Mode Plastic Surgery have a consultation room to rent.

Welcome to our modern clinic in Gordon! We are delighted to offer you a wonderful opportunity to rent our spacious and well-equipped consultation room.

Conveniently situated near the bustling intersection of the Pacific Highway and Ryde Road, our clinic enjoys a central location that is easily accessible for both patients and practitioners. With its prime position, it’s a convenient location for your professional visibility and success.

We understand that flexibility is essential when it comes to finding the right space for your needs. That’s why we offer flexible availability options, allowing you to rent the consultation room at a time that suits you best. Whether you prefer short-term arrangements or long-term commitments, we are more than happy to discuss and accommodate your specific requirements.

Our clinic’s consultation room is thoughtfully designed to provide a welcoming and comfortable environment for both you and your clients. It boasts modern furnishings, state-of-the-art equipment, and ample natural light, creating a serene and inviting atmosphere.

If you’re interested in learning more about our consultation room or wish to discuss availability and rental options, please don’t hesitate to get in touch with us. Our friendly team is eagerly awaiting your call and will be more than happy to answer any questions you may have. We look forward to welcoming you to our clinic and helping you thrive in your professional endeavors.

• Medically fully equipped
• Option to share our friendly and professional reception staff
• General office hours at 9am – 5pm but this is flexible
• On-site parking for you and patients/guests
• Staff room with fully functional kitchen
• In office bathrooms.

 

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Breast reconstruction is a procedure that is carried out to restore breast shape and replace breast tissue that is lost during a mastectomy or lumpectomy.

The aim is to achieve an excellent shape, volume and symmetry so that a patient feels feminine, regains their confidence, and as much as possible has less of a reminder of the cancer treatment they had to undergo. The goal is to create breasts that look symmetrical, close to the original appearance and shape, and as natural as possible.

Whether or not a breast reconstruction is performed depends on several factors: your personal decision, your physical condition and the treatment you have had for the breast cancer including previous radiation. It is important that you understand every option available for breast reconstruction.

Having the right information as a starting point for a full and frank discussion with your surgeon can help you in the journey to reconstruction.

It is important that you consider the risks and the benefits of each procedure, in order to reach a decision that is beneficial for your medical prognosis, your physical and mental health, and your personal circumstances.

While cost should not be your primary driver, different procedures have different costs. You should discuss in detail with your surgeon the different techniques and implants available, and their respective pros and cons, as well as the options that are covered by your health insurance.

 

The benefits of breast reconstruction

Different reasons may motivate you to decide for or against reconstruction. The benefits of a reconstructed breast may include:

• Increased self-confidence and self-esteem
• A way to cope with breast cancer
• An improved symmetry of your breast
• Avoiding the choice between external prostheses or a flat chest

 

Disadvantages of breast reconstruction

There are several disadvantages and problems that may occur with breast reconstruction that need to be taken into account before making a decision to go ahead:

• Not all breast reconstruction procedures are a total success, and the result might not look like you expected. Breast reconstruction for example is a lot more challenging post radiation.
• Additional corrective surgeries may be necessary and the revision rate is higher than in augmentation breast surgery
• Surgery will leave scars on your breast and, in case of autologous reconstruction, in any areas tissue was taken from to create your new breast
• A reconstructed breast may not feel the same as a natural breast (however own tissue reconstruction comes very close)
• In order to achieve symmetry between the reconstructed breast and the healthy one, reduction/lift or enlargement of the latter may be necessary

 

The length of time you’ll spend in a hospital after surgery depends on what kind of breast reconstruction you choose.

 

You have two broad options:

Implant Breast Reconstruction Sydney

Implant surgery typically takes place after a mastectomy is performed to remove the breast tumour and surrounding tissue. In a few patients the final implants may be able to be used at the time of mastectomy, whilst in others a temporary device called an expander is used which is then changed over to a permanent silicone prosthesis at a second surgery. Those who have implant surgery are usually discharged after 3 to 5 days, but there is usually a need for drains post mastectomy and reconstruction which may still be in place on discharge.

 

DIEP flap or Free Flap Reconstruction Sydney

A free flap reconstruction is a little bit more complex of an operation than the implant surgery is. With this procedure, the tissue is taken from other parts of your body, like the abdomen. Patients are usually discharged seven days after the procedure.

While free flap reconstruction surgeries may be more complex, they are nothing to be afraid of, especially at Mode Plastic Surgery. Dr Aggarwal specialise in this type of breast reconstruction and has performed numerous DIEP free flap reconstructions for our patients. These can provide patients with a look of having had a tummy tuck, and using the tissue in the abdomen to reconstruct a breast that looks (and feels!) very natural.

