> ## 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.

# The Textbook That Doesn’t Expire, 3 Aesthetic Surgery Tips, & PRF Tutorial
- URL: https://www.theplasticsfella.com/may-4th/
- Published: 2025-05-02T21:20:44.000Z
- Updated: 2025-05-03T21:03:27.000Z
- Description: Also: Gluteal danger zones, 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-4th/#a-letter-from-pfella)  
The textbook that doesn’t expire!
2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/may-4th/#the-sunday-quiz)  
How well do you know **liposuction*?
3. 🖼️ [****Image of the Week**](https://www.theplasticsfella.com/may-4th/#image-of-the-week)  
Blood supply of the abdominoplasty.
4. ****🚑** [****Technique Tip**](https://www.theplasticsfella.com/may-4th/#technique-tip)  
Danger zone in gluteal fat grafting.
5. ****🎈** [****Upcoming Events**](https://www.theplasticsfella.com/may-4th/#upcoming-events)  
New event added!
6. 🎓 [****The Fellow's Corner**](https://www.theplasticsfella.com/may-4th/#the-fellows-corner)  
PRF prep tutorial.
7. 📘 [****Foundations Textbook**](https://www.theplasticsfella.com/may-4th/#foundations-textbook)  
Pre-orders open now!
8. ****🔥** [****Articles of the Week**](https://www.theplasticsfella.com/may-4th/#articles-of-the-week)  
US guiding gluteal fat grafting, post-op abdominoplaty pain control, & TXA to treat liposuction blood loss: with 1-sentence summaries.
9. 💕 [****Feedback**](https://www.theplasticsfella.com/may-4th/#feedback)  
Suggest ideas & give feedback!

## A Letter from P'Fella

**The Textbook That Doesn’t Expire*

👋

****Hey Team!**  
  
Most textbooks have a silent expiration date. You just don’t see it printed on the spine.  
  
The second they hit the shelf, they start aging. And it shows. Protocols change. Guidelines evolve. But your copy? Still stuck in 2016, teaching Swanson Classification instead of OMT. 

We are building *Foundations* to fix that.

**What If Print Didn’t Mean Static?**

Foundations will be the only textbook that keeps you up-to-date *after* it’s printed. Every month, new content drops. Aligned to your textbook. Built around what’s changing — and what matters.

Here’s how it works:

- You open a chapter. There’s a QR code. You scan it.
- Boom — latest updates, live.
- No logins. No portals. Just tap and read.

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/05/Textbook-Design-alytout-2.png)

[Waiting List](https://foundations.theplasticsfella.com/?ref=theplasticsfella.com#reserve-copy)

Foundations is still a real book. You can underline it. Highlight it. Spill coffee on it. But it’s not frozen in time like everything else.

**A New Standard: Living Print**

This isn’t about gimmicks. It’s about not getting trained on outdated info.

When your book evolves with the field, you don’t have to second-guess your knowledge. You stay sharp, not stuck. Whether you’re prepping for exams, seeing patients, or teaching juniors, the information in your hands is *right*.

And if something changes? You change with it.

With love,  
P’Fella ❤️

## The Sunday Quiz

**How Well Do You Know Liposuction?*

****Are you ready to make it to the leaderboard?**  
  
Welcome to the ****final round** of The Weekly Quiz.  
  
Each edition of thePlasticsPaper includes a quiz question designed to challenge and engage our readers. Keep your wits about you and join in every week — the winner at the end of six rounds will earn you a one-year subscription to thePlasticsPro.

## Image of the Week

**Blood Supply of the Abdominoplasty*

🖼️

****Image of the Week**   
  
This week’s image illustrates the vascular anatomy relevant to abdominoplasty, highlighting key perforators and arterial supply zones.  
  
This anatomical map is foundational for both safe flap elevation and minimising vascular compromise during abdominal contouring procedures.

![Blood Supply of the Abdominoplasty](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/05/455807_1_En_6_Fig2_HTML.png)

[Source](https://link.springer.com/chapter/10.1007/978-3-319-71219-2%5F6?ref=theplasticsfella.com)

## Technique Tip

**Danger Zone in Gluteal Fat Grafting*

🚑

****Technique Tip of the Week**   
  
This week’s tip highlights a critical anatomical consideration in gluteal fat grafting: avoiding the danger zone to reduce the risk of fat embolism.  
  
