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Plastic surgery frequently asked questions

Plastic Surgery FAQs

Dr Mark Hanikeri answers many frequently asked questions about plastic surgery.

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Do I Need To Be Referred By My General Practitioner (GP)?

Under the new Regulations from AHPRA, all patients require a referral letter from their GP or another consultant to ensure that they are involved in all aspects of your care. You should therefore approach your GP for a referral letter before making an appointment with Mr Hanikeri.

In addition, your GP will be able to inform Mr Hanikeri of your past medical history so that this information can be taken into account when considering your procedure. Sometimes patients do not realize that a particular medical problem, which they might have suffered from in the past, could increase the risks involved in an operation. ​

How to choose the right plastic surgeon?

Do your research.  Make sure they are listed on the AHPRA website as a Specialist Plastic Surgeon. Speak to your GP or friends if they have any knowledge of the surgeon. It can be risky looking at Social Media reviews as they are often fabricated. Independent sites such as Realself, Plastic Surgery Forum and Plastic Surgery Hub are more reliable.

How much do consultations cost?

As with all ASPS surgeons, Mr Hanikeri will charge a consultation fee, just like any other specialist. You will be asking him for a professional opinion about your condition and after consideration he will discuss the range of options available to you.

One option may well be that surgery is inappropriate. In some cases, Medicare rebates will apply to your consultation fee.


New AHPRA guidelines

From 1 July 2023, the Medical Board of Australia and the Australian Health Practitioner Regulation Agency (Ahpra) will implement updated guidelines for cosmetic surgery.

From 1 July 2023, the Medical Board of Australia and the Australian Health Practitioner Regulation Agency (Ahpra) will implement updated guidelines for cosmetic surgery.

Cosmetic surgery is defined as procedures aimed at altering or modifying the appearance, colour, texture, structure, or position of natural bodily features, primarily with the objective of attaining a more desirable aesthetic outcome.

Cosmetic surgery procedures differ from medically-necessary or reconstructive plastic surgery procedures, in that they generally do not attract any Medicare or private health insurance rebates.

Examples of cosmetic procedures that Dr Hanikeri performs, can include the following when not deemed medically-necessary:

  • Abdominoplasty
  • Brachioplasty
  • Breast augmentation
  • Breast lift
  • Breast revision (removal and replacement of breast implants)
  • Brow lift
  • Fat grafting
  • Labiaplasty
  • Liposuction
  • Lower and/or upper eyelids (blepharoplasty)
  • Otoplasty (for patients over the age of 18)

These strict new guidelines encompass regulations concerning appointment scheduling, surgical bookings and marketing, and will apply to all doctors who perform cosmetic surgery.

We have outlined below details of the anticipated stages you can expect throughout your cosmetic surgery experience with Dr Hanikeri:

You will require a referral letter

To start your surgical journey, it will be necessary to obtain a referral letter from your usual general practitioner (GP), who can then refer you to Dr Mark Hanikeri. If you do not have a usual GP, you have the option of seeking a referral letter from another GP or Specialist.

It is mandatory for your referring doctor to inquire about your reasons for pursuing cosmetic surgery and whether you have been previously denied by another medical professional. Obtaining a referral letter from your referring GP aids in determining whether your surgical requirements will be fulfilled and provides crucial information regarding your medical history. While the initial consultation with the referring GP is eligible for a Medicare rebate, please note that your consultation with Dr Hanikeri may not necessarily qualify for a Medicare rebate.

You will be asked to complete a psychological questionnaire

An important aspect of your surgical journey is the care Dr Hanikeri has for your overall well-being and therefore, he needs to exclude important but uncommon causes for dissatisfaction with your appearance, such as Body Dysmorphic Disorder. This can be done with a simple psychology questionnaire prior to or at the time of your appointment. The questionnaire will be given to you electronically to be completed before your consultation. Dr Hanikeri may ask you to see another health practitioner (e.g. psychologist) if there are concerns raised in your questionnaire.

Dr Hanikeri will assess if you are a good candidate to undergo surgery

Cosmetic surgery is not suitable for every patient seeking such procedures. The main factor that can lead a surgeon to decline performing surgery is their assessment that it may not be in your best interest. This determination can be influenced by various factors, including the expectation of minimal enhancement in your appearance following the surgery or increased risks associated with the procedure due to underlying health conditions. In such instances, Dr Hanikeri will discuss alternative options, whether non-surgical or provided by another healthcare professional, that could be more appropriate for your specific situation.