Both reconstructive surgeries have their pros and cons, so it’s important to talk with your surgeon about which option is best for you.

Many of the questions we hear are about recovery. Women want to know how long the surgery will affect their daily routine. If you are researching breast reconstruction surgery, here are common questions we hear.

 

When can I have sex?

You shouldn’t have sex for at least one or two weeks after surgery. You’ll want to give your body some time to recover. After that, you can have sex whenever you feel physically and emotionally ready. It’s normal to feel nervous, unsure, or self-conscious in the beginning.

 

Will breast reconstruction change my risk of cancer recurrence?

No. Studies have shown that breast reconstruction does not change the risk of breast cancer recurrence either in the breast or in other locations in the body. Breast reconstruction also does not delay a diagnosis of breast cancer recurrence or change its treatment.

There is always some risk that your cancer could return, though. It could come back in the same area as your original cancer (local recurrence), in the nearby lymph nodes (regional recurrence), or in farther-away areas (distant recurrence). The good news is there are many strategies that can reduce your risk of a breast cancer recurrence. A few of these include:

• hormone therapy
• chemotherapy
• radiation therapy
• targeted therapy
• maintaining a healthy weight
• exercising
• eating a healthy diet

Usually, your breast surgeon in conjunction with other members of the team such as medical or radiation oncologists will determine the best course of treatment for you. They will usually also ask you to see them long term for ongoing cancer surveillance.

 

How will I feel in six months? In a year? Five years?

Every woman’s breast reconstruction experience is unique. Right after surgery, you may have tenderness, numbness, and twinges of pain. These sensations usually come and go, and often decrease within the first few months after surgery. However, some may last months, even one year or longer. This is because the nerves are the slowest part of your body to heal.

As you continue to heal, you may feel scar tissue begin to form, which will feel hard. This is common and will most likely soften over the next several months. It takes at least one year, sometimes longer, for all your tissue to fully heal and your scars to fade. You may go through a period of emotional adjustment, too. If you have any concerns about your physical or emotional health during your recovery, Mode Plastic Surgery Team is here for you and has a variety of resources to help you.

 

When can I drive again?

Many women can drive two to three weeks after surgery. Depending on your reconstruction, you’ll probably be on a narcotic pain reliever for the first week after surgery. If you’ve had flap reconstruction, you may need this medicine for a few days more than if you’ve had tissue expanders or implants. Don’t drive while you take this type of medicine, which can make you drowsy. Also, don’t drive until:

• your drain(s) have been removed
• you have recovered your full range of motion
• you can comfortably turn the steering wheel

If you have questions about when it’s safe for you to drive, talk with your surgeon.

 

When will I feel less exhausted?

Fatigue is common after breast cancer surgery. After all, your body has been through a lot. Be patient with yourself as you recover, but also tell your doctor if you’re concerned about your fatigue. It may be normal, or it may be a sign of underlying factors, such as depression, insomnia, or anaemia.

 

When can I pick up my kids?

This depends on the type of reconstruction you’ve had. Regardless of surgery type, you shouldn’t lift anything heavier than five kilograms — including your kids — until your doctor says it’s safe. This is usually about six weeks for people who have tissue-transfer reconstruction and four to six weeks for people who have surgery with tissue expanders or implants. If you can, plan ahead for childcare for young kids.

 

When can I exercise?

You’ll need to avoid strenuous activities, such as jogging and tennis, until your doctor tells you it’s safe. Your physical therapist will give you written instructions on what exercises and movements you can do while your incisions are healing. Talk with your doctor or nurse before starting any exercises outside these prescribed moves. If you’re having discomfort, you may find it helpful to take some pain medication 30 minutes before starting exercise.

 

If I have restrictions that limit physical activity, can I obtain a letter to suspend my gym membership?

Yes. If you’ve had reconstruction, our office can provide you with this letter for the duration of your recovery or restriction period. If you have not had reconstruction, contact your breast surgeon’s office.

 

Who removes my drains?

If you’ve had any type of reconstruction, our plastic surgery nurse usually removes the drains when they meet the criteria to come out. You do not need to see your plastic surgeon for drain removal although they will usually regularly review you and be responsible for making the decision as to whether a drain is ready to come out.

 

Whose office should I follow up with to schedule my routine mammogram?

Your breast surgeon should schedule your routine mammograms.

 

When should I schedule a breast reconstruction surgery consultation to discuss next steps?

If you are considering breast reconstruction, but have many questions you would like to have answered in person by a board-certified plastic surgeon, don’t wait any longer. Schedule a consultation with Dr. Aggarwal today and schedule a consultation.

