Cosmetic Injecting Reintroduction

May 21, 2020August 5, 2020 mode-admin

The Australian Society of Plastic Surgeons (ASPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS) along with NSW Health have advised that cosmetic injecting can now recommence provided these are delivered in clinics operated by medical practitioners. ASAPS in conjunction with the Australian Society of Cosmetic Dermatologists have introduced safety guidelines for the safe introduction of cosmetic treatments in the time of Covid-19.

We are able to now offer both returning and new patients cosmetic injectables with our Nurse, Karyn, under the supervision of Dr Aggarwal.

Antiwrinkle treatments

We are pleased to announce that we have resumed taking bookings for antiwrinkle treatments. At Mode we offer these treatments most commonly for frown lines, forehead lines, crows feet, and other indications such as for teeth grinding/masseter slimming, and hyperhidrosis.

All of these locations are away from the mouth and nose, which means they are considered the safest sites with respect to Covid-19 exposure for our staff and patients. These are also not considered Aerosol Generating procedures and take less than 15 minutes of close contact therefore also reducing exposure.

Our standard fees apply, which you can find in the non-surgical section of our website, or alternatively call or email us to find out more.

Dermal Fillers

Hyaluronic acid based dermal fillers are used for many indications – at Mode Plastic Surgery we use these predominantly for cheeks, and lips. Filler can also be used for the chin, and jaw line definition. We do not offer fillers for nose (liquid rhinoplasty), forehead, temples or tear-troughs.

Cheek fillers

These are considered safe injecting sites, as they are also far away from the nose, mouth and lips. These will be offered at our regular price and standard quantities apply – you can ring or email us to enquire further.

Lip fillers

Any filler around the mouth, or nose is considered an aerosol generating procedure, and can put at risk (mainly) the injector if the patient was positive for Covid-19. Our governing societies have now allowed these treatments to commence in medical clinics provided appropriate safety precautions are taken. Given that these are higher risk for exposure (especially to staff) we will screen you with questions and temperature check (just like all our patients), and in addition we may ask you to use a mouthwash prior to the procedure. Furthermore you will see our staff wearing special masks for protection of everyone. Lip fillers will also be offered at our standard pricing – you can call or email us to find out more.

Fillers for other sites

We can also offer chin, and jaw line treatments. Pricing will depend on individual treatments and requirements, and can be discussed with our practice nurse Karyn.

Your Safety For Cosmetic Injectables

There is a new normal in our clinic since the reintroduction of face to face consulting. We are continuing to follow strict protocols to provide social distancing within our office, encouraging use of hand sanitiser on entry, questionnaire and temperature screening of all patients, regular disinfection of all surfaces, and spacing our appointments. You will also see us wearing masks during your cosmetic treatment.

As for face to face consulting, all patients are requested to come alone for appointments. We also recommend that you do not attend if:

You have been overseas in the last 14 days
You have had contact with someone who is unwell, has confirmed coronavirus or is confined due to possible coronavirus
You are unwell in any way, including with a sore throat, fever, shortness of breath, loss of smell or cough.

We recommend patients drive to our Gordon office, with undercover parking dedicated to our clinic available for patients. In this environment, we recommend against using public transport wherever possible although we are only a short walk from Gordon and Pymble stations.

All cosmetic treatments take place with the supervision of Dr Aggarwal, as has always been the policy at Mode Plastic Surgery.

What about other non-surgical services?

At this stage we are unable to offer services such as Hydrafacial and peels. But we continue to offer skin care advice and our skin care products are available for purchase in the clinic or via phone (and they can be shipped to you, or be ready for collection from our office).

Contact us

We are back to normal clinic hours of 9am-5pm Monday to Friday. You may wish to call us regarding specific products and pricing that we are not able to advertise, and you may ring us on 1300 80 9000 or email us at info@modeplasticsurgery.com.au to enquire further.

Dr Shagun Aggarwal - Plastic Surgeon - and Nurse Karen

COVID-19: Update to Restrictions

April 22, 2020August 5, 2020 mode-admin

The Government Eases Ban on (Some) Elective Surgeries during COVID-19
The Prime Minister today outlined a plan to wean back the restrictions on elective surgery.
Combined with the surgeries that were allowed during the shut-down period we are now in a
position to be able to offer the following operations:

All skin cancer surgeries
Breast Reconstruction Surgery – both DIEP flaps and also implant based breast
reconstructions
Medically necessary breast implant removal e.g. For rupture, pain or concern regarding
cancer or ALCL
Medically necessary procedures on those under 18 (such a breast reductions).
Trauma surgery such as hand injuries, facial trauma (fractures, lacerations) and other
wounds such as skin loss/tears or burns
Any other trauma or cancer reconstructions
The situation will be assessed by the government again on 11 May, and hopefully this will further relax the remaining restrictions on elective surgery.

Face to Face Consultations at Mode Plastic Surgery
For all the services listed above we are now offering face to face consultations but social distancing
rules strictly apply in our practice and patients will be screened via a questionnaire and temperature
check on arrival. We also ask kindly that you arrive alone for any appointments, please see our
previous blog for further information on what we are doing in our office during times of Covid-19.
Our standard consultation fees and Medicare rebates apply to all appointments. Our current office
hours remain Tuesday to Friday 9am to 5pm – outside these hours feel free to leave us a voicemail
or an email.
We also continue to consult primarily at our flagship office at Gordon. However, as restrictions ease,
we may very soon be in a position to resume consulting at our other locations. At this stage we
tentatively aim to begin consulting at our other locations from May 11.

Are there any operations or services you are unable to offer?
Unfortunately at this stage cosmetic plastic surgery and medispa services such as fillers and
anti-wrinkle treatments are still unable to be offered. However we are able to consult with patients
via phone or video, and will be in touch as soon as the restrictions on these services are lifted.

Changes to tele-health consultations
Telehealth consultations are offered via phone or video for all plastic surgery concerns including
cosmetic surgery. The government has now allowed Medicare rebates to be offered for private
tele-health consultation fees and therefore we have moved to charging the same fees for tele-health
consultations as we do for our face to face consultations. The same amount of time will be dedicated
to your virtual visit, as it would be for a face to face visit. The Medicare rebate you receive is also the
same as what applies to a face to face visit.

When will there be more information?
After the next national cabinet meeting on May 11 regarding elective surgery. If the remaining
restrictions are relaxed, we may seen a near return to normal practice, with more hospitals also able
to open their normal operating list allowing us to offer tailor made solutions for our patients like we
have always done.

Finally we wish to say that now more than ever, we are proud of our community and people for
doing the right thing, flattening the curve, and leading the world in controlling Covid-19 cases. Four
weeks ago we thought the situation would escalate quickly with our hospitals full of sick patients
requiring ICU and ventilator treatment. Fortunately this has not happened, and the return to (some)
elective surgery marks the beginning of returning to some sense of normality.
Well done Australia! We will get through this!

COVID-19 and Plastic Surgery

March 23, 2020March 23, 2020 sbm

COVID-19 and Plastic Surgery in Sydney

How is COVID-19 (Coronavirus) affecting plastic surgery in Sydney?

