> ## 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.

# Committees are Stagnant, Last Chance to Join Waitlist, & 4 Nasal Anatomy Essentials
- URL: https://www.theplasticsfella.com/may-18th/
- Published: 2025-05-16T21:01:14.000Z
- Updated: 2025-05-17T12:20:38.000Z
- Description: Also: P'Fella's event calendar, the Sunday quiz, & 3 recommended reads.
- Author: PlasticsFella
- Tags: thePlasticsPaper

#### In this week's edition

1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/may-18th/#a-letter-from-pfella)  
Grassroots Will Save Surgical Education—Not Committees
2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/may-18th/#the-sunday-quiz)  
How well do you know nasal anatomy.
3. 🖼️ [****Image of the Week**](https://www.theplasticsfella.com/may-18th/#image-of-the-week)  
Landmarks and surface anatomy of the nose.
4. ****🚑** [****Technique Tip**](https://www.theplasticsfella.com/may-18th/#technique-tip)  
Rhinoplasty incision options.
5. ****🎈** [****Upcoming Events**](https://www.theplasticsfella.com/may-18th/#upcoming-events)  
Share your event with plastic surgeons around the world!
6. 📘 [****Foundations Textbook**](https://www.theplasticsfella.com/may-18th/#foundations-textbook)  
Waiting List close this Monday!
7. ****🔥** [****Articles of the Week**](https://www.theplasticsfella.com/may-18th/#articles-of-the-week)  
Recommended anatomy reads for rhinoplasty & blepharoplasty: with 1-sentence summaries.
8. 💕 [****Feedback**](https://www.theplasticsfella.com/may-18th/#feedback)  
Suggest ideas & give feedback!

## A Letter from P'Fella

Grassroots Will Save Surgical Education—Not Committees

👋

****Hey Team!**  
  
Let’s call it out: ****The best surgical education doesn’t come from committees.** It comes from whiteboards in theatre, from WhatsApp groups, from the first five minutes of morning handover. It’s fast, personal, and built on trust, not bureaucracy.

### 

Traditional systems remain stuck. Committees meet often, but execute rarely. They build frameworks no one reads and publish textbooks that are out-of-date before they’re even printed.

### The Problem with Top-Down Learning

Centralised education is slow, generic, and disconnected from reality.

Surgical trainees are left refreshing outdated PDFs while actual teaching happens in the shadows: side-room chats, case-based group threads, weekend workshops. That’s the grassroots model. And it works.

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/05/Screenshot-2025-05-17-at-13.10.19.png)

In fact, **over 70% of our users say The Plastics Fella is their main learning resource.** That’s not just a win, it’s a warning. If education becomes too centralised, it becomes fragile. We need structure but we also need speed and relevance.

### The Solution: Localised, Decentralised, Community-Driven

We don’t need more global committees. We need **global frameworks** that allow for **local voices**. Education should reflect the trauma load in Nairobi as much as the melanoma protocols in Melbourne. That’s the only way to scale quality without losing relevance.

And yes tech can help. But only if it follows the educators, not replaces them. In the future, you department will be able to buy [**Foundations**](https://foundations.theplasticsfella.com/?ref=theplasticsfella.com)specific to your local region to reflect local protocols and realities. 

### What Do You Think?

Is grassroots the future—or do we still need committees steering the ship?

Reply. Or better yet—tell us what’s working in your unit. Because surgical education should belong to all of us, not just those with a seat at the table.

With ❤️ and zero bureaucracy,  
**P’Fella**

## The Sunday Quiz

**How Well Do You Know Nasal Anatomy*

****Ready to climb the leaderboard?**  
  
Join **The Weekly Quiz* in each edition of thePlasticsPaper. Tackle one question per week for seven rounds  
  
The ****top** scorer wins a copy of our upcoming textbook, [**Foundations*](https://foundations.theplasticsfella.com/?ref=theplasticsfella.com).

## Image of the Week

**Landmarks and Surface Anatomy of the Nose*

🖼️

****Image of the Week**   
  
This week’s image breaks down the key external landmarks of the nose, crucial for preoperative planning in rhinoplasty and nasal reconstruction.  
  
