Reconstructive surgery rebuilds the way a part of the body looks and works, after an injury, a scar, a difference a child is born with, or removing a growth. Here is where to start.
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Consultant-led children's care
One consultant. Planned and carried out by the same person.
Reconstructive surgery at Evelina London Children's Hospital and/or The Portland Hospital, with the right team around your child.
Reconstructive surgery in brief
One consultant,
planned and carried out.
Clear guidance for families whose child needs reconstruction after an injury, a scar, a difference from birth, or removing a growth.
Consultant-led care
Miss Jana Torres-Grau
Consultant Paediatric Plastic Surgeon, Evelina London and The Portland Hospital
Miss Jana Torres-Grau plans and carries out reconstructive surgery for children at Evelina London Children's Hospital and The Portland Hospital.
This covers rebuilding after an injury, improving scars, reconstruction for a difference present from birth, and repair after a growth is removed, each with its own page below. Whichever fits your child, the first step is an assessment.
What reconstruction covers
Each area below has its own page with honest detail. Tap through to the one that fits your child.
After an Injury
Cuts, wounds and damage from an accident can be repaired and, where needed, rebuilt.
Scars
Older or troublesome scars, including raised keloid and hypertrophic scars, can often be improved with injections, laser or surgery.
Differences Present From Birth
Some children are born with a difference that benefits from reconstruction, such as the ear or hand.
After a Growth Is Removed
When a lump, mole or cyst is taken out, the area can be repaired neatly.
Hospitals
Evelina London Children's Hospital and The Portland Hospital
Patients
Children from birth to 18
Registration
GMC Specialist Register, FRCS (Plast)
Appointments
Same-week appointments available
One consultant to plan it
One Consultant to Plan It
Miss Torres-Grau plans the whole reconstruction and carries out the surgery herself. She has trained across many units in the breadth of plastic surgery, including burns, trauma and conditions children are born with, with a specialist craniofacial fellowship. She works within a children's hospital, with other teams alongside her when part of the care sits with them.
Reconstruction restores and improves, and she will give you an honest picture of what is realistic for your child before anything goes ahead.
The work is about restoring how the body looks and works for each individual child, so even an unusual or rare case can often be helped.
Miss Jana Torres-Grau
When something does not fit a category
When Something Does Not Fit a Category
Reconstruction is rarely the same twice. If something has happened to your child, or they were born with a difference you do not see described here, it is still worth asking. The work is about restoring how the body looks and works for each individual child, so even an unusual or rare case can often be helped. Where surgery is not the right step, Miss Torres-Grau can still give you a clear opinion.
How it starts
Whichever area applies, the route in is the same. You get in touch, the team replies the same day, and you come in for an assessment, in person or online. From there you receive an honest plan and a written quote, and any surgery and follow-up are arranged around your child. Because reconstruction in children is often done in stages, the plan may cover more than one step over time.
Not sure what your child has, or whether it needs treating?
An assessment with Miss Torres-Grau is a calm, honest conversation. She will look, explain what she finds, and tell you clearly whether anything needs doing and what your options are.
No obligation. If you are not sure where to begin, it is still worth asking.
It is surgery that rebuilds the way a part of the body looks and works. For children that can mean repair after an injury, improving a scar, reconstruction for a difference present from birth, or tidying the area after a growth is removed.
Can my child's injury, scar or difference be improved?
Often significantly. An assessment will tell you what is realistic for your child, and what each option would involve.
Can one consultant plan all of this?
Yes, Miss Torres-Grau assesses and plans the reconstruction and carries out the surgery herself. For complex cases that need more than plastic surgery, she works with the right teams within the children's hospital.
When is the right time, now or as my child grows?
That depends on the child and the problem. Some reconstruction is best done early, some is better when a child is older, and an assessment will tell you what suits your child and why.
Ready when you are
Most things can be helped.
Find out what is possible for your child.
An assessment is a positive first step. You come in, the problem is examined and explained, and you leave with a clear picture of what reconstruction can do, what it would involve, and what to expect. There is no pressure to go ahead until you are ready.
Miss Jana Torres-Grau · Consultant Paediatric Plastic Surgeon at Evelina London Children's Hospital and Portland Hospital
Two London hospitals, one surgeon
Same surgeon at both
Miss Torres-Grau sees children and teenagers privately at Evelina London and The Portland Hospital. At both, your child is seen by the same consultant, who also carries out any surgery. You do not need to choose a hospital before you get in touch. Miss Torres-Grau will suggest the one that suits your child, or you can decide together at the first consultation, by video or in person, in English or Spanish.
Evelina London Children's Hospital
Specialist children's hospital
A specialist children's hospital in central London, with intensive care on site. Miss Torres-Grau sees children and teenagers up to 18 privately here, and carries out any surgery herself.
Westminster Bridge Road, London SE1 7EH
Ten minutes' walk from Westminster or Lambeth North
Miss Torres-Grau sees children and teenagers up to 18 at The Portland's outpatient clinic on Harley Street, which has its own procedure room. Any operation takes place in the main hospital on Great Portland Street, with paediatric intensive care on site.
Clinic: 84 Harley Street, London W1G 7HW
A short walk from Regent's Park and Great Portland Street stations
Miss Torres-Grau's profile is verified on Doctify, a healthcare review platform. If she has cared for your child, leaving a review there guides other parents towards the right specialist.
Fill in the form and the team will be in touch, usually the same day. There is no obligation, and I will always give you an honest view of whether a consultation is the right next step.
We aim to reply the same day
A GP referral is not needed, though helpful if you have one
Consultations in English and Spanish
Professional advice about whether surgery is the right for your child