Coronavirus is changing the economic and social climate across Australia and the world. These are unprecedented times and the situation is evolving day by day, and week by week. As of 23rd March 2020, in Sydney, we are preparing to see a surge in Covid-19 pandemic cases across the city. Therefore our city, its care facilities, and its hospitals slowly go into lockdown.

At the time of writing this article, plastic surgery offices of most plastic surgeons are still open but that is about to change. Last week we were still performing surgery in the public and private health system sector although with some restrictions. However, both are likely to change by the end of this and next week.

This stage at Mode Plastic Surgery, we are only seeing URGENT consultations this week and early next week. We have made the difficult decision to almost completely stop our practice as of 1/4/20.

This will mean that until that time we are undertaking the following measures:

– Strict handwashing or use of hand microbial gel for each patient, and staff member before and after any patient review

– Strict wipe down of all surfaces between patients

– Booking only URGENT consultations for new patients

– Cancelling all non-essential follow up for patients (ie other than for drain or suture removal)

– Cancelling our consulting at Chris O’Brien Lifehouse – this is our only consulting location within a hospital setting, and where patients share a common waiting room with other patients. Lifehouse is also across the road from RPA which is one of the major Coronavirus testing centres. To reduce exposure to the virus for our staff and patients, we have relocated this consulting to our other more private locations to increase social distance.

As of 1/4/20 :

· We will not be conducting any private or public hospital lists as our hospitals will be faced with overwhelming demand

· We will continue to see URGENT follow-ups in rooms ie those patients who are post-op and need drain or suture removal. We may see URGENT new referrals but these will be very restricted given that no hospital operating lists are going to be available for surgery.

· We will have our office/ phones attended for 2 days a week only, at other times messages can be left on our voicemail and email. In case of emergency, private patients can contact Dr. Aggarwal on his mobile, and public patients may need to contact their GP. Or the plastics registrar on call at the hospital where they had their surgery.

· At this stage, we do not know when our normal consulting and theatre lists will resume. The patients who had their consultations postponed this week, and those that may have contacted us will be contacted to schedule their appointment when it is safe to do so. This may occur in June or July (or later if things have not settled).

How is COVID-19 (coronavirus) affecting plastic surgery in public hospitals?

Dr Aggarwal works at two major public and teaching hospitals in Sydney – Royal Prince Alfred and Prince of Wales/Royal Hospital for Women. RPAH has been designated as one of the key Coronavirus testing sites, although all public hospitals are running a Covid-19 check clinic.

Ultimately all public hospitals will be key in responding to the onslaught of coronavirus cases that NSW Health is predicting. These will require resources from all specialties and departments to be pooled to look after potentially sick patients on the ward, in ICU and possibly convert operating theatres to makeshift ICU beds.

In preparation for the possible catastrophic number of ill patients, our public hospitals have gone into lockdown. Cancelling all elective surgery (other than urgent cancer or trauma cases) to free up resources such as hospital beds, ICU beds, and operating theatres. RPAH took the decision 3 weeks ago to cancel all elective surgery, and Prince of Wales/Royal Hospital for Women has had to make the same decision last week.

The situation at both hospitals is unlikely to change until we are well past the coronavirus pandemic. Meaning many elective operations will be indefinitely postponed, and even more urgent things like skin cancer surgery may carry significant delays.

How is COVID-19 (coronavirus) affecting plastic surgery in private hospitals?

Last week and this week, the private sector is proceeding with activity as normal with very strict criteria on patients that have to be excluded from surgery (e.g. returning from overseas, ill-health or close contact of a COVID-19 patient).

However, this situation is likely to change by next week (commencing 30th March). Dr. Aggarwal does a big part of his private operating lists at the Sydney Adventist Hospital, the largest private hospital in Sydney and New South Wales in general.

Given that the SAN has a significant infrastructure including ICU to manage sick patients it will be called upon by NSW Health, and the government to look after sick coronavirus patients needing ICU. Or alternatively performing urgent surgery lists from the public hospitals who may not have the capacity to do so. This is going to restrict private operating theatre time available to all the surgeons at the Sydney Adventist Hospital. We expect this to happen as early as 1st April 2020.

Currently, we are bringing forward patients due for urgent skin cancer surgery to this week and early next week, and anticipating that all lists as of 1st April will likely be cancelled. Any conditions or requests that are not pressingly urgent will be advised to wait for 3 to 6 months for their surgery.

Can I still have my skin cancer surgery during the COVID-19 (coronavirus) pandemic?

Unlikely. We are still consulting URGENT patients this week. However, due to the public and private hospital response in the health care system to the coronavirus, and general safety of the public we will not be doing any regular lists as of 1/4/20.

Can I still have my breast reconstruction surgery during the COVID-19 (coronavirus) pandemic?

Unlikely. We are still consulting URGENT patients at our clinic locations.

However due to the public hospital restrictions on what is allowed during the pandemic we are likely to only see breast cancer patients proceed to surgery. With all patients requesting prophylactic mastectomy and reconstructions placed on hold indefinitely. Even patients with breast cancer may face some delay in getting to surgery due to lack of theatre time in the public hospital and the need to coordinate breast and plastic, surgery teams.

In the private sector, theatre time is likely to be restricted as well due to overflow from the public sector, and also the ICU needing to look after coronavirus patients. The planning may be slightly easier in the private sector at the time of writing this article – 23rd March 2020.

Can I still have my cosmetic plastic surgery during the COVID-19 (coronavirus) pandemic?

No. We have had to make the decision for the safety of our patients and staff to postpone seeing new cosmetic patients until the pandemic has settled.

If you are a patient of ours, that had booked elective cosmetic surgery with us in the near future it is our opinion that anything that can wait until the situation settles, should. Our staff will be in contact this week to discuss postponing your elective surgery to 3 to 6 months later when hopefully the coronavirus situation is under control.

Which plastic surgeons’ offices are still open during the COVID-19 (coronavirus) pandemic?

Until last week Mode Plastic Surgery was hoping to stay open. But as of March 23rd, we have taken the difficult decision to wind down our practice until the coronavirus pandemic is over. After 1/4/20 we will move to very restrictive contact hours with patients, and run a virtual office for 2 days a week without patient contact.

What do I do in the case of an emergency and my plastic surgeon’s office is closed due to the COVID-19 (coronavirus) pandemic?

Mode Plastic Surgery will move to restricted opening hours as of 1/4/20 during the coronavirus pandemic. If it is not immediately urgent, you will be able to contact us via phone or email if you have any concerns but you may need to leave a message. If you are a private patient of Dr. Aggarwal’s you will also have his mobile number in case of any emergencies.

If we are closed, you will need to contact your GP. You could visit your local hospital emergency department – however, you should only do so in the case of an absolute emergency as they are likely to be attending to unwell coronavirus patients, and their resources will already be stretched.

Stay safe everyone.

wash hands

Breast Reconstruction Cost 2020

March 11, 2020September 15, 2023 sbm

What is the cost of breast reconstruction in Sydney?

Breast reconstruction comes in a wide variety of forms and the cost in the private sector is dependent on the stages of surgery, and type of reconstruction. Different types of breast reconstruction have different complexity and therefore different amount of time and effort required by the surgeon for your surgery.

It also depends on whether it is performed at the same time as the mastectomy or in a delayed fashion, and may also include costs for an anaesthetist, surgical assistant, hospital excess, and other fees. Usually, in the private sector, all fees are quoted inclusive of follow up both in hospital and in rooms after the surgery.

