayed mobilisation had fewer complications. Heterogeneity and lack of standardised PROMs limit conclusions.
- [AI Beats Journal's Copyright? 3 Hand Fracture Lessons, & Foundations Web Companion](https://www.theplasticsfella.com/june-29th.md) - Also: Journal club article, final round of the Sunday quiz, & original Seymour's publication.
- [Rhomboid Flap: Design, Surgical Technique, & Complications](https://www.theplasticsfella.com/rhomboid-flap.md) - Rhomboid (Limberg) flap is a 120° transposition design for closing cutaneous defects with minimal tension. Plan flap along relaxed skin tension lines, preserve subdermal plexus, variations adapt geometry to site. Complications are rare, mostly due to tension or vascular issue.
- [Scalp Reconstruction: Anatomy, Surgical Technique, & Reconstructive Options](https://www.theplasticsfella.com/scalp-reconstruction.md) - Scalp reconstruction balances inelastic hair-bearing skin, robust dual blood supply, & curved skull. Small defects use primary closure, VAC, second intention, or skin anchors. Grafts need a vascular bed and no planned radiation. Larger gaps need local, rotation, or advancement flaps.
- [War and Plastic Surgery, Gillies' Reconstruction, & Foundations Web Companion](https://www.theplasticsfella.com/june-22nd.md) - Also: A book recommendation, the Sunday quiz, & events calendar.
- [AI Replaces Dermatology, Benign Lesions & Diagnostic Tips.](https://www.theplasticsfella.com/june-15th.md) - Also: Why flaps beat grafts, punch biopsy pitfalls, & the Sunday quiz.
- [Special Edition: Sub-Internships and Electives in Plastic Surgery](https://www.theplasticsfella.com/june-8th.md) - Also: Foundations update, the Sunday quiz, & events calendar.
- [10 Essential Tips to Prepare for Your Plastic Surgery Sub-Internship (Sub-I)](https://www.theplasticsfella.com/10-essential-tips-to-prepare-for-your-plastic-surgery-sub-internship-sub-i.md) - Securing a plastic surgery residency is no easy task, and excelling in your Sub-Is is arguably one of the most important steps. This guide offers 10 actionable strategies to prepare for plastic surgery sub-I rotations in the USA.
- [Toxic Epidermal Necrolysis (TEN): Risk Factors, Clinical Features, & Management](https://www.theplasticsfella.com/toxic-epidermal-necrolysis-ten.md) - Toxic Epidermal Necrolysis (TEN) is a severe dermatologic condition affecting >30% TBSA, triggered by drugs like sulfonamides and antiepileptics. Symptoms include painful skin detachment and mucosal erosions. Management prioritizes causative agents, supportive care, and adjunctive therapies.
- [Chemical Peels: Classification, Indications, & Complications](https://www.theplasticsfella.com/chemical-peels.md) - Chemical peels apply controlled acids to resurface skin and spark collagen repair. Superficial, medium, and deep depths offer escalating gains for photoaging, acne, and pigment issues, yet also rising downtime and risks; deep phenol/TCA peels need strict monitoring.
- [Prominent Ear Deformity: Assessment, Surgical Techniques, & Otoplasty Outcomes](https://www.theplasticsfella.com/prominent-ear.md) - Prominent ears (>30° tilt or >2 cm from skull) usually lack a defined antihelical fold or have a hypertrophic concha. Otoplasty reshapes cartilage with techniques like Mustardè or Furnas, restoring natural projection; recovery needs headband support and hematoma vigilance.
- [Textbooks That Talk Back, 3 Cleft Lip Lessons, & A Debate on Implant Illness](https://www.theplasticsfella.com/june-1st.md) - Also: Opening a second waitlist?, the Sunday quiz, & 3 recommended cleft lip reads.
- [Exploring Breast Implant Illness and Its Comorbid Conditions: A Systematic Review & Meta-Analysis](https://www.theplasticsfella.com/journal-breast-implant-illness.md) - Systematic review (48 studies, 7,045 patients) found 49 % of breast-implant recipients reported BII symptoms: fatigue, joint pain, brain fog. After explantation, 57 % improved. Autoimmune, psychiatric, and cancer comorbidities were common; diagnosis remains unclear.
- [Waitlist Closing, JPRAS Journal Club + Breast Implant Everything.](https://www.theplasticsfella.com/may-25th.md) - Also: BIA-ALCL signs, the Sunday quiz, & 3 recommended reads.
