Key takeaways

• A cosmetic surgery quote is normally five or six separate fees, paid to more than one party.
• Time in theatre is the single biggest variable. A ninety-minute procedure and a four-hour procedure use the same hospital at very different totals.
• Medicare and private health insurance rebates do not apply to treatment at this practice, so no item number reduces what you pay here.
• The consultation fee at Brisbane Cosmetic Clinic covers both consultations required before a procedure, and it is not credited toward the cost of surgery.
• Ask for the quote in writing and itemised before you commit to a date.
• Budget beyond the quote: time away from work, garments, medications, and travel to Annerley for reviews.

What a Brisbane quote is made of

Brisbane Cosmetic Clinic operates from Annerley, roughly ten minutes south of the CBD, and our rooms are consulting rooms. Procedures are performed in an accredited hospital, not here. That structure explains most of the confusion people have about pricing, because the money does not all go to one place.

A typical quote breaks into these components.

• The doctor’s fee. The fee for performing the procedure itself, set by complexity and the time it takes, not by a flat rate per procedure name.
• The hospital or day facility fee. Charged by the hospital, generally by the hour or by the session, and higher again if you stay overnight rather than going home the same day.
• The anaesthetist’s fee. A separate account from a separate practitioner, driven mainly by how long you are under anaesthesia. The Australian and New Zealand College of Anaesthetists publishes general patient information on anaesthesia that is worth reading before you ask about this line.
• Implants, devices and consumables. Breast implants are the obvious example, but dressings, drains and the sutures used also sit here.
• Pre-procedure tests. Blood tests, imaging, and sometimes a review by another practitioner if you have a health condition that needs clearing first.
• Follow-up care. Your scheduled reviews at our Annerley rooms, plus garments and prescriptions.

When people compare two quotes and find a wide gap, the gap is usually in the second and third items rather than the first. A clinic quoting only the doctor’s fee will always look cheaper than one quoting the whole day.

Why two quotes for the same procedure differ

Six things move the number more than anything else.

1. How long the procedure takes

Theatre time is billed by the hour, and anaesthesia follows it. A procedure that runs ninety minutes costs less to host than one that runs four hours, even when both carry the same name on the quote.

2. Whether you go home the same day

Day surgery and an overnight admission are priced differently. Abdominoplasty patients commonly stay a night or two; an eyelid procedure usually does not. Your own medical history can move you from one to the other regardless of the procedure.

3. Whether procedures are combined

Combining two procedures in one anaesthetic almost always costs less than booking them separately, because you pay the facility and anaesthetist once rather than twice. It also lengthens the single recovery, so it is a discussion about your calendar as much as your budget.

4. What your anatomy and history require

The technique that suits you is a clinical decision, and technique changes duration. On a breast lift, for example, the grade of ptosis being corrected and the incision pattern that follows from it change the time in theatre, and therefore the quote.

5. What the quote includes after the day

Some quotes include your review appointments for twelve months. Some charge each review separately. Ask which one you are looking at, because over a year that difference is real money.

6. The revision policy

Ask, in writing, what happens if a revision is recommended later, and who pays for which component. Nobody enjoys this conversation before a procedure, and it is the one that matters most twelve months on.

Worth saying, because it comes up in the rooms more than you would think: people often arrive with a printed price from an overseas clinic and want to know why Brisbane costs what it does. Part of the answer is that an Australian accredited hospital, an Australian anaesthetist and twelve months of local follow-up are all inside our number and none of them are inside theirs. The rest of the answer is that the follow-up is the part you cannot post home.

Medicare, private health insurance and item numbers

Medicare and private health insurance rebates do not apply to treatment at this practice. Whatever figure you are quoted here is the figure that applies, and there is no rebate to subtract from it afterwards.

The wider Australian framework works like this, and it is worth understanding even though it does not change your account with us. Medicare pays a benefit against particular item numbers listed on the Medicare Benefits Schedule, and those items generally require a documented medical indication rather than a cosmetic one. Private health insurance sits above that: the Department of Health explains what private cover does and does not include, and hospital cover typically only engages where a Medicare item number already applies. Procedures performed for cosmetic reasons sit outside both.

If a clinic tells you a cosmetic procedure will attract a rebate, ask which item number they mean and ask them to put it in writing.

What the consultation fee covers

Under the national rules, cosmetic surgery in Australia requires a referral, a consultation process and a cooling-off period before a procedure can proceed. AHPRA sets these out on its cosmetic surgery hub, and they are the reason the process has more appointments in it than people expect.

At Brisbane Cosmetic Clinic, one consultation fee covers both of the consultations required before a procedure. It is a set fee, quoted when you book, and it is not credited toward the cost of surgery. Treat it as the cost of getting a written, itemised plan and an honest answer about whether you are a candidate at all, including the answer that you are not.

You will leave the consultation with your quote in writing. The 14-point plan we work through covers what is included and what is not, and our consultation guide walks through the appointment itself.

Costs people forget to budget for

The quote covers the procedure. Your recovery has its own costs, and they are easier to absorb when they are planned rather than discovered.

• Time away from paid work. One to two weeks for desk work after many procedures, longer for physical work. This is often the largest unbudgeted item.
• Someone to drive you. You cannot drive yourself home after an anaesthetic, and driving usually resumes at one to two weeks.
• Garments and dressings. Support garments are worn day and night for around six weeks after many body and breast procedures, and a second garment for washing is practical rather than optional.
• Medications. Pain relief and any antibiotics prescribed on discharge.
• Travel to reviews. If you are coming from the Gold Coast, the Sunshine Coast or regional Queensland, count the trips to Annerley at roughly one week, six weeks, three months and twelve months.
• Help at home. Reaching above shoulder height, lifting toddlers and carrying shopping are all restricted early on.

What a written quote should contain

Before you pay a deposit, check the document in front of you names all of the following. Healthdirect keeps a general list of questions to ask your doctor, and cost belongs on it alongside the clinical ones.

• The doctor’s fee, stated separately.
• The hospital or facility fee, and whether it assumes a day case or an overnight stay.
• The anaesthetist’s fee, and whether it is billed by that practitioner directly.
• Any implants or devices, named.
• Which pre-procedure tests are included and which are billed elsewhere.
• How many follow-up reviews are included, and over what period.
• The deposit, the balance, and the dates each is due.
• The cancellation and rescheduling terms.
• What happens, and who pays, if a revision is recommended.

If a line is missing, that is a question rather than a red flag. Our post on choosing a cosmetic clinic in Brisbane sets out the other questions worth asking in the same appointment.

Frequently asked questions

How much does cosmetic surgery cost in Brisbane?

There is no single figure, because the total depends on the procedure, the time it takes, whether you stay overnight and what is included afterwards. A written quote at consultation is the only number that means anything for you specifically. Published ranges are averages of very different cases.

Does Medicare cover cosmetic surgery?

Medicare and private health insurance rebates do not apply to treatment at this practice. More broadly, Medicare benefits attach to item numbers that require a documented medical indication, and procedures performed for cosmetic reasons sit outside them.

What is a facility fee, and why is it separate?

It is the hospital’s charge for the theatre, the nursing staff, the recovery bay and any bed you occupy. It is separate because the hospital is a separate business from the clinic, and it bills for its own time.

Why is the anaesthetist billed separately?

Your anaesthetist is an independent practitioner who attends your procedure and accounts for their own time. Ask for their estimate at the same appointment so your total is complete rather than approximate.

Is the consultation fee refundable or credited toward surgery?

No. The consultation fee covers the consultations required before a procedure, and it is not credited toward the cost of surgery.

Why do some clinics advertise a much lower price?

Usually because the advertised figure is one component rather than the total, most often the doctor’s fee without the hospital and anaesthetist. Compare quotes line by line rather than headline to headline.

Talking it through

The useful version of this conversation happens with your own history, your own anatomy and a written quote in front of you. If you are weighing up a procedure in Brisbane, book a consultation with Dr Konrat to go through what your own quote would include, along with the risks that apply to you. You can reach us through our contact page, or browse the procedures we perform first.

About the author

Written with input from Dr Georgina Konrat, MBBS, FACCSM, AHPRA registration MED0001407863 (general registration), a cosmetic doctor at Brisbane Cosmetic Clinic in Annerley, practising since 1997. Read more about Dr Konrat’s background and registration.

Risks and disclaimer

All surgeries carry risks. Please seek a second opinion from an appropriately qualified health practitioner before proceeding. For more information regarding surgical risks, please visit our website: general risks and complications of cosmetic surgery

This article is general information only and is not a substitute for individual medical advice. A consultation and GP referral are required before any procedure. Medicare and private health insurance rebates do not apply to treatment at this practice.

Dr Georgina Konrat | MED0001407863
Bachelor of Medicine, Bachelor of Surgery (MBBS)
Fellow of the Australasian College of Cosmetic Surgery and Medicine (FACCSM)
Registered Medical Practitioner | General Registration

Book a consultation: https://www.brisbanecosmetic.com.au/book-online

The post What actually affects the cost of cosmetic surgery in Brisbane appeared first on Brisbane Cosmetic Clinic.

