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Plastic and Reconstructive Surgery

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.


  • Amniotic band compromising circulation



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