What is the cost of breast reconstruction in a public hospital?

In Australia, it is possible to have all forms of breast reconstruction in a public hospital free of charge, covered entirely by Medicare. Read what it means to be a public patient section of our website for more information. The main limitations of this option are:

– Possible increased wait time

– Less say of when and where your surgery will be performed with limited flexibility

– Registrars or fellows may be doing all or part of the procedure

– Follow up is generally in public hospital clinics, and wait associated with these

– Your date of surgery or supervising surgeon may be changed

Why is there is an out of pocket cost for breast reconstruction in a private hospital?

Despite having ‘top’ level of cover many patients ask why there is an out of pocket for procedures done in the private sector. This also applies to breast reconstruction. This is because the reimbursement or what Medicare and Health Funds pay is dependent on the schedule fee as listed for each Medicare item number. Unfortunately, the government has frozen this for decades meaning the reimbursement for each procedure is way behind what the actual cost of the procedure.

The Australian Medical Association each year publishes what it considers the fair value to be charged for each procedure and this is what many surgeons, including plastic surgeons, use to guide their fee structure. This means there is usually a ‘gap’ between the AMA fee and the Medicare schedule fee, and this constitutes the out of pocket cost. This often applies to both surgeon’s fees and anaesthetist’s fees.

While the main disadvantage of private treatment is an out of pocket cost, there are many advantages of private treatment:

– Total flexibility over time: often surgeons work with the patient’s time commitments and availability as to when to schedule the surgery

– Complete say over where your surgery will be performed

– Complete choice over surgeon and the main consultant surgeon performing your surgery

– Follow up is in private rooms with direct contact with the main surgeon who makes all the decisions

– Your date of surgery is usually fixed and won’t be changed (Unless negotiated with you)

What are the aims of breast reconstruction?

The aim of breast reconstruction is to:

– Create a breast mound

– Look great in clothes (even tight-fitting dresses)

– Achieve symmetry with the opposite breast (in cases of one-sided or unilateral reconstruction)

– Avoid the use of a prosthesis

What types of breast reconstruction are there?

There are 3 main categories:

Implant or expander based breast reconstruction (i.e. using foreign tissue)
Autologous breast reconstruction (using your own tissue only)
Combination of autologous and implant or expander reconstruction – usually reserved for patients who have required radiation in their cancer treatment and do not have enough own tissue to make an entire breast

In general breast reconstruction is always a staged operation. This is often the case with implant reconstruction, which is often performed in 2 stages. Own tissue reconstruction is usually performed in a single stage but there may be a second stage for nipple reconstruction.

What is the cost of DIEP flap surgery in Sydney?

The approximate out of pocket cost for DIEP flap surgery (as at February 2020) in the private sector is:

– Approx. $25,000 for a bilateral procedure (double reconstruction) – this includes the cost of 2 plastic surgeons, surgical assistants, an anaesthetist and all follow-up. In case of any complications, no further fees apply.

– Approx. $19,000 for a unilateral procedure (single reconstruction) – this includes the cost of 2 plastic surgeons, surgical assistants, an anaesthetist and all follow-up. In case of any complications, no further fees apply.

– These fees assume appropriate health insurance coverage and do not include fees for a breast surgeon (where needed) or the hospital excess.

What is the cost of implant breast reconstruction in Sydney?

The approximate out of pocket cost for breast implant-based reconstruction (as at February 2020) in the private sector is:

– Double reconstruction

o Approximately $7000-8000 for stage 1 – this includes the cost of a plastic surgeon, surgical assistant, an anaesthetist, prosthesis, and all follow-up. In case of any complications, no further fees apply.

o Approximately $5000-6000 for stage 2

– Single reconstruction

o Approximately $3000-4500 for stage 1 – this includes the cost of a plastic surgeon, surgical assistant, an anaesthetist, prosthesis, and all follow-up. In case of any complications, no further fees apply.

o Approximately $7000-8000 for stage 2 (often including an opposite breast reduction or breast lift, of the non-reconstructed breast)

What is the cost of latissimus dorsi reconstruction in Sydney?

The approximate out of pocket cost for latissimus dorsi based reconstruction is calculated on an individual basis and it depends on if this is being performed alone on one side or combined with reconstruction on the opposite side.

Who is the best breast reconstruction plastic surgeon in Sydney?

This is a difficult question to answer and often the answers are all inherently biased. Rather than giving you a specific answer the things you should look for when choosing a breast reconstruction surgeon, ask or research the following:

o Does the surgeon perform breast reconstruction regularly in the private sector?

o Have you had direct contact with patients who have been operated on by your nominated surgeon? What were their experience and outcome? What are the patient reviews specifically regarding breast reconstruction?

o How many breast reconstructions has the surgeon performed and specifically the type of reconstruction you are interested in?

o It is important to ask does your surgeon if he/she performs both own tissue reconstruction (such as DIEP flaps) as well as implants (as if they don’t do own tissue reconstruction, they will not be in a position to offer you the whole range of options).

o What training have they had in breast reconstruction and specifically own tissue reconstruction (which involves complex microsurgery)? Have they done a fellowship in this area?

o Does your surgeon work in a public hospital? (Public hospitals only employ safe and reputable surgeons and being part of a busy tertiary hospital may give you confidence the surgeon is of a certain standing)

o Does your surgeon perform breast reconstruction in a public and private hospital? (This will allow them to offer you reconstruction regardless of cost, and also advise you as to the volume and difficulty of work they may be doing)

To read about Dr Aggarwal’s qualifications, hospital appointments and bio click here.

Tummy Tuck in Sydney

November 6, 2019November 10, 2020 sbm

Tummy Tuck in Sydney

A full tummy tuck or abdominoplasty involves the removal of excess skin and fat from the lower tummy or abdomen, bikini line in women, belt-line on men. In addition, the underlying muscles are tightened, and any hernias are repaired. This can produce a beautiful, flat shape to the tummy.

Dr Aggarwal is a well regarded, respected, highly skilled and experienced Specialist Plastic Surgeon. Graduating at the top of his class throughout his training, Dr Aggarwal has completed fellowship training at some of the world’s most prestigious reconstructive and cosmetic plastic surgery institutions. He continues to publish research is prestigious plastic surgery journals, and is actively involved in the training of future plastic surgeons.

Take a look at public reviews of Dr Aggarwal on Realself, Cosmetic Journey and Plastic Surgery Hub!

During your first consultation, Dr Aggarwal will discuss your concerns, and go through a full medical history and physical examination. He will also discuss your treatment options, including a discussion of risks, and benefits.

At Mode Plastic Surgery, we will always ask you to see Dr Aggarwal at least twice before deciding to have a cosmetic procedure as we believe the decision to have surgery is a significant one, and you should consider all options, have the opportunity to ask questions and have time to understand and ponder over the risks and benefits before committing to surgery.

After your first consultation, an estimate of surgical fees will be provided to you as a written quote (usually emailed).

Dr Aggarwal wants there to be no confusion in your mind about Tummy Tucks so we have compiled this list of myths to make sure you aren’t labouring under false information.

