He undertook five years of postgraduate training in Hand Surgery (USA), Microsurgery (Canada) and Reconstructive Plastic Surgery (England), including work as an Assistant Professor of Plastic Surgery in the USA.
Bruce returned to Auckland in 1994 as a Consultant Plastic Surgeon at Middlemore Hospital, subsequently working as Deputy and then Head of the Plastic Surgery Department, where he remains as one of the senior Plastic Surgeons.
He has published significant articles in leading Plastic Surgery journals and is a member of the New Zealand Association of Plastic Reconstructive and Aesthetic Surgeons and the New Zealand Society for Surgery of the Hand. He is currently an Examiner in Plastic Surgery for the Royal Australasian College of Surgeons.
- Reconstructive surgery: is performed on parts of the body that are abnormal or have been affected by a birth defect, accident or disease. This includes hand differences from birth, restorative surgery after trauma or reconstruction (including skin grafts and flaps) following cancer. Surgery is usually performed to improve function, but may also be performed to bring the appearance of a part of the body as close as possible to normal.
- Aesthetic or cosmetic surgery: improves appearance or body image by reshaping features of the face or body e.g. breast enlargement, face lift, liposuction.
Bruce focuses on Reconstructive Plastic Surgery particularly in relation to skin cancer, trauma and hand surgery.

