Cosmetic Breast Plastic Surgery

Breast Reduction

Breast Lift and Breast Reduction

Breast reduction and breast lifts are surgical procedures that reshape and remove excess breast tissue. These procedures are performed in healthy adult women of any age but Dr Pham recommends patients should wait until after completion of breast development, child birth or breast feeding. These procedures are now very popular for both medical and cosmetic reasons. Breast reduction can be performed at different stages in life. For example young women who have extremely large breasts that cause symptoms such as back pain and rashes can have breast reduction surgery as long as their breasts have stopped growing. The earliest age Dr Pham recommends is usually 18 years old.

Breast Lift (Mastopexy)

A breast lift is a procedure that reshapes sagging breasts or improves the firmness in breasts to give them a more youthful appearance.

The main indications for breast lifts are:

  • To improve sagging of the breasts, particularly after pregnancy or after significant weight loss. Breasts become very droopy and the nipples may drop below the desired position and the areolas may be too large.
  • To improve the loss of firmness due to loss of too much skin giving the breasts a "rock in a sock" appearance.
  • To increase the volume of the breasts by combining the procedure with breast implants (augmentation mastopexy).
  • To return volume to the breasts.
  • To give the breasts a more conical shape.

Breast Reduction (Reduction Mammoplasty)

Breast reduction or reduction mammaplasty is a procedure that reduces the size, shape and volume of the breasts to relieve symptoms caused by excessively large breasts.

The main indications for breast reduction are:

  • To reduce breasts which are too large, heavy or pendulous.
  • To improve symptoms of back pain, neck pain, shoulder pain; rashes beneath the breasts, breast pain, restriction of activities, headaches etc., associated with large heavy breasts.
  • To return the position of the nipples and areolas and make the areolas smaller.
  • To improve the self esteem of patients who are embarrassed by their breast size.

Making a Decision to Proceed with Surgery

You should be informed as much as possible before making any decisions related to breast surgery. Breast lift and reduction surgery are elective procedures, which means that it is a personal choice for surgery and not necessary for maintenance of good health. You should decide on the size and shape of your breasts and discuss any breast issues with Dr Pham. It is important to understand that neither Dr Pham nor any other surgeon can predict the exact outcome of the breast size and shape after surgery. Nor it is possible to guarantee satisfaction all your expectations. There will be always some minor asymmetry between the two breasts after the procedure.

You can expect a thorough explanation from Dr Pham regarding the risks and benefits related to the procedure. Dr Pham will inform you of the best methods of anaesthesia, the surgical facility where your procedure will take place and the cost of surgery. Following a joint decision by you and Dr Pham to go ahead with a procedure, photographs of you will be taken and Dr Pham will further discuss the options available. You are encouraged to seek opinions of other surgeons if you are uncertain.

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Private Health Insurance Rebate

Breast reduction for medical or functional reasons is usually partially covered by Medicare and Health Insurance Funds. There will be an out of pocket or gap fee. You will be given a quote from Dr Pham (surgeon’s fee only) and you should contact your health insurance fund to find out the amount you can expect to be rebated.

Understanding the Procedure

Breast reductions / lifts are usually performed under general anaesthetic and very occasionally under sedation with local anaesthetic. Modern anaesthesia is safe but does have side effects and you should discuss this with your anaesthetist.

Specific techniques selected for your breast lift or reduction will depend on your individual factors and Dr Pham’s preferences. In all cases there will be scars, which become less noticeable with time.

In most cases the nipples and areolas remain attached to their blood and nerve supplies to preserve their sensations and reduce the chances of necrosis. However in some breasts that are very large or pendulous the areolas and nipples are completely removed and then grafted back into a higher position. Sensation in these areas will be lost and you will no longer be able to breast feed. It is very important to cease smoking 3-4 weeks prior to surgery to at least 4 weeks after surgery. Dr Pham usually do not perform breast reduction / lift surgery on active smokers as wound healing is compromised with higher risks of skin and nipple necrosis.

Mammography should be performed in patients older than 40 years old prior to the procedure.

Techniques and Incisions

Dr Pham will outline the incisions just prior to surgery. There are 3 methods Dr Pham uses.