5 Myths about Tummy Tucks:

Tummy tucks are for lazy people. This is 100% untrue! Tummy tucks are best performed on healthy patients who eat right and maintain a healthy weight. Exercise and diet cannot remove loose skin. This procedure is for healthy individuals who want their excess skin surgically removed.
Only women undergo tummy tucks. Another false myth. Many men have tummy tucks. Both men and women can have excess skin that requires removing and both can desire to improve their appearance through cosmetic and surgical procedures.
An optimal time for a tummy tuck is after a C-section. Another big myth that can cause unnecessary stress on mothers. Dr Aggarwal would not recommend undergoing a tummy tuck immediately following a C-section. Your body has just been through an immense journey and then putting it through a surgical procedure can cause excess stress for your body. Additionally, following pregnancy, your weight and stretched skin and muscles would benefit from healing prior to a tummy tuck.
You cannot get pregnant after a tummy tuck. False! Again. While many people choose to perform a tummy tuck after they have finished with having babies, there are no additional risks to getting pregnant following a tummy tuck; it may, however, impact the results you achieved with the tummy tuck procedure prior to pregnancy.
If I work out enough, I will not need a tummy tuck. Simply put, life happens to all of us! We gain weight and lose weight. We may have a baby. We may have a few. We age and our muscles change. How (and where) we store fat changes and how (and where) we burn off fat may change. Our skin ages and loses elasticity. While diet and exercise are critical to healthy ageing, they cannot prevent or reverse all the changes life and genetics have in store for us. Some of these effects can be mitigated by a healthy lifestyle. Exercise can tone muscles, but cannot be restored if they have been separated by pregnancy. Reducing body fat is healthy, but unfortunately, skin that is stretched out will not regain tone through physical activity. Consequently, abdominoplasty can be an ideal adjunct to a healthy lifestyle by removing excess fat and loose skin to regain a healthy, fit appearance.

A tummy tuck procedure can help you gain the confidence to:

• Wear tight-fitting clothes that may otherwise reveal the loose skin or excess fat they find embarrassing

• Wear swimwear they want to wear

• Feel confident

• Restore shape of a woman’s tummy after pregnancy and child-rearing

• Remove skin and fat that cannot be addressed through diet and exercise alone

The medical benefits of a tummy tuck can include improved back pain, improved incontinence and improvement in skin rashes under the skin.

The best candidates for a tummy tuck are women who:

• Have completed their families

• Are physically and mentally healthy

• Have already lost the weight they want to lose

• Have been a stable weight for at least 6 months (ideally 12 months)

• Have realistic expectations, and are willing to accept the scar of an abdominoplasty

The cost of a full abdominoplasty:

You will be provided with a quote for surgery indicating total and out of pocket expenses after your consultation.

If a Medicare item number is applicable (for patients who have lost weight enough to drop 5 BMI points), or those with a significant hernia, in the prescience of appropriate health insurance, out of pocket cost reduces. This is all-inclusive.

What follow up appointments do I need?

We see all our patients at week 1, 2, 4 and 8. After this we see patients around the 6-month mark and again 1 year out from surgery. These follow up appointments are included in costs of surgery.

The need to knows:

Performed under general anaesthesia Inpatients surgery length of surgery is around hours most patients return to work in approximately 3-4 weeks after surgery and should avoid strenuous activity for 8 weeks. Results are seen straight away but will continue to improve up to 6 months post operatively; however, this varies from one person to another.

What Else Should I Consider Before Tummy Tuck Surgery?

It is important to note that a tummy tuck is not intended to correct major weight-related issues. This surgery will not be performed on current smokers or extreme obesity.

To understand what is reasonable to expect from the surgery, it is a good idea to look at before and after tummy tuck photos. This will give you a good perspective of what results other patients have achieved through our plastic surgeons’ work.

Please note abdominoplasty may not be suitable for women who:

• Have not lost the weight they want to lose

• Have fluctuations in their weight

• Are very overweight or obese (BMI >35) – ideally your BMI should be less than 30 for best results

• Have multiple medical problems

• Have multiple scars on their tummy, or have had a gallbladder removal through a large incision (open cholecystectomy)

• Are on blood-thinning medication

• Are actively smoking

• Will not accept a long scar of a tummy tuck

5 Things real tummy tuck patients said they wish they had known before surgery (from Realself):

Patient 1 “”It is going to take a long time to heal. I went in thinking I was going to be up and running in two weeks. What the heck! I am an intelligent woman, but this was really stupid thinking. Please plan on taking a minimum of two weeks off work, or three to four if you can swing it.””

Patient 2 “You’re going to swell. They tell you that you’ll be swollen. Whoa, that is an understatement. Hang tough. Your clothes won’t fit for a while. Don’t think you are jumping into a pair of skinny jeans anytime soon. It’s so not going to happen. I had visions of the tummy being removed, fat being sucked out of my hips, and running out to a party the next week. Dreamer.

Patient 3 “Let people take care of you. Don’t try to be a superwoman. Yes, ladies, we all know we can run the show and manage everything and everyone in our lives, but this is not the time. Surrender to your caretakers and focus on healing. If your spouse is not doing things the way you normally would, let it go. You can straighten everything out later. Nobody will die if you are not running the ship for a while.

Patient 4 “”It’s going to hurt when you laugh, cry, sneeze, take a deep breath, move, and so on. They tell you pre-op that you will have some discomfort after surgery. That’s a damn lie because it hurts like hell. Obviously, the people telling you this have probably never had a tummy tuck. As long as you don’t laugh, cry, sneeze, take a deep breath, move, poop, try to push and pass gas, or any other sudden movements you will be fine. Basically just lie in bed for about a week, and you will be fine.””

Patient 5 “”Don’t watch funny movies for the first two weeks. I made that mistake. You don’t want any deep gut laughter. My son laughed so hard watching me trying not to laugh, I thought he was going to wet his pants. Apparently, the face of a woman in pain after a tummy tuck is quite comical to a teenager.”

To read the full stories click here.

woman wondering if she has breast BIA-ALCL cancer caused by breast implants

ALCL cancer, can it be caused by breast implants?

September 11, 2019September 30, 2019 sbm

Getting breast implants can change a person’s life for the better. But in recent years, a rare lymphoma called Breast Implant-Associated (BIA) Anaplastic Large Cell Lymphoma (ALCL) has come to light that can be associated (at low risk) with some breast implants.

We did a Q&A session with Dr Aggarwal recently about this topic and what is known about it by the Australian Society of Plastic Surgeons (ASPS) and we received a lot of follow up questions. In this blog, we are going to address those and answer again by sitting down with Dr Aggarwal. If you are just reading this blog as your first knowledge on the subject please read our first blog for more background knowledge on the topic.

If you have any further questions please don’t hesitate to contact us by emailing info@modeplasticsurgery.com.au.

Q: Should women with breast implants be screened for rare cancer called Breast Implant-Associated Anaplastic Large Cell Lymphoma ALCL (or BIA-ALCL)?

A: Given the rarity of the disease, regular screening is not yet recommended by the TGA (Therapeutic Goods Administration). At Mode Plastic Surgery, we offer lifetime yearly checks of your implants and if, as with any procedure, you have any issues or concerns you should notify us to see Dr Aggarwal.

Q: Are some women more at risk of breast implant-associated ALCL than others?

