Pardon our dust!

YESTERDAY, the Plastic Surgery Education Network (PSEN) went through its first redesign. It was a major change for the site, completely altering our navigation structures, page URLs, search widgets and much more.

"New" PSEN

PSEN launched in 2011, and over the course of time, the site grew and evolved. It was time to reorganize. Members told us they wanted a cleaner site with easier navigation and better search utilities… and we listened, adding navigation styles and interactive functions utilized by sites like Twitter, Facebook and Pinterest. We basically picked up the content of PSEN and moved it into a whole new house! We’ve been preparing for this for several months now, and made things as ready as possible behind the scenes for the transition… but there are still some boxes that need unpacking and some digital dust that needs sweeping. It will take a few days before all of the lights are plugged in and the pictures are on the walls.

We thank you for your patience over the next few days as we tidy up, and hope you’ll enjoy the new look, feel and functionality of PSEN.

For those looking for which cabinets we’ve stowed things in…

"Old" PSEN

The top navigation of PSEN has been changed to better represent the most-used items on the site. While previously, you found CME and MOC Online Courses, Surgical Videos, Case Reports, Lectures and more underneath a single not entirely accurate tab (called Online Courses), we now have given each of these content areas their own distinct, top-of-site navigation. We’ve also expanded our former “News” tab to be Publications. So now, you’ll find our Literature Reviews and Patient Safety and PSN News articles there, as well as CPT Corner, our Calendar of Meetings and the Essentials of Plastic Surgery “red” book.

The My Learning Plan and access to any CME Courses you’ve purchased remain available under the My PSEN tab. And when you see CME courses or meeting lectures in a list that you’ve already purchased (or registered for), you’ll see those items highlighted with a “purchased” tag.  If you’re interested in solely viewing content by subspecialty, rather than seeing “all Case Reports” or “all Videos,” you can use the filters on the left side of each page to narrow down the list returns, or you can go to the Browse By Subject link in the top navigation bar.

You’ll also see a new “Follow” widget on the home page, and some other areas of the site. By clicking the “Follow” button on a particular topic, you will be subscribed to an alert system that sends you email when three or more new pieces of content are added to that topic area.  You’ll also be able to “Favorite” and discuss items, and the most popular content will appear in a “Most Popular On PSEN” widget (once surgeons begin using the system).

So… there’s a lot going on with the “new” PSEN. We will be re-configuring things behind the scenes for the next couple days, but please don’t hesitate to reach out to us with any questions or concerns at

And please… pardon our dust as we continue to build the best library for plastic surgery on the Internet!


New Surgery Spotlight Now Available

IN THE JULY SURGERY SPOTLIGHT, Greg Borschel, MD, and Ronald Zuker, MD, perform a Segmental Gracilis Muscle Transplant on a 15-year-old boy who has right unilateral acquired facial palsy due to a brain tumor. In preparation for this surgery, the boy has previously had a cross-face sural nerve graft placed.

In this eight-hour case, two teams work simultaneously. One team harvests and prepares the segment of the gracilis muscle, while the second team works at the recipient site, preparing the facial artery and vein for anastomosis, and preparing the previously placed cross-face sural nerve graft for coaptation from the motor nerve to the gracilis muscle.

At the donor site, Dr. Borschel explains the importance and the process of de-bulking and splitting the gracilis muscle and presents a detailed diagram that demonstrates how the graft will be modeled and placed.  At the recipient site, Dr. Zuker demonstrates the movement of the facial muscles in creating a smile before measuring the anatomy inside the face so that the gracilis graft can be appropriately sized.  He then prepares the distal stump of the previously placed sural nerve graft for connection to the new graft.

Dr. Borschel notes that while different teams utilize running sutures and GI staplers to anchor the gracilis transfer, his team’s approach is to use reinforcing mattress sutures and anchoring sutures in an figure 8 pattern in order to create a secure fixation at the level of the oral commissure. After blood supply to the flap is established, Drs. Borschel and Zuker  anchor the graft at the commissure, fan out the muscle to achieve an appropriate level of tension, and the distal end is then sutured in place before closure.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD LibrarySurgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).