- [Principles of Chest Wall Reconstruction: Anatomy, Indications, & Reconstructive Options](https://www.theplasticsfella.com/chest-wall-reconstruction.md) - Chest-wall reconstruction restores support, organ protection, ventilation, & contour after tumour resection, trauma, or infection. Defects > 5 cm or ≥ 4 ribs need rigid mesh/PTFE/titanium plus vascular flaps (pectoralis, lat dorsi, rectus). Sepsis or poor lung reserve contraindicate.
- [Congenital Haemangioma: Clinical Presentation, Diagnosis, & Management](https://www.theplasticsfella.com/congenital-haemangioma.md) - Congenital haemangiomas are GLUT-1–negative vascular tumours fully formed at birth. They appear as solitary violaceous plaques and follow RICH (rapid), PICH (partial), or NICH (none) involution. Diagnosis is clinical; observe unless bleeding, ulcer, or cosmetic concern warrants surgery/laser.
- [Facelift: Anatomy, Clinical Assessment, & Techniques](https://www.theplasticsfella.com/facelift.md) - Facelift repositions SMAS and skin to restore midface, jawline, and neck contours. Thorough pre-op assessment guides technique choice from skin-only to deep-plane/high-SMAS, balancing durability and risk. Nerve protection plus vigilant post-op care curbs hematoma, necrosis, and asymmetry.
- [Committees are Stagnant, Last Chance to Join Waitlist, & 4 Nasal Anatomy Essentials](https://www.theplasticsfella.com/may-18th.md) - Also: P'Fella's event calendar, the Sunday quiz, & 3 recommended reads.
- [Anatomy of the Nose: Landmarks, Structure, & Surgical Considerations](https://www.theplasticsfella.com/anatomy-of-the-nose.md) - The nose is a layered unit: thin bony vault, cartilaginous middle/tip, and skin-soft tissue cloak. Key angles guide aesthetics (nasofrontal 115-130°, nasolabial 90-105°, Goode ratio). Septum, valve, & turbinates ensure airflow; rich carotid vessels and trigeminal nerves supply it.
- [Hartrampf’s Zones of Perfusion: Anatomy, Clinical Applications, & Modifications](https://www.theplasticsfella.com/hartrampfs-zones-of-perfusion.md) - Hartrampf divides lower‑abdominal TRAM/DIEP flaps into four perfusion zones around the dominant perforator: Zone I being best, and Zone IV worst. Later imaging showed ipsilateral lateral tissue (Zone III) may out‑perfuse contralateral medial (Zone II) & that patterns shift with perforator row.
- [Microsurgical Principles & Techniques: Setup, Instrumentation & Anastomosis Techniques](https://www.theplasticsfella.com/microsurgical-principles-techniques.md) - Microsurgery employs magnification, delicate tools, and 8-0–11-0 sutures to join vessels/ nerves ≤2 mm, powering free flaps, replantation, nerve and lymphatic repair. Outcomes rely on ergonomic setup, meticulous vessel prep, apt end-to-end or end-to-side stitches, and vigilant flap monitoring.
- [Textbook Images are Useless, 3 Cartilage Grafting Tips, & Foundations Pre-Orders Open](https://www.theplasticsfella.com/may-11th.md) - Also: New quiz champs, cortical vs cancellous, & a journal review.
- [Lipoma: Aetiology, Clinical Presentation, & Management](https://www.theplasticsfella.com/lipoma.md) - Lipomas are common benign tumours of mature adipocytes, presenting as soft, mobile subcutaneous nodules. Most need only observation, but imaging (US, MRI) and excision are advised for pain, rapid growth, deep/large size, or diagnostic doubt to exclude liposarcoma.
- [The Textbook That Doesn’t Expire, 3 Aesthetic Surgery Tips, & PRF Tutorial](https://www.theplasticsfella.com/may-4th.md) - Also: Gluteal danger zones, the Sunday quiz, & 3 recommended reads.
- [Cold Burns: Causes, Clinical Presentation, & Treatment](https://www.theplasticsfella.com/cold-burns.md) - Frostbite is a freezing injury below 0 °C where ice crystals and micro‑thrombosis damage the skin. Re‑warm rapidly in 37‑39 °C water, give NSAIDs, aloe dressings; consider tPA or iloprost for deep cases. Surgery waits ≈6 weeks until clear tissue demarcation.