 

 

If you are considering breast reconstruction you should book in a consultation with a specialist plastic surgeon who specialises in breast reconstruction. You will get a chance to be evaluated, discuss the options that suit you, and have your questions answered. Schedule a consultation with Dr. Aggarwal today .

Hyperhidrosis (Excessive Sweating)

Sweating is an important bodily function that is performed to keep your body cool and prevent you from overheating. However, some people experience a condition called hyperhidrosis which is marked by an overactive sweat mechanism. This excessive sweating can occur at any time, even when your body doesn’t need to cool off.

Excessive sweating can be a source of embarrassment for many people. Hyperhidrosis often results in stained clothes, creates awkward moments during romantic settings and disrupts both personal and professional interactions. Fortunately, there are treatments that can help you get the relief you need if you suffer from hyperhidrosis.

You can receive customised treatment recommendations by speaking with our nurse in person.

Schedule Your Consultation

Is Hyperhidrosis Genetic?

It appears that one of the types of hyperhidrosis – primary hyperhidrosis – may be an inherited condition. You certainly may have family members who suffer from the same excessive sweating. Secondary hyperhidrosis is the other type, and it is associated with an underlying condition, such as neurologic disorders and spine injuries.

Can Hyperhidrosis be Prevented?

Prevention of excessive sweating depends on the cause. You may be able to reduce episodes of hyperhidrosis if you can identify triggers, such as excessive caffeine consumption or untreated generalized anxiety. If the condition is caused by certain medications, you may want to talk to your doctor about finding an alternative medication to see if sweating is reduced.

For most people, hyperhidrosis cannot be prevented, but it can be managed, allowing you to lead a more comfortable, fulfilling life without the constant nuisance of being too sweaty.

What Regions of the Body Are Impacted by Hyperhidrosis?

Hyperhidrosis typically causes excessive sweating in your:

• Armpits
• Palms of your hands
• Soles of your feet

Often, hyperhidrosis can interfere with routine activities. Sweaty palms can make it difficult to open a doorknob, grip a pen or shake hands. Sweaty armpits can soak through your clothes, leaving embarrassing marks. Sweaty feet can drench your socks, leaving your feet uncomfortable all day long.

Who is a Candidate for Hyperhidrosis Treatments?

You may be a good candidate for clinical strength antiperspirant or for antiwrinkle injections if you experience:

• Excessive sweating on the palms, soles of your feet, and underarms
• Excessive sweating interferes with your quality of life and is a significant inconvenience
• Perspiration gets in the way of your daily life, such as when you need to shake someone’s hand, or wear a professional blouse that stays dry for the duration of a presentation

Most people with excessive sweating are good candidates for treatment.

 

Hyperhidrosis Treatment

Depending on the nature and severity of your condition, our nurse may recommend one of the following treatment options:

• Clinical strength antiperspirants
• Antiwrinkle injections

Antiwrinkle injections works very well in most cases of hyperhidrosis. Injections are placed in the armpit to lessen sweat gland activity. The injection discomfort in this region is very minimal. Injections can also be administered in the hands and feet to reduce sweating in these areas.

How Long Will My  Treatment for Hyperhidrosis Results Last?

Antiwrinkle injections will reduce hyperhidrosis for about 4-6 months, at which point re-treatment is necessary to maintain the effect. As you receive successive injections, you may find that the effects begin to last longer, and that more time can pass between appointments.

How Many  Sessions for Hyperhidrosis Will I Need?

Hyperhidrosis can be reduced with a single injection appointment at our practice. It takes about 5 days to see the initial results, with optimal results reached in 2 weeks.

Are Clinical Strength Antiperspirants Safe for Hyperhidrosis Treatments?

Most people experience minimal to no side effects or complications when using clinical strength antiperspirants. Two of the most common side effects are irritation and a burning sensation where the antiperspirant is applied. Talk to our nurse if this occurs.

 

How Do Dermal Fillers Work?

Many of our Sydney patients come to us thinking that injectable products are all the same. Fillers, wrinkle injections, and fat dissolving injections, however, all work differently and can work together effectively to create comprehensive results.

Most fillers have an active ingredient, which is a natural substance that helps keep your skin hydrated. Aging skin loses its ability to retain moisture and fillers replenish it, restoring volume and giving the skin a smoother and more youthful appearance.

We offer fillers designed for:

• Lip enhancement
• Wrinkle reduction
• Restoring volume
• Minimizing dark circles and hollows under the eyes
• Chin augmentation
• Cheek enhancement
• Jawline sculpting

We can also use multiple fillers for a liquid facelift that can reshape the face to restore an overall more youthful appearance.

