Plastic Surgery FAQs

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Answers to the questions patients ask Dr Kumar’s team most often, grouped by topic. Each answer links to the page with the full detail.

In short: A GP referral is needed for every patient, and the first consultation is $400 with a Medicare rebate of about $88. Dr Kumar consults in Westmead, Penrith and Orange and sees patients at any stage of their weight-loss journey. Every patient receives a written, itemised quote, and there is a cooling-off period of at least seven days before surgery can be booked. If your question is not here, ask Dr Kumar’s team.


No questions match your search. Ask Dr Kumar’s team or call 1300 267 726.

Getting started

Do I need a GP referral to see Dr Kumar?

Yes. A GP referral is needed for every patient, and it also allows a Medicare rebate on your consultation fee. Read more

How much is the first consultation?

The first consultation fee is $400, with a Medicare rebate of about $88 when you have a GP referral. Read more

How long is the consultation?

Allow 60 minutes, or 90 minutes after major weight loss or if more than one area concerns you. Read more

What happens before I see Dr Kumar?

Once your consultation is booked and paid, one of Dr Kumar’s nurses calls you to take your history and tell you which results and records to bring. Read more

Can I have my consultation by video?

Partly. Your nurse phone consultation and one consultation can be by video, but at least one consultation with Dr Kumar must be in person before surgery can be booked. Read more

Where does Dr Kumar consult?

In Westmead, Penrith and Orange. Read more

Where does Dr Kumar operate?

Body contouring after weight loss and any operation needing a hospital stay are performed at Westmead Private Hospital. Day surgery is performed at Somerset Private Hospital in Kingswood. He does not operate in Orange. Read more

Can I send photos before I book?

Yes. Dr Kumar’s nursing team reviews them with Dr Kumar and calls you back to talk through what is involved. Read more

What is the cooling-off period?

After your consultations and signed consent there is a cooling-off period of at least seven days before surgery can be booked or a deposit paid. Read more

Can I bring someone to my consultation?

Yes. A partner, friend or family member is welcome, and it often helps to have a second person hear the information. Read more

Which forms do I need to fill in?

A new patient form before your first consultation, and the hospital’s own admission form once surgery is booked. All forms and checklists are on one page. Read more

Costs, Medicare and health funds

How much does surgery cost?

It depends on the operation, its length, your hospital stay and whether a Medicare item applies. You receive a written, itemised quote after your consultation; Dr Kumar does not publish package prices. Read more

What does the quote include?

Dr Kumar’s fee, the nurses’ fee (which includes your aftercare), the anaesthetist, the surgical assistant, the hospital, and garments or implants. Read more

Does Medicare cover skin removal after weight loss?

It can. Items 30166, 30169, 30177 and 30179 apply when weight has been stable for six months and the excess skin causes documented functional problems. Read more

Does Medicare cover breast reduction?

Items 45520 and 45523 can apply where symptoms are caused by large breasts. Read more

Does Medicare cover a breast lift?

Item 45558 can apply to a breast lift without implants when its criteria are met. No Medicare item applies when implants are used. Read more

Does Medicare cover gynaecomastia surgery?

Items 31525 and 31526 apply only when the enlargement is not due to obesity and is out of proportion to the body. Loose skin after weight loss generally does not meet these criteria. Read more

Will my health fund pay?

Where a Medicare item applies and your hospital cover includes plastic and reconstructive surgery, your fund contributes to the hospital’s charges and part of the doctors’ fees. Silver and Gold policies must include it. Read more

When do I pay?

A deposit when you book surgery, after the cooling-off period, and the balance one month before your operation. Read more

Is there a payment plan?

Yes. If you book up to six months ahead, you can pay in interest-free instalments run by the practice, not a finance company. Read more

Can I use my superannuation?

Early release is decided by the Australian Taxation Office. Dr Kumar’s team can discuss whether your procedure may genuinely meet the requirements, but the decision is between you, your financial planner and the ATO. Read more

Is GST charged?

Surgery performed only to change appearance, with no Medicare item, attracts GST. Surgery that meets a Medicare item is GST-free. Read more

Weight loss and timing

How long does my weight need to be stable?

A minimum of three months before surgery is planned. The Medicare items require six months of stability by the time of surgery, and surgery is usually some months after the consultation. Read more

Can I see Dr Kumar while I am still losing weight?

Yes. Dr Kumar sees patients at any stage of their weight-loss journey to plan ahead. Read more

I take weight-loss injections. Can I have surgery?

Yes, with planning. Tell Dr Kumar’s team, and you will be told whether and when to pause the medicine before anaesthesia. Read more

Does it matter which weight-loss operation I had?

Mainly through nutrition. Protein, iron and vitamin levels after a sleeve, bypass or band affect healing and are checked before surgery. Read more

Will exercise tighten loose skin?