Key takeaways

• Plan on one to two weeks away from a desk job, and longer if your work is physical.
• You will be in a support bra day and night for around six weeks.
• Driving usually resumes once you are off strong pain medication and can brake sharply without hesitating, commonly one to two weeks.
• Most swelling resolves by three months. The final shape settles closer to six.
• Scar maturation runs twelve to eighteen months. Early scars look worse than final scars.
• Follow-up at our Annerley rooms is scheduled at roughly one week, six weeks, three months and twelve months.

Recovery at our Annerley clinic

Brisbane Cosmetic Clinic operates from Annerley, about ten minutes south of the Brisbane CBD, and mastopexy is performed in an accredited hospital rather than in our rooms. That matters for your planning, because the day of the procedure and the days after it happen in two different places. You will be discharged from hospital either the same day or the following morning depending on what was done, and every review after that happens with us at Annerley.

If you are travelling in from the Gold Coast, the Sunshine Coast or a regional Queensland town, tell us at the consultation. Dr Konrat will usually ask interstate and regional patients to stay within reach of Brisbane for the first week so the one-week review is not a four-hour drive on fresh incisions.

Arrange a driver for discharge day and, if you can, someone at home for the first forty-eight hours. You will be able to walk, eat and manage the bathroom on your own, but reaching above shoulder height is uncomfortable early on, so having someone who can lift a kettle or a toddler makes the first two days easier.

Week-by-week breast lift recovery timeline

The table below is the general pattern Dr Konrat works to. It is a guide, not a schedule you have failed if you fall behind it.

Timelines like this are practitioner-specific by nature. The StatPearls clinical reference on mastopexy records that postoperative care varies between practitioners on activity restriction, when showering is acceptable, and how long a support bra is worn. Where this page and the instructions you are given at your own follow-up differ, follow the instructions you were given.

The first week

The first few days are more about tightness and pressure than sharp pain. Patients commonly describe it as the ache of a heavy gym session across the chest. Regular simple analgesia usually covers it, with something stronger available for the first two or three nights.

Sleep on your back, propped on two or three pillows, for at least the first two weeks. Side sleeping puts uneven pressure across healing tissue and most patients find it uncomfortable anyway. If you are a committed stomach sleeper, a pregnancy pillow or a bolster on each side is a practical way to stop yourself rolling overnight.

Keep dressings dry until we tell you otherwise. Do not soak in a bath, swim, or use a spa until incisions are fully sealed and you have been cleared, which is usually well past the four-week mark.

Going back to work

Desk-based work is realistic at one to two weeks, and many patients start back part time. If your job involves lifting, reaching above your head, or carrying young children, plan for three to four weeks, and discuss it with Dr Konrat at your consultation so the timing is set before you book leave rather than after.

Nurses, hairdressers, warehouse staff and anyone whose day is spent with their arms up should assume the longer end of that range. Returning too early is the most common reason a recovery that was going well becomes uncomfortable again.

That range is consistent with the general Australian guidance. Healthdirect’s breast uplift page puts a return to work at around two weeks depending on the work involved, and notes that moving your arms can stay uncomfortable for two to three weeks.

Exercise, in the order it comes back

Walking starts immediately and should. It reduces the risk of clots and helps you feel human again. Beyond that, activity returns in a fairly predictable order: light cardio at four to six weeks, lower-body strength work after that, and chest, shoulders and anything that loads the upper body last, commonly eight to twelve weeks.

Running deserves its own mention. The impact involved means most patients are asked to wait until at least six weeks and to have a properly fitted high-support bra before starting. Dr Konrat will give you a specific clearance at your six-week review rather than a general rule.

Those ranges sit alongside general patient information published elsewhere. Cleveland Clinic’s breast lift page puts clearance for vigorous activity, including lifting and exercise, at up to six weeks, and a return to an ordinary bra at around eight weeks.

Swelling, sensation and scars

Swelling is not linear. It often looks worse around day three to five than it did on day one, then reduces steadily. Most has gone by three months, with the last of it resolving closer to six. Breasts commonly sit higher and firmer than their final position early on, and settle over the following months. Healthdirect describes the same six-month arc, noting that the result improves gradually across the first six months as the breast softens and the scars fade.

Altered sensation across the nipple and lower breast is common in the early weeks and usually improves over three to six months. In some patients a degree of change is permanent. This is one of the risks Dr Konrat will discuss with you directly at your consultation, and it is part of why a cooling-off period exists between consultation and booking.

Scars follow their own timeline, independent of how you feel. They typically look red or raised at six to twelve weeks, which is often when patients worry most, then fade and flatten across twelve to eighteen months. Sun protection over the scar line and whatever scar care you have been given both matter more in that first year than later. The incision pattern used affects where those scars sit, which we cover in our post on breast lift incision techniques.

When a lift is combined with implants

A mastopexy with augmentation is a longer procedure and the early recovery reflects that. Expect more early tightness, a slightly longer period before upper-body exercise is cleared, and a shape that takes longer to settle because implant position and lifted tissue are both moving. The broad milestones above still apply, but assume the later end of each range.

If you are still deciding between procedures, our comparison of breast reduction and breast lift and our explanation of breast ptosis grading are the more useful starting points. You can also view the breast lift gallery.

When to call us

Contact the clinic, rather than waiting for your next review, if you have a temperature, redness spreading out from an incision, swelling on one side that is clearly different from the other, discharge from a wound, calf pain or swelling, or chest pain and breathlessness. The last two need emergency assessment, not a phone call.

Ringing us about something that turns out to be normal is never a waste of our time. It is considerably easier to reassure you over the phone than to manage a problem that waited a fortnight.

Frequently asked questions

How long is breast lift recovery in total?

Functional recovery, meaning back to work and ordinary daily activity, is one to three weeks for most patients. Full clearance for all exercise is commonly eight to twelve weeks. Shape settles across three to six months and scars mature over twelve to eighteen.

When can I drive after a breast lift?

Once you are off strong pain medication and can perform an emergency stop and check your blind spot without hesitating. For most patients that is one to two weeks. Check your own insurer’s wording, as some policies have specific post-procedure conditions.

How long do I wear the surgical bra?

Generally day and night for around six weeks, including while sleeping. You will usually move into a soft non-underwired bra after your six-week review, with underwire reintroduced after that.

When can I lift my children?

Toddlers usually need to wait four to six weeks, and this is worth planning properly before your procedure date. Sitting down and having the child climb onto your lap is the usual workaround for the early weeks.

Does Medicare or private health insurance cover this?

Medicare and private health insurance rebates do not apply to treatment at this practice. Any figures you are given at consultation are the figures that apply.

Why do my breasts look too high right now?

Early swelling and the tightening of lifted tissue both sit the breast higher than its final position. This settles over the following months and is an expected part of the process rather than a sign something has gone wrong. Raise it at your six-week review if it is worrying you.

Talking it through

Recovery is easier when the plan is made before the procedure rather than improvised after it. If you are considering a breast lift in Brisbane, book a consultation with Dr Konrat to discuss what your own recovery would realistically involve, including the risks specific to you. You can reach us through our contact page.

About the author

Written with input from Dr Georgina Konrat, MBBS, FACCSM, AHPRA registration MED0001407863 (general registration), a cosmetic doctor at Brisbane Cosmetic Clinic in Annerley, practising since 1997. Read more about Dr Konrat’s background and registration.

Risks and disclaimer

All surgeries carry risks. Please seek a second opinion from an appropriately qualified health practitioner before proceeding. For more information regarding surgical risks, please visit our website: https://www.brisbanecosmetic.com.au/general-risks-complications-of-cosmetic-surgery/

This article is general information only and is not a substitute for individual medical advice. A consultation and GP referral are required before any procedure. Medicare and private health insurance rebates do not apply to treatment at this practice.

Dr Georgina Konrat | MED0001407863
Bachelor of Medicine, Bachelor of Surgery (MBBS)
Fellow of the Australasian College of Cosmetic Surgery and Medicine (FACCSM)
Registered Medical Practitioner | General Registration

Book a consultation: https://www.brisbanecosmetic.com.au/book-online

The post Recovering from a breast lift: a realistic week-by-week timeline appeared first on Brisbane Cosmetic Clinic.

Key takeaways

• Incision technique describes the pattern the cut follows during a breast lift, not a different operation each time.
• The patterns in general use are crescent, periareolar (donut), vertical (lollipop) and inverted-T (anchor), and each removes a different amount of skin and leaves a different scar.
• The pattern used follows the degree of ptosis and the condition of the skin and breast tissue, which is why two people considering the same procedure can be given different answers.
• The general risks of breast surgery apply to every pattern, including permanent scarring, changes in sensation and a possible loss of ability to breastfeed.
• Which pattern applies is a clinical decision made after an in-person examination. It cannot be worked out from a photograph.

What does “incision technique” actually mean for a breast lift?

