Treatments & Services
Breast & Body
Our breast and body procedures aim to restore aesthetics related to changes from medical conditions, congenital differences, weight loss, pregnancy, and ageing. We offer abdominoplasty, body contouring, breast reconstruction, breast reduction, breast lift, breast augmentation, correction of breast asymmetry, and treatment for gynaecomastia.
Abdominoplasty
Abdominoplasty, commonly known as a ‘tummy tuck’, is performed to improve the contour and firmness of the abdominal area. The procedure involves removing excess skin and fat plus repairing separated abdominal wall muscles. While often carried out for cosmetic reasons, abdominoplasty can also serve a reconstructive purpose, addressing abdominal changes resulting from pregnancy or significant weight loss.
Body Contouring
Body contouring encompasses a variety of aesthetic procedures aimed at enhancing the appearance of the body by altering its size or shape. It is commonly performed on areas such as the waist, abdomen, thighs, buttocks, upper torso, and upper arms. Surgical techniques may involve removing excess skin and fat, the use of implants, and performing lifts to reposition tissue. Fat removal can be achieved through direct surgical excision or liposuction.
Breast Reconstruction
Breast reconstruction is a common surgical procedure for women who have undergone a mastectomy or partial mastectomy with the aim of restoring the breast’s natural appearance and shape. This procedure can be performed immediately after a mastectomy or at a later time. There are two primary types of breast reconstruction: implant-based and autologous reconstruction. Implant-based reconstruction involves placing an implant beneath the skin and muscle to recreate the breast's shape. In autologous reconstruction, skin, fat, and sometimes muscle is taken from another part of the body to form the new breast.
The most suitable approach depends on factors such as age, overall health, the size and shape of the remaining breast, the need for additional treatments, and the availability of body tissue.
Breast Reduction
Breast reduction, also known as reduction mammoplasty, is a surgical procedure that reduces the size of overly large breasts. Overly large breasts can cause physical problems such as chronic neck, back, and shoulder pain, skin irritation, and difficulty engaging in physical activities. health issues and emotional problems for some women. In addition to self-image issues, it can also cause physical pain and discomfort. Breast reduction surgery not only enhances physical comfort but also improves overall quality of life by creating a more proportionate breast size that aligns with a woman’s body frame and lifestyle.
Breast Lift
Breast lift surgery, also known as mastopexy, is a procedure that raises breasts that are excessively ptotic. Excess skin is removed to tighten the surrounding tissue and to reshape and support the new breast contour. This gives the breasts a firmer and raised appearance. A breast lift can also reduce the size of the areola.
Breast Augmentation
Breast augmentation, also known as augmentation mammoplasty, can be a cosmetic procedure or a reconstructive procedure in the case of breast reconstruction surgery. The procedure involves implants being inserted beneath the breasts to enlarge them. Breast augmentation can be combined with breast lift surgery, also known as augmentation-mastopexy.
Breast Asymmetry
Breast asymmetry correction surgery includes a range of procedures designed to enhance the balance between the breasts when noticeable differences exist. While minor variations are normal, significant differences in size, shape, or position can be addressed to create a more symmetrical appearance.
The approach taken depends on the degree of asymmetry and individual breast characteristics. Options include enlarging the smaller breast (breast augmentation), reducing the larger breast (breast reduction), or lifting a ptotic breast to achieve a more natural position (breast lift).
Gynaecomastia
Surgery for gynaecomastia refers to reconstructive procedures that correct excessive enlargement of the male breast.
Face
Our facial procedures aim to improve the function and appearance of every region of the face, including the brow and eyelids, nose, lips, ears, jaw, and neck. We offer brow lift, blepharoplasty, rhinoplasty, otoplasty, jaw surgery and genioplasty, and facial contouring with implants.
Rhinoplasty
Rhinoplasty is a surgical procedure designed to reshape the nose, enhancing its appearance and/or function. It is often performed alongside a septoplasty, a procedure that corrects a deviated septum to improve nasal airflow.
The goals of a rhinoplasty can vary and may include straightening a crooked nose, refining the nasal tip, restoring dorsal height, altering the size or shape of the nostrils, or reducing a dorsal hump. A rhinoplasty may be used to improve the appearance of the nose due to differences related to congenital conditions, facial trauma, or skin cancer surgery.
Genioplasty
A genioplasty is a surgical procedure that alters the position, shape, or size of the chin. It is commonly performed to advance a receding chin or to correct lower facial asymmetry. This procedure can be performed in two ways: by moving the underlying bone or with an implant.
A genioplasty is frequently combined with other facial procedures, such as rhinoplasty or jaw surgery, to achieve a more balanced profile.
Brow Surgery
A brow lift is a surgical procedure that corrects a sagging or deeply furrowed brow. The procedure is often performed to reduce the creases, or ‘frown lines’, that develop across the forehead and on the bridge of the nose. It can also raise the eyebrows to a more alert and youthful position.
