Conditions & treatments covered

Plastic surgery is the specialty dedicated to improving or restoring the appearance and/or function of numerous areas of the body. Reconstructive Surgery restores the form and function that has been lost through accident, disease or birth defect.

Reconstructive Surgery

The Wellington Hospital works closely with Plastic, Cosmetic and Aesthetic consultants to provide a wide range of reconstructive procedures.

For each individual procedure your consultant will discuss with you, your suitability, outcomes and expected results, complications and the amount of recovery time required. Where more than one procedure is undertaken your consultant will advise you on the safest way to recover.  

Our procedures include: 

Craniofacial Surgery

Craniofacial reconstruction or orbital-craniofacial surgery treats deformities of the head and face, whether resulting from birth defects, cancer treatment or injuries to head, face, or jaws.

Congenital anomalies

The most common birth defects and genetic disorders that require head and face reconstruction are:

Treacher Collins Syndrome - resulting from mutation of the human chromosome 5, this condition leads to craniofacial deformities such as an excessively small jaw and airway. In some cases, the ears may be abnormal or even missing.

Cleft Palate - a common birth defect, this affects about one in every 700 infants.

Down syndrome - this is the most common congenital disorder resulting in profound facial features such as small ears, slanted eyes and a large tongue.

Crouzon and Apert syndromes - these syndromes are usually classified together as they consist of a closing in the bones at the top of the skull. As a result, people with these syndromes have a deformed head shape and breathing problems.

Visit The London Craniofacial Unit

Post traumatic and post surgical reconstruction

Following cancer treatment, plastic surgeons become integral to restoration of form and function, rebuilding body parts, limbs and facial features. Often the plastic surgeons will do their work during the surgery to remove the cancer, though sometimes a second operation is the necessary for reconstruction depending upon individual circumstances. Cancers of the head or neck may need bone grafts after removal of the tumour.

Under general anaesthesia, some of the facial bones are cut and repositioned into a more normal facial structure. After cancer treatment, plastic surgery techniques can be used to remerge nerve fibres and facial blood vessels. The procedure may take from four to 14 hours to complete. Pieces of bone (bone grafts) may be taken from the pelvis, ribs, or skull to fill in the spaces where bones of the face and head have been moved. Small metal screws and plates are sometimes be used to hold the bones in place and the jaw may be wired together to hold the new bone positions in place.

Amongst adults, traumatic injuries to the face and head can be comprised of heat, chemicals, and tears. Repairing burns requires plastic surgery while most traumas require maxillofacial surgery. Children mostly experience facial traumas due to accidents or animal bites. Whatever the trauma, after assessment, x-ray or CT imaging of the facial injury will confirm extent and detail of the fractures. The surgeon will want to correct as much as possible in a single treatment, so surgery may require up to 14 hours and involve taking bone from other areas of the body to fix deformed facial bones augmented with polymer implants to fill minor areas.

Skull base oncology

Skull base tumours can affect different parts of the cranium. For example, tumours of the anterior skull base include carcinomas of the paranasal sinuses, esthesioneuroblastomas, angiofibromas, and pituitary tumours.

Tumours in the middle part of the skull base include nasopharyngeal carcinomas, adenoid cystic carcinomas and cavernous sinus meningiomas. In the posterior skull base, one finds tumours such as acoustic neuromas (schwannomas), chordomas, chondrosarcomas and glomus tumours. Although certain tumours are treated occasionally by one specialist, the majority of cases require the skills of an interdisciplinary team.

Treatment for tumours of the skull base may involve surgery, radiation therapy, chemotherapy or a combination of therapies.

Doctors

Browse doctors for this speciality, and find out more about their skills

Mr Gabriel Alvarez Parra Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Gabriel Alvarez Parra
Mr Giles Bantick Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Giles Bantick
Mr Jagdeep Chana Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Jagdeep Chana
Professor David Dunaway Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Professor David Dunaway
Mr Simon Eccles Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Simon Eccles
Professor Jian Farhadi Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Professor Jian Farhadi
Mr David C Floyd Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr David C Floyd
Mr Andreas Fox Consultant Hand Surgeon
Plastic & Reconstructive Surgery
Mr Andreas Fox
Mr David Gault Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr David Gault
Mr Adriaan Grobbelaar Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Adriaan Grobbelaar
Mr Douglas Harrison Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Douglas Harrison
Mr Ciaran Healy Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Ciaran Healy
Mr Shehan Peter Hettiaratchy Consultant Plastic & Reconstructive Surgeon
Plastic & Reconstructive Surgery
Mr Shehan Peter Hettiaratchy
Mr Lucian Ion Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Lucian Ion
Prof Abhilash Jain Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Prof Abhilash Jain
Mr W Niall A Kirkpatrick Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr W Niall A Kirkpatrick
Mr Alastair MacKenzie Ross Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Alastair MacKenzie Ross
Mr Anthony MacQuillan Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Anthony MacQuillan
Mr Afshin Mosahebi Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Afshin Mosahebi
Professor Jagdeep Nanchahal Consultant Hand, Plastic & Reconstructive Surgeon
Plastic & Reconstructive Surgery
Professor Jagdeep Nanchahal
Mr Gregory O'Toole Consultant Reconstructive Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Gregory O'Toole
Mr Raj Ragoowansi Consultant Plastic, Aesthetic and Hand Surgeon
Plastic & Reconstructive Surgery
Mr Raj Ragoowansi
Mr Paul J Smith Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Paul J Smith
Mr Neil Toft Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Neil Toft
Mr Rajan Uppal Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Rajan Uppal
Mr Norman Waterhouse Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Norman Waterhouse
Mr Ian Winspur Consultant Orthopaedic Surgeon
Plastic & Reconstructive Surgery
Mr Ian Winspur
Mr Simon John Withey Consultant Plastic Surgeon
Plastic & Reconstructive Surgery
Mr Simon John Withey