A: BIA-ALCL has occurred in women who have had breast implants for both cosmetic and reconstructive reasons, however currently there are no reports in Australia of BIA-ALCL occurring in women who have only ever had smooth implants. Only textured implants carry some risk for the disease (although the absolute risk is small).

At the time of preoperative consultation, you should discuss this with Dr Aggarwal.

Q: What is the prognosis and treatment of breast implant-associated ALCL?

A: Most cases are cured by removal of the implant and capsule surrounding the implant. If a patient was to develop BIA-ALCL on one side we would generally recommend removing the implants and capsules on both sides. All cases are discussed in a multidisciplinary setting with the involvement of a haematologist with experience with ALCL. Occasionally chemotherapy or radiotherapy is needed – usually when there is a solid lump (not just fluid-filled).

Q: I have Allergan breast implants – should I go to a free breast implant check clinic?

A: They say in life there is no such thing as a free lunch. If there is a ‘free’ implant check service, you need to question what is the catch?

A specialist who may not have put your implants in, will not need to do anything if there is nothing wrong with your implants: however their time is worth something, and they are accepting some medicolegal responsibility in reassuring you that there is nothing wrong.

In Dr Aggarwal’s opinion, the best place to go for reassurance would be the specialist who first put your implants in. Be very careful in going to a free implant check clinic, as you may get the advice to undergo complex surgery involving implant removal or replacement of your implants when you may not need this surgery.

If the specialist who originally put in your implants cannot give you the long term reassurance you need, or you require a second opinion, get in touch with a trusted Specialist Plastic Surgeon (and you may have to pay a consult fee to get this opinion, but think to yourself that a piece of mind may be worth the consult fee).

Q: Are there any implants that do not cause cancer or lymphoma?

A: Nanotextured or smooth breast implants are not associated with BIA-ALCL (lymphoma). This means that smooth implants from Mentor, Allergan or any other company do not cause lymphoma or any increased risk.

One of the newer manufacturers on the market is Motiva, and their implants are nano-textured to provide some of the benefits of texturing but they are classified by the TGA as smooth implants, and currently (like all other smooth implants) carry no associated risk of BIA-ALCL.

Q: What implants should I have for breast reconstruction?

A: Your Specialist Plastic Surgeon will be able to decide which implants are best for you if you decide to have implant-based breast reconstruction.

Mentor anatomical or tear-drop implants remain the first choice at Mode Plastic Surgery as they provide the form to the breast that has been removed, and there is often only thin skin hiding the implant. This means that the underlying implant imparts the entire shape to the breast, and therefore a tear-drop implant is the best choice for reconstruction.

Motiva Implants are being increasingly used for breast reconstruction. The two main types of Motiva round implants are the Progressive Gel (true round implant) or the Ergonmix breast implant (which although it is round, behaves like an anatomical implant when held vertically due to softness of its gel). The latter would be suitable for breast reconstruction, minimising the risk of rotation related problems that can occur with tear-drop implants. These implants also currently carry zero risks of anaplastic large cell lymphoma.

Q: What implants should I have for breast augmentation?

A: You should consult with your Specialist Plastic Surgeon as to which implants are best for you depending on the size, shape and look that you are after.

Motiva implants are the first choice for breast augmentation at Mode Plastic Surgery. Motiva round implants come in the Progressive Gel (true round implant) or the Ergonmix gel (which although it is round, behaves like a tear-drop implant when held vertically due to softness of its gel). We offer either implant in our base fee for breast augmentation at $10990 (as at August 2019), even though the Ergonomix breast implant is marketed at a higher price by Motiva.

The reasons we like Motiva implants are as follows:

The quality and softness of their gel: they are an extremely high-quality breast implant, and probably the best breast implant currently on the market.
They are a true monobloc design meaning their configuration links all components of the implant to the same tensile strength. This allows the shell to act as a whole structure, making insertion easier and improving the implant mechanical qualities under stress.
They have an inbuilt microchip which can be read by a Q-reader device: This means that should you lose your implant information, this information can be ready by a device held up to the breast which scans the microchip inside revealing the size, shape, type of breast implant and its serial number making future tracking of breast implants easier.
There is a lifetime guarantee – providing replacement of breast implants should there be a major failure of the device.
There is optional insurance at the cost of USD$200 offering funding of surgical costs should implants require replacement. This sort of insurance is the first of its kind to be offered by an implant manufacturer.
These implants also currently carry zero risks of anaplastic large cell lymphoma.

We also use Mentor smooth or textured implants at Mode Plastic Surgery. Teardrop implants are particularly useful for patients needing a firmer gel, with less rippling and in particular needing expansion of the lower pole such as in the tuberous breast.

The advantages of Mentor implants include:

High-quality breast implants with a long proven track record.
Have remained the first choice for breast reconstruction for many Specialist Plastic Surgeons, and still do for many till date.
The lowest risk of BIA-ALCL of any textured device.
Lifetime warranty allowing replacement of breast implants in the case of major device failure.

Q: Can I come to Mode Plastic Surgery to get my implants checked?

A: Absolutely. If you call our central number 1300809000 for our all our consulting locations, you will be able to make an appointment to see Dr Aggarwal. The cost of a consultation fee is $280.

For more information about BIA-ALCL you can visit the Australian Society of Plastic Surgeons website.

BIA-ALCL, Why have some breast implants been recalled?

August 20, 2019October 1, 2019 sbm

Breast implants and a rare type of cancer are starting to populate our newsfeeds. Here at Mode Plastic Surgery, we wanted to help break through the speculation and keep our community in the know. We sat down with Dr Aggarwal and talked through the big questions surrounding Breast Implant-Associated Anaplastic Large Cell Lymphoma ALCL (or BIA-ALCL). If you have any further questions please don’t hesitate to contact us by emailing info@modeplasticsurgery.com.au or via our contact page.

Q: What is the rare form of cancer that is being linked to breast implants? Can implants really cause cancer?

A: Breast implants have been in the media recently due to a possible association with rare cancer called Breast Implant-Associated Anaplastic Large Cell Lymphoma. Only textured breast implants appear to be implicated, with smooth implants currently having no association with BIA-ALCL.

Q: What is breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)?

A: Simply put; Breast implant-associated ALCL is a rare type of cancer. It usually presents as a swelling of one breast due to an accumulation of fluid called delayed seroma. In rare cases it Breast implant-associated ALCL can take the form of a lump in the breast or armpit.

These symptoms occur on average 7.5 years after the insertion of implants. However, it can occur much sooner than this, as early as less than a year and late as 27 years after the operation as we have found in Australian and New Zealand records.

In the majority of cases of breast implant-associated ALCL, the patient can be cured by the removal of the implants and the capsule surrounding the implant. There are now over 700 cases reported and documented worldwide. While the disease has been very treatable in many there have been 33 worldwide recorded deaths, three of which were in Australia.

Q: What is the risk of lymphoma with breast implants?

A: If you would like a numerical answer the literature on the subject suggests a wide variety from 1 in 3,000 to 1 in 80,000 risks of developing lymphoma from breast implants.