Mastopexy does not add or remove breast volume on its own. That is what breast augmentation and breast reduction respectively involve. Instead, it repositions breast tissue and the nipple-areola complex (the pigmented area around the nipple, often shortened to NAC in clinical notes) to a higher position on the chest wall, and removes the excess skin that developed as the breast changed shape. Healthdirect’s overview of breast uplift procedures describes the general process in an Australian clinical context. The incision technique is the specific pattern the cut follows to achieve that.

Every mastopexy incision has to solve two problems at once. Enough skin has to be removed to lift the breast and hold it in its new position, and the resulting scar has to sit somewhere the body and clothing will tolerate. The four patterns in general use, crescent, periareolar, vertical and inverted-T, solve those two problems in different combinations of extent against scar length, and each is a genuine breast lift in its own right.

Why does the technique used vary from person to person?

Clinicians grade the degree of breast ptosis using a system that measures nipple position against the inframammary fold, the crease underneath the breast. According to a clinical overview published via the US National Library of Medicine’s NCBI Bookshelf, the grading runs from pseudoptosis (the nipple sits at or above the fold, but breast tissue hangs below it), through grade I (nipple at the level of the fold) and grade II (nipple below the fold but not at the lowest point of the breast), to grade III (nipple at the breast’s lowest point). We covered that grading system in more detail in an earlier post on what breast ptosis grading means.

The grade matters here because it is one of the main factors in deciding which incision pattern is appropriate. A pattern suited to a small amount of lift will not hold a larger amount of excess skin in its new position, and a pattern designed for significant skin removal is more than a mild case needs. Breast volume, skin elasticity, previous pregnancies or weight change, and whether reduction or augmentation is being considered at the same time all factor into that assessment. None of it can be judged from a photograph. It is assessed in person, at consultation.

How do the main breast lift incision techniques compare?

The table below sets out how the patterns differ as procedures, not which one is preferable. It is a starting point for understanding the terminology before a consultation, rather than a substitute for an individual assessment. A clinical overview of mastopexy technique notes that the pattern used depends on the degree of pre-operative ptosis, the extent of any reduction required, and clinical judgement, while a systematic review of long-term outcomes concludes that no single incision pattern is ideal for every patient.

Which pattern applies to a particular case is a clinical decision made at consultation.

Periareolar (donut) incisions in more detail

The periareolar pattern, sometimes called a donut mastopexy, uses two concentric circles drawn around the areola. The skin in the ring between them is removed, and the outer edge is drawn in and sutured to the inner one, reducing the skin envelope around the areola and repositioning the nipple slightly higher. Because the scar sits at the border where the areolar skin meets the paler breast skin, it is one of the less visible scar patterns. It can also be used to adjust areola size or address mild asymmetry between breasts.

The trade-off is that periareolar incisions suit only modest amounts of lift, generally repositioning the nipple by around 2cm at most. Used outside that range, tension on the closure can widen the areola or flatten the breast’s natural projection over time. A related, more limited technique called a crescent incision removes a single crescent-shaped section of skin at the upper edge of the areola rather than the full circumference. It provides a slighter lift again, generally leaves nipple sensation unchanged, and is more often used to fine-tune nipple position during breast augmentation than as a standalone breast lift.

Vertical (lollipop) incisions in more detail

The vertical pattern combines a circumareolar incision with a second incision running from the base of the areola down toward the crease under the breast, which is where the “lollipop” nickname comes from. Breast tissue is repositioned on what clinicians call a pedicle, a section of tissue left attached to its blood and nerve supply while the nipple-areola complex is moved to a higher position. The remaining breast tissue on either side is brought together and stitched to give the new shape internal support rather than relying on skin tension alone, which is intended to help the position hold over time.

This pattern allows for a larger amount of skin removal and a greater lift than a periareolar incision alone, without adding the horizontal scar of an inverted-T pattern. The vertical scar is more visible on the lower breast than a periareolar scar alone, though it typically settles and fades over the following months. The same clinical overview cited above notes that this pattern can, in some cases, leave a longer distance between the nipple and the crease under the breast than intended.

Inverted-T (anchor) incisions in more detail

The inverted-T pattern, also called an anchor or Wise pattern incision, adds a third incision along the crease under the breast to the circumareolar and vertical incisions already described. Together the three lines resemble an anchor or an inverted letter T, which is where both names come from. This combination allows the largest amount of excess skin to be removed and the greatest degree of lift, which is why it is generally considered for more pronounced ptosis or a larger skin envelope relative to the breast tissue underneath.

The additional horizontal incision usually sits within the crease under the breast, less visible in most clothing and swimwear. Against that, the total scar is longer across all three lines, and the point where the vertical and horizontal incisions meet (sometimes called the T-zone) can be slower to heal than the rest of the incision, since it carries tension from more than one direction. This is one of the reasons an inverted-T approach is generally reserved for cases where a periareolar or vertical pattern would not remove enough skin.

Risks and considerations

All mastopexy incision patterns carry the general risks of breast surgery, regardless of which pattern is used. These include infection, bleeding, and wound healing problems, including delayed healing at points of tension such as the T-zone in an inverted-T incision. Scarring is permanent to some degree with every pattern described here. Most scars fade and flatten over time, but a minority of people develop hypertrophic (raised, thickened) or keloid (scarring that extends beyond the original incision) scarring, which can require further treatment.

Changes in nipple or skin sensation, either temporary or lasting, are a recognised risk across all incision patterns, because the nerves supplying the nipple-areola complex run through breast tissue that is repositioned during surgery. Breast asymmetry, in shape, size, nipple position or scarring, can occur even when both breasts are treated the same way, since breast tissue and healing are not exactly symmetrical to begin with. There is also a possible loss of ability to breastfeed after mastopexy, because incisions and tissue repositioning can affect the milk ducts and nerve supply involved in lactation. That is a significant consideration for anyone who may want to breastfeed in future, and it should be discussed in detail at consultation. Breast position can also change again over time, through ageing, weight change, pregnancy or the natural settling of tissue, and a revision procedure is sometimes needed later.

None of these risks is unique to one incision pattern. Individual risk varies by anatomy, health history and the extent of surgery involved, and is assessed on a case-by-case basis at consultation.

When to seek advice

Recovery experiences vary between individuals and depend on which incision pattern was used, so specific guidance is given at your post-operative appointments. As a general rule, contact the clinic if you experience:

• Increasing pain, swelling, redness or warmth around an incision, rather than gradual improvement
• Fever or feeling generally unwell
• Discharge, pus, or an unusual smell from an incision site
• Bleeding that does not settle with light pressure
• Sudden changes in breast shape, size or firmness on one side
• Numbness, tingling or sensation changes that concern you
• Any symptom you are unsure about after your procedure

This list is general and does not replace the specific aftercare instructions provided after your procedure.

Reading about incision technique is a starting point, not a substitute for an individual assessment. Which pattern applies to a particular case, and whether a breast lift is the appropriate procedure at all, is a clinical decision made after an in-person examination. A gallery of breast lift procedures is available to review beforehand, and you can get in touch with the clinic with questions or to arrange a consultation for individual advice.

Common questions about breast lift incisions

What are the main types of breast lift incisions?

The main patterns are periareolar (around the areola), vertical (areola plus a line below it), and inverted-T (areola, a vertical line, and a line along the crease under the breast), plus a crescent incision used in limited cases. Each removes a different amount of skin and leaves a different scar pattern.

Which incision technique is right for me?

That is a clinical decision made at consultation, based on the degree of ptosis, skin quality and breast anatomy. This article describes how the options differ, not which one applies to any individual case.

Does a periareolar (donut) lift leave less visible scarring than other techniques?

The periareolar scar sits at the border of the areola, which can make it less obvious than a vertical or inverted-T scar, but the technique suits only modest amounts of lift. Scar visibility depends on healing, skin type and the extent of correction needed, not the pattern alone.

Will a breast lift affect my ability to breastfeed?

A possible loss of ability to breastfeed is a recognised risk of mastopexy, because the procedure can affect the milk ducts and nerves involved in lactation. This should be discussed in detail at consultation, particularly if you may want to breastfeed in future.

How long do breast lift scars take to settle?

Healing and scar maturity vary between individuals and depend on the incision pattern used. General timeframes are discussed at your post-operative appointments rather than promised in advance.

Can a breast lift be combined with breast augmentation or breast reduction?

Yes, mastopexy is sometimes performed alongside breast augmentation or breast reduction, depending on individual anatomy and goals. Whether combining procedures is appropriate is assessed at consultation.

What is ptosis, and how is it graded?

Ptosis is the clinical term for a change in breast position, generally where the nipple sits lower relative to the crease underneath the breast. It is graded from pseudoptosis through grade I to grade III based on nipple position relative to that crease.

What are the general risks of breast lift surgery?

Recognised risks include infection, bleeding, scarring (including hypertrophic and keloid scarring), asymmetry, changes in nipple or skin sensation, wound healing problems, possible loss of ability to breastfeed, and the possibility of revision surgery. Individual risk is assessed at consultation.

