thePlasticsPaper - May 8th

thePlasticsPaper is delivered directly to your inbox every Sunday. Stay up-to-date with this concise curation of Plastic Surgery information.
thePlasticsPaper - May 8th

In this Week's Edition

1. ✍️ Letter from P'Fella - Don't make plastic surgery notes. Waste of time.

2. 🤓 Study on Sunday - Levels of the Neck

2. 🧐 Weekly Quiz Competition - Round 10! (the final question)

4. 🎭 Upcoming Events - 15 webinars, events and conferences

5. 🐣 Tweets of the Week - History, Intra-op images!

6. 🚀 New features - thePlasticsFella+ (a new platform)

7. 📝 Articles of the Week - 3 rapid reviews, 1 deep-dive.

A Letter from P'Fella

Don't make plastic surgery study notes. It's a waste of time.

Every Sunday, you can get insights into P'Fella's thoughts and actions. 

I spent my entire medical school and plastic surgery training creating notes. This was a mistake.

My study habits were designed on a grand picture of what study notes should look like. Most students and trainees put their hearts and soul into creating the best notes. Late nights are spent making sure all content is covered, they look nice, and they are structured correctly. But guess what? The examiners don't care.

Look, the exam doesn't care about your study notes. You've got to be wise in your revision. You need to be efficient. You need to be focused on what is essential.  Don't waste your time creating notes that have already been made by 1000s of other plastic surgery students and trainees. Stop creating and start learning!

Here are some actionable tips to improve your efficiency (and hopefully your grades and patient care!)

  1. Ask your friends or colleagues for notes they used for their exams.
  2. If you borrow notes from someone, ask them how they did in their exam. This could be helpful feedback for gaps in their notes, which you can improve.
  3. Look at previous exams before making notes.
  4. Study notes should be one aspect of revision: your flashcards and past questions in a mixture of active recall and spaced repetition.
  5. Use lol * shameless plug *

If you have any thoughts on this, reply to this email. I'll read it directly :)

Study on Sunday

Levels of the Neck Lymph Nodes

Your weekly bite-sized topic to keep your knowledge fresh.

Listen to Levels of the Neck

Cervical Lymph Nodes of the neck can provide diagnostics clues to the origin of the pathology. There are a total of 7 levels.

Level 1: Submental, -mandibular

  • Superior: mandible
  • Inferior: anterior and posterior digastric muscle bellies.
  • Sublevels: submental (1A) and submandibular (1B)
  • Key Contents: submental nodes, submandibular nodes & gland.

Level 2: Upper Jugular

  • Roof: jugular fossa
  • Inferior: hyoid bone
  • Walls: sternohyoid to sternocleidomastoid
  • Sublevels: anterior (2A) and posterior (2B) - divided by SAN.
  • Key Contents: spinal accessory nerve.

Weekly Quiz Competition

Round 10 (final question for this season!)

Round 10! It could end up in a tie 😣

Upcoming Events

14 Webinars, Conferences, and Courses

This is an incredibly comprehensive list of upcoming events in Plastic Surgery. If you want your event advertised, reply to this email!

Featured Event (Free):

Thames Valley & Wessex Hand Surgery Conference
Welcome to the Thames Valley & Wessex Hand Surgery Conference 2022! Join us face to face (finally) for an enjoyable and educational event!

  1. Stoke Mandeville: Limb Reconstruction - May 10th.
  2. Pulvertaft & Donald Summat - Language of the Hand - May 16th.
  3. BAAPS Masterclass in Aesthetic Practice - London, May 2022.
  4. RACS 90th Annual Scientific Conference - Brisbane, May 2022.
  5. Australian ASPS Congress - Goldcoast, June 2022
  6. Aesthetics In-Service Exam - Virtual, June 2022.
  7. ISAPS World Congress - Istanbul, July 2022
  8. ICCPCA Cleft Congress - Edinburgh, July 2022
  9. ASSH Annual Meeting - Boston, September 2022.
  10. BAAPS Annual Conference 2022 - London, September 2022.
  11. European Society of Craniofacial Surgery - Oxford, September 2022.
  12. BAPRAS Celtic Meeting - Dunblane, Scotland, September 2022
  13. Plastic Surgery, The Meeting - Boston, October 2022.
  14. AEC Limb Reconstruction - Virtual, October 2022

Tweets of the Week

If you're not on Twitter, you're not learning. Fact.


New Feature


Every week, P'Fella creates or updates the educational platform. All decisions are designed with one ethos: build great educational tools.

This is currently being built. It's pretty incredible.

The current goal of thePlasticsFella is to become a unique educational platform. A single location for your to study, track, monitor and record your progress through flashcards, quizzes and mini-courses - all designed on a plastic surgery syllabus that caters to all the leading international curriculums.

This will take a few months to build, but P'Fella thought it would be nice to give you a glimpse into the platform's future.

When it's launched, it will initially only be available to users who have joined thePlasticsPro community by July. This way, the platform can be improved with specific feedback before launch to the general plastic surgery community.

If you have any ideas of suggestions on what you would like to see on this improved platform, just reply to this email! 

Articles of the Week

Every week, P'Fella links 3 articles you should read. There is also 1 deep-dive review for thePlasticsPro community.


  1. Comparison of long-term outcomes of breast conservation and reconstruction after mastectomy using BREAST-Q. Joanna Wolska et al, JPRAS. May 06, 2022. DOI:
  2. Outcome measurement in adult flexor tendon injury: A systematic review.  Shaw et al. JPRAS, Sept 2021.
  3. Tips and Tricks for Facial Toxin Injections with Illustrated Anatomy, Plastic and Reconstructive Surgery: February 2022 - Volume 149 - Issue 2 - p 303e-312e. doi: 10.1097/PRS.0000000000008708

Deep Dive

Every Sunday, P'Fella analyses a landmark plastic surgery publication. Designed for those keen colleagues or those doing a journal club!

This week: What is the best surgical technique for carpal tunnel release? (Cochrane Review) 

Did you know? Endoscopic carpal tunnel release results in an earlier return to work or activities of daily living. But this Cochrane review recommends the open release. Read below to find out why...

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