A recent study conducted in Australia in 2017 (Wilkinson et al PRS 2017) documented the risk per each type of implant, they found;

Biocell or Macro Textured implants (Allergan, Inamed, McGhan) have 1 in 3,817. We have never used these implants at Mode Plastic Surgery.
Polyurethane implants (Silimed) have 1 in 60,631. We have never used these implants at Mode Plastic Surgery.
Siltex or microtextured implants (Mentor) have a 1 in 60,631. We use the Mentor range of implants here at Mode Plastic Surgery as these carry the lowest risk of ALCL of all the textured implants.

Before you read this data and panic, when put into perspective the risk of breast cancer is one in eight and you could argue that the risk of breast cancer in women with strong family history, previous breast cancer, is higher than this, and those with high-risk genetic mutations can have a risk of up to 80% of developing breast cancer.

This means in simpler terms this disease remains extremely rare, and the vast majority of women with breast implants in place (regardless of which type they have in) will never develop this disease.

Q: How can breast implants cause lymphoma/ BIA-ALCL?

A: At this stage, there is an investigation underway as new research is ongoing. Thus far there is a suggestion that it is likely that there is a multitude of factors causing the disease such as genes and genetic type, as mentioned previously using the textured specified higher risk implants, time in which a person has had their implants and finally, there is support for an ‘infective theory’. This theory describes a concept of minor contamination of the implant at the time the implant is inserted.

Q: Which implants have been recalled in Australia?

A: Allergan has been forced to suspend and recall their Allergan Biocell implants that were still ‘on the shelf’ and not yet implanted into patients yet.

The Australian Therapeutic Goods Administration (TGA) in July 2019 put on notice all textured breast implants and expanders, indicating they are reviewing all of their use in the Australian market. What this means is that there is a potential for a suspension of some or all of these devices.

It is important to note that this was simply a warning in response to BIA-ALCL, and the implant manufacturers were asked to respond to indicate to the TGA why their products should not be suspended. As of August 2019, there has been no proposed regulatory action made to suspend any other implants other than Allergan, in Australia.

Additionally please note that there has been no ban or suspension placed on any implants other than Allergan’s around the world.

Q: How is breast implant-associated ALCL diagnosed?

A: If you develop a late swelling of the breast following breast implant you should inform us (or a doctor) immediately.

Dr Aggarwal will refer you for an ultrasound and at the same time, a fluid sample will be collected which will be sent off for a special marker of the disease (CD30).

You will not be required to undergo special imaging unless the marker returns positive from the ultrasound-guided aspiration.

To get more information about BIA-ALCL visit

If anything you have read here concerns your or you have any queries please don’t hesitate to get in touch.

PHONE: 1300 80 9000

EMAIL: info@modeplasticsurgery.com.au

COME IN AND SAY HELLO:

Suite 13, 924 Pacific Highway, Gordon NSW 2072, Australia.

Silicone Breast Implants, everything you need to know

July 4, 2019October 28, 2023 sbm

How long do silicone breast implants last

Breast implants are made of silicone gel and just like any foreign body placed inside your body these have a finite life span meaning that they do not last forever – usually these last for 10-15 years, but possibly longer.

It is likely that slow deterioration occurs every year the foreign device is in your body and once you get to 10 years we recommend yearly imaging such as an ultrasound, and should a tear or rupture be detected we would suggest replacement. If on the other hand yearly clinical exam and ultrasound are clear, the implants can be maintained until there is evidence of the need for replacement.

Can you breastfeed with breast implants

Absolutely. Breast Implants are placed behind the breast gland, and often behind the breast gland and the underlying pectoralis major muscle. This means the breast gland itself, functions completely normally as it lies in front of the implant, and no damage should have been caused by implant insertion.

How much are breast implants

Depending on the manufacturer breast implants cost around $1200 each. This means for a set of 2 the cost is around $2000-$2400. However given that breast augmentation is considered a cosmetic procedure, and is usually performed under a general anaesthetic in a hospital there are surgeon fees, anaesthetic fees, and hospital and theatre fees payable. The total cost is around $10990 including GST and there is no rebate from Medicare or health funds.

To read more about this procedure visit

How much do breast implants cost

Implants cost around $1200 each – we use the ones from Mentor or Motiva. Since breast augmentation is usually done for cosmetic reasons there is no rebate from Medicare or health funds. The patient therefore has to pay the total of implant costs, surgeon fees, anaesthetic fees, and hospital and theatre fees, and there is GST added to the whole figure. The total cost is around $10990 including GST. To obtain more information visit

Is there a Medicare rebate for breast augmentation

There is no rebate for cosmetic surgery and since most breast augmentation is done for cosmetic reasons the answer is no. This also means there is GST payable and we offer breast augmentation for $10990 including GST. However in the setting of a breast deformity where there is significant asymmetry of the breasts, and in the setting of breast cancer, there is a Medicare item number applicable and the health funds and Medicare will pay all hospital/theatre fees, and provide a rebate for doctors’ fees substantially reducing the out of pocket cost (to around $6000). To obtain more information about Medicare coverage for breast augmentation see here.

Can breast implants feel natural

Implants vary in how they feel. Many can feel quite natural but it depends on the size of implant, the cohesivity of the gel (how stiff the silicone gel inside the implant is), and the size of the implant relative to the native breast. For example less cohesive (less stiff) gel round implants feel very natural, especially when covered by a reasonable amount of breast tissue, however they are more prone to rippling which you could feel and sometimes even see depending on how thin you are. The more cohesive gel implants are less prone to rippling but feel stiffer. In particular tear drop (anatomical) implants have a high cohesivity as they give shape to the breast but can feel firmer than the native breast tissue.

Can guys tell if you have breast implants

Natural looking breast augmentation where your breast hides most of the breast implant, they don’t produce an exaggerated cleavage, can look very natural to the point that no one can tell you have had breast implants. At Mode Plastic Surgery, most of our patients want to look fuller, restore shape, and wear figure hugging clothing without people being able to notice breast implants have been inserted. For those who want to look like they have had breast augmentation, sway towards larger, rounder implants that create a fuller cleavage. In these cases it can be easier to tell a breast implant has been placed under the breast.

Can silicone breast implants cause cancer

Textured silicone implants have been associated with a rare form of lymphoma called ALCL or Anaplastic Large Cell Lymphoma. The rate is still very low and there are millions of women around the world with implants without any issue. At this stage it is thought to be a combination of textured device, in a susceptible patients, possible contamination of the implant at the time of insertion, and 8-10 years lag time.

While there is an association, because it is so low we still use implants for breast augmentation and breast reconstruction – however patients need to be aware that the current risk of this disease is around 1/60,000-1/80,000 with Mentor implants and currently zero with Motiva implants. In most cases if the disease develops it is cured by removal of the implants and the capsule, however some deaths have been reported around the world.

Visit our page on breast augmentation and click on the ALCL box to learn more.

Can you breastfeed after breast implants, can a woman breastfeed after breast implants, can you breastfeed with breast implants over the muscle

Absolutely – there is no change in your capacity to breast feed after having breast implants as these are placed behind the gland meaning the function of the gland is unchanged. It does not matter if the breast implant is placed directly behind the gland (subglandular) and in front of the muscle, or if it is placed behind the muscle (subpectoral) as in both cases the implant is sitting behind the breast gland itself and it has not interfered with the function of the milk ducts in the breast itself. However you should remember that in women who have not had any surgery on their breast – up to one third cannot breast feed at all and another one third need formula to supplement their milk supply when feeding an infant.