Check the image below for:  
\- The gluteal vascular anatomy, including the superior and inferior gluteal veins and sciatic nerve.  
\- The ****"danger zone",** located in the ****superomedial quadrant** of the gluteus maximus, where major veins lie deep and are vulnerable.  
\- Safe zones for superficial fat deposition to minimise risk.  
  
🚫 Deep intramuscular injection in this region is associated with a higher risk of pulmonary fat embolism and should be strictly avoided.

![Danger Zone in Gluteal Fat Grafting](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/05/10.1177_07488068231215113-fig4.jpg)

[Source](https://journals.sagepub.com/doi/10.1177/07488068231215113?ref=theplasticsfella.com)

## Upcoming Events

**New Event Added!*

📅

****P’Fella’s event calendar** highlights the most impactful conferences, high-yield webinars, and carefully curated courses for you. You can also ****submit your event** and get it featured!  
  
We've just added some new events to our calendar; sign up below👇

## the Fellows' Corner

**PRF Prep Tutorial*

📹

This week in the Fellows’ Corner, educational fellow ****Benedetta Agnelli** walks us through the preparation of ****Platelet-Rich Fibrin (PRF)** — a biologic used to enhance wound healing, graft take, and tissue regeneration in reconstructive and aesthetic surgery.  
  
The video covers:  
\- Blood collection technique.  
\- Centrifugation parameters.  
\- PRF isolation and handling.  
  
PRF offers a scaffold rich in growth factors without the use of anticoagulants, making it a simple yet powerful adjunct in surgical practice.   
  
▶️ Watch the full technique breakdown below.

0:00 

/1:36 

1× 

The preparation of Platelet-Rich Fibrin (PRF)

## Foundations Textbook

**Pre-Orders Open Now!*

📙

Plastic surgery is evolving, so your textbook should too!  
  
Most resources are outdated, overwhelming, or disconnected from real-life clinical practice. This is why we're building ****the only textbook that keeps you up-to-date** after it’s printed.  
  
Foundations is mapped to your international curriculum and built to skip the fluff. We map directly to what you’re tested on and what you actually do.  
  
[****Pre-order now**](https://foundations.theplasticsfella.com/?ref=theplasticsfella.com#reserve-copy) to be among the first to receive it when it ships this July!

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

[Join the Waitlist!](https://foundations.theplasticsfella.com/?ref=theplasticsfella.com#reserve-copy)

## Articles of the Week

**3 Interesting Articles with One-Sentence Summaries*

✅

****Is Ultrasound-Guided Gluteal Fat Grafting a Safer Standard for BBL?** ([Milani](https://academic.oup.com/asj/advance-article/doi/10.1093/asj/sjaf059/8109477?ref=theplasticsfella.com), 2025)   
  
Ultrasound guidance in gluteal fat grafting has shown zero reported deaths or fat emboli, making it one of the most evidence-backed safety upgrades in modern aesthetic surgery.

✅

****Multimodal Pain Control in Abdominoplasty: The Gold Standard for Opioid-Sparing Surgery** ([Shauly](https://academic.oup.com/asj/article/44/Supplement%5F1/S22/7730407?ref=theplasticsfella.com), 2024)  
  
Multimodal regimens incorporating TAP blocks, NSAIDs, and ketamine significantly reduce opioid use, pain scores, and recovery time in abdominoplasty, highlighting their role in modern, opioid-sparing perioperative care.

✅

****The Effect of Tranexamic Acid Administration During Liposuction on Bleeding Complications and Ecchymosis** ([ElAbd](https://academic.oup.com/asj/article-abstract/45/2/171/7750416?redirectedFrom=fulltext&ref=theplasticsfella.com), 2025)  
  
Tranexamic acid (whether intravenous or local) consistently reduces intraoperative blood loss and postoperative bruising in liposuction, with no reported increase in complications across prospective studies.

## Feedback

### I hope you enjoyed it 😄

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