Patient Resources

Your First Consultation

 

Before your consultation

You will be given an appointment time to see Dr Turner at one of his clinic locations in Dee Why, Leichhardt or Newcastle. We take every care to ensure that you are seen at the time allocated, however emergencies and other unplanned events can disrupt our schedule. If this occurs we will endeavour to contact you with as much notice as possible to minimise any disruption to your schedule.

It is recommend that you download and pre-fill our patient registration form and medical assessment form prior to you arriving at our clinic. If you are not able to complete the forms and bring them with you to your appointment, than you need to arrive 20-30 minutes prior to you appointment time to give adequate time to complete these forms.

If a patient arrives late for an appointment, we will endeavour to accommodate the consultation on the same day, however this is not always possible and a future appointment may be required to give sufficient time in your consultation with Dr Turner to go through all your concerns and goals.

For patients who fail to show up to their appointment, they will forfeit the consultation fee and will be required to schedule a new appointment with another consultation fee payment.

During your consultation

Please allow up to one hour for your first consultation with Dr Turner. During the consultation he will assess your desires and goals, provide detailed information and carefully explain the techniques, benefits and risks of the cosmetic surgery procedures available.

You will be shown photographs of patients who have undergone similar surgeries, to demonstrate the range of outcomes that can be achieved. Once you have all the information, you will be able to make an informed judgement on which procedure will best achieve your goals.

We strongly recommend all patients have a second consultation prior to proceeding with surgery so you have the opportunity of having all your questions answered. This helps ensure you are fully informed and utterly comfortable with your whole surgical journey.

After your consultation

Our team will help you select a date for your operation and provide information about cost, pre-operative care and additional services to enhance your results. We are available to answer any questions in the days leading up to your operation.

Computerised Imaging

To help visualise the likely outcome from your surgery, we use the latest 3D computer imaging technology with the VECTRA camera system, however this is currently only available at our Dee Why and Leichhardt clinics. Sydney Institute of Plastic Surgery is one of the very few plastic surgery practices offering this world class technology.

Photographs are taken before your procedure and at regular intervals after the operation, to document the improvements achieved.

Preparing for Surgery

Once you decide that surgery is for you, we will develop an individual treatment plan for your procedure and post-operative recovery. Physical and mental preparation is important to help you recover quickly and enjoy better results.

Before surgery, Dr Turner will order any relevant investigations such as blood tests or X-Rays. Please advise of previous illnesses, operations and any medications you are taking.

Hospital Admission

If your procedure is to be performed in hospital, Dr Turner will discuss the duration of your admission, the post-operative recovery period and when you may resume normal activities. During your second consultation with Dr Turner you will be given the hospital admission and consent forms to complete. You are required to complete these forms and return them directly to the hospital no later than 7 days prior to your surgery. The hospital will be in contact to discuss any financial payments and advise you on your planned arrival time and fasting details.

Depending on the procedure, you may be required to wear a surgical compression garment postoperatively to assist with swelling and maximise the results of your surgery. At the second consultation, Dr Turner or his nurse will measure you to ensure correct sizing of the garment.

Getting Home after Surgery

If your procedure is to be performed as day surgery only, you need to arrange a family member or friend to pick you up upon discharge form the hospital, usually 2 to 4 hours after the procedure has been completed. You will not be allowed to travel home unattended, if this has not been arranged than your surgery will be cancelled on the day.

The staff at Sydney Institute of Plastic Surgery can assist you in getting ready to recover at home after your procedure. It is recommended that you stock up on provisions and prepare light meals for the first few days after your procedure and to have someone around to assist with day to day activities and looking after small children.

After Your Surgery

 

Going Home

Prior to your operation, a plan will be developed to deal with your discharge from the hospital or clinic. The details will depend on several factors, including the procedure you have undergone, what support there is at home, and how far from Dr Turner’s practice you may be staying. At all times, our concern is for your safety and comfort.

The necessary medications that you will need for the early postoperative phase of your treatment will be provided or prescribed. These are almost always painkillers and antibiotics if required.

Arrangements will be made for your early follow-up and for regular postoperative visits.

Accessibility

Dr Turner strongly believes that most problems that might occur after an operation can be avoided if they are identified and treated early. Therefore, he provides all his patients with his mobile telephone number and is available to them at all times.

