PODCAST · health
Plastics in Practice (Resident Review)
by Plastics in Practice
A podcast built for plastic surgery trainees. Each episode reviews CME articles and topics from the ASPS Resident Curriculum, breaking them down into core concepts, clinical pearls, and exam-ready takeaways. Listen on your commute, between cases, or while studying—anywhere you want high-yield plastic surgery learning on the go.
Episodes
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Penile Reconstruction: Match Anatomy to Function
Penile reconstruction requires separate plans for coverage, urination, sensation and rigidity. The remaining anatomy and the patient's goals determine which components are needed. In this episode of Plastics in Practice, we review reconstruction after penile tissue loss and gender-affirming...
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Rheumatoid Arthritis: When Finger Extension Fails
Rheumatoid arthritis can threaten tendons, destabilize joints and change the mechanics of the whole hand. Reconstructive planning begins with the cause of lost function. In this episode of Plastics in Practice, we review the rheumatoid hand, from the inflammatory-arthritis differential and...
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Targeted Muscle Reinnervation: Pain and Prosthetic Control
After upper-limb amputation, a surviving nerve can still carry a useful command. TMR gives that signal a new muscle target. In this episode of Plastics in Practice, we review how targeted muscle reinnervation supports prosthetic control and helps address nerve-related postamputation pain. Key...
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Common Congenital Hand Anomalies: Function Guides Treatment
A visible hand difference does not tell you which operation, if any, will improve function. In this episode of Plastics in Practice, we review how examination guides syndactyly timing, thumb duplication reconstruction and camptodactyly treatment. Key takeaways: • Observe reach, grasp and thumb…
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Management of the Burned Hand: Preserve Function
A closed burn wound can still leave a hand that barely moves. In this episode of Plastics in Practice, we review how to recognize threatened circulation, reassess burn depth, and protect hand function while the wound heals. Key takeaways: • After immediate trauma priorities, remove rings and…
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Management of Vasoconstriction: Look Beyond Spasm
Poor perfusion needs an explanation beyond the word spasm. In this episode of Plastics in Practice, we review how to distinguish reversible narrowing from structural and mechanical problems, recognize threatened perfusion, and match treatment to the cause. Key takeaways: • Raynaud attacks do not...
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Hand Tumors: Assessment and Biopsy Planning
A small, painless hand mass can still need a carefully planned diagnosis before excision. In this episode of Plastics in Practice, we review how imaging and biopsy planning help clarify an unexplained hand mass while protecting later treatment options and hand function. Key takeaways: • Most hand...
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Dupuytren’s Disease: Function, Anatomy and Treatment
A fascial cord can tether the finger, but releasing it does not resolve every part of the deformity. In this episode of Plastics in Practice, we review assessment of Dupuytren’s disease, secondary joint stiffness, altered neurovascular anatomy, and treatment choices that balance correction,...
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Thumb Reconstruction
Rebuilding a thumb means restoring useful pinch and grasp. Length is only part of the problem. In this episode of Plastics in Practice, we review functional assessment, sensate coverage, and reconstruction choices after thumb tissue loss or amputation. Key takeaways: • Restore useful pinch and...
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Hand and Upper Extremity Replantation
A surviving replant is only the beginning. The goal is a hand that can feel, move, and serve the patient’s needs. In this episode of Plastics in Practice, we review patient selection, preservation, injury assessment, reconstruction, monitoring, and rehabilitation after upper-extremity amputation....
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Mangled Upper Extremity Salvage
A mangled upper extremity can look unsalvageable before resuscitation, perfusion, and debridement reveal what function remains. In this episode of Plastics in Practice, we build a practical limb-salvage sequence—from life-threatening priorities and early antibiotics to revascularization,...
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Ligament Injuries of the Hand and Wrist
A normal-looking radiograph can hide a ligament injury that becomes stiffness, deformity, or arthritis if it is missed.In this episode of Plastics in Practice, we connect reduction, stability testing, imaging, early motion, and operative decision points across finger, thumb, carpal, and distal...
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Principles of Tendon Transfers
A tendon transfer can be perfectly woven and still fail if the joint is stiff, the tissue bed is scarred, or the donor cannot match the lost motion. In this episode of Plastics in Practice, we build a practical framework for tendon transfers—from donor selection and tensioning to radial, median,...
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Upper Extremity Tenosynovitis and Tendinopathy
Radial wrist pain, a locking digit, and lateral elbow pain can all be called overuse—but a few centimeters can change the diagnosis, treatment, and surgical target. In this episode of Plastics in Practice, we map de Quervain tenosynovitis, intersection syndrome, trigger finger, and lateral elbow...
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Extensor Tendon Surgery: Zones, Traps, and Early Motion
Extensor tendon injuries are easy to underestimate: a small dorsal wound can conceal a complete laceration, a contaminated MCP joint, or a central slip injury that declares itself later. In this episode of Plastics in Practice, we review the examination, zone-based repair strategy…
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Flexor Tendon Repair: Strength, Glide, and Early Motion
Flexor tendon repair succeeds only when construct strength, tendon glide, pulley preservation, and rehabilitation are planned as one system. In this episode of Plastics in Practice, we review the evaluation, zone-based strategy, repair principles, rehabilitation, complications, and salvage of...