Eyelid Surgery
A blepharoplasty is a procedure that removes excess fatty tissue and/or loose skin surrounding the eyes to give the area a more rejuvenated appearance. This can be carried out on the upper and/or lower eyelid.
Other surgeries on the eyelid include correction of ectropion (when the eyelids turn out) or entropion (when the eyelids turn in).
Face & Neck Lift
A facelift is a surgical procedure that tightens and removes sagging skin on the face and neck in order to reduce wrinkles and restore a more youthful appearance. This procedure targets signs of aging by addressing skin laxity, deep folds, and loss of facial volume. Fat may be added to areas of the face as part of the procedure and excess fat in other areas may be removed or repositioned.
A neck lift is frequently performed alongside a facelift to address sagging skin, muscle laxity, and excess fat under the chin and jawline, creating a more defined and youthful profile.
Facelift techniques range from mini-facelifts with smaller incisions for mild aging concerns to deep plane facelifts, which provide more dramatic and longer-lasting results by repositioning deeper facial structures. The procedure can be customized to target specific areas such as the midface, jawline, or neck, depending on the patient’s goals.
Facial Contouring & Facial Implants
Facial implants are a form of cosmetic surgery designed to improve and enhance facial contours. Implants are inserted in areas of the face to provide a more harmonious balance to facial features and its overall appearance.
Paediatric
Paediatric plastic surgery improves the quality of life for children with congenital conditions or injuries. Many of these conditions affect the head and face. We offer treatment for cleft lip and palate, craniosynostosis, otoplasty, paediatric skin lesions, and other congenital differences such as craniofacial microsomia.
Cleft Lip & Palate
A cleft lip and/or palate is a congenital condition in which the lip and/or the two halves of the palate do not fuse property during early development. This can occur on one side of the face only (unilateral) or on both sides (bilateral). It affects approximately one in every 600 to 800 babies.
Surgery is required to repair the cleft lip and/or palate during infancy, however, regular input from medical professionals is required into adulthood. Children with a cleft lip and/or palate may have ongoing needs related to speech, dentition and dental alignment, and hearing. Comprehensive care typically involves a multidisciplinary team, including paediatricians, speech language therapists, dentists, orthodontists, otologists, and psychologists.
There may also be further surgery required including alveolar bone grafts, surgery for speech, jaw surgery, and revision nose and lip surgery.
At Terrace Plastic Surgery we offer the full spectrum of surgical care for children and young adults with a cleft lip and/or palate. Please note that, while surgery may be carried out in the private sector, we recommend that all children still be linked to the Queensland Children’s Hospital Cleft Lip and Palate Multidisciplinary Team Clinic. Our team at Terrace Plastic Surgery will be able to co-ordinate these referrals.
Craniosynostosis
Craniosynostosis is a condition in which the fibrous joints between the skull bones, known as sutures, fuse prematurely, typically before or at birth. This early fusion can lead to an abnormal head shape and, in some cases, may restrict brain growth, resulting in increased pressure inside the skull.
Craniosynostosis can affect a single suture (single suture craniosynostosis) or multiple sutures (complex or syndromic craniosynostosis). The most common types are:
- Sagittal synostosis (scaphocephaly) which causes a long narrow head shape
- Metopic synostosis (trigonocephaly) which results in a triangular forehead shape
- Coronal synostosis which results in a flattened forehead on one side (if it is unilateral) or a short flat head shape (if it is bilateral)
The diagnosis of craniosynostosis is made from clinical examination and a CT scan.
Surgical treatment for craniosynostosis aims to correct skull shape abnormalities and create sufficient space for the brain to develop properly. Surgery is usually performed within the first two years of life and can involve different techniques, including spring-assisted cranioplasty and cranial vault remodelling procedures. The most appropriate surgical approach depends on the severity and type of craniosynostosis.
The surgery is carried out by a specialized team consisting of a plastic surgeon and a neurosurgeon, who work together to ensure a functional and aesthetic outcome.
At Terrace Plastic Surgery we offer surgery for craniosynostosis and co-ordinate care with neurosurgeons Dr Robert Campbell and Dr Amelia Jardim. Please note that, while surgery may be carried out in the private sector, we recommend that all children still be linked to the Queensland Children’s Hospital Craniofacial Multidisciplinary Team Clinic. Our team at Terrace Plastic Surgery will be able to arrange these referrals.
Otoplasty
Ear surgery, also known as otoplasty, is a procedure that changes the shape and/or projection of the ear. In general, an otoplasty is used to reduce the prominence of ears that stick out too much though it can also refer to changing the shape or reducing the size of the ear (or lobule).
Paediatric Skin Lesions
A variety of cystic, pigmented and non-pigmented skin lesions are commonly encountered in the paediatric population. Surgical removal can be carried out for the diagnosis and treatment of problematic lesions.