Furthermore, in the first days after surgery, you will be contacted daily, either by Dr Turner himself, or the practice nurse. You are encouraged to make contact with the doctor at any time and about any problem you may have. Reassurance and availability are we believe, essential elements in the caring management of our patients.

Drains

If, as part of your operation, it is deemed advisable for you to go home with a suction drain in place, we will give you a detailed protocol on the care of these drains. This approach to treatment for certain conditions has reduced the time you night need to stay in hospital, and allow you to convalesce in the comfort of your home much earlier than otherwise would be the case.

First Postoperative Visit

Your first postoperative visit is usually a week after your surgery. Wounds are checked, splints or dressings removed and sutures are taken out. Dr Turner will often take photographs of your appearance, so that at subsequent visits you will be able to see the improvement in bruising, swelling and shape.

Subsequent Visits

Depending on your operation, further follow-up visits are scheduled. Dr Turner sees patients at various surgeries. Your subsequent follow-up appointments can be arranged at the location most convenient for you. Once again photographs might be taken to document your progress.

Depending on your operation, the rate of healing and your needs, follow-up appointments will be arranged for some weeks or months after your procedure. In most cases, there is no charge for these visits, but this depends ultimately on how long they go on for, and whether any unforeseen complication arises which is out of the ordinary.

A Word about Scars

 

Scarring

There is a popular misconception that plastic surgeons are able to leave an invisible scars. Unfortunately, this is not the case. Each time the skin is cut by a scalpel or laser, a surgical scar is produced. Scars are always visible, and the nature of a scar can never be predicted with complete accuracy. The appearance of a scar varies according to its location on the body, tension on the scar, and the individual’s healing process.

Skilled plastic surgeons can produce less visible scars with advanced suturing techniques, and by locating incisions inconspicuously. Some forms of surgery tend to produce good scars, such as the scar in front of the ear with facelift surgery. Other operations can produce scars which are prone to stretching, thickening, redness and tenderness. In the worst cases, these scars take over two years to settle and mature but may never end up as thin line scars.

Although scarring from previous surgery may give an indication of likely future scarring, some areas on the body produce an unpredictable healing response. Some patients form hard, red, thick hypertrophic scars which cannot be anticipated by the surgeon before the operation.

Scars over time

When settled or mature, surgical scars are always white, as they contain no pigment producing cells. Occasionally, a scar can over-pigment. This is usually due to sun exposure but can be exacerbated by the use of oral contraceptives, hormone treatments, dermabrasion, or certain drugs. It is always important to protect a fresh scar from sun exposure. Scars nearly always mature and flatten, but the time interval can range from months to years. In the worst instance, a keloid scar will remain raised, red, thick, tender and itchy.

Deeper scars

Scarring also occurs in the deeper layers of skin, fat and muscle. This is more prominent when the skin or other layers have been separated. These scars can behave in the same manner as skin scars, becoming thick, lumpy, raised and tender. Deeper scarring can be noticeable in the cheeks after a face-lift or after liposuction. Massage and other treatments can help, and these scars do settle with time, but the process may take many months.

If you are concerned about scarring, speak with Dr Turner and our friendly team to learn more about your chosen procedure.

Patient Forms

New patients at Sydney Institute of Plastic Surgery

For all new patients who have a consultation booked with Dr Turner at Sydney Institute of Plastic Surgery it is recommended that you take the time prior to coming to your consultation to download and fill out the patient registration and medical assessment forms.

Financial Information

One of the issues frequently asked by our patients is: “How much does it cost?” This is not at all unreasonable. Everybody asks the question in all areas of service and commerce.

It is difficult to list a comprehensive range of fees on our website, because there are so many variables that need to be taken into consideration when providing a patient with the final cost of their intended treatment. We are happy to provide an estimate of the costs of your surgery if you submit your request with images of the area of concern (this is usually 3 images taken front, oblique and from the side), Dr Turner will review your request and images and give guidance on what your surgery will likely cost, but this is only a guide and can not be confirmed until you have a formal consultation.

Dr Turner and his practice believe in the principal of full informed financial consent. As part of the preoperative process, you will be provided with a complete breakdown of the costs of your surgery before you sign up for your procedure.