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Wrist Fractures: Distal Radius and Scaphoid Decision Points
Wrist fracture decisions turn on a few measurements, but the right threshold depends on the patient, the image, and the bone. In this episode of Plastics in Practice, we review distal radius and carpal fractures with an emphasis on reduction, fixation, and the diagnostic traps that change...
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Hand Fractures: Reduction, Fixation, and Early Motion
Hand fracture outcomes often hinge on what radiographs miss — rotation, post-reduction stability, and whether fixation permits early motion. In this episode of Plastics in Practice, we review metacarpal and phalangeal fracture management — rotational alignment, stability, fixation strategy, early...
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Upper Extremity Nerve Injuries and Compression Neuropathies
Peripheral nerve deficits are a race against irreversibledenervation — misclassify the lesion or miss the level of compression, and observation becomes lost recovery time. In this episode of Plastics in Practice, we review traumaticperipheral nerve injury and the compression neuropathies that...
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Hand Infections: Diagnosis and Management
Hand infections deteriorate fast — the same anatomy that gives the hand its function turns ordinary swelling into ischemia, tendon necrosis, and permanent loss of motion. This episode walks through how to recognize and manage everything from paronychia and felon to pyogenic flexor tenosynovitis,...
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Upper Extremity Anesthesia Essentials
Upper extremity surgery is, at its core, a regional anesthesia specialty. Choose the right block in the right place and most hand and arm cases never need general anesthesia. In this episode of Plastics in Practice, we work through the practical anesthesia decision tree for the upper extremity:...
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Functional Anatomy and Principles of Upper Extremity Surgery
Every hand case rests on the same foundation: knowing which joints need mobility, which need stability, and how to run an acute hand with a trauma-first mindset. Get this layer right, and every chapter after it makes sense. In this episode of Plastics in Practice, we cover the foundational…
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Lymphedema: Diagnosis and Treatment
Lymphedema is the chronic disease plastic surgeons are best positioned to treat — and the most commonly mismanaged. After axillary node dissection, up to 50% of breast cancer patients develop it, and most never get the early, disciplined care that prevents progression to fibrofatty disease. In…
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Pressure Sore Fundamentals
Pressure sores are the wound the plastic surgeon gets consulted on after everything else has gone wrong — and the recurrence rate is brutal if you skip the basics. The lesson nobody teaches you in residency is that the surgery is the easy part. In this episode of Plastics in Practice, we review…
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Perineal Reconstruction: Principles and Flap Selection
Few regions punish poor planning like the perineum — the pelvic outlet sits at the crossroads of the urinary, gynecologic, and GI tracts, and the wrong flap choice in an irradiated or contaminated field gets you back in the OR fast. In this episode of Plastics in Practice, we walk through the…
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Foot and Ankle Reconstruction: Core Principles
Saving a foot is rarely about the flap. It's about the angiosome you re-perfuse, the millimeters of debridement you take, and whether you lengthen a tight Achilles before you ever think about closure. In this episode of Plastics in Practice, we cover the principles of foot and ankle…
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Lower Extremity Reconstruction: Core Principles
Lower extremity reconstruction is the most unforgiving testing ground in plastic surgery — every decision is graded by whether the patient can bear weight, walk, and protect a sensate foot for the rest of their life. In this episode of Plastics in Practice, we walk through the core principles of...
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Abdominal Wall Reconstruction: Core Principles
Abdominal wall reconstruction is where plastic surgery principles get tested in real time — and it's where most failures start with one wrong assumption about force distribution. In this episode of Plastics in Practice, we review the basics of abdominal wall reconstruction: how to think about the...
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Chest Wall Reconstruction Essentials
Chest wall reconstruction is where rigid skeletal support and versatile soft tissue coverage meet — and where a wrong flap choice or a missed debridement step turns a small defect into a respiratory disaster. In this episode of Plastics in Practice, we review the basics of chest wall...
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Hair Transplantation Essentials
Hair restoration is one of the most planning-dependent procedures in plastic surgery — a single wrong call on the hairline or the donor strip can show up for the rest of the patient's life. In this episode of Plastics in Practice we walk through what residents actually need to know about modern...
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Osseous Genioplasty
Osseous genioplasty is the most versatile tool the plastic surgeon has for the lower face — and the most commonly mis-planned. In this episode of Plastics in Practice, we review the basics of chin surgery: when to pick the osteotomy over an implant, the five-pillar physical exam, the technical...
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Facial Implants
Facial implants can dramatically change facial balance, but the difference between a natural result and an operated look comes down to planning, positioning, and fixation. In this episode, we break down the core principles of facial skeletal augmentation with implants for the plastic surgery...