Other Congenital Differences
Paediatric plastic and reconstructive surgery aims restore function and appearance for a host of other congenital anomalies, including the following:
- Craniofacial microsomia and other conditions resulting in facial asymmetry
- Facial clefts
- Macrostomia
- Maxillofacial dysplasias
- Micropthalmia
- Orbital dystopia and other orbital dysplasias
- Tuberous breast deformities and Poland syndrom
- Other congenital ear anomalies (e.g. cryptotia, cleft lobule)
- Vascular anomalies (e.g. infantile haemangiomas, venous and lymphatic malformations, and arteriovenous malformations)
Facial Injuries
Facial trauma can result from accidents, sports injuries, burns, and animal bites, affecting both the bones and soft tissues of the face. These injuries may impact critical functions such as vision, chewing, speaking, and swallowing, while also significantly affecting facial appearance.
The acute management of open facial wounds is typically performed within 24 to 48 hours and may involve microsurgical repair of structures such as the facial nerve, tear ducts, or salivary ducts if lacerated. When facial fractures occur, surgery is usually scheduled within two weeks of the injury, allowing time for swelling to subside so the damage can be accurately assessed and effectively treated.
Skin Cancer
We are dedicated to the timely and effective removal of skin cancers, including BCC, SCC, melanoma, and other soft tissue tumours. We prioritise early treatment and an aesthetic reconstruction following skin cancer excision.
BCC
Basal Cell Carcinoma (BCC) is by far the most common type of skin cancer. Fortunately, it’s also the least dangerous. Three-quarters of Australians who have skin cancer have BCC. It tends to grow slowly, and rarely spreads beyond its original site. However, if left untreated, it can grow deep beneath the skin and into the underlying tissue and bone, causing serious damage, particularly if it is located near the eye.
SCC
Squamous Cell Carcinoma (SCC) is faster growing than Basal Cell Carcinoma (BCC). It frequently appears on the head, neck, hands and forearms, which typically receive more sunlight. SCC is more dangerous than BCC because it can spread to other parts of the body if not treated promptly. SC can become life threatening if left untreated.
SCC looks like a red scaly spot or lump and is usually thickened. It can bleed easily and may ulcerate. It is usually tender to the touch.
Melanoma
Although melanoma is usually highly malignant, it can often be treated successfully if diagnosed early. If it’s not treated quickly, however, malignant melanoma may spread throughout the body and is often deadly. Malignant melanoma can occur on any part of the body, including areas that have not been exposed to the sun. In women, it is more common in the arms and legs, and in men on the face, back and chest. About half of all cases of melanoma develop from moles. The other half develop on previously normal skin as a new lesion.
Other Soft Tissue Tumours
Other soft tissue tumours include sarcoma, a rare type of cancer that develops in soft tissues such as fat, muscle, blood vessels, lymphatic vessels, nerves.
Reconstructive Microsurgery
Reconstructive microsurgery involves the use of an operating microscope to repair small nerves, blood vessels, or lymphatic vessels. It is used in our practice for the transfer of tissue from a distance site (free flap) for head and neck reconstruction, limb reconstruction, and the coverage of complex wounds. Microsurgery can also be used for lymphatic reconstruction in patients with lymphoedema.
Head & Neck Reconstruction
Head and neck reconstruction with free flaps is a complex surgical procedure often performed after the excision of tumours of the head and neck region. This reconstruction involves taking tissue from another part of the patient’s body and transferring it to the defect site in the head or neck. The tissue, known as a free flap, is reattached using microsurgical techniques to reconnect blood vessels.
The procedure can involve various types of flaps, including skin, muscle, bone, or combinations of these, depending on the size and nature of the defect. Reconstruction is typically performed immediately after cancer excision, aiming to restore anatomical function and protect vital structures.
Limb & Complex Wound Reconstruction
Free flaps may be required for the reconstruction of limb defects and complex wounds. Such wounds may result from trauma, infection, burns, or cancer surgery. This procedure involves transferring tissue from another part of the patient's body and reattaching it to the wound site using microsurgical techniques to reconnect blood vessels.
Free tissue transfer is generally required when wounds cannot be closed with skin grafts or local flaps. The type of free flap is chosen based on the wound's specific needs and may include skin, muscle, bone, or combinations of these.
Lymphoedema
Lymphoedema surgery is a set of surgical procedures aimed at managing or treating lymphoedema, a condition where there is a buildup of lymphatic fluid, leading to swelling, typically in the arms or legs. Lymphedema can occur after damage to the lymphatic system, such as following cancer treatments like radiation or surgery or as a congenital condition. The primary goal of lymphoedema surgery is to reduce swelling, improve limb function, and enhance quality of life for patients.
There are various surgical options for lymphoedema, including lymphatic bypass surgery, lymph node transfer, and debulking surgery. Surgery is often considered when conservative treatments, such as compression garments, physical therapy, and lifestyle changes, are insufficient
Together, we rebuild, renew, and restore—with expertise and care.
