ASSOCIATED COSTS - MAY INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING;
ANAESTHETIST, HOSPITAL, PATHOLOGY, RADIOLOGY AND POST OPERATIVE CARE ARE NOT
INCLUDED IN THE ABOVE APPROX. FEES
YOU WILL NEED TO DISCUSS WITH YOUR HEALTH FUND IF YOU ARE COVERED FOR THE PROCEDURE
AND THE POSSIBLE ASSOCIATED COSTS.
You are in some circumstances able to claim a rebate from Medicare but claims are reviewed on a
case by case basis. Please call Medicare to discuss your specific case and rebate should you require
clarification.

PRE PAYMENT IS TO BE COMPLETED NO LATER THAN ONE WEEK PRIOR TO THE SURGERY.
The payment is applied to your account and a receipt issued (NOT CLAIMABLE FROM
MEDICARE/HEALTH FUND). The amount is then applied to your invoice, post surgery, once
procedure item numbers have been finalised. An itemised invoice including any balance payable,
and receipt, will be issued which can then be claimed from Medicare/Health Fund, if applicable.
DR GREEN WILL PROVIDE YOU WITH ITEM NUMBERS/QUOTE FOR HIS SERVICES (INCLUDING THE
ASSISTANT DOCTOR) SPECIFIC TO YOUR PROCEDURE DURING THE INITIAL CONSULTATION.
NB. This is an estimate only as item numbers may change should the procedure be altered during
your operation.
We DO NOT provide an estimate of rebates possible from Medicare and/or health funds. Please
contact them for further information.
SHOULD YOU REQUIRE FORMS COMPLETED REGARDING SUPERANNUATION, INSURANCE CLAIMS
OR REQUESTS, ENSURE YOU BRING WITH YOU TO THE INITIAL CONSULTATION OTHERWISE A FEE
WILL BE CHARGED TO BE COMPLETE THESE FORMS AT A LATER DATE.

 The Australian Medical Association (AMA) provides and annual listing of operation costs and expenses. Dr. Green follows the recommended fees as listed by the AMA.

Out-of-pocket costs are a shortfall created by Medicare and the health funds placing a much lower value on the service being given, and not recognizing the significant costs incurred in running a private practice, the doctors' years in training, technical skill, and personal commitment to our patients.

The rebates offered by Medicare and health funds have not kept pace with general inflation (CPI). As such the difference between the true cost of your surgery and what is rebated is constantly increasing. Some procedures have been revalued more recently by Medicare and do not occur as larger gap than other procedures that have not been reviewed for 20 or more years.

You will receive separate information regarding the anesthetist’s fee, and there will also be some out-of-pocket costs for the pathologist because histological assessment of the tissue is complex.

 Dr Green operates regularly from the following places:

• St. Andrews War memorial Hospital - Wickham Tce, Spring Hill
• Holyspirit Northside Hospital – Rode Rd, Chermside

Also available is an Intermediate list at the Royal Brisbane and Women’s Hospital. This list is available if your health fund requires you to have surgery in a public hospital as a private patient.
Dr Green will aim to perform your surgery with the minimal amount of delay.

It is very normal to have more questions after your first consultation. If you get home and think of something important to ask it is advisable to check on this website about the particular operation you are having. Information is available under the services provided section. Otherwise, please feel free to contact Dr Green if you are still unable to answer your question. You are encouraged to ask questions so as to ensure you feel comfortable with what advice is given. If necessary you may wish to make a second appointment to ask further questions of Dr Green in more detail. If you do wish for a second appointment please call the rooms and request an appointment or head to the request an appointment section of this website.

when coming for your first consultation you will need to bring the following things:

• Referral letter if not already sent by your GP
• Medicare card
• Health fund Card
• All Imaging CT, X-rays, ultrasounds etc.
• All blood tests

Yes there is often an out of pocket expense for surgical procedures. This is due to a discrepancy between what Medicare and your Health funds are willing to pay as a rebate and the true cost of your surgery. The out of pocket expenses vary between different procedures due to their time and complexity. R Green will advise you of you out of pocket expense at the time of your consultation.

Bringing a friend or family member with you is a good idea. There is a lot of information that will be presented to you and it is not possible to remember it all. Having a friend will help you to remember more details relating to your condition and to your surgery. Similarly it is a good idea to write down any questions you may have before you arrive. This way you will not forget to ask the questions.

Surgery requires a general anaesthetic. Surgery can usually be performed as a day case or
with a single overnight stay in most cases.
Surgery involves reopening your previous incision and removal of the implant with the
surrounding capsule. In many cases a breast lift (mastopexy) is required to reduce the skin
and breast envelope after the implant has been removed. In larger breasts this is required to
prevent leaving an ‘empty bag’ that has a poor functional and cosmetic effect.

Many patients report a varied number of symptoms and report diagnosis of autoimmune
disease soon after the implants being placed. Whilst these are common complaints there is
no known associate link between breast implants and autoimmune disease. Unfortunately,
many people develop common autoimmune diseases and some of these people also have
breast implants. The vast majority of people with breast implants do not develop
autoimmune disease.
Similarly, there is no known link between implants and fatigue, change of bowel habit and
diet, or other metabolic disturbances. Again, these are very common problems that occur in
a large number of patients with or without implants. That being said, there is anecdotal
evidence of people experiencing resolution of symptoms post implant removal. With that in
mind no guarantee can be made that systemic symptoms will improve post-surgery.

Breast implants may need to be removed for a number of reasons besides personal choice.
The common reasons include pain secondary to back or neck discomfort or capsular
contracture and rupture of the implant. Less common reasons include the build up of fluid
that raises a suspicion of a rare condition called Breast Implant Associated Large Cell
Lymphoma (BI-ALCL).

IT IS A NECESSARY PART OF YOUR POST OPERATIVE CARE THAT YOU ATTEND AN APPOINTMENT
WITH DR GREEN APPROX. ONE WEEK POST SURGERY. THIS APPOINTMENT WILL BE SCHEDULED BY
OUR ROOMS AND YOU WILL BE ADVISED OF THE TIME AND DATE PRIOR TO YOUR PROCEDURE.
There is no charge for this post operative appointment.
Should you require further appointments post operatively please be advised that you will be bulk
billed for appointments up to 6 weeks post procedure. After that time a FOLLOW UP APPOINTMENT
cost is $125 with a Medicare rebate of $37.15 applicable.
The breast care nurses may also be contacted via phone for post operative care.
Photos and surgical pathology are available to patients, upon request, approx. 2 weeks after you
have attended your post operative appointment.

You will need to bring your completed hospital paperwork, any x-rays, scans etc with
you and also any personal belongings you will need for your stay along with any regular
medications you take.

48 hours prior to your procedure you will receive an email containing all the
information you will need for preparation for the day including your fasting and
admission times and post-operative appointment booking. We are unable to provide
this information earlier as the theatre list order needs to be approved and confirmed.
You may also be contacted by a breast care nurse prior to your procedure to confirm details. The
breast care nurse will be in attendance both pre and post operatively at the hospital to assist you.

You need to contact the hospital to register your admission once your surgery date
has been confirmed. Please register your booking online or by phone (instructions and
phone number on the hospital booklet provided by our rooms after your consultation)
Avoid taking any aspirin/ nurofen / blood thinners / fish oil a week before your
procedure. Panadol / Panamax is fine to take.