Hand surgery is essentially divided into two categories: traumatic, or injury related, and elective. Plastic surgery remains at the forefront in the treatment of traumatic hand injuries. These may be the result of a work related or recreational accident, or an injury in the home.

A/Prof Gianoutsos confines his hand surgery practice to conditions below the wrist. These include fractures, lacerations, injuries to tendons, nerves, blood vessels, nail bed injuries, as well as elective conditions such as carpal tunnel release, Dupuytren's contracture, ganglion removal and trigger finger release.


Craniofacial surgery is a discipline of Plastic Surgery that evolved in France in the late 1960's through the visionary hands of Paul Tessier. He pioneered techniques that have enabled the treatment of patients initially with congenital or birth defects involving the cranial vault and face to both function at a more normal level, as well as allowing them to integrate into society more freely.

A/Prof Gianoutsos had the privilege to train as Craniofacial Fellow with Dr Joseph G. McCarthy, an American pioneer in such surgery, at New York University Medical Centre. A/Prof Gianoutsos currently runs the Sydney Craniofacial Unit at the Sydney Childrens' Hospital, as well as the Craniofacial Research Unit through the University of New South Wales and The Sydney Childrens' and Prince of Wales Hospitals.

Craniofacial techniques allow for the treatment of cranial and facial injuries and fractures, as well as improvements and refinements in facial cosmetic surgery.