About the author

This article was written with input from Dr Georgina Konrat, MBBS, FACCSM, AHPRA registration MED0001407863 (general registration), a cosmetic doctor at Brisbane Cosmetic Clinic in Annerley, practising since 1997. Read more about Dr Konrat’s background and registration.

Risks and disclaimer

All cosmetic medical procedures, surgical or non-surgical, carry risks, and results vary between individuals. This article is general information only and is not a substitute for individual medical advice. A consultation and GP referral are required before any procedure. Medicare and private health insurance rebates do not apply to treatment at this practice. Read more about general risks and complications of cosmetic procedures.

The post Breast lift incision techniques: what the options actually involve appeared first on Brisbane Cosmetic Clinic.

Key takeaways

• Breast ptosis grading describes where the nipple sits in relation to the inframammary fold, the crease underneath the breast.
• The Regnault classification runs from Grade 1 (mild) to Grade 3 (severe), with a separate pattern called pseudoptosis where the nipple position looks unchanged but the tissue has dropped.
• Grading is a physical examination finding. It cannot be worked out from a photo, a mirror, or a description online.
• A higher grade does not mean a procedure is needed. The grade describes anatomy, it does not prescribe treatment.
• A breast lift (mastopexy) addresses position rather than volume, and carries real surgical risks including permanent scarring, altered sensation, and asymmetry.
• Medicare and private health insurance rebates do not apply to treatment at this practice.

What does “ptosis” actually mean?

Ptosis comes from the Greek word for “falling”. In breast anatomy, it refers to the position of the breast tissue and nipple relative to the inframammary fold, the natural crease where the underside of the breast meets the chest wall.

Every breast changes shape over a lifetime. Skin stretches, the internal connective tissue that supports the breast loosens, and the balance between breast volume and the skin envelope around it shifts. Ptosis is the clinical description of where that shift has landed. It is not a judgement about how a breast should look.

It is common. It affects people of all ages, breast sizes, and life stages, including people who have never been pregnant or breastfed.

How is breast ptosis graded? The Regnault classification

The most widely referenced grading system in the medical literature is the Regnault classification. It is based on one measurement: where the nipple sits compared with the inframammary fold. The NCBI Bookshelf, part of the United States National Library of Medicine, hosts a clinical reference chapter on breast ptosis and its classification that sets out the grades as follows.

This grading is a physical examination finding, made in person. It depends on precise measurement against your own anatomy, so it cannot be determined accurately from a photograph or a mirror.

What causes breast ptosis to develop?

Ptosis develops gradually, and it is rarely caused by one single thing. The clinical literature points to a combination of factors: ageing, pregnancy, hormonal change, weight fluctuation, and macromastia, meaning a larger-than-average breast volume relative to the chest frame.

The mechanism is mechanical as much as anything else. Over time, the skin envelope around the breast can stretch and lose some of its elasticity, while the internal ligaments that support the breast tissue do the same. As breast volume changes, these supporting structures become less able to hold everything in its original position, and the skin becomes relatively redundant, meaning there is more skin than the tissue underneath strictly needs.

None of this reflects anything a person did or did not do. Genetics, skin type, and the number and duration of any pregnancies all play a part, and two people with similar histories can end up with different grades.

Does the grade decide whether I need a lift, an augmentation, or both?

Not by itself. The grade describes anatomy. What you choose to do about it, if anything, depends on your own goals, health, and priorities, and that conversation happens at consultation, not from a table on a website.

That said, grade is one of the factors a doctor weighs when discussing options. In the published clinical literature, techniques with less visible scarring are more often discussed for less pronounced ptosis, while techniques involving a longer incision come up where ptosis is more pronounced, because more skin needs to be repositioned. Whether any of them suits your anatomy and your own tolerance for scarring is a question for an in-person assessment.

Grade is also a different question to volume. A breast lift is aimed at position, not size. Some people combine a lift with breast augmentation if they also want to discuss additional volume. Others, particularly where macromastia is the main driver of the ptosis, may discuss breast reduction instead of, or alongside, a lift. Every combination is an individual decision, not a default that follows automatically from a grade.

What does a breast lift (mastopexy) actually involve?

Mastopexy is the clinical name for a breast lift. It is generally performed as a day procedure under general anaesthetic. Healthdirect, the Australian Government’s health information service, describes the operation itself as typically taking around 90 minutes to two hours.

In broad terms, the procedure involves an incision around the areola, the darker skin surrounding the nipple, sometimes extending vertically below it and occasionally along the crease under the breast, depending on how much repositioning is needed. Excess skin is removed, the breast tissue is reshaped, and the nipple is moved into a higher position on the breast. The NCBI Bookshelf’s chapter on mastopexy sets out the technique options in more clinical detail.

The exact pattern of incision is one of the more individual decisions in this procedure. A more limited degree of repositioning can sometimes be achieved with a shorter scar, while more pronounced ptosis usually needs a longer incision to reshape and support the tissue properly. This is discussed and planned at consultation, based on your own anatomy and your own preferences around scarring. Photographs from previous procedures performed at the clinic are available in the breast lift gallery, for anyone who wants to see the range of incision patterns in practice.

What does recovery involve?

Recovery varies between individuals, and your own timeline is worked out at consultation rather than assumed from general figures. As general guidance, healthdirect describes arm movement as uncomfortable for around two to three weeks after a breast lift, with a similar period before a return to normal day-to-day activity. Return to work is commonly around two weeks afterwards, depending on the physical demands of the job.

Final results are not immediate. Swelling takes time to settle, and scars continue to fade and soften for months, with healthdirect noting that the overall result typically continues to settle over around six months. A supportive garment, activity restrictions, and follow-up appointments are typically part of a recovery plan, though the specifics are set by your doctor based on the technique used and your own healing.

Risks and considerations

A breast lift is a surgical procedure, and like any surgery it carries real risks. This list is general information, not a complete account of every possible complication for every individual, and it should be discussed in full with your doctor.

Documented risks and complications of mastopexy include:

• Infection at the incision site, which may need antibiotics or further treatment.
• Bleeding, including the uncommon possibility of a blood or fluid collection under the skin that needs to be drained.
• Scarring, which is permanent. Some people develop thickened (hypertrophic) or raised (keloid) scarring, and the visibility of scarring depends on the incision technique used.
• Asymmetry, in breast shape, size, or nipple position, which can occur even when both sides are treated identically, and which may need a further procedure to address.
• Changes in nipple or skin sensation, ranging from reduced sensation to increased sensitivity. Healthdirect notes that altered sensation usually resolves within a year, though this is not the case for everyone.
• Delayed wound healing, including around the nipple, which in rare cases can affect the tissue’s blood supply.
• Reduced ability to breastfeed in future, which is worth raising at consultation if this matters to your plans.
• The possibility of revision surgery, either because ptosis recurs over time (breast tissue continues to age after any procedure) or because the initial result needs adjustment.

General anaesthetic carries its own separate risks, which are discussed by the anaesthetic team as part of planning. The clinical literature cited above reports an overall complication rate of around 1% for mastopexy alone, rising to under 2% when combined with breast augmentation, most commonly bleeding or infection.

All surgical procedures carry risks; results vary between individuals. This is general information only, and your doctor will go through your personal risk profile in detail before any decision is made.

When to seek advice

Understanding your grade is a starting point for a conversation, not a diagnosis that requires immediate action. Ptosis on its own is not an emergency and does not need urgent treatment.

Contact the clinic if you experience:

• Fever, or redness and warmth spreading from an incision site
• Swelling, bruising, or pain that continues to increase instead of settling down
• Discharge, bleeding, or a wound that is not healing as expected
• A sudden change in breast shape, firmness, or size on one side
• Any symptom you are unsure about

For severe or urgent symptoms, seek immediate medical attention, including through a hospital emergency department, as well as contacting the clinic. If you are still at the research stage and want to understand your own anatomy, grade, and options, that conversation happens at a consultation, where an individual assessment can be made. This article is general information and cannot replace that conversation.

Common questions about breast ptosis grading

What does ‘ptosis’ mean when talking about breasts?

Ptosis is the medical term for the position of the breast and nipple as they change over time, usually described in relation to the inframammary fold, the natural crease underneath the breast. It is a descriptive term, not a diagnosis of a problem, and it affects people of all ages and breast sizes.

How do I find out what grade of ptosis I have?

Grading is a physical assessment made in person, measuring the nipple’s position against the inframammary fold. It is not something that can be judged accurately from a photo or a mirror. If you want to know your own grade, this is assessed as part of a consultation, not from a description online.

Does a higher grade mean I definitely need a breast lift?

No. The grade describes anatomy, it does not prescribe a procedure. Whether any procedure is appropriate, and which one, depends on individual goals, health, and preferences, and is worked through with your doctor rather than decided from a grade alone.

What is pseudoptosis?

Pseudoptosis describes breasts where the nipple sits at or above the inframammary fold, but most of the breast tissue has already dropped below it, often with more than 6cm between the nipple and the fold. It looks different to true ptosis, and is assessed the same way, in person.