My Consultation

When you call to make an appointment, you will be asked to provide certain information, such as your contact details, phone number and email address. This is so we can send you some preliminary information to expedite your admission process and shorten the time you have to sit in the waiting room.

There is a charge for your consultation. If you have a referral from a GP, some of that fee can be rebated from Medicare in most instances. Most plastic surgeons now require prepayment for this initial consultation at the time of booking. This is to avoid the frequent occurrence of patients making multiple appointments with several surgeons and then failing to attend without taking the trouble to ring and cancel. This problem has become all too common in recent times.

My Operation

There are several factors that determine the ultimate cost to you for the surgical procedure you are about to undergo.

  • Dr Turners surgical fee
  • The Anaesthetic fee
  • Implant and garment fees if required
  • Hospital fees, including bed fee and operating theatre fee

Our staff will advise you of the fee for your operation at the time of the initial consultation or very soon thereafter.

Many of the procedures, which Dr Turner performs, have what are known as Medicare item numbers. Where this is the case, you may expect a rebate from Medicare and your private insurer for your operation. Dr Turner and his staff will do all they can to maximise your rebates and minimise the ultimate cost to you.

Dr Turner operates at several private hospitals. All these facilities have accreditation with the National Safety and Quality Health Services (NSQHS) Standards. This ensures that your procedure will be carried out in the safest, most hygienic and comfortable environment for you

Credit Options

Once you receive the detailed quotation for your procedure, you will be asked to arrange payment. It is customary in procedures, which are essentially cosmetic for the balance of your surgical fee to be paid in advance of the operation. Where there are difficulties, we can advise you of agencies that can provide financing.

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The Sydney Institute of Plastic Surgery has no commercial relationship with any of these
funders and receives no incentives for referring patients to them.

Frequently Asked Questions

General

Patients seeking advice about cosmetic surgery, do not need a referral to make an appointment, as there is no benefit from Medicare for the surgery.
However, many procedures regarded as “cosmetic” do have some reconstructive component and therefore will attract a Medicare benefit. Therefore, it may be an advantage to obtain a referral before consultation to maximise any Medicare rebate that may be obtainable.
The best way to discover if cosmetic surgery can help to solve your concerns, is to consult with Dr Turner, who will listen to you carefully, perform an examination and advise you of your options. He will tell you what you need to know in order to make an informed decision about what is best for you. He may offer you a solution which you had not previously known about or considered.
Your medical file is handled with the utmost respect for your privacy. Our staff are bound by strict confidentiality requirements as a condition of employment regarding your medical records.
Ordinarily we will not release the contents of your medical file without your consent.
Reconstructive surgery is designed to improve or restore function that has occurred as the result of an accident, birth defect or disease.
Cosmetic surgery is that subspeciality of Plastic and Reconstructive Surgery that is designed to improve a person’s appearance in an aesthetic manner by altering or reshaping a bodily feature.
With many of the procedures we perform combining elements of both reconstructive and cosmetic surgery.

This difference is confusing to many people. A Plastic Surgeon has the degree of FRACS – a Fellow of the Royal Australasian College of Surgeons in Plastic & Reconstructive Surgery and is a member of ASPS – the Australian Society of Plastic Surgeons. You can be confident that this doctor has undergone an intensive post-graduate training in all aspects of Plastic Surgery and knows the anatomy and biology of the body and can prevent, and where necessary, treat any problems that may arise from your surgery.

A cosmetic surgeon is not a formally recognised title under the Australian Medical Board, and often has no more recognized training than a basic medical degree – with many cosmetic surgeons in Australia having the same qualifications as your local General Practitioner. Many of these ‘Surgeons’ have no specialized post-graduate surgical training and do not have admitting rights to accredited hospitals – to treat their patients in the case of a problem occurring. Due to this limitation they frequently perform procedures under ‘twilight sedation’ in their own unaccredited clinics as they are unable to be accredited in a fully accredited private hospital.

