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# 3 New Plastic Surgery Trends, Burn Resuscitation & New Podcast Episode
- URL: https://www.theplasticsfella.com/september-29th/
- Published: 2024-09-28T09:08:23.000Z
- Updated: 2024-09-28T09:15:49.000Z
- Description: Also: Macrodactyly, Sunday Quiz and 3 recommended reads.
- Author: PlasticsFella
- Tags: thePlasticsPaper

#### In this week's edition

1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/september-29th/#a-letter-from-pfella)  
Top 3 Plastic Surgery Trends (Backed by Data)
2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/september-29th/#the-sunday-quiz)  
How well do you know **Fluid Resuscitation in Burns*?
3. ****🎙️** [****Behind the 'Fella**](https://www.theplasticsfella.com/september-29th/#behind-the-fella)  
5 Must-Know Surgical Techniques for Plastic Surgeons
4. 🎓 [****theFellow's Corner**](https://www.theplasticsfella.com/september-29th/#the-fellows-corner)  
This week's feature: Macrodactyly.
5. 📖 [****What Does the Evidence Say**](https://www.theplasticsfella.com/september-29th/#what-does-the-evidence-say)  
What is the best fluid resus in burns?
6. ****🔥**[ **Articles of the Week**](https://www.theplasticsfella.com/september-29th/#articles-of-the-week)  
Split-thickness skin graft donor-sites, burn debridement, & a fluid resuscitation formula: 3 articles with 1 sentence summaries.
7. 💕 [****Feedback**](https://www.theplasticsfella.com/september-29th/#feedback)  
Suggest ideas & give feedback!

## A Letter from P'Fella

Top 3 Plastic Surgery Trends (Backed by Data)

👋

****Hey everyone!**  
  
As we move further into 2023, I wanted to highlight some key trends from the latest ****ASPS Procedural Statistics** that are shaping the future of plastic surgery.   
  
These insights reflect evolving patient preferences and procedural growth that are worth paying attention to 👇

  
1\. **Facial Procedures Are on the Rise**

Facelifts have seen an impressive **8% increase**, signaling a growing interest in facial rejuvenation. Likewise, **eyelid surgery** and **rhinoplasty** are up by **5% and 6%** respectively. Patients seem to be seeking procedures that deliver noticeable improvements while minimizing downtime—many opting for local anesthesia and less invasive methods.

2\. **Body Contouring Continues to Surge**

**Liposuction** remains the most in-demand procedure, with a **7% rise** this year. Patients are increasingly looking to address areas resistant to diet and exercise, particularly in the wake of pandemic weight changes. Additionally, **tummy tucks** have risen by **5%**, highlighting the growing interest in transformative procedures that refine and contour the body.

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2024/09/Screenshot-2024-09-28-at-10.03.15-1-1.png)

3\. **Minimally Invasive Treatments Are the Preferred Choice**

With **Botox** and **dermal fillers** up by **6% and 4%**, respectively, it’s clear that patients are opting for non-surgical solutions that offer quick results with minimal recovery time. The continued rise in minimally invasive procedures reflects a strong demand for effective, time-efficient aesthetic treatments.

These trends aren’t just numbers—they’re insights into the future of our field

Lot of Love,   
P'Fella ❤️

## The Sunday Quiz

**How Well Do You Know* ***Fluid Resuscitation in Burns** *?*

****Are you ready to make it to the leaderboard?**  
  
Welcome to ****the next 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 $100 voucher. 

## Behind the ‘Fella

5 Must-Know Surgical Techniques for Plastic Surgeons

🎧

****Tune in Now: "Behind the Fella"**  
  
Tune into our podcast for exclusive ****team meetings** where we uncover ****behind-the-scenes** details of the platform and discuss ****hot topics** in ****plastic surgery** with our fellows.   
  
Check out the latest episode where we discuss essential techniques and skills required in plastic surgery including wound management, suturing, flap surgery, and advanced techniques like hemostasis and negative pressure wound therapy.  
  
