Dead Textbooks, 3 DIEP Complication Tips, & Surgical Studio Updates

Also: Foundations in progress, podcast suggestions, & the Sunday quiz.
Dead Textbooks, 3 DIEP Complication Tips, & Surgical Studio Updates

In this week's edition

  1. ✍️ Letter from P'Fella
    Why are we still learning from dead textbooks?
  2. 🤓 The Sunday Quiz
    How well do you know venous congestion?
  3. 🎙️ Behind the 'Fella
    Suggest any questions for our next guest.
  4. 🎈 Upcoming Events
    New event added!
  5. 🚀 New Features
    AI Surgical Studio updates!
  6. 📚 Book Review
    Feedback on Foundations by The Plastics Fella.
  7. 🔥 Articles of the Week
    NPWT helps breast recon?, predicting DIEP complications, & a classic publication on free flaps: with 1-sentence summaries.
  8. 💕 Feedback
    Suggest ideas & give feedback!

A Letter from P'Fella

We’re Still Learning from Dead Textbooks

👋
Hey Team!

Let’s stop pretending this isn’t a problem.

Most plastic surgery textbooks haven’t been updated in years. Some haven’t meaningfully changed in over a decade. Yet we’re still assigning them, quoting them, and building exams around them like they’re gospel.

They’re not. They’re outdated — and in some cases, outright wrong.

What’s Broken

Here’s the honest truth.

  • Techniques evolve. Textbooks don’t. You’re learning from operations that aren’t done anymore. Or worse — missing the ones that actually are.
  • They never get corrected. An error in the 2014 edition is still sitting there in the 2023 one. We’ve normalized reading around the mistakes.
  • Outdated copies never go away. You can still buy a textbook from 2007 on Amazon. That’s what students are studying from. That’s what trainees are downloading as PDFs.
  • It’s a closed system. No transparency. No accountability. And definitely no way to challenge what’s written, even when it’s obviously flawed.

This isn’t just a publishing issue. It’s a training issue. And it’s making us worse.

So We’re Doing It Differently

We're building a new textbook — Foundations by The Plastics Fella — and here’s what we’re refusing to replicate:

  • Every chapter gets reviewed annually. Not in theory. In practice. A full update cycle every 12 months, with tracked changes and transparent version control.
  • There are no outdated versions. You can’t buy an old edition. Everyone sees the same current version. If something changes, everyone benefits.
  • Mistakes get fixed. Fast. There’s a feedback system. If something’s wrong, unclear, or outdated, it doesn’t sit there for another decade. It gets addressed.
  • It’s built by the community. Trainees and surgeons contribute, review, and refine it. It reflects how people actually learn and operate, not just how they publish.

This Isn’t About Innovation. It’s About Necessity.

Plastic surgery moves fast. The resources we learn from should too.

We're not trying to be clever. We’re just done accepting that a textbook published in 2012 is still acceptable in 2025.

This is the fix. And it starts now.

👉 Join the waiting list if you want early access, or if you just want to see what a modern textbook should look like.

P’Fella ❤️

The Sunday Quiz

How Well Do You Know Venous Congestion?

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 one-year subscription to thePlasticsPro.

Behind the 'Fella

Questions for Our Next Guest

🎧
Releasing Soon: Behind the 'Fella Season Two

Our recordings are in progress! For the next guest, we're interviewing a DIEP expert.

Whether it's about technique, complications, or training, submit your question below 👇

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 ASPS Advocacy Summit to our calendar; sign up below👇

New Features

AI Surgical Studio Version 2.0 Is Here

🩹
Our AI Surgical Studio just got its newest update: Version 2.0.

We’ve just rolled out a new of the AI Surgical Studio — our interactive, AI-powered tool designed to help you visualise, plan, and refine surgical techniques with precision.

Want early access to upcoming features? Join the waitlist below👇

tk - below is the usual waitlist tally form

Book Review

Foundations by The Plastics Fella

📘
The design of our new textbook is in the works, and we want your input. Your feedback helps shape a textbook that fits what you need.

Here is our current draft of the cover design. Share your thoughts below 👇

Articles of the Week

3 Interesting Articles with One-Sentence Summaries

Does ciNPT Reduce Donor-Site Complications in DIEP Flap Breast Recon? (Escobar-Domingo, 2025)

In a large cohort study of 1125 flaps, closed-incision negative pressure therapy significantly lowered infection and dehiscence rates at DIEP donor sites, particularly among patients with a BMI >30.

Predictors of Complications in DIEP Flap Breast Reconstruction (Wu, 2023)

Each additional hour in theatre increases overall complication risk by 16% in DIEP reconstructions, highlighting operative time as a key modifiable factor in flap success.

What Comes After a Failed Free Flap? Insights from 3361 Reconstructions (Wei, 2001)

In one of the largest series to date, a second free flap proved more reliable than regional or conservative approaches in salvaging failed reconstructions, especially in the head and neck.

Feedback

I hope you enjoyed it 😄


About the author
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