Can you squeeze breast implants

Yes breast implants can be squeezed and moved about without any issue. In the initial 6 to 8 weeks after surgery we recommend no upper body exercise to allow the capsule to mature and the implants to settle in their space as when they are under the muscle they can move out of position in the early healing period.

Do breast implants get bigger after surgery

Breast implants remain unchanged in size after surgery but the size of the breast can change – initially there will be some swelling and tightness and it can take up to 3 months for the implants to settle, and the final breast shape to be appreciated. Longer term changes in breast size can occur from natural changes such as pregnancy, breast feeding and aging.

Do you need implants for a breast lift

No you do not need implants for a breast lift. The most common way of achieving a breast lift is via surgery which repositions the nipple higher and tightens the lower part of the breast. The trade off is scars on the breast – often around the nipple and areola, down to the fold under the breast (the IMF). Some women with minor breast drooping (or ptosis) who want to avoid scars on their breast can achieve a lift in their nipple position via increasing the volume through an implant. Women with very droopy breasts will need a surgical breast lift regardless of whether they choose to have an implant or not

How to pay for breast implants

We charge $10990 for standard breast augmentation, and as for all our cosmetic procedures the full payment is due 2 weeks prior to surgery using any credit card or bank transfer. If you choose to look into finance, you are welcome to look into these options, but we do not have any association with finance providers, nor recommend one over another.

What do size b breast implants look like

This is an example of a patient with deflated breasts, who wanted to have a breast augmentation to fill out her breast envelope without looking like she had implants. The size achieved is probably a large B, small C cup.

What is it like to have breast implants

Breast implants feel like having a foreign body sitting on the chest. They can sometimes feel cold, and there is obviously the weight of the implants noticeable especially when lying down. For the most part, women get used to this sensation, and it depends on the size of the implants – the larger the implants, the more ‘foreign’ they will feel.

When were the first breast implants put in

The first breast augmentation using silicone breast implants was performed in America in 1961 by surgeons Cronin & Gerow.

Why get breast implants

Breast Augmentation or Enlargement (‘Boob job’) is performed using breast implants to improve not only the size but to provide a natural, beautiful shape. Women seek breast augmentation for a variety of reasons but common to all is to feel feminine, sensual, and regain or improve confidence:

Improve the size of a breast that already has good shape
Improve cleavage and upper pole fullness
Improve the size of breasts that did not develop during puberty
Restore breast volume and shape after breastfeeding or significant weight loss – this sometimes needs to be combined with a breast lift.
Correct breast asymmetry
Correct tuberous breast deformity (also known as ‘snoopy breasts’)

Can breast implants cause cysts

Old generation implants such as those used in the 70s and 80s have a very liquid form of silicone inside and when these ruptures or break, the silicone leaks within the capsule formed around the implant by your body. If the silicone leaks out of this capsule then the body tries to wall off the liquid silicone forming silicone cysts. These silicone cysts can migrate to the axilla (the armpit).

Modern-day silicone implants are nicknamed gummy bear implants because they have a highly cohesive silicone gel meaning that if they are sliced in half the silicone maintains its shape and does not ‘leak’ everywhere like the old generation implants. In modern-day implants, silicone cysts are therefore rare, and in fact, rupture is often detected on breast imaging rather than noticing any issues with the implants themselves.

Can I have a mammogram with breast implants

Yes, it is possible to have a mammogram with breast implants – easier if the implants are placed behind the muscle (subpectoral) than if they are placed directly under the breast gland (sub-glandular).

Radiographers who perform mammograms, use breast implant displacement techniques to move the breast implant out of the way and squeeze the breast tissue in front of the implant to take a mammogram. Our recommendation to all our patients is to engage in the standard breast cancer screening protocol, given that 1 in 8 women will get breast cancer in their lifetime.

Can you lay on your stomach with breast implants

Yes, long term it is fine to lie on your stomach, however in the first 6 to 8 weeks after surgery while the body is forming a capsule around the implant we suggest patients do not lie on their stomach, and nor do they do any upper body exercise in the early postoperative period.

Tummy tuck Sydney, Australia part 2!

June 12, 2019June 13, 2019 sbm

Tummy tuck Sydney, Australia part 2!

Is tummy tuck in Sydney covered by Medicare?

Unfortunately Medicare changed the item number for abdominoplasty (tummy tuck abdominoplasty) and this is now only available for patients who have lost a lot of weight (BMI drop greater than 5 points), and can demonstrate they have trouble with daily activity, have skin breakdown/rashes or other skin compromise due to their excess skin and fat, AND that this has not resolved after 3 months of non surgical treatments.

In some patients, there may be a hernia of the abdominal wall and they may also qualify for a Medicare item number.

The advantage of a Medicare item number is that, with the appropriate level of health insurance, the health funds will pay the hospital and theatre fees associated with the procedure, no GST is applicable on the medical costs, and a small rebate is offered for surgical, assistant and anaesthesia fees. This reduces the out of pocket cost to around $8000-10000.

Tummy tuck surgery is not available in a public hospital.

Is a tummy tuck covered by health insurance?

Health insurance only covers some of the costs of a tummy tuck if a Medicare item number applies to your procedure.

Unfortunately Medicare changed the item number for abdominoplasty and this is now only available for patients who have lost a lot of weight (BMI drop greater than 5 points), and can demonstrate they have trouble with daily activity, have skin breakdown/rashes or other skin compromise due to their excess skin and fat, AND that this has not resolved after 3 months of non surgical treatments such as diet and exercise. The surgery then removes excess skin in the abdominal area.

Please note, in some patients, there may be a hernia of the abdominal wall and they may also qualify for a Medicare item number.

Without a Medicare item number, the operation is regarded as a cosmetic procedure meaning that all costs (surgical fees, assistant fee, anaesthesia fee, hospital and theatre fee) are payable, and there are no rebates from Medicare or Health Funds.

Can I have a tummy tuck after c section?

Absolutely! It is possible to have a tummy tuck after a C section.

Many of our female patients who have completed their families have had C sections. This means during surgery there may be scarring under the skin, but this does not prevent removal of the skin and fat, nor the repair of the underlying muscles.

In fact, these are some of our happiest patients as we can keep the scar of the tummy tuck low, and replace the old C section scar.

Does a tummy tuck hurt?

In general, pain is very controllable. All our patients wake up from surgery very comfortably. They have pain pumps slowly infusing local anaesthetic in the tummy, and we usually place blocks of nerves during the surgery. In addition, the anaesthetist will chart lots of pain relief so most patients are very comfortable when they wake up from surgery and in the days after surgery.

The pain from tummy tuck comes from the muscle repair under the skin. We ask patients not to engage their core muscles by lifting anything or doing any twisting motions. If you do inadvertently do this, the pain may increase which will remind you to take it easy.

How close to goal weight for a tummy tuck?

The best patients for a tummy tuck are those with a BMI of less than 30 (BMI is calculated as weight divided by (height squared).

In general, you should reduce your weight as much as possible before a tummy tuck, and aim to maintain a stable weight for at least 3-6 months before surgery.

How long do tummy tuck scars take to fade?

