Shock Trauma's Plastic Surgery Division provides expert care for patients with:

  • Facial deformities
  • Craniofacial deformities
  • Extremity injuries
  • Complex wounds

This service is a regional resource for physicians challenged by both acute and secondary complex facial injuries and microvascular reconstructive needs of complex extremity and other wounds.

Patients with the following acute and secondary conditions may benefit from referral to the Shock Trauma Plastic Surgery Service:


  • Severe facial injuries with complex skeletal fractures and/or soft-tissue injuries
  • Complex extremity fractures with loss of soft-tissue coverage requiring local and/or free microvascular reconstruction
  • Intricate bodily injuries requiring local and/or free microvascular tissue reconstruction


  • Complex craniofacial skeletal nonunions and/or malunions
  • Infection and/or osteomyelitis of the craniofacial skeleton
  • Complex infections and/or osteomyelitis of other skeletal structures requiring a combined effort between orthopaedics and plastic surgery. Specifically, bony debridement and a local or microvascular free tissue reconstruction
  • Challenging scar deformities involving the head/neck, extremities and/or trunk.
  • Complex secondary deformities requiring local and/or free microvascular reconstruction

Patients requiring post-acute services can be followed by the referring physicians, Shock Trauma plastic surgery faculty, or other specialists in the University Rehabilitation Network.

In addition to establishing the standards of care for facial injuries and extremity reconstruction, the plastic surgery faculty is dedicated to advancing these fields for future care. Research investigations include areas of:

  • Facial transplantation
  • Craniofacial growth and development
  • Biomaterials and clinical outcome studies of current techniques.

Shock Trauma is the principal training site for a number of plastic surgery residency programs in the region which send rotating residents for additional experience in facial injuries and extremity salvage. Additionally, the R Adams Cowley Shock Trauma Center offers the following residencies and fellowships that are based at Shock Trauma, Johns Hopkins and University of Maryland Hospitals:

The services of plastic and reconstructive surgery at the R Adams Cowley Shock Trauma Center:

  • Available for consultation and patient referral 24 hours a day, 7 days a week
  • Ambulatory patients are evaluated in the Shock Trauma Outpatient Clinic at 410-328-3179
  • Hospitalized patients can be transferred via University of Maryland One Call/Maryland Express Care at 1-800-373-4111
  • Plastic, Maxillofacial & Reconstructive Surgery

R Adams Cowley Shock Trauma Center
22 S. Greene St., T1R38
Baltimore, MD 21201