  • Inferior Pedicle (Robbins) Method.This is the most common method with incisions around the areola and vertical from the areola to join with a horizontal incision following the crease of the breast (inframammary fold). The scar is an inverted T shape.
  • Vertical Pedicle (Lejour) method.This produces a shorter scar with only vertical and areola incisions. It is mainly used in smaller breast reductions or lift procedures.
  • Peri-areolar (Benelli) Method.This involves 2 circular incisions. One around the areola and the other wider on the breast. The skin and breast tissue in between are removed leaving only a scar around the areola. This method results in a slightly flatter breast.
  • Augmentation Mastopexy-if an implant is also used during breast lift the implant is usually inserted either under the muscle or the breast.

How Long is the Procedure?

Usually the procedure lasts for 2-2 ½ hours. Most patients stay overnight and on occasionally a drain is inserted.

Please contact us on 9380 4488 for your consultation on breast lift / breast reduction or other cosmetic surgery and non-surgical cosmetic procedures

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FEES AND INSURANCE

After conducting a thorough medical history, Dr Pham and his staff will offer information regarding anaesthesia, the surgical facility to be used, and the costs for the procedure. Every procedure is individual and unique to each patient. Because of this, determining your specific needs and the fees associated relies upon a variety of factors, such as the complexity of the operation, where the surgery will take place and type of anaesthetic to be administered.

Your Quote

A quote will be provided and is usually an estimate as the actual surgery may differ from the proposed treatment due to an unexpected finding. Dr Pham will never compromise your health or surgical outcome to conform to previously anticipated or communicated anaesthesia and facility time. Accordingly, if further treatment is required (either through complexity, unforeseen complications or additional procedures you request) then extra costs are likely to apply.

Total Fee

The total fee will comprise of

    • Surgeon Fee (Dr Pham)- this will be provided in the quote
    • Anaesthetist Fee- you will need to consult the Doctor / Anaesthetist involve for a quote
    • Hospital or Day Surgery Fee- you will need to contact the hospital involve for a quote

Consultation Fee

The fee for the initial consultation with Dr Pham is $190.00. Please remember that a referral letter from your General Practitioner will be required for a Medicare Rebate of $70.

Your first cosmetic consultation is free with a Nurse Coordinator.

Fees for cosmetic plastic surgery are paid prior to surgery.

Deposits

A non-refundable deposit of 10% or $500 is required once surgery has been scheduled. This deposit reserves the surgery date and is credited towards the balance due.

The balance of fees due is to be paid in full at the pre-operative appointment or three weeks prior to the scheduled surgery, whichever is first. Perth Facial Plastic & Cosmetic Surgery generally does not provide refunds. Once a procedure is scheduled and the fee collected, and you cancel or reschedule the surgery within 2 weeks, there will be a fee of 25% of the total cost. Of course, exceptions are made for life threatening emergencies or medical illnesses prior to the procedure. In these instances, the rescheduling fee does not apply.

Payment

Acceptable forms of payment include:

  • Cash
  • Bank Cheques
  • Visa or MasterCard

We do not offer payment plans

Health Insurance

As a rule, cosmetic plastic surgery is considered “elective surgery” and is not covered by most health insurance funds or Medicare. Some operations that have a significant functional aspect may be considered reconstructive rather than cosmetic and, as such, may attract a small rebate. These include Rhinoplasty for deformity or nasal obstruction, and breast reduction if the weight of your breasts causes pain or interferes with normal activities. Dr Pham will advise you to contact your health fund and Medicare if this is the case.

Because Facial Plastic & Cosmetic Surgery is artistic, on occasion, revisions may be necessary. Such revisions are performed within one year of the original surgery, and although there is generally a minimum charge for the surgery, facility and anaesthesia fees still apply for such procedures. Perth Facial Plastic & Cosmetic Surgery reserves the right to determine whether a revision is appropriate and what the procedure will entail. If you have any questions regarding this policy, please ask Dr Pham.

TABLE OF FEES

These prices are approximate only. You will be provided with a firm quote after consultation with Dr Pham. Most cosmetic surgery’s fee will attract a GST.

ProcedureDr Pham’s FeeAnaesthetist FeeHospital fee (Private Health Insurance may apply)Churchill Day Surgery fee
Rhinoplasty (Nose Reshaping / Nose Job / Nose Surgery)7000-7500

 

8000-9500  (costal/rib cartilage)