It takes around 3 to 6 months for the scars to fade. We will guide you with the process of scar management to help fast track the rate at which the scars flatten and become less pink over time. We also institute and recommend healite therapy in the early postoperative period to help reduce inflammation and swelling.

How long does a tummy tuck take?

The procedure takes around 3 hours in plastic surgery. Sometimes it can be 4 hours if it involves liposuction and repair of hernias.

We see patients in our rooms a week out from surgery, and again at 2 weeks, 4 weeks, and then depending on how your progress is going. We will always see people at 3, 6 and 12 months to see long term results.

You are asked to not drive for 4 weeks (to avoid twisting motions of the tummy area to check blind spots or rear seat passengers such as kids), not lift anything heavy for 8 weeks and to wear the binder for 8 weeks, and resume gym at 3 months post surgery. Choosing when to return to work varies depending on the nature of your profession.

Find out more about our tummy tuck procedures here.

All you need to know about getting a tummy tuck in Sydney, Australia.

May 28, 2019January 3, 2023 sbm

How much is a tummy tuck in Sydney?

You will be provided with a quote for a tummy tuck surgery, indicating total and out of pocket expenses, after your consultation.

Unfortunately Medicare changed the item number for abdominoplasty and this is now only available for patients who have lost a lot of weight (BMI drop greater than 5 points), and can demonstrate they have trouble with daily activity, have skin breakdown/rashes or other skin compromise due to their excess skin and fat, AND that this has not resolved after 3 months of non surgical treatments. In some patients, there may be a hernia of the abdominal wall and they may also qualify for a Medicare item number.

Tummy tuck surgery in Sydney is not available in a public hospital.

What is a tummy tuck?

A tummy tuck also called an abdominoplasty, is where the skin and fat of the lower tummy from the belly button all the way down to the groin crease and from hip to hip is removed. The remaining skin of the tummy above the belly button is lifted all the way to the rib cage, and the belly button is cut out and left where it was originally. The tummy muscles (rectus muscles) are tightened and their separation repaired. At the same time any umbilical hernias are repaired. The skin is then pulled tight, and the belly button takes a new position on the tummy skin although its physical position has not actually changed.

This procedure takes around 3 hours, and patients generally stay in a hospital for 3 nights. It produces a beautiful flat appearance to the tummy. In addition, there is now also a lot of evidence to say that this increases core strength, improves back pain and may help other things like urinary incontinence (leakage of urine when coughing).

What is a mini tummy tuck?

In a mini tummy tuck, a smaller incision is made along the groin crease. The main purpose of this operation is not to remove skin and fat, but to repair the six-pack or rectus muscles so that they come back to the midline, and improve core strength. A small amount of skin and fat can also be removed. This is the main difference to a full tummy tuck where ALL the loose skin and fat is removed – a mini tummy tuck is therefore not possible if you have a lot of loose skin and fat. In this case, a full tummy tuck is required.

Do I need a full or mini tummy tuck?

Everyone is on a spectrum, and it really depends on what you need to get you the flat tummy you are after.

For example, if you have a lot of loose skin, no amount of liposuction will help. In fact, by doing liposuction you can create more loose skin and this can look worse than where you originally started.

Contrastingly, patients with great skin quality and a mild amount of fat that doesn’t shift from diet or exercise may get away with liposuction alone.

Patients who have a small amount of skin that needs to be removed, but the main reason for surgery is that they need their six-pack or rectus muscles repaired (because for instance they were separated by pregnancy or weight gain and loss) will also probably best suit a mini tummy tuck.

How much for a mini tummy tuck in Sydney, Australia?

The surgical fee for a mini tummy tuck (mini-abdominoplasty) is $4500 + GST. There is also a fee for the anaesthetist and an assistant. Please note, a mini tummy tuck is always regarded as a cosmetic case so there is also a fee for the hospital and theatre costs (which on average for a 1.5-hour operation and overnight day stay the costs are around $3500-4000). The total fee is therefore around $10000.

Who is the best tummy tuck surgeon in Sydney?

You will never hear us gloat about ourselves, or claim that we are the best as we are just not that sort of plastic surgery practice. However plastic surgeon Dr Aggarwal performs many tummy tuck abdominoplasty procedures, and breast surgeries as this is an area of focus for his practice.

His interest is also breast reconstruction and breast augmentation using a patient’s own tissue, where the tissue usually discarded in a tummy tuck is actually transplanted to the chest for breast reconstruction. He will be able to show you many before and after photographs of the spectacular results our patients have achieved from this surgery.

Where can I find tummy tuck before and after photos?

You can view some tummy tuck before and after photos, from Dr Aggarway’s patients here. Or follow our social media pages (Facebook and Instagram) as we post before and afters of our patients every week across all procedures that we perform in our practice. Targeted before and after photographs will be shown to you during a consultation with Dr Aggarwal – as not all before and after photographs are available on our website and social media pages to protect patient privacy and confidentiality.

Do tummy tucks last?

Yes, tummy tucks last!

This is provided that you maintain your weight. Major changes in the tummy area with pregnancy for instance, or massive weight gain or loss will undo all the work of having surgery. Obviously, things age as one gets older and some loose skin will be created, but overall the appearance will stand the test of time if a stable weight is maintained.

Our patients are generally men and women who have lost a lot of weight or women you have completed their families but multiple pregnancies left their core muscles weakened and separated, combined with an excess of skin in the tummy region.

What should I expect after a tummy tuck?

When you wake up your back and legs will be up, and you will be in a bent position to protect the tummy area as this is tight. There is usually a catheter in your bladder so you do not have to rush to the bathroom. You have pain pumps slowly infusing local anaesthetic in the tummy, and we usually place blocks of nerves during the surgery. In addition, the anaesthetist will chart you for lots of pain relief so most patients are very comfortable when they wake up from surgery and in the days after surgery.

The first two days are spent getting used to transferring out of a bed (hunched over), getting the catheter out, and walking hunched over. Most patients go home with drains, a binder on their tummy, and still walking with a slight hunch. We see patients in our rooms a week out from surgery, and again at 2 weeks, 4 weeks, and then depending on how your progress is going. We will always see people at 3, 6 and 12 months to see long term results.

How long will it take for the incision to heal?

The scar from a tummy tuck heals within 2-3 weeks. During this time you will not be able to swim at a pool or a beach. The area remains swollen for several weeks and also numb for a few months.

How long will I need to wear a bandage after the surgery?

We use waterproof dressings that are placed along the wound and stay in place for the first 2 weeks after surgery. Other than this no special dressings or bandages are required, and you often don’t need anything on the wound after it has healed.

You are allowed to start showering after a few days out of surgery, but not swim in a pool or beach until all the wounds are healed.

You will be required to wear an abdominal binder around the tummy which is like a corset. This helps support the tummy during healing but more importantly, it is a tool to reduce fluid collections under the skin where the surgery has taken place. We ask patients to reduce their activity and wear the binder for 8 weeks after surgery.

How long will it take me to stand up straight after surgery?

It takes one week to stand up straight after a tummy tuck. Initially, you will need to walk hunched over as the tummy area will be tight after surgery and each day you can sleep and walk a little straighter than the day before as the skin rapidly stretches. We ask patients to do everything slowly and deliberately especially getting in and out of bed, and in and out of chairs. Most patients are walking straight within 7 days from surgery.