No. Building muscle can improve your shape, but it does not remove loose skin. Read more

How many operations will I need?

Most people need more than one, planned as a sequence rather than all at once. Read more

Can operations be combined?

Sometimes. It depends on your health, your body composition and the total operating time. Larger plans are usually staged. Read more

Why does nutrition matter before surgery?

Protein, iron, vitamin B12 and vitamin D affect healing. Dr Kumar’s team can refer you to an Accredited Practising Dietitian. Read more

What is a DEXA scan for?

It shows how much of your weight loss was muscle rather than fat, which helps plan and stage your surgery. Read more

Do I have to stop smoking or vaping?

Yes. No nicotine in any form for eight weeks before and after body contouring, and six weeks for other operations. Read more

Can I have surgery if I have diabetes?

Often, once it is well controlled. Poorly controlled blood sugar raises the risk of wound and infection problems. Read more

Abdomen and body lift

What is the difference between an abdominoplasty and a body lift?

An abdominoplasty treats the front of the abdomen. A body lift continues around the sides and back, lifting the buttocks and outer thighs as well. Read more

What is a fleur-de-lis abdominoplasty?

An abdominoplasty that removes loose skin both across and down the abdomen, leaving a horizontal and a vertical scar. Read more

What is a panniculectomy?

Removal of the overhanging apron of skin and fat from the lower abdomen. Read more

Can separated abdominal muscles be repaired?

Yes, as part of an abdominoplasty. After pregnancy, item 30175 can apply where its criteria are met. Read more

Can the mons pubis be lifted?

Yes. A monsplasty is usually done as part of an abdominoplasty or body lift. Read more

How long will I be in hospital?

At least three nights after an abdominoplasty, and three to four nights after a body lift, at Westmead Private Hospital. Read more

Will I have drains?

Usually, after body contouring. Dr Kumar’s nurses remove them once drainage settles. Read more

What happens to my belly button?

A new opening is made for it during an abdominoplasty or body lift. Read more

Where is the scar?

Low across the abdomen, and around the body after a body lift, placed so underwear and most swimwear cover it where possible. Read more

Arms, thighs, back and buttocks

Where is the arm lift scar?

From the armpit towards the elbow, placed so that it is not visible from the front and stays hidden in most everyday arm positions. Read more

Do I need liposuction or an arm lift?

Liposuction suits extra fat with good skin. Loose, hanging skin needs to be removed with an arm lift. Read more

How long will I be in hospital after an arm lift?

Usually one night. Read more

What does a thigh lift involve?

Removal of loose inner-thigh skin through an incision from the groin towards the knee. Most patients stay one to two nights. Read more

Can back rolls be removed?

Yes. An upper body lift removes rolls of skin across the back, usually with the scar along the bra line. Read more

Can my buttocks be lifted?

A body lift lifts the buttocks by removing loose skin above them. It does not add volume. Read more

Breast surgery

Do I need a breast lift or a breast reduction?

A lift raises and reshapes the breast; a reduction also makes it smaller. Many patients need elements of both. Read more

Can a breast reduction help back and neck pain?

It can, where the pain is caused by the weight of the breasts. Read more

Can I breastfeed after a breast reduction?

Breastfeeding may be affected. It is discussed at your consultation if you plan a future pregnancy. Read more

Is breast surgery day surgery?

Breast reduction and breast lift are day surgery or one night in hospital. Read more

Can a breast lift add volume without implants?

Fat grafting can add some volume during a lift for selected patients. Read more

How are breasts treated after major weight loss?

Usually with a lift, a reduction, or a lift with an implant or fat grafting, depending on volume and skin. Read more

Can uneven breasts be corrected?

Yes. Asymmetry can be improved, although some difference between the two sides always remains. Read more

What is tuberous breast correction?

Surgery to reshape breasts with a narrow base and a constricted lower half. Read more

Can nipples or areolas be reduced?

Yes, alone or as part of other breast surgery. Read more

Breast implants

Where is the incision for breast augmentation?

Dr Kumar uses the crease under the breast for most augmentations. Read more

Are implants placed above or below the muscle?

Usually under the muscle (dual plane). The Preserve technique, with Motiva implants, places them above the muscle. Read more

What is the Preserve technique?

A breast augmentation technique in which Motiva implants are placed above the muscle, without a drain. Read more

Do implants need replacing?

Implants are not lifetime devices, and further surgery during your life is likely. Read more

What is BIA-ALCL?

A rare lymphoma linked mainly to textured implants. Every implant patient receives written information about it. Read more

What is breast implant illness?

Symptoms that some people attribute to their implants. What to check first, and the options, are explained in detail. Read more

Can my implants be removed?

