Plastic and Reconstructive Surgery

Conditions

Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the out of scope section.

Paediatric services

Referrals for children and young people should follow the Children’s Health Queensland referral guidelines.

If any of the following are present or suspected arrange immediate transfer to the emergency department.

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

Out of scope services

Not all services are funded in the Queensland public health system. 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
• Gynaecomastia in the context of obesity where the breast size is proportionate to the body habitus
• Replacement of breast implants
• 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).

Clinic details

Royal Brisbane and Women’s Hospital
Level 1, James Mayne Building

Specialists list