Does a breast lift change the size of the breast?

Not usually. A breast lift (mastopexy) is designed to reposition breast tissue and the nipple rather than change breast volume. If a change in volume is also wanted, this is generally addressed separately, for example alongside a breast reduction or breast augmentation, and is discussed individually at consultation.

What causes breast ptosis?

Contributing factors described in the clinical literature include ageing, pregnancy, hormonal change, and changes in breast volume, such as weight loss and macromastia (an unusually large breast volume relative to the chest frame). Skin elasticity and the strength of the breast’s internal supporting tissue also play a role over time.

How long does recovery from a breast lift take?

Recovery varies between individuals. Healthdirect, the Australian Government’s health information service, describes arm movement as uncomfortable for around two to three weeks, with a gradual return to normal activity over a similar period and results continuing to settle for several months. Your own recovery is discussed individually at consultation.

Is breast ptosis itself dangerous?

No. Ptosis is a description of anatomy, not a medical condition that requires urgent treatment. Some people seek grading purely to understand what they are looking at and to have accurate language for a consultation, before deciding whether to explore any procedure at all.

About the author

This article was written with input from Dr Georgina Konrat, MBBS, FACCSM, AHPRA registration MED0001407863 (general registration), a cosmetic doctor at Brisbane Cosmetic Clinic in Annerley, practising since 1997. Read more about Dr Konrat’s background and registration.

Risks and disclaimer

All cosmetic medical procedures, surgical or non-surgical, carry risks, and results vary between individuals. This article is general information only and is not a substitute for individual medical advice. A consultation and GP referral are required before any procedure. Medicare and private health insurance rebates do not apply to treatment at this practice. Read more about general risks and complications of cosmetic procedures.

The post Breast ptosis explained: what ‘grade’ means before considering a breast lift appeared first on Brisbane Cosmetic Clinic.

Key takeaways

• Check any practitioner’s registration on the public AHPRA register before booking, not after.
• MBBS and general registration are the legal minimum to practise medicine in Australia. Additional fellowships (like FACCSM) reflect further training, not a different licence to operate.
• A genuine consultation covers your medical history, a GP referral, realistic expectations, risks, and recovery. It should take longer than fifteen minutes.
• A GP referral is required before a first consultation for cosmetic procedures at this practice.
• A 7-day cooling-off period applies between consultation and any procedure. Clinics that skip this or pressure same-day bookings are a red flag.
• Medicare and private health insurance rebates do not apply to treatment at this practice, and cost should never be the first thing you’re sold on.

How to check a practitioner’s AHPRA registration

Every doctor practising in Australia must hold registration with the Medical Board of Australia, administered through AHPRA. You can search the public register by name and confirm three things: that the registration is current, exactly what type of registration it is, and whether any conditions or notations are attached.

This takes two minutes and it’s worth doing before you commit to anything. A clinic that discourages you from checking, or one whose practitioner isn’t listed at all, isn’t one to proceed with.

What credentials and qualifications actually mean

MBBS (Bachelor of Medicine, Bachelor of Surgery) is the primary medical degree in Australia. It’s the qualification that allows someone to practise as a doctor once they hold general registration with AHPRA. General registration means a practitioner has met the Medical Board’s requirements to practise medicine, full stop. It doesn’t say anything about which procedures a doctor does or doesn’t perform.

FACCSM stands for Fellow of the Australasian College of Cosmetic Surgery and Medicine. It’s a further credential held in addition to general registration, reflecting additional training and assessment specific to cosmetic medicine.

AHPRA’s cosmetic surgery guidelines protect certain professional titles: they’re legally restricted to practitioners who hold that exact registration type, and a clinic can’t apply them loosely in its advertising. A cosmetic doctor is a different registration category from a title-holder with that protected credential, and reputable clinics are careful about which term they use. If a website’s wording doesn’t match what shows up on the public register, that’s worth questioning directly.

Dr Georgina Konrat holds MBBS and FACCSM qualifications with general AHPRA registration (MED0001407863), and has been practising since 1997. You can read her background and registration details here.

What a genuine consultation should include

A consultation is not a sales meeting. It should cover your medical history in enough detail that the practitioner understands any conditions or medications that might affect your suitability. It should include a frank conversation about what a procedure can and can’t do, given your anatomy and goals. It should cover the specific risks relevant to the procedure you’re considering, not a generic disclaimer read off a form. And it should leave time for your questions, not rush you toward the consent form.

If a consultation is over in ten minutes, if nobody asks about your medical history, or if the only real content is a price quote, that’s not a consultation doing its job. More detail on what to expect is in our guide to preparing for a procedure.

Why a GP referral is required

At this practice, a GP referral is required before a first consultation for cosmetic procedures. This isn’t paperwork for its own sake. Your GP knows your medical history longitudinally, in a way a clinic meeting you for the first time doesn’t, and a referral is one more checkpoint that a procedure is appropriate for your circumstances.

If you’re asked to book a procedure without ever mentioning your GP, or if a clinic seems keen to skip that step, ask why.

The 7-day cooling-off period, and why it exists

A cooling-off period of at least 7 days between your consultation and any procedure is standard practice, and it exists for a straightforward reason: elective cosmetic procedures shouldn’t be decided under time pressure, in the same sitting as a sales pitch. It gives you time to sit with the information, ask follow-up questions, and change your mind without any cost or consequence.

A clinic offering a discount for booking on the day, or one that frames the cooling-off period as optional, is not operating the way AHPRA expects. This single detail is one of the more reliable signals of how a clinic actually runs, separate from anything on its website.

Spotting non-compliant advertising

AHPRA’s advertising guidelines for medical practitioners set out what’s permitted in health service advertising, and cosmetic procedures sit squarely inside that framework. A handful of patterns tend to show up in advertising that isn’t compliant:

Outcome guarantees or promises (“guaranteed results”, language implying a certain look is assured) aren’t permitted, because individual results vary and no ethical practitioner can promise an outcome. Patient testimonials in advertising are restricted under the guidelines. Before-and-after images used in paid advertising (as opposed to clinical documentation shown in a consultation) carry specific restrictions. And pressure tactics, like urgency around same-day bookings or time-limited pricing, sit awkwardly next to a cooling-off requirement that’s supposed to slow things down, not speed them up.

None of this means every clinic advertising cosmetic procedures is doing something wrong. It means these are the specific things worth noticing when you’re comparing options.

Questions about risks, aftercare, and who manages complications

Every cosmetic medical procedure carries risk, and a clinic that treats this as a minor footnote isn’t being straight with you. Ask what the specific risks are for the procedure you’re considering, not just a generic list. Ask who you contact if something goes wrong after hours, not just during business hours. Ask whether the person managing your aftercare is the same person who saw you at consultation, or whether you’ll be handed to someone else. And ask what happens if a complication needs further treatment: what that process looks like, and who’s responsible for it.

Our page on general risks and complications covers this in more depth, and it’s worth reading before any consultation, not after.

Cost transparency, without the pressure

Medicare and private health insurance rebates do not apply to treatment at this practice. That’s worth knowing upfront, because it shapes how you should think about cost from the outset rather than finding out partway through a conversation.

Beyond that, a clinic being transparent about cost means giving you a clear, itemised understanding of what’s included in a quoted fee (the procedure, follow-up appointments, any revision policy) before you’re asked to commit to anything. It does not mean publishing a price list as the main selling point, and we don’t do that here. Cost is one part of a much bigger decision, and it should come after the clinical conversation, not before it.

A checklist to take to your first consultation

1. Can I see your AHPRA registration number, and can I check it myself on the public register?
2. What is your specific qualification (MBBS, fellowship, other), and what does that mean for this procedure?
3. What are the risks specific to my anatomy and medical history, not just the general risks listed online?
4. Do I need a GP referral, and has that been arranged?
5. How long is the cooling-off period, and can I book my procedure today if I want to?
6. Who manages my aftercare, and how do I reach them if something feels wrong after hours?
7. What does recovery actually look like, week by week, for someone in my situation?
8. What happens if I need a revision or a complication needs further treatment?
9. Will the person who consulted with me also be the one performing the procedure?
10. What’s included in the quoted cost, and what isn’t?
11. Can I take written information home rather than deciding in the room?
12. What are the realistic limits of what this procedure can achieve for me?

FAQ

Do I need a referral from my GP before I can book a consultation?

Yes. A GP referral is required before a first consultation for cosmetic procedures at this practice.

Does Medicare or my private health fund cover any of the cost?

No. Medicare and private health insurance rebates do not apply to treatment at this practice.

How long is the cooling-off period before a procedure?

A minimum of 7 days between consultation and procedure, giving you time to reconsider without pressure.

How do I check that a doctor’s registration is genuine and current?

Search their name on the AHPRA public register. It shows registration type, status, and any conditions attached.

What does “cosmetic doctor” actually mean as a title?

It means a medical practitioner with general AHPRA registration who performs cosmetic procedures, distinct from other protected professional titles that require a different registration pathway. You can read more about what a cosmetic doctor’s training involves.