- [Epidemiology of Upper Limb Necrotising Fasciitis in England: A National Study (1998–2018)](https://www.theplasticsfella.com/journal-upper-limb-necrotising-fasciitis.md) - Data (1998-2018) from a UK study show upper-limb necrotising fasciitis tripled, then plateaued; 64 % of 728 patients were men and mostly from deprived areas. Despite surgery, 30- and 90-day mortality rates were 14 % and 16 %. Early diagnosis & action remain vital, especially in high-risk groups.
- [Upper Limb Nec Fasc on the Rise, 3 Necrotising Fasciitis Diagnoses, & the Debridement Drill](https://www.theplasticsfella.com/april-27th-2.md) - In this week's edition 1. ✍️ Letter from P'Fella P'Fella on vacation mode! 2. 🤓 The Sunday Quiz How well do you know necrotising fasciitis? 3. 🖼️ Image of the Week Dishwater fluid in nec fasc 4. 🚑 Technique Tip How to debride necrotising fasciitis. 5. 🎈 Upcoming Events New event added! 6. 🎓 JP…
- [Injectable Fillers: Classification, Indications, & Injection Techniques](https://www.theplasticsfella.com/fillers.md) - Injectable fillers restore volume and contour without surgery. HA gives lift; biostimulants like PLLA and CaHA spark collagen. The filler choice depends on the zone and goals. Adverse effects include bruising, occlusion, and rare blindness. These emergencies may require hyaluronidase.
- [Dead Textbooks, 3 DIEP Complication Tips, & Surgical Studio Updates](https://www.theplasticsfella.com/april-20th.md) - Also: Foundations in progress, podcast suggestions, & the Sunday quiz.
- [Ischaemic and Congested Flap: Diagnosis, Management, & Outcomes](https://www.theplasticsfella.com/ischaemic-and-congested-flap.md) - Flap vascular compromise, arterial ischaemia or venous congestion, usually emerges within 72 h post‑op. Watch colour, cap‑refill, Doppler/NIRS. Early re‑exploration or adjunct venous‑drainage within 6 h can salvage >60 % of flaps; delays sharply cut survival.
- [Tariffs on Toxins,3 Extensor Tendon Truths, & Your Next Journal Club Pick](https://www.theplasticsfella.com/april-13th.md) - Also: Kessler technique in action, EURAPS annual meeting, & the Sunday quiz.
- [Extensor Tendon Injuries: Anatomy, Clinical Assessment, & Management](https://www.theplasticsfella.com/extensor-tendon-injuries.md) - Extensor tendon injuries affect hand and finger extension and are classified by anatomical zones. They result from lacerations, rupture, or attrition, with Zone I injuries (mallet finger) being most common. Assessment includes Elson’s test and imaging. Management varies by zone and injury severity.
- [Bilobed Flaps: Indications, Flap Design, & Complications](https://www.theplasticsfella.com/bilobed-flaps.md) - The bilobed flap is a two-lobe transposition ideal for small to moderate nasal/facial defects, pivoting around one point to redistribute tension and preserve contours. First lobe matches defect size; second is smaller. While outcomes are great, flap planning or design errors can cause complications.
- [We’re Growing, 3 Flap Classifications, & Sub-I Inequity](https://www.theplasticsfella.com/april-6th.md) - Also: The Sunday quiz, event calendar, & a video tutorial on fat grafting.
- [Fasciocutaneous Flaps: Anatomy, Classification, & Clinical Applications](https://www.theplasticsfella.com/fasciocutaneous-flaps.md) - Fasciocutaneous flaps use skin, fat, and fascia (without muscle) for thin, pliable, well-vascularized coverage. Supplied by perforator-fed plexuses, they’re classified by vascular entry or pedicle type. Ideal for trauma and oncologic reconstruction, with low donor morbidity and muscle preservation.
- [Good Journals Making a Comeback, 3 Classic Hand Flaps, & Sub-I Accessibility](https://www.theplasticsfella.com/march-30th.md) - Also: The Sunday quiz, original Quaba flap, & AI surgical studio update.
- [How much does a sub-internship actually cost? JPRAS Journal Club.](https://www.theplasticsfella.com/journal-sub-internships.md) - This study highlights large cost disparities for IMGs in plastic surgery sub-internships: fewer program acceptances and fees 17x higher. IMGs' median cost for ~4.5 away rotations is ~$9K vs. ~$500 for US peers, emphasizing the need for standardized fees and scholarships.
