How do I get a consultation?
Telephone Avery Plastic Surgery on 4002 4150, to discuss Dr Avery’s availability for the consultation and the cost. Consultations can only be booked over the telephone due to the changing nature of Dr Avery’s calendar.
When can I be seen for a consultation?
There is generally a 3-6 week wait for a consultation with Dr Avery, although at times earlier slots can become available. If your concern is urgent please let our team know and Dr Avery will do his best to accommodate you.
How long is a cosmetic consultation?
Approximately 30 minutes with Dr Avery, then allow time to meet with our Practice Manager to talk through cost and available dates for surgery.
How many consultations do I need prior to cosmetic surgery?
You are able to book your surgery after your first consultation. If you still have questions after the first consultation you can book a second consultation. Once surgery is booked a pre-operative consultation is included to finalise your personalised surgical journey.
Do I need a referral?
Some operations are considered to be a medically indicated; therefore a rebate might be available from Medicare Australia. If you are going to claim any rebates from Medicare or your private health fund, for your consultation or surgery, you will need a referral from your GP or Specialist.
Can I see pictures of Dr Avery’s previous work?
Will private health insurance cover some costs?
If the procedure is medically indicated and there is a Medicare item number that is appropriate for the procedure, and your private health insurance policy covers the allocated item number, some or all of your costs will be covered.
Are there any pre-operative instructions?
Everyone who has surgery will receive pre-operative and post-operative instructions specific to his or her surgical journey.
Do I need a pre-operative assessment?
All patients undergoing major surgery will need a pre-operative appointment. There is no cost for the pre-operative appointment.
When can I be discharged from the hospital?
It depends on the surgery you are having and if you have any underlying health concerns. Minor surgeries will generally involve a ‘day stay’ only without an overnight stay in the hospital. More significant surgeries will generally require a 1 to 7-night stay, depending on the procedure.
When is my first post-operative appointment?
This will depend on the surgery that has been performed. Generally 7 to 10 days after the surgery.
When am I able to resume regular exercise?
This will depend on the surgery that has been performed. This will be noted in your post-operative instructions and discussed at your pre-operative appointment.
Breast Reduction FAQ's
What do the scars look like after breast reduction?
Breast reduction scars consist of one around the outside of the areola, a vertical scar from the lower part of the areola to the natural fold of the breast, and then one that sits in this natural breast fold for a variable distance depending on the size of the breast reduction. They will not be visible in clothing and will gradually fade.
Will my nipples retain their sensitivity after the surgery?
Most women retain normal nipple sensation after surgery. Some women will have reduced sensation in their nipples following surgery, which may be temporary or permanent. Generally the chance that there will be a change in nipple sensation increases with the extensiveness of the surgery. Many women will also find their nipples hypersensitive for a short time after surgery.
Will my nipples be removed during breast reduction surgery?
Despite the appearance of the scars around the entire areola, the nipple and areola remain attached to the breast at all times. The size of the areola is usually reduced. Occasionally the nipples are removed and replaced on the breast but this is uncommon and would be discussed with you prior to the surgery.
Will breastfeeding be affected by a breast reduction?
It is generally possible for most women to breastfeed following breast reduction surgery. Despite the appearance of the scars around the entire areola, the nipple and areola remain attached to the breast tissue, which maintains the pathway from the milk producing part of the gland to the milk ducts in the nipple.
Is there an age restriction for breast reduction?
Breast reduction surgery is generally performed after 18 years of age up to any age depending on individual symptoms. In some cases, if the severity of symptoms warrants surgery and if the breast growth has stabilised, surgery can be considered around 16 years of age.
How long will it take for the swelling to go down after surgery?
Most of the swelling from surgery will be gone by about 6 weeks post-surgery. Beyond this time there can still be some changes in the breast size but they will generally be less obvious. The breasts continue to remain responsive to weight fluctuations, as they did prior to surgery.
Breast Augmentation FAQ's
Do I need a referral for breast augmentation?
A referral is not required for a consultation or surgery for breast augmentation.
What is the difference between round and teardrop implants?
Teardrop or anatomic implants are fuller toward the lower pole of the implant and can be used to influence the breast shape differently to what a round implant may do. Teardrop implants may produce a more natural looking breast, particularly for women who have very little breast tissue and in those that may need some degree of breast ‘lift’.
Can I breastfeed after the operation?
Problems with breastfeeding are rarely due to surgery. Problems with milk supply can occur regardless of whether you have implants or not. Typically it is possible to breast fed following breast augmentation when it is performed with an incision in the lower breast fold. Dr Avery generally uses this technique.
It is possible to rupture a breast implant with physical activity or excessive pressure on my breasts?
Regular exercise including running, gym classes, strengthening activities, and weight programmes are possible with breast implants. Although highly unusual, it is possible to rupture an implant with intense physical activity that places stress or trauma on the implant. The extreme pressure exerted during a mammography can also cause implants to rupture.
