Plastics in Practice (Resident Review)
Episodes
Facial Implants
08 Apr 2026
Contributed by Lukas
Facial implants can dramatically change facial balance, but the difference between a natural result and an operated look comes down to planning, posit...
Otoplasty Essentials
06 Apr 2026
Contributed by Lukas
Prominent ears are not one deformity. They are usually a combination problem involving the antihelix, concha, and lobule. In this episode, we break do...
Rhinoplasty Fundamentals
31 Mar 2026
Contributed by Lukas
Rhinoplasty is not a reductive operation anymore. Modern rhinoplasty is about precision, preservation, and structure. In this episode, we break down a...
Facelift Core Principles
27 Mar 2026
Contributed by Lukas
Master the principles behind modern facelifting.This episode breaks down the core concepts of rhytidectomy, focusing on high-yield surgical principles...
Blepharoplasty High-Yield Principles
26 Mar 2026
Contributed by Lukas
Blepharoplasty looks simple—but it’s one of the easiest ways to create devastating complications if you don’t respect the anatomy.This episode b...
Forehead and Brow Lift
24 Mar 2026
Contributed by Lukas
The brow lift has evolved. What used to rely on long coronal incisions has shifted toward anatomically precise, minimally invasive endoscopic approach...
Fat Grafting: From Face to Mega-Volume
20 Mar 2026
Contributed by Lukas
Fat grafting is no longer just filler—it’s a cornerstone of modern plastic surgery. In this episode, we break down the principles that actually de...
Botulinum Toxin: Mechanism and Injection Pearls
18 Mar 2026
Contributed by Lukas
Botulinum toxin is simple—until you actually try to use it well. This episode breaks down what most people get wrong: it’s not about units, it’s...
Dermal Fillers Explained: Rheology, Anatomy, and Technique
17 Mar 2026
Contributed by Lukas
Dermal fillers are more than just wrinkle tools. In this episode, we break down the science that actually drives filler performance: rheology, particl...
Skin Resurfacing: Peels, Lasers, and Dermabrasion
14 Mar 2026
Contributed by Lukas
Skin resurfacing is one of those topics that looks simple on the surface but gets very nuanced once you start thinking about depth, target tissue, end...
Congenital Breast Anomalies: Tuberous, Poland, Asymmetry
14 Mar 2026
Contributed by Lukas
Congenital breast anomalies are more than aesthetic diagnoses—they carry major psychosocial weight and demand a thoughtful reconstructive plan. In t...
Nipple Reconstruction
12 Mar 2026
Contributed by Lukas
Nipple reconstruction is not the “small final step” of breast reconstruction—it is the focal point. A great breast mound can be undermined by po...
Free Flap Breast Reconstruction
11 Mar 2026
Contributed by Lukas
Free flap breast reconstruction is one of the most technically demanding and rewarding procedures in reconstructive microsurgery. In this episode, we ...
TRAM Flap Breast Reconstruction
10 Mar 2026
Contributed by Lukas
Pedicled or free TRAM? This is one of the classic decision points in autologous breast reconstruction, and it still matters. In this episode, we break...
Inservice Review - High Yield
04 Mar 2026
Contributed by Lukas
This long-form episode is a high-yield, start-to-finish in-service review. We cover the main topics: core principles → wounds/flaps/grafts → burns...
Latissimus Dorsi Flap Breast Reconstruction
25 Feb 2026
Contributed by Lukas
Autologous reliability with prosthetic precision—the latissimus dorsi flap (LDF) is back for a reason. In this episode we break down how to optimize...
Prosthetic Breast Reconstruction
19 Feb 2026
Contributed by Lukas
Prosthetic breast reconstruction looks “simple” until you chase symmetry, fight the inframammary fold, and add radiation into the mix. This episod...
Management of Breast Cancer
15 Feb 2026
Contributed by Lukas
Breast cancer management isn’t “mastectomy vs lumpectomy.” It’s risk → imaging → tissue diagnosis → staging → locoregional control →...
Gynecomastia Management
11 Feb 2026
Contributed by Lukas
Gynecomastia isn’t “just fat.” It’s a spectrum—ductal tissue, stroma, and fat—driven by hormonal shifts across life stages. In this episod...
Vertical Reduction Mammaplasty
07 Feb 2026
Contributed by Lukas
Vertical reduction mammaplasty represents a fundamental shift in breast reduction philosophy. Instead of relying on skin tension to maintain shape, th...
Inverted-T Breast Reduction: Pedicles That Actually Work
06 Feb 2026
Contributed by Lukas
Macromastia reduction is where reconstructive principles collide with aesthetic outcomes—and the inverted-T (Wise) pattern stays dominant because it...
Augmentation Mastopexy - Strategies & Pitfalls
05 Feb 2026
Contributed by Lukas
Ptosis + volume loss is the classic “deflated upper pole in a stretched envelope” problem—and mastopexy-augmentation is where planning mistakes ...
Breast Augmentation: General Principles and Outcomes
04 Feb 2026
Contributed by Lukas
Breast augmentation is one of the most performed aesthetic operations—and still one of the most revised. This episode is a practical, surgeon-to-sur...