You will require two consultations before booking surgery

In order to ensure your comprehensive understanding of the surgery, including its associated risks and alternatives, your Dr Hanikeri will conduct two pre-operative consultations with you. At least one of the two consultations must be in person and the other consultation(s) can be in person or by telehealth.

Following the second consultation, you will be requested to sign a consent form, which serves as an agreement between you and Dr Hanikeri, confirming your willingness to proceed with the surgery.

Once the two consultations are completed, a cooling-off period of at least seven (7) days will required. After this period, you will then have the opportunity to schedule a date for your surgery and make a deposit payment.

Please note these two consultations and cooling-off period are mandatory and cannot be waived.

In order to safeguard the well-being of patients under the age of 18 who may be more susceptible to body image concerns, the cosmetic surgery guidelines mandate specific requirements. These include obtaining a referral from an independent psychologist, psychiatrist, or GP who is not directly involved in performing the procedure. Additionally, a minimum cooling-off period of three (3) months is necessary between the time of providing informed consent (i.e. the second consultation) and the actual surgical procedure. These measures aim to ensure adequate time for reflection and consideration before proceeding with the surgery.

You will be provided with all the information you need to know in order to make an informed decision

As part of your surgical journey, Dr Hanikeri and his team will provide you with:

  • Written information about the surgical procedure
  • A comprehensive explanation of the recovery process, including details on any necessary recovery services like massages or compression garments, and expected or potential lifestyle changes such as absence from employment or temporary restrictions on activity
  • Information regarding the possibility and associated costs of revisional surgery in both the short and long term
  • Informed Financial Consent details, including costs related to the surgeon, anaesthetist, medical devices, garments, and hospital expenses (if available, or where to obtain them if not available).

We wish you a safe and smooth journey with your surgery. Be sure you do your research and seek a second opinion from an appropriately qualified Specialist Plastic Surgeon before proceeding with surgery. Should you have any questions, we encourage you to discuss these with Dr Hanikeri or his team.

How many nights should I spend in hospital?

Your stay in hospital depends on how quickly you can recover which varies from patient to patient.

  • For breast augmentation patients, we may recommend an overnight stay in hospital if the implants are placed under the muscle
  • For breast reduction and and abdominoplasty (tummy tuck) patients we advise a 1-2 nights

At the time of your consultation Mr Hanikeri will discuss the length of your hospital stay and explain why a longer stay may be required for certain procedures or patients.

Will my breast surgery affect breastfeeding later in life?

The answer depends on exactly what type of breast surgery you are contemplating. As a Specialist Plastic Surgeon with 20 years’ experience in Surgery, Mr Hanikeri will take whatever measures are available to maximise your chances of maintaining normal breast function and nipple sensation – Unlike an underqualified ‘cosmetic surgeon’ or physician might do.

For breast augmentation surgery, we generally recommend “below the muscle” implants and making incisions under the breast for best results if you are going to breastfeed children later in life or want the lowest chance of loss of nipple sensation.

Will I meet Dr Hanikeri at my consultation?

Yes. Dr Hanikeri can give you an opinion about the suitability of an operation. You may also meet his nurse and administrative staff members who can assist you with health fund information and hospital bookings.

How much do operations cost?

The operation cost will be made up of Mr Hanikeri’s fee, the anaesthetist’s fee and hospital costs which will include the bed in the hospital, the facilities of the operating theatre and any other tests, which may be required.

When can I start exercising after my procedure?

We encourage leisurely walking and light duties following your procedure. At the time of your consultation, Mr Hanikeri will discuss the type of exercise that you would like to do and how soon you can return to the activity.  For fitness enthusiasts, this may mean 10-12 weeks before heavy gym exercise like weights, bouncing or running.

How long should I wait after finishing breastfeeding before having breast surgery?

Dr Hanikeri recommends waiting several months after you’ve finished breastfeeding your last child before having breast surgery – typically a minimum of three months after breastfeeding finishes.

I hear the same procedure is cheaper overseas, isn't that a good way to save money?

Patients often say that cost is the main reason for choosing to travel overseas for cosmetic surgery. However, if there are complications with your surgery and revisions are needed, that initial cost can increase significantly. It is therefore important to assess all the risks involved before making an informed decision.

Do your homework and make sure the person performing the procedure is properly qualified and accredited. It is also important to make sure that the surgery will take place in an accredited facility that is to the standards set by the Australian Day Surgery Council.