- [Total Body Surface Area Calculations in Burns](https://www.theplasticsfella.com/total-body-surface-area-in-burns.md) - Burn size guides triage, fluids, and outcomes. Lund-Browder is most accurate, especially in children. Rule of Nines is quick but less precise in kids/obesity. Palmar method is handy for small burns. The revised Baux score uses age, TBSA, and inhalation risk to predict mortality. Accuracy is vital.
- ["The Match", 6 Fat Grafting Tips, & New Events Database](https://www.theplasticsfella.com/march-23rd.md) - Also: A fresh round of the Sunday quiz, retention rate of fat grafts, & stats on matching in plastic surgery.
- [Burns: Initial Assessment and Management](https://www.theplasticsfella.com/burns-initial-assessment-and-management.md) - Burn management depends on type, depth, extent, location, and patient factors. Initial care includes cooling, preventing hypothermia, ABCDE assessment, and fluid resuscitation. Wound care involves debridement, dressings, and grafting. Complications range from sepsis to scarring.
- [Fat Grafting: Basic Science, Techniques, & Patient Management](https://www.theplasticsfella.com/fat-grafting.md) - Fat grafting transfers autologous adipose tissue for volume restoration, contour correction, and tissue repair. The process involves harvesting, processing, and reinjection. Key complications include fat resorption, necrosis, and embolism.
- [Upper Limb Cellulitis: Diagnosis, Management, & Complications](https://www.theplasticsfella.com/upper-limb-cellulitis.md) - Upper limb cellulitis is a bacterial infection of the skin and subcutaneous tissue, causing erythema, warmth, and swelling. Diagnosis is clinical and involves imaging. Treatment includes cephalexin for mild cases, IV antibiotics for severe infections, and drainage for abscesses.
- [Cash Influences Research, 1 Important Podcast Guest, & All Things Vascular Anomalies](https://www.theplasticsfella.com/march-16th.md) - Also: Proper propranolol dosing, calling expert reviewers for the textbook, & 3 recommended articles.
- [Carpal Tunnel Syndrome](https://www.theplasticsfella.com/carpal-tunnel-syndrome-interview.md) - The aim of this section is to improve your diagnostic skills in treating a common plastic surgery condition. A good candidate is competent in the management of these patients from diagnosis to discharge. In this section, you'll find a clinical scenario, consent, call the boss, Read up on Carpal Tun…
- [New AI Surgical Studio, 3 Local Flap Techniques, & Design the Rotation Flap (properly)](https://www.theplasticsfella.com/march-9th.md) - Also: Final round of the Sunday quiz, pincushioning explained, & original local flap publications.
- [Rotation Flap: Design Principles, Complications, & Flap Modifications](https://www.theplasticsfella.com/rotation-flap.md) - Rotation flaps are curvilinear pivotal flaps ideal for triangular defect repair, commonly used for facial, cheek, chin, and scalp reconstruction. Success depends on defect triangulation, flap circumference, and pivot point positioning. Post-op focuses on hematoma prevention and sun avoidance.
- [New JPRAS Partnership, 2 Tips on Eyelid Recon, & Textbook Updates](https://www.theplasticsfella.com/march-2nd.md) - Also: A video breakdown of SMAS lift Botox, the Sunday quiz, & 3 eyelid recon reads.
- [Role of Tranexamic Acid (TXA) in Plastic and Reconstructive Surgery: A National Perspective](https://www.theplasticsfella.com/journal-tranexamic-acid.md) - TXA is widely used in plastic surgery, especially in facelifts (83.6%) and rhinoplasty (55.0%), reducing bleeding (61.8%) and bruising (63.2%). Common methods include 1 g IV bolus or 3% topical solution, with 92.4% reporting no complications. Despite benefits, standardization is needed.
- [Finger Replantation: Indications, Surgical Technique, & Complications](https://www.theplasticsfella.com/finger-replant.md) - Finger replantation restores function, sensation, and aesthetics following the traumatic or surgical loss of a digit. Success depends on injury type, ischemia time, and microsurgical repair. Complications like venous insufficiency and arterial thrombosis require early management.
- [Designer Nipple Filler, 3 Facial Nerve Landmarks, & Tips for Clinical Examination.](https://www.theplasticsfella.com/february-23rd.md) - Also: The Sunday quiz, nerve recon tip, & 3 recommended reads.

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