Plastic and Reconstructive Surgery

Plastic surgeons specialize in the reconstruction and repair of tissues affected by trauma, congenital abnormalities, or disease (such as cancer). The scope of plastic surgery includes procedures on the skin, soft tissues, and bones, with a particular focus on restoring form and function. Key areas include hand and upper limb surgery, skin surgery, head and neck surgery, breast surgery, complex reconstruction and amputations, abdominal wall and paediatric plastic surgery.

St George’s University Hospitals NHS Foundation Trust’s Plastic Surgery Department provides comprehensive services covering both elective (planned) and emergency cases. Our team consists of 14 consultants with specialised expertise across the full spectrum of plastic surgery. The department is renowned for its expertise in complex reconstructive surgery, particularly in the areas of skin oncology, breast reconstruction, and microsurgery and manages large volumes of complex hand trauma.

The department’s Hand Surgery Unit is a collaborative effort between plastic surgeons, orthopaedic surgeons and advanced nurse practitioners, focusing on both traumatic and non-traumatic conditions of the hand and upper limb. The unit addresses a wide array of conditions, from acute injuries such as tendon and nerve repairs to chronic conditions like Dupuytren’s contracture and rheumatoid arthritis. The unit also provides specialist care for congenital hand deformities.

The skin oncology service focuses on the management of skin cancers, including melanoma, basal cell carcinoma, and squamous cell carcinoma. This unit is supported by a multidisciplinary team, including dermatologists, oncologists, and specialist nurses, ensuring that patients receive holistic care tailored to their individual needs. The department is actively involved in research and clinical trials, contributing significantly to advancements in the treatment of skin cancer.

The breast reconstruction service provides both immediate and delayed reconstruction options for patients undergoing mastectomy due to breast cancer. The unit offers a range of reconstructive techniques, including implant-based reconstruction and autologous tissue reconstruction, such as the DIEP (Deep Inferior Epigastric Perforator) flap, which is recognised for its natural results.

As the major trauma centre for south west London, we manage a wide range of trauma, working closely with colleagues in other specialties to ensure patients receive the best possible care.

St George’s University Hospitals NHS Foundation Trust remains at the forefront of plastic surgery through its commitment to clinical excellence, education, and research. Our surgeons are deeply involved in ongoing research projects and contribute to the development of innovative techniques and treatments, ensuring that our patients benefit from the latest advancements in the field.