Plastic Surgery covers a whole range of surgical procedures which essentially deal with disorders of the surface of the body. It includes skin cancer, burns, birth deformities, hand surgery and cosmetic surgery. A well trained surgeon who has studied for 8-10 years to achieve the gold standard of surgical services in this country and universally recognized throughout the world, is awarded the degree of FRACS (Fellowship of the Royal Australasian College of Surgeons). Cosmetic surgery is one of the subspecialties of the broader field of Plastic Surgery and one field in which many Plastic Surgeons choose to specialise.
Contrary to its name, plastic surgery does not involve the use of plastics. The word “plastic” is derived from a Greek word “plastykos” which means “moulding” or giving form.

 

About my procedure

This depends on the operation performed. Most patients need about two weeks before light exercise can be undertaken. Strenuous aerobic exercise will depend on the nature of the operation and the patient’s recovery rate. As a rule, the longest period off exercise is experienced by abdominoplasty patients who need six weeks before full recovery is complete. Liposuction patients, on the other hand, are encouraged to commence walking almost immediately after surgery. All other patients will resume some mild exercise fairly soon after surgery and gradually increase the intensity in a graduated fashion.
Each patient tolerates the post operative discomfort in an individual way. We address your discharge and post-operative pain relief in consultation with you as part of the planning process.
Appropriate pain relief will be prescribed for you to minimise discomfort in the post-operative period, particularly if you choose not to be admitted to hospital for your procedure.
Most operations on the face and neck including rhinoplasty – have surprisingly little discomfort after surgery.
Liposuction can be somewhat more painful. Abdominoplasty, where the muscles of the abdomen are tightened with strong sutures to flatten the tummy, usually has pain similar to a hysterectomy or Caesarian section and therefore requires more medication for the relief of pain.
This depends on the nature and complexity of the operation, your support at home and your preference.
Many cosmetic surgery procedures are safely and effectively carried out as day-only operations in a fully accredited Day Surgery Hospital.
A decision on all aspects of your surgery is made in consultation with Dr Turner and your specialist anaesthetist to ensure the safest, most comfortable experience for you.
All cosmetic surgery procedures will have an element of being uncomfortable, but should not be painful. Even when the operation is performed under general or twilight anaesthesia, local anaesthetic of long duration is infiltrated widely into the surgical field to provide long lasting pain relief once the procedure is over.
After surgery, specifically tailored medication is prescribed to ensure the discomfort associated with the operation is minimal, if experienced at all.
A result of any surgical procedure is scarring. Each and every time the skin is cut either by scalpel or laser a surgical scar is produced. The quality and appearance of scars vary widely with the individual’s healing process, the position of the scar on the body, and the degree of tension placed on the scar. The types of scars can be influenced by personal, familial and racial factors and CANNOT BE CONTROLLED by the surgeon.
Will it be noticeable – probably not. Your surgeon will make every effort to keep scars as minimal as possible and try to hide them in the natural lines and creases of your skin. For the majority of procedures, your scars will fade over time and become barely visible.

 

Financial Issues

Many cosmetic surgery procedures enjoy a benefit from Medicare and Health Funds. In some instances, even breast augmentation qualifies for a benefit. You can be sure that our efficient office team will make all the enquiries and applications on your behalf to ensure the best possible rebate for you.
Fees will be fully explained at your consultation and before you commit to surgery.
Once your operation is confirmed, you will be given full financial advice, including what we expect to be your out of pocket expenses and any benefits you are able to receive from Medicare or your private health fund.
Payment for your cosmetic procedure is expected two weeks prior to the date of surgery.
Acceptable methods of payment include cash, personal cheque, bank cheque or Visa/Mastercard/AMEX. (We cannot process Diners Club cards). Patients seeking credit can be referred to one of several financing institutions which specifically cater to patients seeking to have cosmetic surgery.
The standard fee charged in this office for reconstructive surgery is the Australian Medical Association (AMA) recommended fee. This means that in most instances there will be an out of pocket component for your surgical fee which will not be covered by Medicare and your health fund. If there is any problem with this it is important that you ask about this gap. With respect to cosmetic surgery, some of the operations will receive a benefit from your health fund insurer whilst others will not. We are able to give you the appropriate advice on all these matters and give you some exact estimates of what he final costs might be.
Please be advised that when you have an operation, not only is there a fee for your attending surgeon, but also for the anaesthetist and the hospital. Our staff are fully informed with charges and rebates and will be able to help you navigate your way through this area of your procedure.