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Otoplasty Essentials
Prominent ears are not one deformity. They are usually a combination problem involving the antihelix, concha, and lobule. In this episode, we break down a practical, anatomy-first approach to otoplasty that helps you create a natural setback without a sharp, overdone, or obviously operated...
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Rhinoplasty Fundamentals
Rhinoplasty is not a reductive operation anymore. Modern rhinoplasty is about precision, preservation, and structure. In this episode, we break down a practical framework for analyzing the rhinoplasty patient, protecting the airway, and executing reproducible tip and dorsal maneuvers with fewer...
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Facelift Core Principles
Master the principles behind modern facelifting. This episode breaks down the core concepts of rhytidectomy, focusing on high-yield surgical principles, SMAS manipulation, and complication avoidance. We move beyond outdated skin-tension techniques and focus on what truly matters: volume...
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Blepharoplasty High-Yield Principles
Blepharoplasty looks simple—but it’s one of the easiest ways to create devastating complications if you don’t respect the anatomy. This episode breaks down the high-yield principles of modern blepharoplasty, focusing on what actually prevents bad outcomes: proper evaluation, conservative…
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Forehead and Brow Lift
The brow lift has evolved. What used to rely on long coronal incisions has shifted toward anatomically precise, minimally invasive endoscopic approaches designed to restore brow position while avoiding the over-elevated, unnatural “surprised” look. In this episode of Plastics in Practice, we…
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Fat Grafting: From Face to Mega-Volume
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 determine graft survival, contour outcomes, and safety across facial and mega-volume applications. From the Coleman technique to BRAVA-assisted breast...
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Botulinum Toxin: Mechanism and Injection Pearls
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 about functional anatomy and precision. We walk through the true mechanism (SNAP-25 cleavage → presynaptic blockade), why Botox affects nerves—not…
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Dermal Fillers Explained: Rheology, Anatomy, and Technique
Dermal fillers are more than just wrinkle tools. In this episode, we break down the science that actually drives filler performance: rheology, particle behavior, tissue planes, facial fat compartments, and complication management. This is a high-yield review of dermal and soft-tissue fillers for...
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Skin Resurfacing: Peels, Lasers, and Dermabrasion
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, endpoint recognition, and complication profile. In this episode, we break down the science of skin resurfacing in a way that actually matters for...
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Congenital Breast Anomalies: Tuberous, Poland, Asymmetry
Congenital breast anomalies are more than aesthetic diagnoses—they carry major psychosocial weight and demand a thoughtful reconstructive plan. In this episode, we break down the high-yield clinical framework for evaluating and surgically correcting congenital breast deformities, with a focus on...
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Nipple Reconstruction
Nipple reconstruction is not the “small final step” of breast reconstruction—it is the focal point. A great breast mound can be undermined by poor nipple position, poor projection, or a mismatch in size and symmetry. In this episode, we break down the high-yield principles that actually matter…
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Free Flap Breast Reconstruction
Free flap breast reconstruction is one of the most technically demanding and rewarding procedures in reconstructive microsurgery. In this episode, we break down flap selection, donor-site strategy, recipient vessel choice, perfusion monitoring, and the key complications every plastic surgery...
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TRAM Flap Breast Reconstruction
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 down the practical tradeoffs between pedicled TRAM, free TRAM, and DIEP-based thinking: flap perfusion, donor-site morbidity, operative…
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Inservice Review - High Yield
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/skin cancer → CMF trauma + vision threats → hand infections/tendon zones → breast/implants + complications → trunk/LE coverage logic → last-minute...
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Latissimus Dorsi Flap Breast Reconstruction
Autologous reliability with prosthetic precision—the latissimus dorsi flap (LDF) is back for a reason. In this episode we break down how to optimize LD flap breast reconstruction using “volume-added” harvest and smart expander/implant strategy. We cover the operative setup from markings and skin...
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Prosthetic Breast Reconstruction
Prosthetic breast reconstruction looks “simple” until you chase symmetry, fight the inframammary fold, and add radiation into the mix. This episode is a practical walkthrough of the two-stage expander–implant pathway—what actually matters, what fails, and how to plan it cleanly. Episode overview…
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Management of Breast Cancer
Breast cancer management isn’t “mastectomy vs lumpectomy.” It’s risk → imaging → tissue diagnosis → staging → locoregional control → systemic therapy, all tailored to tumor biology and patient goals. In this episode, we walk through the modern evidence base that moved us from Halsted-era radical...
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Gynecomastia Management
Gynecomastia isn’t “just fat.” It’s a spectrum—ductal tissue, stroma, and fat—driven by hormonal shifts across life stages. In this episode, we walk through a clean clinical framework: etiology → pathology timeline → exam/workup → severity grading → surgical plan, with pearls that prevent the…
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ABOUT THIS SHOW
A podcast built for plastic surgery trainees. Each episode reviews CME articles and topics from the ASPS Resident Curriculum, breaking them down into core concepts, clinical pearls, and exam-ready takeaways. Listen on your commute, between cases, or while studying—anywhere you want high-yield plastic surgery learning on the go.
HOSTED BY
Plastics in Practice
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