Melbourne Plastic Surgery Blog

Melbourne Plastic Surgery Blog

Choosing a Plastic Surgeon

Monday, June 02, 2014

Deciding to undergo a cosmetic plastic surgery procedure is a major decision and one that should not be taken lightly.  There are many considerations including those related to selecting the surgeon performing the procedure to your individual circumstances and expectations:

When choosing a Plastic Surgeon:

  •           Of utmost importance: research and understand the surgeons qualifications and experience
  •           Check that the premises from which the surgeon operates is accredited
  •           Enquire as to other locations that the surgeon operates or hospitals he or she works or has worked
  •           Enquire how often the surgeon has performed the procedure you require
  •           Assess the surgeons willingness to answer any questions you may have
  •           Ensure realistic expectations and outcomes for the procedure are discussed and agreed
  •           Ask what you can expect before, during and after the procedure
  •           Understand procedure costs
  •           Ask around – often it is those closest to you who will recommend the best surgeon in your area

It is important to do your home work and ensure you choose a qualified specialist plastic surgeon.  We are advocates for our clients doing their own research however in selecting a surgeon and assessing their qualifications it is important our clients understand some basic terminology:

What is the difference between a Cosmetic Surgeon and a Specialist Plastic Surgeon?

The Australian Society of Plastic Surgeons website stipulates that “A Specialist Plastic Surgeon is a Commonwealth Government accredited plastic surgeon, trained and qualified to perform invasive cosmetic and reconstructive surgery in public and private hospitals, and accredited day surgeries. In Australia, the national Medical Board states that the “Specialist Plastic Surgeon” title can only be used by FRACS approved specialist surgeons in the recognised Specialty of Plastic Surgery.”

Why choose a specialist plastic surgeon?

Currently in Australia, it is legal for any doctor with a basic medical degree to perform surgery. Specialist Plastic Surgeons, on the other hand, have extensive surgical education and training including a minimum of 12 years medical and surgical education, with at least 5 years of specialist postgraduate training.

Mr Mutimer is a Specialist Plastic Surgeon based in Melbourne. 

Please check that your surgeon is a Specialist Plastic Surgeon by visiting: http://www.plasticsurgery.org.au/about-us/search/

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Dr Ramin Shayan appointed Consultant Plastic Surgeon to the Victorian Melanoma Service

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Dr Ramin Shayan has recently been appointed by the Victorian Melanoma Service as one of their Consultant Plastic Surgeons.

Located at The Alfred Hospital, the Victorian Melanoma Service (VMS) is one of Australia’s largest multidisciplinary treatment services for melanoma.  It provides treatment for patients who have a biopsy proven melanoma. The clinic is accessed via a referral from a GP or medical professional.

The clinic has a number of specialists who work together to diagnose, treat and follow up on melanoma patients. Medical professionals who work at the VMS include those who specialise in anatomical pathology, dermatology, plastic surgery, general surgery, medical oncology and radiation.

Dr Shayan has specialised in melanoma and skin lesion removal at Brighton Plastic Surgery since joining the practice in 2014. This is in addition to his pioneering work in the treatment of lymphoedema.

“It is exciting to join such an expert team to ensure delivery of gold standard, cutting edge assessment and treatment of often complex melanoma patients” said Dr Shayan.To find out more about the Victorian Melanoma Service visit Alfred Health.

Inaugural Friends Of Interplast Dinner

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The Inaugural Friends of Interplast fundraising dinner was recently held at The Carousel in Albert Park.

The dinner aims to raise much needed funds for Interplast’s work in repairing bodies and rebuilding lives across the Asia Pacific Region.

As President of Interplast, Mr Mutimer spoke at the event and is pictured below alongside recently announced ambassador, and rising AFLW star, Jess Hosking.

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To find out more about Interplast or to donate visit: www.interplast.org.au

Latest update on textured breast implants and ALCL

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This information has been summarised from the Australasian Society of Aesthetic Plastic Surgeons recent statement on Breast Implant Associated ALCL.

Understandably, a number of patients with breast implants have been alarmed by the increase of coverage in the news regarding Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL) following the announcement that the TGA were reviewing the safety and ongoing availability of textured breast implants in Australia.

Here's a summary of current information and what you need to know:

  • The TGA announced on 11 July 2019 that it had completed its review and laboratory assessment of textured breast implants on the Australian market.
  • The next steps are either a proposal to cancel or a proposal to suspend certain types of textured implants by specific manufacturers. 
  • You can find the full list of implants in question on the TGA’s website.
  • It is important to note that BIA-ALCL is not breast cancer. 
  • It is a rare type of lymphoma that develops adjacent to breast implants, usually as a swelling of the breast 3-14 years after insertion.  This swelling is due to fluid building up in the fibrous capsule that surrounds the implant and does not develop in the breast tissue itself.  It can also present as a swelling or lump in the breast or armpit.
  • BIA-ALCL is a rare condition, with 92 patients confirmed in Australia and New Zealand.  Due to its rarity, it's difficult to be sure about the exact level of risk of developing this disease.  The risk of developing ALCL with textured implants differs with different grades of texture from one in 2,800 to one in 80,000.  Comparatively, breast cancer occurs in one in every eight women.
  • In the case of BIA-ALCL, the key to effective treatment is early diagnosis and specialist treatment.
  • In the early stages, BIA-ALCL is slow-growing and curable by surgery alone.
  • The cause is currently unknown but Australian and New Zealand Plastic Surgeons, along with local and international research organisations are working tirelessly to find the cause.
  • BIA-ALCL can occur in both breast reconstruction cases and cosmetic cases, as well as affecting both saline and silicone implants. 
  • At this time, there is no evidence to suggest the benefit of routine removal of breast implants if you do not have symptoms of this condition.

What should you do if you are concerned?

  • If your surgery was performed at Brighton Plastic Surgery, please ring us and we can inform you about what implants you have, and we can guide you through the clinical review process. If your surgery was conducted elsewhere and you are unsure of the type of breast implant used in your surgery, details will be in your original surgeon's medical files, and they will be able to inform you if it is a textured implant.
  • If you are unable to contact your original surgeon, please see your GP who can get you in contact with a Specialist Plastic Surgeon for a full clinical evaluation.  It would be recommended that this occur in any patient with breast implants, who are exhibiting symptoms of this condition.

We recommend that you click here to read the full statement from the Australasian Society of Aesthetic Plastic Surgeons.