If you’d like to talk through any of this before deciding, our patient information page and 14-point plan cover the practice’s approach in more detail, or you can book a consultation directly. You’re also welcome to meet the team or get in touch with questions first.

About the author

This article was written with input from Dr Georgina Konrat, MBBS, FACCSM, AHPRA registration MED0001407863 (general registration), a cosmetic doctor at Brisbane Cosmetic Clinic in Annerley, practising since 1997. Read more about Dr Konrat’s background and registration.

Risks and disclaimer

All cosmetic medical procedures, surgical or non-surgical, carry risks, and results vary between individuals. This article is general information only and is not a substitute for individual medical advice. A consultation and GP referral are required before any procedure. Read more about general risks and complications of cosmetic procedures.

The post Choosing a cosmetic clinic in Brisbane: questions worth asking before you book appeared first on Brisbane Cosmetic Clinic.

If you are searching “tummy tuck Brisbane” and trying to work out what actually happens before you commit to anything, here is the consultation process, what affects candidacy, questions worth bringing with you, a realistic recovery outline, and what shapes cost. Prices vary too much between patients to list here, but the variables are worth understanding upfront.

What happens at a tummy tuck consultation?

Your consultation begins with a conversation about what has brought you to consider abdominoplasty and what you are hoping it will address. This is followed by a full health and medical history, covering current medications, allergies, previous operations and smoking history, since all of these affect anaesthesia and healing.

Dr Konrat then examines the abdomen and surrounding area to assess skin laxity, muscle separation (rectus diastasis) and the extent of any excess tissue. This physical assessment is what determines whether a full abdominoplasty, a mini abdominoplasty, or a different approach altogether would suit your anatomy.

By the end of the appointment you will have a treatment plan based on your anatomy and goals, an information brochure covering the procedure and recovery, a written quote, and time to think it over before deciding anything.

You are encouraged to bring a support person or take notes, and to contact the clinic afterwards with any questions that come up once you have had time to process the information.

Am I a candidate for a tummy tuck?

Abdominoplasty is not a weight-loss procedure. It is designed for people who have reached a stable weight and want to address changes to the abdominal area that diet and exercise have not resolved, commonly following pregnancy, significant weight loss, or ageing.

Dr Konrat assesses several factors at consultation. Weight stability matters: a higher Body Mass Index, particularly above 35, is associated with increased surgical risk, so reaching and maintaining a stable weight beforehand supports safer healing. Muscle separation is another, since rectus diastasis, common after childbirth or major weight change, is one of the main things abdominoplasty addresses, alongside excess skin.

Smoking status affects candidacy too. Smoking reduces blood flow to healing tissue and raises the risk of wound breakdown, so stopping for at least six weeks before and one month after surgery is required. General health conditions such as diabetes or clotting disorders are discussed in detail, since they affect both anaesthesia and healing.

Above all, the consultation is a medical assessment of whether the procedure suits your anatomy and situation, not a sales conversation. Dr Konrat will say plainly if abdominoplasty is not the right fit for you.

There is no single test that confirms candidacy from a website description. This is why the in-person consultation, including physical examination, is a required first step rather than a formality.

What questions should I ask at my consultation?

Consultations move through a lot of information, so it helps to arrive with specific questions written down. Worth covering:

• What are the risks specific to my medical history and anatomy?
• Would a full or mini abdominoplasty suit my situation, and why?
• What is a realistic recovery timeline for someone in my line of work?
• What does the quoted cost include, and what could add to it?
• What happens if a complication like a seroma develops during recovery?
• Are there alternatives to surgery worth considering first?

Bring a current medication list, details of past operations, and any recent test results if you have an ongoing health condition. If English is not your preferred language for medical discussions, ask about interpreter support in advance.

What does recovery actually involve?

Abdominoplasty is performed under general anaesthetic, administered by a specialist anaesthetist, in an accredited day-surgery hospital. The operation itself typically takes one to three hours, with an incision made low across the abdomen, generally within normal underwear lines.

A realistic recovery timeline looks like this:

Dr Konrat and the clinical team review patients at 24 hours, 7 days, and 2, 3, 4 and 6 weeks post-surgery to track healing and adjust the recovery plan where needed.

As with any surgery, abdominoplasty carries risks. These include deep venous thrombosis, poor wound healing (more likely in people who smoke or have diabetes), bleeding or haematoma, and seroma formation. These are covered in detail during your consultation, and are also outlined on the clinic’s abdominoplasty risk information page.

What affects the cost of a tummy tuck?

Medicare and private health insurance rebates do not apply to treatment at this practice. Abdominoplasty performed for cosmetic reasons is elective surgery, and any general discussion of cost sits within that framework rather than a rebate-eligible medical scheme.

Rather than a single price, the cost of abdominoplasty depends on several variables assessed at consultation. The extent of the procedure is one: a full abdominoplasty involves more extensive muscle repair and skin removal than a mini abdominoplasty, which affects theatre time and fees. Day-surgery hospital fees and the specialist anaesthetist’s fee are separate components of the total cost, on top of Dr Konrat’s own fee.

Some patients have liposuction of the waist, flanks or hips performed at the same time, which changes the overall quote, and scheduled follow-up reviews across the recovery period are factored into the total cost of care rather than charged as one-off add-ons.

A written, itemised quote is provided after your consultation, once Dr Konrat has assessed what your specific procedure would involve.

Where a tummy tuck consultation fits in your decision

The consultation is not a step to skip or rush. It is the point where a cosmetic doctor examines your anatomy directly, discusses your medical history, and gives you a written outline of what is involved, so that any decision to proceed is made with full information rather than general assumptions from a webpage.

If you are further along in researching the broader consultation and consent process, including what documentation you will receive and how cooling-off periods work, see Cosmetic Surgery Consultations in Brisbane: What to Expect in 2025 for the fuller process. For details specific to abdominoplasty, including the full patient journey and gallery, visit the Abdominoplasty (Tummy Tuck) page.

If you have questions before booking, you can get in touch with the clinic directly.

All surgery carries risks. Individual results vary. We recommend seeking a second opinion before proceeding with any procedure.

Frequently asked questions

How long does a tummy tuck consultation take?

The initial consultation with Dr Konrat runs for approximately 45 minutes and covers medical history, physical examination, and a discussion of your treatment options.

Do I need a referral before booking a tummy tuck consultation?

Requirements vary by individual circumstance and are confirmed when you book. It is worth contacting the clinic directly to confirm what applies to you.

Is a tummy tuck the same as weight-loss surgery?

No. Abdominoplasty is a body-contouring procedure for people who have reached a stable weight. It is not designed or intended to produce weight loss.

What is the difference between a full and mini abdominoplasty?

A full abdominoplasty tightens the abdominal muscles and removes excess skin across the entire lower abdomen. A mini abdominoplasty addresses a smaller area below the navel. Which is suitable depends on individual anatomy, assessed at consultation.

How soon can I go back to work after a tummy tuck?

Most patients need 2 to 4 weeks off work, longer for physically demanding roles. Your specific timeline is discussed at consultation based on your job and your procedure.

Will Medicare or my private health insurance cover any of the cost?

Medicare and private health insurance rebates do not apply to treatment at this practice. Abdominoplasty performed for cosmetic reasons is elective surgery.

Content reviewed by Dr Georgina Konrat MBBS FACCSM. AHPRA Registration: MED0001407863. This article provides general information only and is not a substitute for individual medical advice. Last reviewed: 15 July 2026.

The post Tummy Tuck in Brisbane: What an Abdominoplasty Consultation Actually Covers appeared first on Brisbane Cosmetic Clinic.

This article summarises the key changes that affect patients directly. For the complete official guidelines, patients should refer to the AHPRA website.

Why the guidelines changed

The 2023 update followed an independent review commissioned jointly by AHPRA and the Medical Board of Australia. The review examined several areas of concern in the Australian cosmetic surgery industry, including advertising practices, inconsistent safety standards, unclear practitioner qualifications, and patient outcomes.

The updated guidelines aim to strengthen patient safety, improve transparency around practitioner qualifications, and ensure patients have adequate time and information before making decisions about cosmetic surgery.

The GP referral requirement

One of the most significant changes for patients is the mandatory GP referral requirement. Since 1 July 2023, patients considering cosmetic surgery in Australia must obtain a referral from a general practitioner before attending a cosmetic surgery consultation.

The GP referral:

• Involves an initial medical discussion about the patient’s reasons for considering cosmetic surgery
• Allows the GP to identify any relevant health factors or medical conditions
• Can include a discussion about the patient’s expectations and mental health
• Is required before any cosmetic surgical procedure can be scheduled

Patients should discuss their interest in cosmetic surgery with their usual GP. If the patient does not have a regular GP, they can arrange an appointment with any general practitioner.

Two consultations and the cooling-off period

Under the updated guidelines, patients must attend a minimum of two pre-operative consultations with the cosmetic practitioner before surgery can be booked. One of these may be conducted via telehealth.

