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Plastic and Reconstructive Surgery

Find assessment and management information on Plastic and Reconstructive Surgery conditions at:

Emergency Immediate transfer to the Emergency Department

If any of the following are present or suspected, phone 000 to arrange immediate transfer to the emergency department or seek emergent medical advice if in a remote region.

  • Airway compromise
  • Uncontrolled bleeding
  • Acute burns
  • Uncontrolled sepsis including hand infections
  • Complex facial fractures
  • Compound fractures
  • Threat to limb viability
  • Hand fractures (open or closed)
  • Acute fingertip injuries
  • Tendon injuries
  • Lacerations and wounds not suitable for primary health management e.g. lip lacerations, large facial lacerations, lacerations with altered sensation, large skin defects.
  • Acute development of peripheral nerve compression symptoms following trauma or acute event

Are you referring to the right service?

  • Referrals for hand surgery should be addressed to Orthopaedic Outpatient department (Dr Senewiratne)
  • Spinal Cord Injury patients are seen by the plastics team in a Spinal Injuries clinic only if a previous patient of the Queensland Spinal Cord Injury Service.
  • Referrals for Benign cysts and lumps on trunk and limbs AND Benign moles not on face can be addressed to General Surgery at QEII, Logan or Redland Hospital.
  • Referrals for confirmed melanomas should be addressed to Melanoma Clinic

Urgent referrals Arranging urgent review

To arrange an urgent review, please phone the relevant hospital’s switchboard and ask to speak to the Registrar of the relevant specialty.

Out of scope services

The following are not routinely provided in a public Plastic and Reconstructive Surgery service.

  • Redundant tissue, excision (anywhere)
  • Minor or asymptomatic scarring
  • Liposuction
  • Asymptomatic benign lesions
  • Cosmetic rhinoplasty
  • Cosmetic labioplasty
  • Tattoo removal
  • Cosmetic augmentation mammoplasty
  • Replacement of breast implants
  • Gynaecomastia in the context of obesity where the breast size is proportionate to the body habitus
  • Small volume breast reductions done for re-shaping
  • Revisions after cosmetic surgery
  • Gender reassignment surgery - (Referral to Gender Clinic only)*

*The Gender Service is located at the Royal Brisbane and Women’s Hospital and includes the following services:

  • Assessment and affirmative treatment of adults with Gender Dysphoria or gender non-conforming behaviour or identity.
  • Time-limited support from the Department of Social Work and Psychology for patients with social adjustments related to Gender Dysphoria.
  • Adjustment support for family and significant others
  • Therapeutic assessment and affirmative treatment of gender issues and other co-existing conditions
  • Speech Pathology service provides voice feminisation and masculinisation services to adults who have been seen by the RBWH Gender Service and meet criteria for gender incongruence/ dysphoria. Trans and gender-diverse patients cannot be referred directly to the Speech Pathology service.
  • Assessment and report by Psychiatrist for gender affirmation surgery
  • Assessment for co-existing developmental disorders (Autism, ADHD) or mental illness for adults who are already accessing the service for gender affirmation, if applicable.
  • Community linking and referrals to relevant services.
  • Medical assessment and commencement of gender affirming hormone therapy by the Sexual Health Physician once readiness for treatment has been confirmed.
  • Assessment of readiness for gender affirming hormone therapy and review following commencement of hormone therapy, as needed, by the GP with Special Interests (GPwSI).
     

Until further notice, the Plastic and Reconstructive Surgery Department, Princess Alexandra Hospital will no longer be accepting referrals for the following conditions:

  • Breast reduction surgery
  • Symmetrising breast surgery
  • Surgery for tuberous breasts

Notes

  • Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service.  Access to some specific services may include initial assessment and management by associated public allied health and/or nursing, which may either facilitate or negate the need to see the public medical specialist.
  • A change in patient circumstance (such as condition deteriorating, or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
  • Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

Out of catchment

Metro South Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service.  If your patient lives outside the Metro South Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

Last updated 3 June 2024