 

What Happens During Dermal Filler Treatment?

Our nurse begin every filler treatment session by cleansing the face with alcohol and then applying ice to help numb the treatment area. Virtually all fillers include a local anesthetic that also minimizes your discomfort during the injections, which are performed using very fine needles and flexible microcannulas. Immediately after injecting the fillers, pressure is applied with gauze.

The treatment session itself takes only a few minutes, depending on the number of injections needed, and you can return to your normal activities immediately following the procedure. Redness, bruising, and some swelling are common side effects of dermal filler injections, but they usually resolve within 24 to 48 hours.

Post-Injection Care

The initial swelling after a treatment involving lips, or tear troughs may last longer than other areas. If symptoms persist or other reactions occur, please contact us.

Specialized Instructions

For patients who get lip filler, do not smoke for at least 24 hours after getting the injections. Even better, use this opportunity to quit smoking for good. Also, avoid wearing lipstick for 24 hours.

How Much Do Dermal Fillers Cost?

The cost of filler injections depends on the type of products used and the area injected.

Please see our dermal filler pricing.

How Often Should I Get Dermal Fillers?

This depends on your concerns and the expectations you have. Once you are satisfied, you should schedule dermal filler appointments every 6 to 12 months. At the outset, before reaching your aesthetic goals, you should have filler injections every 1 to 4 months and then transition to the maintenance phase.

 

Frequently Asked Questions

 

What other procedures can I have with dermal fillers?

Patients often combine fillers with anti-wrinkle injections, biostimulators and thread.

Can I get dermal fillers while I’m pregnant or breastfeeding?

No, it is not recommended to get dermal filler injections while you are pregnant or breastfeeding.

How long do dermal fillers last?

The longevity of dermal filler results varies depending on the product used and the area treated. Most fillers last between 9 months and 2 years.

 

Dermal Filler Aftercare

It is important to follow instructions about dermal filler aftercare.

For detailed information, please see the instructions from one of the most popular worldwide providers of dermal fillers.

Immediately after your dermal filler treatment you may notice a few of the following things:

• Swelling
• Bruising
• Red needle puncture marks
• Asymmetry
• Tenderness
• Itching in the area

These issues above are common with dermal filler aftercare, and should resolve over the next few days to weeks. Your final result will be seen at about 4 weeks after treatment, and you can be reviewed to see if further treatments are required to achieve the planned results.

Immediately after the injections you face will be cleaned. You should not touch your face for 6 hours. After this you may clean your skin with water and a gentle cleanser.

Things to avoid:

• Do not expose the area to intense heat (eg solarium or sauna)
• Avoid pressure on the treated areas for the first few nights (i.e. sleep on back of possible)
• Avoid strenuous exercise for 24 hours.
• Avoid alcohol for 24 hours
• Do not use AHA, Retinols/Vitamin C therapy or oil based make-up for 24 hours
• Avoid facials, facial waxing, Glycolic or AHA peels, IPL or energy based treatments and microdermabrasion for two weeks after treatment.

Pain relief

Pain is usually mild and sometimes moderate after filler injections. There are areas which can be quite painful like the chin and the lips. Pain relief such as paracetamol may be taken as directed by your nurse.

Swelling relief

Apply a cool compress for 10 minutes every hour on the day of treatment (do not apply ice directly on your skin). A cool compress applied regularly for the first 24 hours after injections may help to reduce the amount of swelling. Some patients use arnica before and after treatment to reduce the swelling.

Bruising relief

Patients on aspirin, fish oil or other drugs associated with increased bruising may find their risk increased. For the treatment of bruising, there are over the counter treatments available, including Bruderm and Hirudoid.

Vascular laser is also an option for the treatment of bruising.

Some patients take Bromelaine as a preventative for bruising.

Massage

Massage of the filler areas may or may not be advised by our nurse. Gentle massage may be used once the pain and tenderness has resolved and if advised by your nurse.

Cold sores and dermal filler

There may be a small chance that a treatment may induce an outbreak of facial cold sores in patients with a previous history.

Some patients take preventative Lysine or antivirals to help reduce the risk of cold sores. If you get cold sores after a treatment, you should see your doctor.

Aesthetic review

Reviewing the results of dermal filler should be performed at 4 weeks (except for cosmetic emergencies like infection or vascular occlusions, which should be reviewed immediately)

Reviewing prior to 4 weeks is not useful as there is often a small amount of swelling still present, so the results cannot be judged until this has resolved. This is particularly important with regards to symmetry. Symmetry should not be reviewed prior to 4 weeks.

