Tummy tuck and breast lift

Q & A’sCategory: BodyTummy tuck and breast lift
AvatarSallyanne Engley asked 3 years ago

Hi I\’ve had 4 kids all by c sections and the youngest is 3. I have been dieting and exercising and lost 12 kgs ( was 82kgs before) but no amount of exercise is shifting the apron of skin hanging over my pelvic region. It makes me so self conscious and depressed I cry some days. I also get a lot of ingrown hairs there and rashes in summer under the skin. My breasts are deflated sacks of skin. Wondering if Medicare could help with this?

1 Answers
Dr Justin PerronDr Justin Perron Contributor answered 3 years ago

Hi SallyAnne! Thanks for your question regarding changes after pregnancy and weight loss. I’m really sorry to hear that you’ve been feeling down because of your body changes!! The changes that have occurred sound like they are common, after pregnancy and subsequent weight loss. Certainly both breast volume loss, and subsequent ptosis after pregnancy can be addressed. The abdominal wall changes can be addressed as well. 
There have been changes to the MBS codes, which affect the item numbers associated with addressing abdominal wall changes after pregnancy. Because of this, the abdominoplasty item number is only applicable after significant weight loss. To qualify, patients need to have 4 things; 1. large weight loss, 2. rashes or skin problems under any redundant skin fold that is not addressed adequately using non-surgical treatment, 3. redundant skin affects your day-to-day activities, 4. weight loss needs to be stable for 6 months prior to surgery. 
http://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=30177&qt=item&criteria=30177
With regards to the breasts, there are item number associated with addressing breast ptosis. The item number 45558 does address breast ptosis following pregnancy. Again, there are conditions associated with this item number.
http://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=45558&qt=ItemID
Finding a public hospital to address these items might prove difficult. These are considered low priority unfortunately, so would be difficult to access in a public setting. 
If you are keen to have these addressed, the best plan would be to continue to lose weight, and apply for a health fund. There are ‘good’ or ‘better’ health funds that should be considered before going to the bigger ones. 
This list at AHSA (https://www.ahsa.com.au/web/fundlist) provides a list of ‘good’ health funds that have few restrictions on the part of both patients and surgeons. Some of the big funds tend to provide poor, or spotty coverage for many plastic surgical procedures. This list also provides a summary of some of the better and worse performing health funds:
(https://ama.com.au/system/tdf/documents/AMA%20Private%20Health%20Insurance%20Report%20Card%202016_1.pdf?file=1&type=node&id=43841). 
I hope this has helped! I’d be happy to provide further information if you are interested!
Cheers
Justin Perron
 

Dr Justin Perron

Dr Justin Perron is a Canadian born, Australian-trained Plastic and Reconstructive and Cosmetic Surgeon. He keeps up to date with the latest trends in Plastic Surgery, and maintains current knowledge in this broad and diverse field.

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