Some of the questions you should ask before making a decision are:

  • Is my surgeon a member of the International Society of Aesthetic Plastic Surgery (ISAPS)? This means they have some form of internationally recognised qualification
  • Have I got the right information and had enough time to give informed consent?
  • Has there been at least a week between appointments so that I have had adequate time to consider surgery and make an informed decision?
  • Are the medical standards of care and quality control requirements at least as good as those in Australia and New Zealand?
  • Have I been assured that the devices and products used in overseas hospitals meet Australian and New Zealand standards? For example, breast implants used in Australia must meet strict standards of safety and effectiveness, a process regulated by the Australian Therapeutic Goods Administration (TGA) and Medsafe (New Zealand). Other countries may not have similar regulations
  • Have I got a plan for what I will do in the case of post-operative problems?
  • Did I actually see the surgeon, or was the initial ‘free’ visit with a nurse or administration person?
  • Did I get full, written financial details, including all out of pocket expenses for not only the surgeon, but also the anaesthetist, assistant and hospital theatre or facility costs?
  • Were the risks and complications explained to me?
  • What will happen if things go wrong? Will my surgeon accept liability?
  • Where will I be financially if things go wrong, what other costs do I need to consider?
  • Have I been told about post-operative care and what to do if complications arise after the surgery?

Post-operative care is vital to your recovery from surgery and should not be combined with a holiday. Sitting by the pool, drinking cocktails and snorkelling does not qualify as post-operative care. A qualified and accredited surgeon should offer you a high level of post-operative care.

What do plastic surgeons do?

A specialist plastic surgeon is a doctor who specialises in cosmetic and reconstructive surgery. Not only do they treat patients after injuries, illnesses or burns they also see patients who want to change their appearance or aesthetic.

The most common procedures plastic surgeons conduce include all areas of breast reconstruction, burn repair, facelifts, abdominoplasty and more.

Who is the best plastic surgeon in Perth WA?

Finding the best possible surgeon is extremely important to have a comfortable experience throughout your surgery. When looking for a plastic surgeon, ensure they have relevant and respectable qualifications Australian Society of Plastic Surgeons’ (ASPS). Your surgeon should listen to you in regards to what you would like to achieve from surgery, and they also should provide you with realistic expectations during your consultation.

How do I choose the right plastic surgeon?

Choosing the right plastic surgeon for your operation can affect the experience of your procedure. You want to ensure you will be comfortable throughout your treatment, while also getting your dream results

The first step to find the right Plastic Surgeon is to check their credentials and experience. This includes all Australian Society of Plastic Surgeons’ (ASPS) Members, that are certified by The Royal Australasian College of Surgeons (RACS). These doctors have completed specialist surgeon training in plastic surgery (cosmetic and reconstructive) and operate only in accredited medical facilities. The ASPS also aims to maintain the highest standard of surgical practice and ethics in Plastic Surgery in Australia.

Is there any difference between a cosmetic and plastic surgeon?

Many plastic surgeons are cosmetic surgeons, however, not all cosmetic surgeons are plastic surgeons and in fact many “cosmetic surgeons” are not surgeons at all, as they do not hold a fellowship with the Royal Australasian College of Surgeons (RACS). Cosmetic surgery focuses on the enhancement of appearance by surgical and medical treatments or techniques. These are the techniques that Plastic Surgeons hone during their specialist training.

How to make a complaint ?

We are committed to providing our patients with the highest quality of care. If you have any concerns, questions, or complaints about your consultation, surgical procedure, or post-operative care, please do not hesitate to let us know.

Step 1: Talk to your surgeon

The first step is to talk to your surgeon directly. They may be able to address your concerns immediately. If you are unable to speak to your surgeon directly, you can speak to their office staff.

Step 2: Make a written complaint

If you are unable to resolve your complaint with your surgeon, you can make a written complaint to us. Please include the following information in your complaint:

Your name, contact information, and the date of your complaint

A description of your complaint

Any relevant supporting documentation

You can send your complaint to the following address:

The Complaints Officer
Suite 215, St John of God Medical Centre
25 McCourt Street

Step 3: Contact an external agency

If you are still not satisfied with the outcome of your complaint, you can contact an external agency for assistance. These agencies can investigate your complaint and make recommendations for how it can be resolved.

Health and Disability Services Complaints Office (HaDSCO)

Australian Health Practitioner Regulation Agency (AHPRA)

We value your feedback and appreciate your patience as we work to resolve your complaint.