Yes, with or without a lift or fat grafting. A drain is nearly always used. Read more

Do all implants need en bloc removal?

No. The approach to the capsule is decided by what is found and why the implants are being removed. Read more

What is capsular contracture?

Tightening of the scar tissue around an implant, which can make the breast firm or misshapen. Read more

What if my implant has ruptured?

It is usually confirmed on imaging and then removed or replaced. Read more

Men

Is it gynaecomastia or chest fat?

Gynaecomastia is firm gland behind the nipple; chest fat and loose skin feel soft. It is settled on examination. Read more

What can be done for loose chest skin after weight loss?

Skin excision, often with the nipple moved up and the areola reduced, sometimes extended to the side of the chest. Read more

Does Dr Kumar treat men after weight loss?

Yes. A large part of his weight-loss practice is men, including chest, abdomen, back and arms. Read more

When can I return to physical work or the gym?

Usually from six weeks, built up gradually, with most cleared for full activity at 12 weeks. Read more

Where will the scars sit on a man?

They are planned around the chest crease, waistline and natural shadows. Read more

Recovery

How long will I need off work?

About two weeks for desk-based work after body contouring, longer for physical roles. Read more

How long do I wear a compression garment?

Six weeks. Read more

When can I shower?

After 48 hours. Pat the dressings dry, then use a hair dryer on a cool setting if needed; the skin nearby can be numb, so use it carefully. Read more

What dressings will I have?

Prineo and Micropore dressings, which stay on for six weeks and are removed by Dr Kumar’s nurses. Read more

When can I lift things?

Nothing over 5 kg for six weeks. Read more

When can I drive?

Once you can turn and brake without pain and are off strong pain relief. Read more

When can I exercise?

Walking from day one, a gradual build-up from six weeks, and full activity for most patients at 12 weeks. Read more

How often will I be reviewed?

At 7 to 10 days, 6 weeks, 12 weeks, 6 months and 12 months, and as often as you need in between. Read more

Who do I call if I am worried after surgery?

Dr Kumar’s nurses, who provide ongoing contact and care for his patients. For chest pain, sudden breathlessness or a painful, swollen calf, call 000. Read more

What is a seroma?

A collection of fluid under the skin, common after body contouring and usually drained in the rooms. Read more

How long do scars take to settle?

They are pink and firm for several months and mature over 12 to 18 months. Read more

Risks and safety

Is plastic surgery safe?

Serious complications are rare in healthy patients in accredited hospitals, but every operation carries risk, and minor complications are more common after body contouring. Read more

Is surgery after major weight loss riskier?

Yes. The operations are longer and nutrition is often lower, so complications such as seroma and wound separation are more common. Read more

How are blood clots prevented?

Your risk is assessed before surgery, and prevention is matched to it, including early walking and compression. Read more

What happens if I have a complication?

Call Dr Kumar’s nurses. Most complications are managed in the rooms; a few need a return to theatre. Read more

How do I check a surgeon’s qualifications?

Search the Ahpra register for the practitioner’s name. A specialist plastic surgeon has specialist registration in surgery – plastic surgery. Read more

Travelling patients

I live outside Sydney. How does it work?

Video consultations where possible, at least one in-person consultation, then a trip for surgery after the cooling-off period. Read more

How long do I need to stay in Sydney?

Interstate and overseas patients usually stay near the hospital until their first review, about 7 to 10 days after surgery. Read more

Can my follow-up be in Orange?

Yes. Patients from Orange and the Central West go home once discharged and have their follow-up in Orange. Read more

What number do I call from overseas?

+61 2 9171 1822. Within Australia, call 1300 267 726. Read more

About Dr Kumar and his team

What are Dr Kumar’s qualifications?

He is a specialist plastic surgeon, Fellow of the Royal Australasian College of Surgeons and ANZBCPS Board Certified, with over 20 years of surgical experience. Read more

Who looks after me before and after surgery?

Dr Kumar’s nurses. The nurses who prepare you for surgery are the same nurses who see you at every review. Read more

Is there help with nutrition before surgery?

Yes. Preparation can include an Accredited Practising Dietitian and DEXA body composition scanning. Read more

Are there guides I can download?

Yes. There are 18 free procedure guides, emailed to you straight away. Read more

Didn’t find your question?

Send it to Dr Kumar’s team and they will get back to you, or call 1300 267 726.

Ready to talk to Dr Kumar’s team?

Request a call from Dr Kumar’s team or call 1300 267 726. Before deciding on any operation, read the risks and complications of surgery. Individual results vary.

About Dr Kumar

Dr Rohit Kumar (MED0001630444) is an ANZBCPS Board Certified specialist plastic surgeon with over 20 years of surgical experience. His main focus is body contouring after major weight loss, along with breast surgery and abdominoplasty. More about Dr Kumar.