Plastic and Reconstructive Surgery
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If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or follow local emergency care protocols 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
- Acute development of peripheral nerve compression symptoms following trauma or acute event
- Lacerations and wounds not suitable for primary health management e.g. lip lacerations, large facial lacerations, lacerations with altered sensation, large skin defects.
Paediatric
- Amniotic band compromising circulation
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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 CPC out of scope section.
- Dupuytren’s contracture (Plastics and Reconstructive Surgery) ADULT
- Vascular anomalies / haemangioma (Plastic and reconstructive Surgery) PAEDIATRIC
- Head and neck mass (Plastic and Reconstructive Surgery) ADULT
- Facial fractures ADULT
- Peripheral entrapment neuropathies including CTS (Plastic and Reconstructive Surgery) ADULT
- Neurofibromatosis PAEDIATRIC
- Congenital hand surgery PAEDIATRIC
- Post-burn reconstruction and scar management ADULT
- General plastic surgery ADULT
- Reconstructive hand surgery ADULT
- Craniofacial deformities PAEDIATRIC
- Cleft lip and palate repair PAEDIATRIC
- Reconstructive breast surgery ADULT
- Ear deformities PAEDIATRIC
- Lower limb reconstruction ADULT
- Skin cancer/skin lesion ADULT
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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 - redirect through gender reassignment clinic
Last updated: 12 February 2019
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