Retreatment of Dermal Fillers

Retreatment should occur at any time between 1-6 months after a first treatment. Once peak filler has been achieved, and the patient is on maintenance injections, they might have filler once per year.

Complications

Cosmetic complications include vascular occlusion and infection. Vascular occlusions mostly occur in the treatment chair, and doctors are able to see that they are happening and treat them. An area may go white, or there may be an area of skin that looks like fishnet stockings, or there may be skin discolouration in a distant area where the skin wasn’t injected. After an occlusion, there may be an area that has small blisters on the skin. If the doctor is concerned then they will need to check the capillary return of the skin. If patients see any of these things on their skin, they should call their prescribing doctor immediately.

Early infections may occur after a few days after the treatment. The patient might notice increasing redness, tenderness, swelling, pain, heat, nodules or pus. Patients should see their doctor if this occurs.

Lip filler After care

Lip dermal filler aftercare needs a special mention: When the lips are injected, the upper lip tends to swell much more than the lower lip and often patients think that their upper lip has had too much filler injected into it. Once the swelling calms down, they realise this is not the case. The typical ratio that most people choose for their lip proportion is 40% in the upper and 60% in the lower, so most likely the upper lip is going to be smaller than the lower lip once the swelling resolves (unless the patient has asked for a less natural-appearing lip).

Temple fillers

Headaches are common after temple biostimulator injections. Panadol should be used to treat them if required. Often the veins in the temple protrude and become more obvious temporarily after fillers.

Jawline fillers

Often you may feel dermal filler lumpiness along the jawline. This will resolve over the next few weeks as the filler integrates with the skin

Concerns after filler treatment

If you are concerned post-treatment, please call your clinic. If you are unable to contact your clinic or your doctor and you are concerned that it is an emergency, please visit the emergency department of your local hospital.

Mode Medispa is excited to be one of the first Australian clinics to offer a new treatment– which we have termed “Honey Filler”. Honey Filler is a multi-award winning first of its kind, produced by Swiss company IBSA and distributed in Australia by Dermocosmetica. It significantly improves skin hydration, elasticity and collagen production, and is a new paradigm  for skin restoration and improved skin laxity.

Why is it called Honey Filler? In Australia we are legally prevented from using drug names direct to the public. We are using Honey Filler because it helps to describe how this product works. Unlike other dermal fillers, which stay where they are placed and have a volumising effect only at that spot, Honey Filler is designed to spread under the skin like spilt honey spreads over a tabletop.

Is Honey Filler new? Honey Filler is new to the Australian market, but has been available in Europe for over 5 years. So whilst we have been eagerly awaiting its release, it is not a new, untried treatment.

What does Honey Filler do? Honey Filler is a new type of treatment called a “Bio-remodeler”. It is not a filler that gives much volume. Instead it acts as an internal moisturiser in the skin, whilst also increasing collagen and elastin production, helping to refresh the fat cells, and even having a beneficial effect on the underlying bone.

What is Honey Filler made of? Honey Filler is made of HA – the same product that traditional fillers are made from. However the manufacturing process is slightly different and results in a gel with unique flow properties. There is currently no other product that’s works like Honey filler.

Is Honey filler safe? Generally yes, very safe. Honey Filler is actually safer than traditional fillers as there is almost no risk of allergic reactions or injection side effects.

How is honey Filler performed – What is a treatment like? Honey Filler is a quick treatment with very little downtime and very little discomfort. About 5 small injections are made on each side of the face. Afterwards there may be some lumpiness apparent for 24-48 hours until the product spreads out.

What areas can be treated with honey filler? Honey filler is licensed in Australia for use on the face. Studies have shown significant improvements in skin hydration and elasticity, and In other countries it is widely used on the neck, hands and other body areas (décolletage, tummies, knees and elbows).

Who would benefit from Honey Filler? Anyone wanting to improved skin tone and texture and lines and wrinkles on the lower face. Honey Filler would be ideal for the younger patient wanting to maximise their skin care and prevent ageing as well as the older patient wanting rejuvenation. Honey Filler would be especially good for patients who do not want more volume or that do not want to do traditional filler or anti-wrinkle treatments.

Can men have Honey Filler? Honey Filler is perfect for men. Because it is not a traditional filler there is no risk of looking as if you have had a treatment performed. Many men benefit from improving skin tone and texture and reducing lines and wrinkles in a very natural way.

