urgent Care

Do not send referrals for trauma or infectious processes.

I am not a hospital-based surgeon and this will result in delays in timely and urgent treatment.

Please page the plastic surgeon on call in your local hospital for these cases.

Practice Areas

I practice primarily in the Toronto area at Sherbourne Health.

I also provide service as a locum surgeon in Northern Ontario.

Sherbourne Health

Gender Affirmation Referrals

Referrals for surgical gender affirmation fall into five categories. Please note the one that applies to your client.

1) Clients WITH OHIP Approval for Top Surgery (Mastectomy or Augmentation):

Unfortunately, I am not currently taking referrals for top surgery.

2) Clients who are looking to self-pay for Top Surgery:

Unfortunately, I am not currently accepting referrals for surgery at this time.

3) Clients who are looking to have Facial Feminization Surgery (this is not covered by OHIP):

Unfortunately, I am not currently accepting referrals for surgery at this time.

4) OHIP Clients WITHOUT OHIP Approval at any pre-surgical stage for any Gender Affirming Surgery anywhere in the world:

I perform information consultations for clients contemplating or planning surgery including mastectomy (keyhole, periareolar, double incision, inverted T, various pedicles), breast augmentation, body contouring affirmation, facial feminization, vaginoplasty (“zero-depth”, penile inversion, colon-lining, peritoneal pull-through), phalloplasty (radial forearm flap, ALT flap, latissiumus flap), metoidoplasty, clitoral release). This is a service I offer as access to the operating surgeon is not always convenient or possible, and having questions answered by a fellowship-trained gender surgeon can assist in pre-surgical planning and preparation.

PLEASE NOTE: I do not perform primary or secondary assessments for OHIP pre-approval.

Please fax a referral letter to Sherbourne Health at 416-324-4181.

5) Clients returning from gender affirming surgery from outside Ontario:

I have limited resources to perform surgical follow-up for clients who have had surgery outside Ontario. This is a service I perform due to the overall lack of resources and expertise in Ontario relative to other centres in the world. These referrals require substantially more information than regular referrals and require at least phone contact with the referring physician to create a collaborative relationship. Referrals for post-operative follow-up should ideally be made prior to surgery as a preference.

Please contact Joanna Dimaras at Sherbourne Health at 416-324-4100 x 3304 for more information about this service.

OHIP-covered Plastic Surgery

I offer limited out-of-hospital based plastic surgery in addition to Gender Affirming procedures.

I am currently not taking referrals for surgery at this time.

Breast Reduction:

  • Please note that clients who have a BMI higher than 33 will be considered for surgery at the Mclean facility after additional anesthesia consultation. This surgery is only partially covered by OHIP.

Hand issues:

  • Carpal tunnel syndrome

  • Trigger finger

  • Dequerevain’s tenosynovitis

  • Dupuytren’s contracture

    Please note that I do NOT perform ganglion cyst surgery under OHIP.

Skin issues:

  • Basal cell carcinoma

  • Squamous cell carcinoma

  • Biopsy-proven melanoma in-situ or Breslow depth < 1mm

Procedures / Aesthetic sURGERY NOT COVERED BY OHIP

I offer some procedures not covered by OHIP. These are all performed under private pay. We do not direct bill insurance. Consultations are covered under OHIP with a referral letter.

I am not currently taking referrals for surgery.

Non-malignant skin lesions and masses which include:

  • non-cancerous moles and skin lesions, small hemangiomas

  • lipomas

  • ganglion cysts, mucous cysts

Aesthetic procedures:

  • breast augmentation

  • breast lift (mastopexy), with or without augmentation

  • gynecomastia surgery

  • abdominoplasty

  • body contouring

Sudbury/Northern Ontario

I am not accepting referrals for elective procedures at Health Sciences North in Sudbury. This includes most biopsies, skin cancer care, elective breast surgery, elective hand surgery and elective gender care.

Emergent/Urgent referrals from the community require pre-approval before they are accepted. Please page me through the appropriate hospital if I’m on call.

Relevant fax numbers for approved referrals while I’m on call:

Health Sciences North ACU 2 Clinic (Sudbury): (705) 671-5660