General Plastic an Reconstructive Surgery
Plastic Surgery encompasses a very wide range of procedures and disciplines. It is concerned with the delicate surgical handling of tissues in all parts of the body using detailed knowledge of the blood supply and behaviour of those tissues to enable both treatment and restitution of form and function.
Our surgical philosophy remains much as that of the sixteenth century Italian Plastic and Reconstructive Surgeon, Gaspare Tagliozzi:
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.
I confine my 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 which evolved in France in the late 1960's through the visionary hands of Paul Tessier. He pioneered techniques which 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 now 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.
These techniques also allow for the treatment of cranial and facial injuries and fractures as well as improvements and refinements in facial cosmetic surgery.