After the second consultation, a minimum seven-day cooling-off period applies before the surgery can be scheduled. During this period, patients are expected to:

• Review the written information provided about the procedure
• Consider the risks, recovery requirements, and realistic expected outcomes
• Reflect on their motivations and readiness for surgery
• Raise any questions or concerns with the practitioner

The cooling-off period exists to give patients time and space to make a fully considered decision, free from any sense of pressure.

Advertising restrictions

The updated guidelines significantly tightened restrictions on cosmetic surgery advertising. Practitioners advertising cosmetic procedures in Australia must:

• Not use misleading or promotional language about outcomes
• Not use superlatives such as “best”, “leading”, “top”, or similar
• Not use the title “surgeon” unless the practitioner holds specialist registration as a surgeon (which requires completion of a recognised surgical training program)
• Not use patient testimonials in ways that suggest guaranteed outcomes
• Not use before-and-after images in ways that mislead patients about realistic results
• Not make claims that cosmetic surgery will improve self-esteem, confidence, or emotional wellbeing
• Provide clear information about risks and cooling-off requirements

These restrictions apply to websites, social media, print advertising, and any other marketing material.

The word “surgeon” and what it means

One of the more widely discussed changes relates to the use of the title “surgeon”. Under Australian law, the protected titles of “surgeon”, “specialist surgeon”, and related terms may only be used by medical practitioners who hold specialist registration in a recognised surgical specialty — such as plastic surgery, general surgery, or otolaryngology.

Medical practitioners who perform cosmetic surgery but do not hold specialist surgical registration are required to use other titles, such as “cosmetic doctor” or “medical practitioner who performs cosmetic surgery”.

This distinction does not necessarily reflect on the quality of care — many experienced cosmetic doctors who do not hold specialist surgical registration have years of training in cosmetic procedures. It does, however, mean patients should understand what a practitioner’s AHPRA registration actually includes before booking.

Dr Georgina Konrat holds General Registration with AHPRA (Registration: MED0001407863) and is a Surgical Fellow of the Australasian College of Cosmetic Surgery and Medicine (FACCSM). She practises as a cosmetic doctor.

Requirements for under-18 patients

The guidelines introduced additional protections for patients under 18 years of age:

• A three-month cooling-off period applies (rather than seven days)
• A psychological assessment by a registered mental health practitioner is required before surgery
• Procedures that are not clinically necessary are generally discouraged for minors

These additional requirements reflect concerns about the long-term impact of cosmetic surgery decisions made during adolescence.

Mental health and psychological screening

The updated guidelines require practitioners to consider patients’ mental health and wellbeing as part of the consultation process. This includes:

• Assessing for body dysmorphic disorder (BDD), which is a recognised contraindication for cosmetic surgery
• Referring patients for psychological assessment where appropriate
• Declining to proceed with surgery if mental health factors suggest it would not be in the patient’s interest

Patients with active mental health concerns are not excluded from cosmetic surgery, but the practitioner is expected to ensure that appropriate support is in place and that the decision to proceed is based on stable, considered motivations.

Informed consent requirements

Informed consent under the updated guidelines requires more than a patient signing a form. The practitioner must ensure the patient:

• Understands the nature of the procedure and what it involves
• Understands the realistic range of outcomes
• Understands the specific risks and potential complications
• Understands the recovery requirements
• Has been informed about alternatives, including non-surgical alternatives where applicable
• Has had the opportunity to ask questions
• Has received written information they can review

Written information must be provided before the cooling-off period begins.

What to ask when choosing a cosmetic practitioner

The updated guidelines make it easier for patients to verify practitioner qualifications and approach. Suggested questions to ask during consultation include:

• What is your AHPRA registration number? (You can verify this on the AHPRA public register)
• What training and qualifications do you hold for this specific procedure?
• How long have you been performing this procedure?
• What are the specific risks for this procedure in my case?
• What is your approach to complications?
• What happens during the cooling-off period?
• What aftercare is included?
• Can I see written information about the procedure before I decide?

A practitioner who follows the updated guidelines will welcome these questions.

Red flags to watch for

Practices that do not comply with updated guidelines may be a sign that a practitioner is not operating to current professional standards. Patients should be cautious if they encounter:

• Advertising that uses superlatives or promises specific outcomes
• No GP referral requirement mentioned
• Pressure to book surgery at or shortly after the first consultation
• No mention of a cooling-off period
• No discussion of risks during consultation
• No provision of written information before booking
• Financial incentives or discounts to book immediately
• Testimonials claiming life-changing or emotional outcomes

If a practitioner does not appear to be following the updated guidelines, patients can seek a second opinion elsewhere or report concerns to AHPRA.

What the guidelines mean for patients

The updated guidelines represent a shift towards a more considered, less promotional approach to cosmetic surgery in Australia. For patients, this means:

• A longer process from initial interest to surgery (at least 2–3 weeks with consultations and cooling-off)
• More time and information to make the decision
• Clearer expectations about what cosmetic surgery can and cannot achieve
• Stronger protection against misleading advertising
• Greater transparency about practitioner qualifications

Most patients find the process helpful rather than frustrating — the additional time and information supports a more confident decision.

Further information

For more information about AHPRA cosmetic surgery guidelines, see the AHPRA website. To verify any Australian medical practitioner’s registration, use the AHPRA public register.

To book a consultation with Dr Georgina Konrat at Brisbane Cosmetic Clinic, please call 07 3391 5710 or email info@brisbanecosmetic.com.au.

Content reviewed by Dr Georgina Konrat MBBS FACCSM. AHPRA Registration: MED0001407863. This article provides general information only and is not a substitute for individual medical advice. AHPRA guidelines may be updated — patients should refer to the AHPRA website for the most current information. Last reviewed: 17 April 2026.

The post AHPRA Cosmetic Surgery Guidelines: What Australian Patients Need to Know appeared first on Brisbane Cosmetic Clinic.

This is general information. Individual circumstances require consultation with a registered medical practitioner.

What breast reduction addresses

Breast reduction surgery removes excess breast tissue, fat, and skin to reduce overall breast size. It is most commonly considered by patients experiencing physical symptoms associated with large breasts:

• Neck, shoulder, and upper back pain
• Grooving from bra straps
• Skin irritation or rashes in the fold beneath the breast
• Difficulty with exercise and sport
• Difficulty finding well-fitting clothing
• Postural changes

Breast reduction changes both the volume and the position of the breasts. The nipple and areola are repositioned to sit proportionally on the reduced breast, and the areola may also be resized. Further information is available on our breast reduction page.

What breast lift addresses

Breast lift (mastopexy) surgery repositions existing breast tissue to a higher position on the chest wall. It does not remove a significant volume of breast tissue. It is most commonly considered by patients who experience changes to breast position, shape, or nipple position due to:

• Pregnancy and breastfeeding
• Significant weight loss
• Age-related changes in skin elasticity
• Genetic factors

Mastopexy removes excess skin and tightens the remaining skin to reshape the breast. The nipple and areola are repositioned as part of the procedure. Further information is available on our breast lift page.

How to think about the difference

A simple way to frame the distinction:

• Breast reduction changes how much breast tissue there is.
• Breast lift changes where the breast tissue sits.

Some patients require a combination of both — for example, a patient with large breasts that have also changed position over time may need both tissue reduction and repositioning. This is assessed during consultation.

Which procedure might be appropriate for me?

The following general guide may help patients think about which consultation to pursue. Final suitability is determined during consultation, not from a list.

Breast reduction may be considered when:

• Breast size causes physical pain or discomfort
• Daily activities or exercise are limited by breast size
• Bra straps cause grooving into the shoulders
• Skin irritation is a recurrent issue
• Breast size has not responded to weight loss

Breast lift may be considered when:

• Breast volume is acceptable but position has changed
• The nipple sits lower than it once did
• Changes followed pregnancy, breastfeeding, or significant weight loss
• The patient does not want a change in breast size

A combination may be considered when:

• Both size and position are concerns
• Breasts are both large and have changed position significantly

What both procedures have in common

Breast reduction and breast lift share several features:

• Both are cosmetic surgical procedures performed under general anaesthetic by an accredited anaesthetist
• Both involve repositioning the nipple and areola
• Both require incisions and leave permanent scars (scar patterns vary with technique)
• Both have a recovery period of approximately 6 weeks before return to strenuous exercise
• Both are regulated under AHPRA cosmetic surgery guidelines and require a GP referral, two consultations, and a 7-day cooling-off period
• Both may affect future breastfeeding capacity — this should be discussed if planning future pregnancies

Differences in recovery

Recovery is broadly similar between the two procedures, though breast reduction — which involves removing a larger volume of tissue — may involve slightly longer healing in some cases. General expectations include:

• Hospital stay (usually day-surgery or one night)
• Prescribed pain relief for the first week
• A surgical bra worn for several weeks
• Return to sedentary activities within 2 weeks
• Return to light exercise at 4–6 weeks
• Return to strenuous exercise at 6–8 weeks on medical advice
• Final appearance visible over 3–6 months as swelling resolves

Specific recovery instructions are provided after consultation.