What are the causes of implant rupture?
Intense physical pressure such as in a car accident or other trauma, or an aged implant may rupture; this is a risk with all implants. When a silicone gel implant ruptures the silicone gel stays in the body. The body tries to contain this rupture, which may cause inflammation, which may be associated with pain or a change in the breast appearance. Studies have not found that this results in any increase in risk of disease. When saline implants rupture all that leaks out is salt water, which is harmlessly absorbed into the body.
How will I know when my implant has failed or leaked?
You might notice a change in the size or shape of your breast. Or you might feel tenderness or pain in the breast. Some women do not notice any signs or symptoms. At any stage if there are concerns regarding implant rupture or a new lump in the breast an examination and possible ultrasound or MRI is advisable. It is also recommended to have a routine check and ultrasound of the breast approximately 10 years after breast implant surgery even without any change in the breast appearance.
What is silicone?
Silicone is a type of rubber or plastic made up of a combination primarily of the naturally occurring elements silicon and oxygen. Silicone gel is one of the possible substances breast implants are comprised of. Another type of breast implant is comprised of a saline (salty water) within a silicone outer shell.
Are silicone breast implants safe?
Silicone is an extremely common and useful substance that has a number of various uses, including the silicone gel used in breast implants for augmentation or reconstruction. Silicone has been used in breast implants for over 50 years. We are currently using 5th generation implants with silicone gel that has a consistency much like turkish delight or Jelly that generally holds its form and sticks to itself. In general, medical grade silicone for use in breast implants has been established as safe. However, there are risks associated with its use and a small number of women either do not tolerate the breast implants or may have problems related to the implants several years after insertion. Breast implants should not be considered as life time devices and anyone undergoing breast augmentation with an implant of any sort may require further surgery at some stage in their life.
After I've healed, can I suntan?
Sun exposure and solariums can adversely impact early wound healing and have an adverse effect on the pigmentation and long term quality of the scar. All scars should be protected from sun until they are mature, which may not be complete until one year post-surgery. A spray tan is fine after a few weeks once the wound is healed.
After the breast augmentation surgery, will my nipples lose sensation?
It is possible that your nipple and/or breast skin might lose sensation partially or completely after surgery. For most women any change in sensation will be temporary, but in some women there can be a permanent change in nipple sensation.
What happens when I'm pregnant?
Implants do not interfere with pregnancy. Breast size can increase with pregnancy so the skin of the breasts can have a looser appearance post-partum. However, this can occur regardless of whether you have breast implants or not.
Is there an increased risk of breast cancer after having breast augmentation?
There is no increased risk of breast cancer following breast augmentation with implants. A relatively new finding is a type of lymphoma known as BIA-ALCL (Breast Implant Associated – Anaplastic Large Cell Lymphoma). This is a rare condition associated with some types of implants. This will be discussed at any consultation regarding breast augmentation with implants.
Breast Implant Replacement FAQ's
What is breast implant replacement surgery?
Also referred to as breast implant revision, it involves the removal and/or replacement of breast implants to correct complications that have occurred after breast augmentation or breast reconstruction surgery.
Why is it done?
Breast implants can be replaced after migration or rupture, or because they have gone hard (capsular contraction). Surgery may be required if there is a problem with the implant or if there has been a change in the relationship between the breast and the implant that has a negative impact on the breast appearance or creates symptoms such as pain.
What are some specific risks or complications associated with breast implant replacement surgery?
Implant revision surgery will have similar risks to initial implant surgery. There may be additional risks if the revision surgery is more extensive and if additional breast surgery, such as a breast lift, is performed at the same time.
How is breast implant revision surgery performed?
This is performed in an accredited hospital under a general anaesthetic. Revision surgery is usually more extensive than the initial surgery and an overnight stay is often required.
Breast Lift FAQ's
What is a breast lift?
Also referred to as a breast mastopexy, this procedure involves reducing excess breast skin and tightening the surrounding breast tissue to help reshape or restore the breast.
Why have a breast lift?
The breasts can undergo changes a result of aging or other factors such as pregnancy and breastfeeding. This can leave the breast tissue and nipples sagging and sitting lower on the chest than they previously did. A breast lift can raise and reshape the breast, removing and tightening excess loose skin.
Will I lose sensation in my nipples?
Loss of sensation is possible with any breast surgery, although nipple sensation typically returns within 6 months for most women. Some women may not have return of the nipple sensation.
How long will my stitches be in?
For most breast surgery dissolving stitches under the skin surface will be used and the dressings are waterproof. The dissolving stitches slowly disappear over 3 to 6 months.
Will I be able to breastfeed?
Any surgery on your breasts can affect your ability to breastfeed in the future. However, many women are able to successfully breastfeed after breast lift surgery.
Gynaecomastia Surgery FAQ's
Could gynaecomastia (male breasts) be breast cancer?
