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Plastic Surgery

Good Journals Making a Comeback, 3 Classic Hand Flaps, & Sub-I Accessibility

Also: The Sunday quiz, original Quaba flap, & AI surgical studio update.

thePlasticsPaper

How much does a sub-internship actually cost? JPRAS Journal Club.

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.

Journal Club

Total Body Surface Area Calculations in Burns

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.

Burns

"The Match", 6 Fat Grafting Tips, & New Events Database

Also: A fresh round of the Sunday quiz, retention rate of fat grafts, & stats on matching in plastic surgery.

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Burns: Initial Assessment and Management

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.

Burns

Fat Grafting: Basic Science, Techniques, & Patient Management

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.

CosmeticBreastPrinciples

Upper Limb Cellulitis: Diagnosis, Management, & Complications

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.

Skin and Soft TissueUpper Limbs

Cash Influences Research, 1 Important Podcast Guest, & All Things Vascular Anomalies

Also: Proper propranolol dosing, calling expert reviewers for the textbook, & 3 recommended articles.

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Carpal Tunnel Syndrome

The aim of this section is to improve your diagnostic skills in treating a common plastic surgery condition. A good

New AI Surgical Studio, 3 Local Flap Techniques, & Design the Rotation Flap (properly)

Also: Final round of the Sunday quiz, pincushioning explained, & original local flap publications.

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Rotation Flap: Design Principles, Complications, & Flap Modifications

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.

Principles

New JPRAS Partnership, 2 Tips on Eyelid Recon, & Textbook Updates

Also: A video breakdown of SMAS lift Botox, the Sunday quiz, & 3 eyelid recon reads.

thePlasticsPaper

Role of Tranexamic Acid (TXA) in Plastic and Reconstructive Surgery: A National Perspective

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.

Journal Club

Finger Replantation: Indications, Surgical Technique, & Complications

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.

Upper Limbs

Designer Nipple Filler, 3 Facial Nerve Landmarks, & Tips for Clinical Examination.

Also: The Sunday quiz, nerve recon tip, & 3 recommended reads.

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Facial Nerve Palsy: Clinical Assessment, Grading, & Management

Facial nerve palsy affects ages 15–45, with the most common cause Bell’s palsy. Diagnosis includes history, exam, grading (House-Brackmann), EMG, and imaging. Treatment: Static (symmetry) or dynamic (nerve grafts, transfers, muscle flaps). Key complications are keratitis, synkinesis, & asymmetry.

Fellowship Reality, 3 Lymphedema Essentials, & Tips for LVA

Also: Podcast guest suggestions, the Sunday quiz, & recommended reads of the week.

thePlasticsPaper

Upper Eyelid Reconstruction: Principles, Reconstruction Options, & Complications

Upper eyelid reconstruction restores function and aesthetics after trauma, tumors, or congenital defects. Small defects heal with direct closure; larger ones need flaps or grafts. Key concerns: corneal protection, tension-free closure, and symmetry.

Lasers: Principles, Clinical Applications, & Complications

Laser treatments provide minimally invasive procedures in resurfacing, scar revision, & lesion removal. Mechanisms involve collimated, monochromatic, & coherent light-targeting chromophores.

Skin and Soft TissueCosmetic

Flawed Literature, 3 Types of Tendon Transfers, & Textbook Update

Also: The Sunday quiz, pulley release evidence, & 3 recommended articles.

thePlasticsPaper

Breast Ptosis: Classification, Assessment, & Surgical Management

Breast Ptosis is the descent of the nipple below the inframammary fold, caused by aging, pregnancy, weight changes, and genetics. Classified into Grades 1–3 (Regnault system), it’s managed with mastopexy, augmentation, or reduction, with risks like hematoma, infection, and scarring.

BreastCosmetic

Gen "Shaky Hands", Skin Grafts Are Failing + The 4 Forgotten Principles of Grafting.

Also: A new round of the Sunday quiz, mesh measurements tip, 3 recommended flap reads.

thePlasticsPaper

The Instagram Scam, 7 Facial Flap Insights & Quiz Winners.

Also: Sunday quiz winners, meet the fellows, & 3 recommended reads.

thePlasticsPaper

2 Tips for Acland's Patency Test, Venous Flaps & ALT Flap in Action

Also: Last round of the Sunday quiz, evidence on vasopressors, & 3 recommended reads.

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