Can I have Honey Filler if I have had other filler treatments? Yes, in fact studies have shown Honey Filler has a significant potential for synergistic combination with conventional fillers to finesse volume replacement

Women have had breast augmentation surgery for a multitude of reasons – for self confidence, to restore breast shape after having children, or to correct asymmetry. However breast implants change and deteriorate with time and can rupture, migrate or become hard (called capsular contracture). Other women have experienced pain, or other problems from the original surgery causing them to be unsatisfied with the result. Alternatively the breast shape or tissues may have changed, and the nipple position may have dropped requiring revision surgery.

 

• Breast implant revision surgery is therefore an effective solution to
• Change a ruptured implant
• Correct implant malposition (where it has moved to far up, down, or out to the side)
• Correct breast asymmetry
• Correct breast droop (or ptosis)
• As treatment for capsular contracture (when the implant has gone hard)
• Improve implant rippling

 

It should be remembered though that information pertaining to the original surgery can be very helpful in planning revision surgery – such as information about the implant size, manufacturer, shape, pocket (subpectoral or subglandular), date of insertion, and the surgeon who performed the procedure. If you have these details on hand (or as many as possible) then it is useful to bring these with you to a consultation.

 

Am I a candidate for breast revision?

If you are suffering due to poor aesthetic outcomes of your primary breast augmentation surgery or your implant has ruptured or changed in shape over time, you are likely to be an ideal candidate for an effective breast revision cosmetic surgery procedure.
You may not be a good candidate for this revision procedure if you have certain medical problems that can negatively impact the outcomes of the surgery. These can include smoking, diabetes, being on blood thinners, or being significantly overweight. This does not necessarily mean that you cannot undergo the procedure. However, discuss your plans with the surgeon who can help you to understand what to expect from the surgery.

 

How soon after breast augmentation can you get a revision?

Most surgeons would recommend waiting at least 6 months (Ideally 12 months) before seeking a revision surgery. It can take this long for the tissues to soften and relax, allowing your implants to drop and settle. Once you have fully healed and your final results are evident, then you and your surgeon can decide whether you should have a revision procedure.

It is important to also be clear from both the surgeon and patient to agree to the reasons for revision, and the realistic goals that could be achieved from surgery, as revision surgery is often harder than the original procedure to achieve the ideal aesthetic. The challenges would be discussed with you during a preoperative consultation.

 

Will I get new implants with breast revision surgery?

In general, yes. It is imperative to not to handle implants (as in be placed in and out of the body) for reasons of contamination, infection and a rare disease called ALCL. Overall while implants contribute to additional cost it is imperative that implants are of the highest quality, are sterile when inserted, and ideally not handled further once placed inside the body. Also modern generations of implants are much more cohesive than the older generations, meaning they are unlikely to ‘leak’in the event of a rupture. They probably also last a lot longer (upwards of 15 years), and have less rates of capsular contracture.

Breast revision usually involves a combination of removing or replacing the breast implants, altering the size or type of implant, eliminating scar tissue and/or lifting the breasts. Revision surgery is usually more complex, more time consuming than the original surgery, and sometimes there can be surprises for the surgeon which are only realised during the surgery. However your surgeon will best try to anticipate these, and discuss any potential challenges with you during a preoperative consultation.

 

Does breast revision include a lift?

Breast revision doesn’t always include a breast lift by default, but the surgeries can be combined to better address any drooping of the nipple position. If you are having your implants removed, switching to a smaller size, or experiencing sagging, you may want to consider adding a lift for the best possible results.

 

Will my breast revision scars be worse than my primary surgery?

Dr Shagun Aggarwal may be able to make improvements to the appearance of the scars from the primary breast procedure. In most cases, we would utilise incisions under the breast for access to implants, but if a lift is required then additional scars would be needed around the nipple.

 

Does breast revision hurt?

Although the surgery can be more challenging for the surgeon, breast revision recovery can be quicker and more comfortable than breast augmentation recovery because the space for the implants already exists, and your body has already adjusted to having implants in place. However this of course depends on what other steps are being performed – such as capsulectomy, or lift that could add to the discomfort or introduce a need for a drain (generally avoided for most revisions). As with any procedure, we’ll provide guidance as to any medication, garments, or aftercare instructions that may enhance your comfort.

 

Is breast revision surgery recovery more complicated than my prior breast surgery? Do I need to take more extensive time off work? If so, how much?

Breast revision surgery is often more involved than the primary surgery as it involves correction of implant position, resizing them, adjusting internal pockets, and possibly doing a lift or other manoeuvres such as fat grafting.

In general Dr Aggarwal will try and avoid drains if possible but these are sometimes needed especially if a lot of capsule work is being performed. If needed, we would endeavour to remove drains in 1-2 weeks from surgery but it would depend on how much fluid is being produced by the body during recovery.