Gynaecomastia is a benign condition. Breast cancer although uncommon in men is possible. Both gynecomastia and breast cancer can be seen as a change in the appearance and size of the breast or nipple and areola and therefore, it is important to have any lumps checked by a doctor.
What scarring will there be after male breast reduction?
The incision required depends on the severity of gynaecomastia taking into account the skin excess and quality and also the size of the breast tissue. Typically, an incision is made around the lower border of the areola and as the scar fades is usually hidden at the border of the areola with the surrounding skin. Scarring will vary between patients depending on the amount of fat and breast tissue removed, and the amount of elasticity in the skin.
What happens during recovery after male breast reduction surgery?
It is common for patients to experience some swelling and soreness. Compression around the chest after surgery helps to reduce swelling and produce a smooth and even result.
Do I need any special tests?
Blood tests and an ultrasound may be useful in some men with gynaecomastia. Occasionally a hormone imbalance may contribute to the appearance of gynaecomastia.
Will the entire gland be removed during the Surgery?
The aim of gynaecomastia surgery is to create a normal appearing male chest. Often the majority of the breast tissue is removed to achieve this. Breast tissue in men and women extends all the way into the nipple and areola. To ensure gynaecomastia surgery does not over correct the initial problem some amount of breast tissue will be left attached to the areola.
Will the nipple sensation be lost after Breast Reduction Surgery?
Nipple sensation may change following surgery, which can be temporary or permanent.
How long is the recovery time?
Typically, patients return to work within one to two weeks of surgery. Light exercise can recommence from one to two weeks post-surgery with unrestricted activity generally from four to six weeks after surgery.
How long does the surgery take?
Gynaecomastia surgery will take between one and two hours. Most commonly this is performed as a day procedure but occasionally an overnight stay in hospital is required.
Nipple Reshaping FAQ's
What are inverted nipples?
The nipple is pulled into the breast instead of pointing outward. Some nipples can be pulled out but fall back into the breast, for some it may not be possible to pull the nipple at all.
What can cause nipple inversion?
Inverted nipples can be a congenital condition, or arise as a result of disease or trauma. Often the inversion will occur with no obvious cause and at any stage. Whatever the cause, they can still be corrected.
What does nipple correction surgery involve?
An incision is made at the base of the nipple and the breast ducts that are often responsible for pulling the nipple in toward the breast are delicately spread and cut to allow the nipple to sit above the level of the breast. The procedure is typically completed as a day stay procedure and takes less than one hour.
How long does recovery take?
Recovery usually involves only mild discomfort and 1-2 days before returning to work. Strenuous exercise should be avoided for 2-3 weeks.
What will my recovery involve?
There may be some swelling and discomfort following surgery. The incision areas will be protected with dressings and a foam pad will be used inside a bra to prevent excessive pressure on the nipple during the healing period.
What are the risks or side effect from nipple correction surgery?
As with any surgery there are a number of possible issues following surgery to the nipple. Pain and infection are possible early complications. Other potential complications in the long term include re-inversion of the nipple, which may need to be corrected.
What will my scars be like after nipple correction surgery?
As with all surgical procedures the scarring will depend on skin type. For most people the scar at the base of the nipple on the areola is well concealed.
What is an Abdominoplasty?
Also called a tummy tuck, an abdominoplasty involves removing excess skin and fatty tissue from the abdomen. It can also correct the separation of the midline abdominal muscles that can occur during pregnancy and through other periods of rapid weight changes.
Will there be scarring?
The scarring can vary between patients depending on skin type. Generally the scar lies in a slight curve along the lower abdomen within the line of underwear or swimmers. It will be red at first, and over time fade, for most finishing either a little lighter or darker than the surrounding skin.
Can I get pregnant after having abdominoplasty surgery?
Abdominoplasty does not affect your ability to get pregnant. The skin of the abdomen stretches during pregnancy and this may be uncomfortable following an abdominoplasty. The abdominal muscles will also possibly stretch again during pregnancy and any improvements/repairs performed during an abdominoplasty may be lost. For this reason, it is a good idea to wait until after having children before having an abdominoplasty.
What are the risks?
All surgeries involve some potential risks, these can be general in nature related to surgery and the anaesthetics and also specific for the type of surgery being performed. Blood clots can develop in the legs when undergoing surgery such as an abdominoplasty and this risk extends into the recovery period. It is possible to have an infection at the site of the surgery and wound healing problems. A more extensive discussion regarding potential complications, how to reduce the risk of these, and what to do about them are all discussed during the consultation process.
My Avery Journey
My Avery Journey
Dr Gary Avery
FRACS (Plast Surg) Plastic, Cosmetic, and Reconstructive Surgeon
Call 02 4002 4150
Fax 02 4002 4160
Suite1, Ground Floor
31-33 Watt Street, Newcastle 2300
PO Box 625 Newcastle 2300