From the ****nasion** to the ****infratip lobule**, each structure is labelled to support accurate assessment of dorsal aesthetics, tip projection, and columellar-labial relationships.

![Landmarks and Measurements of the Nose](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/05/Your-paragraph-text--1-.png)

Landmarks and Measurements of the Nose

## Technique Tip

**Rhinoplasty Incision Options*

🚑

****Technique Tip of the Week**   
  
This week’s tip explores incision selection in rhinoplasty, demonstrated through a clinical case featuring standard rhinoplasty pre-op views.  
  
These photographs illustrate the ****frontal, lateral, base, and top views** used to assess nasal asymmetry, tip definition, and columellar-labial angle — all of which influence the ****choice between open and closed approaches**.  
  
\- Open rhinoplasty allows direct visualisation of tip structures, ideal for complex reconstructions or major asymmetries.  
\- Closed (endonasal) rhinoplasty may be preferable for minor dorsal adjustments with minimal visible scarring.

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/05/image-4.png)

[Source](https://www.rhinoplastyarchive.com/?ref=theplasticsfella.com)

## Upcoming Events

**Share Your Event With Plastic Surgeons Around the World!*

📅

****Stay in the loop with P’Fella’s curated calendar**  
  
All the good stuff in one place: Impactful conferences, high-yield webinars, and carefully curated courses for you.   
  
Got an event coming up at your unit? Hosting a teaching session or journal club? **Add it in** and we’ll share it with **plastic surgeons around the world!**  
  
Check out what’s on or add your own to the mix👇

## Foundations Textbook

**Waiting List Close This Monday!*

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/05/Your-paragraph-text-1.png)

📙

****Waiting List Closes This Monday: Ships This July**  
  
P’Fella spent years in plastic surgery education, refining based on how you learn, what sticks, and what doesn’t.  
  
****Foundations** is the result of all that feedback, trial, and refinement. It’s not a regular textbook; rather, a tool built for the way **you* actually study, recall, and operate.  
  
👉 ****Short-form chapters** for high-yield recall  
👉 ****Curriculum-mapped** content with ****clinical focus**  
👉 ****QR codes** for live updates, new visuals, or technique refreshers  
👉 ****AI-powered visuals** designed for effective learning styles  
  
This is the only plastic surgery textbook that evolves with you.  
  
****Pre-orders close on Monday!**

[Reserve Your Copy!](https://foundations.theplasticsfella.com/?ref=theplasticsfella.com#reserve-copy)

## Articles of the Week

**3 Interesting Articles with One-Sentence Summaries*

✅

****Anatomy and Biomechanics of the Hand and Wrist** ([Chim](https://journals.lww.com/plasreconsurg/fulltext/2017/10000/hand%5Fand%5Fwrist%5Fanatomy%5Fand%5Fbiomechanics%5F%5Fa.43.aspx?ref=theplasticsfella.com), 2017)  
  
Hand and wrist function relies on surface anatomy and joint kinematics of the forearm, wrist, and hand, with joint-specific structure guiding both diagnostic accuracy and therapeutic planning.

✅

****Rhinoplasty: Aesthetic, Functional, and Historical Perspectives** ([Hohman](https://www.ncbi.nlm.nih.gov/books/NBK558970/?ref=theplasticsfella.com), 2024)  
  
Rhinoplasty integrates aesthetic refinement and functional restoration, and its success depends on anatomical insight, operative planning, and patient selection, while techniques span from reduction to structural grafting.

✅

****Modern Principles of Blepharoplasty Emphasize Tissue Preservation and Volume Enhancement** ([Alghoul](https://academic.oup.com/asj/article-abstract/39/1/10/4883186?redirectedFrom=fulltext&ref=theplasticsfella.com), 2019)  
  
Successful blepharoplasty relies on detailed anatomical knowledge and conservative technique, shifting away from volume excision toward tissue preservation to avoid hollowing and achieve natural periorbital rejuvenation.

## Feedback

### I hope you enjoyed it 😄

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