If you are working in an office setting, you will likely require at least one (preferably 2) weeks of leave from work. You should not lift, strain the upper body or exercise aggressively for around six weeks after the surgery and diligently follow the surgeon’s guidelines during the recovery phase.

 

What is the recovery period after breast implant revision surgery?

The recovery period after breast implant revision surgery is often similar to your recovery after a breast augmentation, but be prepared if it turns out to be more difficult. You can discuss how your individual recovery might progress with your doctor, as well as learn about any restrictions after the operation.

 

How long do the results last?

Unless you gain or lose a significant amount of weight or become pregnant, your new breast implants should remain fairly stable. As with natural breasts, the effects of gravity and aging will eventually alter the size and shape of your breast implants but this is a slow process over 10 plus years. Breast implant revision surgery aims to restore your breasts to a more perky and youthful appearance.

 

Will insurance help cover the cost of breast implant revision surgery?

In general, because it is an elective cosmetic procedure, the cost of breast implant surgery is not covered by insurance. However, exceptions do exist under certain circumstances. If, for example, a breast implant revision surgery is needed in the context of breast cancer reconstruction then it is likely to be covered. In some cases implant removal alone due to complications such as capsular contracture or implant rupture, may be covered by Medicare and a health fund. We would discuss your costs and if there are any rebates, during consultation.

The Most Frequently asked questions regarding Gynaecomastia correction

Gynaecomastia describes the condition in which a man has developed breast tissue creating an abnormal chest contour and this can be a source of embarrassment, low self esteem and cause patients to be very self aware in and out of clothing. This condition can be treated successfully with surgery and one of our most frequently performed operations at Mode Plastic Surgery.

Here we provide answers to some of the most frequently asked questions about gynaecomastia.

What is gynaecomastia?

Gynaecomastia is the medical name for male breast development. The tissue in the chest is usually composed of both fat as well as glandular tissue. It can be a source of embarrassment and reduced self confidence for many boys and men, contributing to reduced social interactions, changing clothing to hide the area and avoiding situations where the chest may be exposed such as swimming at the pool or beach.

What causes Gynaecomastia?

Around 50-70% of all boys develop the condition during puberty (which normally disappears as they grow older. It is also very common in older men with rates up to 30-40% in old age. These ‘natural’ causes are the most common cause but there are rarer causes such as hormonal disturbance, thyroid, kidney, or liver disease, problems with the testes, an unknown malignancy or a variety of medications including anabolic steroids. Being overweight can contribute to this also at it increases the fat content in the chest and elsewhere.

A consultation is therefore aimed at excluding some of the rarer causes, and your doctor may ask you to obtain a panel of blood tests to exclude any causes other than normal pubertal growth.

How is gynaecomastia diagnosed and what happens during a consultation for gynaecomastia?

Gynaecomastia is a clinical diagnosis and can be made by anyone with experience with
the condition such as general practitioner and most definitely a plastic surgeon.

At Mode, Dr Aggarwal commonly sees patients with gynaecomastia and during consultation it is established if gynacomastia developed during puberty or there is another (‘secondary’) cause. If the latter is suspected, further tests may be ordered such as a panel of blood tests to exclude underlying hormal disturbance. In some cases a referral to an endocrinologist (hormone specialist) will be requested. During consultation a physical examination is also conducted. This is to ensure there are no breast lumps or suspicion of cancer. Cancer is actually a very rare possibility with gynaecomastia as it is very uncommon – however patients with a certain syndrome called Klinefelter’s disease (a genetic condition), have high rates of breast cancer and also have gynaecomastia. The main purpose of the physical examination is to formulate an individualised plan for surgery – to determine how much fat, breast tissue and skin is present as each needs to be treated for the optimal result.

Does gynaecomastia cause breast cancer?

No, gynaecomastia does not cause breast cancer, and there is no association between the two. However there is one genetic condition called Klinefelter’s syndrome – where males are born with one or more X chromosomes – that is associated with gynaecomastia due to an abnormality of hormones, and these patients also have a dramatically higher risk of male breast cancer.

Does gynaecomastia hurt?

Glandular tissue in the chest can be tender especially when it is undergoing a period of active growth. Therefore during puberty the chest can be tender or hurt from time to time. This is similar to women experiencing breast tenderness during their menstrual cycle when the breast tissue is being affected by hormones. Longer term however gynaecomastia is not tender and should not be changing dramatically in size. If it does, one should seek medical attention, to exclude sinister causes like male breast cancer.

Can’t I just diet and workout to get rid of my “man boobs”?