Muscle vs. Fasciocutaneous Flaps: The Lower Extremity Debate
10 Dec 2025
Contributed by Lukas
In this episode of Plastics in Practice, we break down one of the most enduring debates in reconstructive microsurgery: Muscle vs. Fasciocutaneous (FC...
Foot & Ankle Reconstruction: Applying the Subunit Principle
06 Oct 2025
Contributed by Lukas
Foot and ankle reconstruction is a battlefield of function and form. Every subunit has its own demands — the dorsum needs thin, pliable coverage; th...
Orbital Floor Fractures: Pearls & Management
05 Oct 2025
Contributed by Lukas
Orbital floor fractures are among the most common midfacial injuries—and understanding when and how to operate is key for every resident. In this ep...
Mandible Fracture Management
30 Sep 2025
Contributed by Lukas
Mandible fractures are the most common indication for surgical repair of facial fractures, and their management continues to evolve with modern platin...
Frontal Sinus Fractures: Stepwise Management & Pitfalls
29 Sep 2025
Contributed by Lukas
Frontal sinus fractures are among the most challenging maxillofacial injuries — rare but high-stakes, with potential for meningitis, brain abscess, ...
Zygoma Fractures: Anatomy, Evaluation & Management
28 Sep 2025
Contributed by Lukas
Zygoma fractures are among the most common midfacial injuries, directly impacting both function and aesthetics. For plastic surgery residents, masteri...
Perforator Propeller Flaps for Middle & Distal Leg Defects
22 Sep 2025
Contributed by Lukas
Middle and distal leg defects can be among the most challenging reconstructive problems in plastic surgery. But what if you could avoid microsurgery a...
Lower Extremity Trauma: What the Evidence Really Says
20 Sep 2025
Contributed by Lukas
When faced with high-energy lower extremity trauma, the question of salvage versus amputation is one of the toughest decisions in reconstructive surge...
Key Principles in Lower Extremity Reconstruction
18 Sep 2025
Contributed by Lukas
Lower extremity reconstruction is one of the most challenging areas of plastic surgery, where surgeons must decide between limb salvage and primary am...
Beyond Upper Extremity Replant: Managing the Next Stage of Recovery
15 Sep 2025
Contributed by Lukas
Major upper extremity amputation is one of the most devastating injuries a patient can face. Unlike lower extremity amputations where prosthetics may ...
Pulse Ox & Heparin in Hand Trauma: What the Evidence Says
14 Sep 2025
Contributed by Lukas
Hand trauma with vascular compromise demands fast and accurate decision-making. In this episode of Plastics in Practice, we review two pivotal studies...
Distal Digital Replantation: Outcomes & Evidence
12 Sep 2025
Contributed by Lukas
Distal fingertip amputations are among the most common hand injuries, yet whether to replant or revise remains one of the most debated questions in ha...
Upper Limb Replantation: A Step-by-Step Playbook
09 Sep 2025
Contributed by Lukas
Upper limb replantation remains one of the most challenging — and rewarding — procedures in plastic and reconstructive surgery. From fingertip inj...
Upper Extremity Replantation: Indications & Outcomes
08 Sep 2025
Contributed by Lukas
Hand and upper extremity amputations are devastating injuries — but modern microsurgery has transformed outcomes. Not every part should be replanted...
Wide-Awake Surgery for Fractures: Clinical Pearls
07 Sep 2025
Contributed by Lukas
What if you could fix hand fractures without sedation, tourniquet pain, or costly OR time? Welcome to the era of wide-awake, local anesthesia, no tour...
Salter-Harris Fractures of the Distal Phalanx
06 Sep 2025
Contributed by Lukas
Seymour fractures are small injuries with big consequences. These pediatric distal phalanx fractures can easily be overlooked — but missing the nail...
Metacarpal Fractures: Evidence-Based Management
05 Sep 2025
Contributed by Lukas
Metacarpal fractures are some of the most common hand injuries encountered in plastic surgery — and knowing when to treat conservatively versus when...
Common Hand Fractures & Dislocations
04 Sep 2025
Contributed by Lukas
Hand fractures and dislocations are among the most common injuries encountered by plastic surgeons, and their management directly impacts long-term fu...
Cleft Palate Repair: Techniques, Timing, and Outcomes
27 Aug 2025
Contributed by Lukas
In this episode, we cover the embryology, classification, and repair of nonsyndromic cleft palate. Techniques discussed include Bardach two-flap, Furl...
Navigating Complex Facial Trauma: A Resident’s Guide to Diagnosis and Management
27 Aug 2025
Contributed by Lukas
In this episode of Plastics in Practice, we explore the anatomy, diagnosis, and surgical management of facial fractures — including frontal sinus, n...
Rewiring the Body: Inside the Complex World of Nerve Repair and Regeneration
26 Aug 2025
Contributed by Lukas
This episode synthesizes key information from provided sources on adult peripheral nerve disorders and brachial plexus injuries, focusing on pathophys...