You can subscribe on [Spotify](https://open.spotify.com/show/46pGp957C6aXCUKSqe03qR?ref=theplasticsfella.com) & [Apple](https://podcasts.apple.com/ie/podcast/behind-the-fella/id1746377600?ref=theplasticsfella.com). 

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Snippet from Episode

## the Fellows' Corner

**This Week's Focus:* ***Macrodactyly**

In case you've missed out, here's a reminder to check out our fresh **articles**, clinical **cases**, and surgical **techniques**. 

Read below for an overview of our article on **Macrodactyly**.

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2024/09/Macrodactyly-Definition.png) 

#### Macrodactyly

[****Definition**](https://www.theplasticsfella.com/macrodactyly/#definition-of-macrodactyly)  
Macrodactyly is the term for the overgrowth of a digit, out of proportion to the rest of the hand or foot. 

[****Clinical Features**](https://www.theplasticsfella.com/macrodactyly/#clinical-features-of-macrodactyly)  
Macrodactyly results in overgrowth of the entire digit(s) out of proportion with the rest of the hand or foot. 

[****Investigations**](https://www.theplasticsfella.com/macrodactyly/#investigations-for-macrodactyly)  
X-rays, MRI, and gene analysis may be offered as part of the diagnostic process. 

[****Management**](https://www.theplasticsfella.com/macrodactyly/#management-of-macrodactyly)  
Surgical management aims to stop overgrowth and debulk the digit. Addressing the nerve is important in reducing recurrence.

[Read the Article](https://www.theplasticsfella.com/macrodactyly/) 

## What Does the Evidence Say?

Optimal Fluid Resuscitation in Burns

In this section, we dive deep into the latest research and evidence on medical practices and surgical techniques. 

Fluid resuscitation is crucial for treating severe burns, with the Parkland formula long considered the gold standard (Mitra et al., 2006). Traditional research suggested that a more restrictive fluid approach may be beneficial (Artz & Larson, 1965). Hyperosmotic solutions have shown promise in reducing fluid load compared to isoosmotic solutions (Yuan Kao et al., 2018). The addition of albumin to resuscitation fluids has demonstrated improved outcomes, including better cardiac output restoration and reduced edema in unburned tissues (Carvajal & Parks, 1988). The BET formula, which uses high albumin concentrations, has shown success in limiting fluid administration while effectively resuscitating patients (Blanco-Schweizer et al., 2019). Despite these advances, there is still no universally accepted method for burn resuscitation (Foster, 2016). 

## Articles of the Week

**3 Interesting Articles with 1 Sentence Summaries*

✅

****Split-Thickness Skin Graft Donor-Site Morbidity** ([Asuku](https://www.sciencedirect.com/science/article/pii/S0305417921000504?ref=theplasticsfella.com), 2021)  
  
Explore the variability in donor-site outcomes, such as healing time, pain, and scarring while highlighting the need for standardized outcome measures and innovations to reduce donor-site morbidities.

✅

****Surgical and Nonsurgical Debridement Techniques of Burn Wounds** ([Kwa](https://www.jprasurg.com/article/S1748-6815%2819%2930339-0/abstract?ref=theplasticsfella.com), 2019)  
  
Analysis of various burn wound debridement techniques — both surgical and nonsurgical — found no conclusive evidence to recommend one method over another in terms of efficiency and safety. 

✅

****A Simplified Fluid Resuscitation Formula for Burns in Mass Casualty Scenarios** ([Leclerc](https://www.sciencedirect.com/science/article/pii/S0305417921000589?ref=theplasticsfella.com), 2021)  
  
The WHO Technical Working Group on Burns proposed a fluid resuscitation formula for mass casualty burn incidents, recommending an initial rate of 100 mL/kg/24 h for burns over 20% TBSA.

## Feedback

### I hope you enjoyed it 😄

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