Unfortunately not. Because gynaecomastia usually involves an excess of both breast tissue and fat it is only the fat that may shift with diet and exercise, but not the glandular component. Furthermore the longer the gynaecomastia has persisted the more fibrous or dense the tissue becomes making it harder to shift.
Therefore correction of the underlying cause is essential (if one is present), and surgical correction is warranted in order to remove the glandular (and fat) tissue.

Can taking hormones cure Gynaecomastia?

Usually not. While the cause of gynaecomastia is an imbalance between testosterone (being low) and oestrogen (being high) – most cases of gynaecomastia have persisted from puberty and are called idiopathic. This means that the underlying cause is not completely understood and simply taking excess testosterone will be of no benefit. If however patients have low testosterone in a condition called ‘hypogonadism’ then they may benefit from supplemental hormones. These patients have other signs of low testosterone such as reduced male physical features, reduced male hair growth, reduced sex drive/mood, low sperm counts and so on. This diagnosis would usually be made by an endocrinologist (hormone specialist), and the treatment would strictly be under prescription and with their supervision.

Does gynaecomastia go away? Will it improve with weight loss or exercise?

In the vast majority of patients where the gynaecomastia has developed during puberty, the tissue will subside after pubertal growth has finished. However a certain proportion of patients will retain the breast tissue developed during puberty and will therefore seek medical attention by visiting a plastic surgeon. In these patients the glandular tissue is quite firm and sits behind the nipple, while even the fat of the chest is quite fibrous and feels firmer than fat elsewhere in the body. The persistence of male chest tissue beyond puberty remains as the most common category amongst gynaecomastia patients. Unfortunately in these patients the tissue will not decline with exercise. It may certainly improve with weight loss – however this only reduces the fat content of the chest, while the glandular component of the chest will be unchanged with weight loss and exercise. Therefore patients often require surgical intervention if the gynaecomastia has peristed beyond puberty.

How is Gynaecomastia treated?

During consultation, an individualised treatment plan for surgery is made for each patient.
Gynaecomastia is firstly graded in its severity from 1 to 3 – this is a grading system that classifies patients based on the excess gland and fat component, as well as if they have excess skin on their chest.

Patients with excess gland and fat are usually treated with liposuction, and gland excision through an inconspicuous scar around the nipple. The surgery usually takes 2-3 hours and the patient stays in hospital overnight. Patients with more severe gynaecomastia have skin that needs to be removed in addition to the gland and fat tissue. These patients are treated with liposuction, gland removal as well as skin removal. The nipple may also be relocated higher on the chest. The latter requires additional scars which are discussed with the patient. The surgery in this case is longer, may require a drain and may require more post operative care. During consultation a discssion of the intraoperative steps, post operative recovery and a review of previous patients’ before and after photos will be undertaken. We always see patients twice before proceeding with surgery, and provide patients with a comprehensive quote after the first consultation.

Is gynaecomastia surgery covered by Medicare?

Gynaecomastia surgery is covered by Medicare under item number 31526 (as of September 2023). This combined with appropriate health fund cover, will dramatically reduce out of pocket costs for surgery, as this will allow coverage for hospital fees, theatre fees and provide rebates for surgeon and anaesthetist.

What does gynaecomastia surgery surgery cost?

The approximate out of pocket cost (as of September 2023) at Mode Plastic Surgery is $10800 with an appropriate health fund. This is inclusive of surgeon, assistant, anaesthetist, and follow up care.
The exact costs however will be quoted after consultation and will change for more complex surgery that could involve skin removal, nipple adjustment or nipple grafting, or extensive lateral chest wall liposuction.

How much time does it take to recover from male breast reduction surgery?

Recovery varies by patient and the scope of their procedure. Most patients return to work and socializing after about a week. Light exercise can be resumed two weeks after surgery. Patients need to wear a chest compression garment or binder for a total of 8 weeks, and need to refrain from heavy lifting over this time period.

Does gynaecomastia surgery leave scars?

Most patients require liposuction through minor scars and a gland excision via a scar hidden around the nipple. In these cases the scars are small and almost imperceptible long term. In the smaller group of patients who have very significant gynaecomastia with an abundance of skin that requires removal, the scars will be larger and more obvious. However in these patients the longer scars are often worth the dramatic improvement in their chest contour which can be difficult to hide even in clothing, and the scars fade over 12-18 months.

Can man boobs grow back after surgery?

In most cases, the results of Gynaecomastia surgery are long-term. However, weight gain, steroid or drug use and hormone fluctuations may lead to a recurrence of gynaecomastia. Dr. Aggarwal can provide more information about maintaining the results of surgery in a consultation.