1500-20003500-45002500-3000 (selected case)
Mini Face Lift, Minimum Incision Facelift6000-7000 +GST2000-25004500-55004000-4500
Face and Neck lift9000-10,000 +GST2500-30006000-80005500-6000
Neck lift6000-7000 +GST2000-25004000-45003500-4000
Brow lift3500-4000 +GST1200-15002500-30002000
Eyelid Upper2500-3500800-10002000-25001800
Eyelid Lower2500-3500800-10002000-25001800
Eyelid Upper and Lower5000-60001500-18003000-40002800-3000
Mini-Face lift, upper & lower blepharoplasty10000-12,000 + GST2500-30006000-80005000-6000
Face Neck lift, upper lower blepharoplasty12000-14000 + GST3500-40007000-90006000-7000
Face Neck Brow lifts, upper lower blepharoplasty15000-16000 + GST4000-45008500-95007500-8000
Otoplasty / Ear Pinning / Prominent Ear5000-60001200-15002500-35002500-2800
Chin implant / Augmentation2500-3500 + GST Implant 700 +GST800-10002000-25001800
Cheek Implant / Augmentation3000- 3500 + GST Implant 700 +GST800-10002000-25001800
Breast Augmentation / Breast Enhancement5000-6000 +GST Implant 2000 +GST1200-15002500-35001800-2000
Breast Reduction / Breast Lift8000-90001500-22003500-4500NOT Available
Gynaecomastia – Male Breast Reduction4000-50001200-15003000-35002000-2500
Tummy Tuck (Lipectomy / Abdominoplasty)8000-90002000-35004000-5000NOT Available
Mini Tummy Tuck (Lipectomy /Abdominoplasty)4500-60001200-18002500-30002000-2500
LiposculptureDepends on area. Approximately 1000-1500 per area +GSTNeed quoteNeed quote. Each area include: Upper abdomen, Lower abdomen, Flanks, Medial thigh, Lateral thigh, Buttock, Axillae, Back, Upper armNeed quote
Chemical Peel2000-2500 +GST Depend on areaIf required sedation or general anaestheticNeed quote1000
Dermabrasion2000-2500 +GSTIf required sedation or general anaestheticNeed quote1000
Wrinkle Relaxer550-600 for 25-30 units or 300 per area +GST
Fillers – temporary- Juvederm650/ampoule +GST
Fillers – semi permanent1200/cc +GST
Platelet-Rich Plasma800-1000 + GST

 

YOUR AREAS of CONCERN

 

Brow and Forehead: lines, angry or tired, sad look
  • Wrinkle Relaxer
  • Wrinkle Fillers
  • Blepharoplasty / Eye lift / Eye lid surgery
  • Endoscopic Brow Lift /Forehead Lift
Eyes: hooded, droopy, puffy, fullness, block vision
  • Blepharoplasty / Eye lift (upper and lower eyelid reshaping)
  • Endoscopic Brow Lift / Forehead Lift
Eyes- crow feet
  • Wrinkle relaxers
Ears: protruding, batty, large, prominent ear
  • Otoplasty (Ear Pinning)
Jowls and Sagging Cheeks & neck
  • Face lift (Rhytidectomy)
  • Mini Facelift, S-lift, MACS lift
  • Face Neck lift
Neck: sagging, excess skin, bands, fullness
  • Neck Surgery (Neck Lift and Liposuction / Liposculpture)
Wrinkles and Lines
  • Wrinkle Relaxer
  • Wrinkle Fillers
  • Laser & Chemical Resurfacing
  • Dermabrasion
  • Platelet Rich Plasma
  • Skin Care Products

 

Nose: prominent, large, twisted, too small, nasal hump, too long
  • Rhinoplasty (Nose Surgery)
Blocked nose, crooked nose, fractured nose
  • Septoplasty / Septo-rhinoplasty (Nasal Surgery for breathing and deformity)
Cheeks: hollow
  • Implants – Cheek implant
  • Wrinkle Fillers
  • Fat transfer
Chin: small, protruding
  • Chin Surgery – Chin implant, Genioplasty / Mentoplasty
  • Wrinkle Fillers
  • Fat transfer

 

Cosmetic Breast Surgery: breast enhancement / implant, sagging breast, heavy breast, male breast
  • Breast implant / Breast enhancement / Breast Augmentation (Augmentation Mammoplasty
  • Breast Lift (Mastopexy)
  • Breast Reduction (Reduction Mammoplasty)
  • Correction of Enlarged Male Breasts (Gynaecomastia)
Body Contouring: sagging tummy, too much fat
·         Tummy Tuck (Abdominoplasty)

·         Mini Tummy Tuck (Lipectomy)

·         Liposuction / Liposculpture

 

Facial Reconstructive: scars, skin cancer, moles
·         Skin Cancer of the Face, Head & Neck

·         Mole Removal