Medicare and private health insurance

Breast reduction may be partially covered by Medicare when performed for documented medical reasons (such as neck/back pain documented by a GP, with specific criteria met). A Medicare item number may apply, in which case private health insurance may also contribute to the hospital component of the cost. Eligibility is determined by Medicare, not the clinic.

Breast lift performed for purely cosmetic reasons is not typically covered by Medicare or private health insurance. Some cases following significant weight loss may qualify for Medicare rebate. Patients should discuss eligibility with their GP.

Risks of breast surgery

Both breast reduction and breast lift carry risks. Potential complications may include:

• Delayed wound healing
• Infection
• Bleeding or haematoma
• Scarring (including hypertrophic or keloid scarring)
• Asymmetry
• Changes in nipple or breast sensation (sometimes permanent)
• Impact on future breastfeeding capacity
• Loss of nipple (rare, more relevant for very large reductions)
• Dissatisfaction with aesthetic outcome
• Anaesthesia-related risks

Specific risks are discussed in detail during consultation. See our general risks of cosmetic surgery page for further information.

AHPRA requirements

Both breast reduction and breast lift are cosmetic surgical procedures regulated by AHPRA. Before surgery can be booked, patients must:

• Obtain a GP referral
• Attend two pre-operative consultations (one may be conducted via telehealth)
• Observe a minimum seven-day cooling-off period after the second consultation
• Complete any requested pre-operative assessments (blood tests, imaging)
• Provide informed consent after receiving written information

Please note

Brisbane Cosmetic Clinic does not perform breast augmentation or implant placement. Patients considering breast augmentation should consult a registered practitioner who performs that procedure.

Dr Georgina Konrat does perform breast implant removal (explantation) for patients with existing implants who wish to have them removed.

Further information

To book a consultation with Dr Georgina Konrat at Brisbane Cosmetic Clinic, please call 07 3391 5710 or email info@brisbanecosmetic.com.au. Our types of breast surgery article provides an overview of all breast procedures offered.

Content reviewed by Dr Georgina Konrat MBBS FACCSM. AHPRA Registration: MED0001407863. This article provides general information only and is not a substitute for individual medical advice. Last reviewed: 17 April 2026.

The post Breast Reduction vs Breast Lift: Which Procedure is Right for You? appeared first on Brisbane Cosmetic Clinic.

The answers below are general information. Individual circumstances vary and specific advice requires consultation with a registered medical practitioner.

About the procedure

1. What is labiaplasty?

Labiaplasty is a cosmetic surgical procedure that reduces the size or reshapes the labia minora (inner lips), and sometimes the clitoral hood. It can be performed for functional reasons (physical discomfort, irritation, difficulty with clothing or exercise) or for personal reasons related to appearance after childbirth or age-related change.

2. What techniques are used for labiaplasty?

The three most commonly described techniques are the trim method (longitudinal resection), the wedge method, and the DOVE Surgery Technique. Each has different features in terms of scar placement, preservation of the natural labial edge, and risk profile. Further information is available in our comparison of labiaplasty techniques.

3. What is the DOVE Surgery Technique?

The DOVE Surgery Technique (Double Offset V-Plasty with Extended De-epithelialisation) is a labiaplasty method developed by Dr Georgina Konrat in 2005 and documented in 2012. It uses superficial dissection rather than full-thickness tissue removal, with the aim of preserving sensation and reducing the risk of wound dehiscence. Further information is on our DOVE Surgery Technique page.

4. How long does labiaplasty take?

The duration depends on the technique and the scope of the procedure. The DOVE technique takes longer than the trim or wedge method because of the careful layered closure involved. Dr Konrat discusses expected procedure time during consultation.

Who may be a candidate

5. Who is a suitable candidate for labiaplasty?

Suitability is assessed during consultation. Factors considered include individual anatomy, general health, medical history (including conditions that affect wound healing), smoking status, and realistic expectations. Not every patient presenting for labiaplasty consultation will proceed to surgery.

6. Is there an age limit for labiaplasty?

AHPRA cosmetic surgery guidelines require that practitioners exercise particular caution with patients under 18. Labiaplasty should not generally be performed on minors for purely cosmetic reasons. Exceptions may apply for documented functional concerns, with appropriate psychological screening and parental involvement. Adults of any age may be suitable candidates, subject to individual assessment.

7. Can labiaplasty be done after childbirth?

Yes. Many patients present for labiaplasty consultation after vaginal delivery. It is generally recommended that patients wait until they have completed breastfeeding and returned to a stable weight before considering the procedure. Patients planning future pregnancies may be encouraged to postpone labiaplasty, depending on circumstances.

8. Can labiaplasty be revised if I had it done elsewhere?

Yes. Dr Konrat performs revision labiaplasty for patients who have had previous surgery elsewhere. Each revision case is assessed individually — the technique used in the original surgery, the current anatomical state, and the specific concerns being addressed all affect what is possible.

AHPRA requirements and process

9. What do I need before booking labiaplasty?

Under AHPRA cosmetic surgery guidelines, patients must obtain a GP referral, attend two pre-operative consultations (one may be conducted via telehealth), and observe a minimum seven-day cooling-off period after the second consultation before surgery can be booked. These requirements apply to all cosmetic surgery in Australia.

10. Why is a GP referral required?

AHPRA updated its cosmetic surgery guidelines to include a mandatory GP referral requirement. This exists to ensure patients have had an initial medical discussion about their reasons for considering cosmetic surgery and any relevant health factors before a consultation with a cosmetic practitioner.

11. What happens in a labiaplasty consultation?

A consultation includes a full medical history review, physical examination, discussion of technique options, explanation of realistic outcomes and risks, discussion of recovery and aftercare, and a written quote. Two consultations are required and patients are encouraged to take notes and bring questions.

Recovery

12. How long does recovery take?

Return to sedentary activities is generally possible within 3–5 days. Full recovery, including return to sexual activity and strenuous exercise, takes 6–8 weeks. The final aesthetic result is typically visible at 3–6 months as swelling resolves. See our labiaplasty recovery guide for a week-by-week breakdown.

13. How much pain is there after labiaplasty?

Discomfort is usually most significant in the first 24–48 hours and improves substantially over the first week. Prescribed pain relief is provided. Most patients describe the recovery as manageable with adequate rest and appropriate medication.

14. When can I have sex after labiaplasty?

Sexual activity is typically avoided for 4–5 weeks after labiaplasty to allow full wound healing. Specific timing is confirmed with the doctor at follow-up appointments.

15. Will labiaplasty affect my ability to have children?

Labiaplasty does not affect fertility or the ability to carry a pregnancy. However, pregnancy and vaginal delivery may affect the surgical result — patients planning future pregnancies are often encouraged to postpone labiaplasty or discuss timing during consultation.

Risks and safety

16. What are the risks of labiaplasty?

Potential complications include delayed wound healing, infection, bleeding, haematoma, wound dehiscence, asymmetry, scarring (including hypertrophic or keloid), changes in sensation, dissatisfaction with aesthetic outcome, and anaesthesia-related risks. Specific risks are discussed in detail during consultation. See our general risks page for more information.

17. Will labiaplasty affect sensation?

Published research on labiaplasty suggests that most patients retain normal sensation after surgery when the procedure is performed carefully. The DOVE Surgery Technique was specifically developed to preserve subcutaneous nerves and blood vessels. However, changes in sensation are a possible complication of any labiaplasty technique and are discussed during consultation.

Cost and insurance

18. How much does labiaplasty cost in Brisbane?

Cost depends on the technique used, case complexity, anaesthetic type, and theatre requirements. Brisbane Cosmetic Clinic provides a written quote during or after consultation. A detailed explanation of what affects cost is available on our labiaplasty cost page.

19. Does Medicare cover labiaplasty?

Labiaplasty is generally considered cosmetic and is not covered by Medicare. Limited circumstances may allow a Medicare rebate — for example, where surgery is performed for a documented functional reason. Eligibility is determined by Medicare, not the clinic. Patients should discuss eligibility with their GP.

20. Will private health insurance cover labiaplasty?

Cover varies by insurer and policy. Where a Medicare item number applies, some private health policies may contribute to the hospital component. Patients should contact their insurer directly with the relevant item number to confirm. Labiaplasty performed for purely cosmetic reasons is typically not covered.

Further information

For more information about labiaplasty and the DOVE Surgery Technique, please see our labiaplasty information page, DOVE Surgery Technique page, our Brisbane labiaplasty page, or Understanding Labiaplasty article.

To book a consultation with Dr Georgina Konrat at Brisbane Cosmetic Clinic, please call 07 3391 5710 or email info@brisbanecosmetic.com.au.

Content reviewed by Dr Georgina Konrat MBBS FACCSM. AHPRA Registration: MED0001407863. This article provides general information only and is not a substitute for individual medical advice. Last reviewed: 17 April 2026.

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