Cosmetic Medicine and Cosmetic Surgery FAQs


Integrity and Excellence – Ignite Medispa®

What Happens If I Experience Nervousness Before My Surgery?

It is absolutely crucial to follow the instructions given by the medical team, during the post-operative phase.

Each patient copes differently after surgery, and pain in the post-operative period affects people to varying degrees. More extensive operations, and more invasive procedures, cause more pain and discomfort; for example, liposuction may cause some a feeling of dull-ache, but a tummy tuck with tightening of the muscles (abdominoplasty with plication of the recti) shall cause notably more pain, especially during the first few days, in addition to requiring more bedrest.

Your anaesthetist or surgeon shall prescribe the appropriate pain medications (analgesics) to help minimise discomfort, but this may need to be tinkered to match the needs of every patient.

What Are The Risks Of Cosmetic Surgery?

Every medical procedure involves a risk or trade-off.

The aim of cosmetic surgery is to minimise or mitigate risk, which is primarily achieved through eduction (of the practitioner and the patient).

Cosmetic Surgery risks are typically classified as:

  • General risks;
  • Procedure-specific risks;
  • Anaesthesia-related risks;
  • Patient factors.

Cosmetic operations additionally require psychological reflection and some patients may need the input and support of a psychiatrist or a psychologist.

Will I Have Scars Or Scarring From My Cosmetic Surgery?

Scarless operations do not exist. The extent of scarring, however, is variable and dependent on a number of factors, such as the surgical approach and genetics. Healing of any wound involves scar tissue, and as the scar matures over 12 to 18 months, the quality of the scar improves – patience is a must.

Surgeons take care to produce minimally visible scars, for instance, by placing scar in the natural creases of the body. Even then, some scars remain red (due to new blood vessels), and some may be elevated. It is possible to improve such scars in different ways; for example, by the use of lasers. Regardless, it is important to know that scars, irrespective of size, are permanent.

Will I Need To Have An Aesthetic For my Cosmetic Surgery?

This depends on the procedure which is to be performed. To offset the pain of procedures, various options are available:

  • Simple painkillers;
  • Topical anaesthetics (numbing creams);
  • Local anaesthesia (numbing agents injected into tissues, e.g. for the removal of skin cancers);
  • Tumescent anaesthesia (a more extensive form of local anaesthesia, typically used in liposuction);
  • Conscious sedation;
  • Deep sedation (administered by an anaesthetist);
  • General anaesthesia (done formally in an operating room in a hospital, and administered by an anaesthetist).

Sometimes, nothing is needed; for example, when getting injectables. The state-of-mind and stoicism of a patient, are contributing factors.

Is It Safe To Undertake A Boob Job At The Clinic?
  • There are a couple of key considerations pertaining to minimizing risk and maximizing successful outcomes.  
  • Many clinics around the world undertake breast augmentation procedures in the clinic itself.  This is especially common practice in North and South America. However, in Dr Niro Sivathasan’s opinion, patient safety is optimized by having an experienced anaesthetist managing the anaesthesia and physiology (related to the cardiac and respiratory systems) of a patient.  Furthermore, accredited hospitals have the appropriate equipment, adequate support staff (nurses, theatre ancillaries), and so on. 
  • Accordingly, all major procedures offered by the doctors at Ignite Medispa, are undertaken in a modern private hospital.  Procedures such as breast augmentation and liposuction do not require an overnight in-hospital stay unless the patient has come from far away.  The advantage of electing to stay overnight in a hospital is nursing support and peace-of-mind, but the disadvantage is an additional cost (typically $1,000 – $1,300 per night, for a standard hospital bed). 
  • All too often, for financial gain, surgeons admit patients to hospitals unnecessarily after relatively straightforward, elective, cosmetic procedures.  In Dr Niro Sivathasan’ practice, he only routinely admits patients after major abdominal surgery or total body lifting (where there are extensive wounds) and where nursing support shall be invaluable.
How Do I Know My Cosmetic Surgeon Has The Proper Surigcal Disciplines And Training?

All surgical disciplines involve crossover of techniques and shared approaches towards the handling of tissues.

For example:

  • General surgery and trauma surgery teach trainees (residents) core skills, and also have a greater focus on managing surgical patients with more acute (emergency) conditions and those patients in critical states;
  • Plastic surgery – which is essentially reconstructive surgery in Australian and British public hospitals – gives trainees the skills required to gently handle delicate tissues, and to manage soft-tissue cancers and defects (e.g. moving tissues from one area to another area of the body) as well as birth anomalies (to improve function);
  • Maxillofacial surgery is the undisputed discipline which provides comprehensive exposure to all-manner of head- and neck- conditions (including diseases of the mouth);
  • Cosmetic surgery deals with the principles and techniques that focus on enhancing the appearance of patients. It is elective in nature and practised by surgeons from various medical fields.

Some regions of the body are managed by surgeons who have had training in different specialties (e.g. hands may be managed by surgeons with a background in orthopaedics or plastics, and diseases of the spine (vertebral column) may be managed by surgeons with a background in neurosurgery or orthopaedics).

In fact, some areas of medicine are managed with doctors with very different backgrounds, e.g. phlebology may be managed by specialists with a special interest in this area (like dermatologists, radiologists, and vascular surgeons) or by phlebologists (doctors who exclusively work in this field).

The key questions are very simple:

  • Has your chosen surgeon been adequately trained in the area being practised?;
  • Has your surgeon got demonstrable experience in the area being practised?;
  • Does your surgeon work in the public sector or entirely in the private sector (undertaking elective procedures)?

Do you feel confident in the hands of your future physician/surgeon?

In general, the greater the amount of time spent in formal training, the better. Similarly, the greater the breadth of specialties to which a doctor has been trained in, the better.

What Are The Differences Between Cosmetic Surgery And Reconstructive Plastic Surgery?

Whilst the difference appears to be in terminology, the actual difference lies in the training, qualifications, and capabilities of the surgeons. Consider the purpose of the surgery; cosmetic surgery is performed with the primary goal of improving one’s appearance. Reconstructive surgery is performed to improve body-function or alleviate disease and is frequently considered more of medical necessity.

A fellowship-trained cosmetic surgeon (e.g. F.A.A.C.S. or F.A.C.C.S.) has undertaken specific training in cosmetic surgery after core or residency training. Ask yourself if you wish to address a medical defect due to injury or a birth disease, or if you want to give your appearance a complete makeover. In general, if you wish your appearance to be enhanced by the use of medical and surgical techniques, then see a doctor who has had additional and specific training in cosmetic medicine or surgery – or, ideally, both!

Are Cosmetic Injectibles A New Specialty Or Field Of Medicine, That Is Cosmetic Medicine?

Cosmetic medicine (injectables) is not a new field. In fact, botulinum toxin is one of the most studied drugs in the world. It is recognized as an area of specialist practice in some parts of the world, but not yet in Australia. Standards and requirements vary depending on the geography of the world, with some countries (e.g. France, Germany, Russia) being much stricter than Australia (where different states sometimes have different requirements!).

In Australia, all of the medical colleges (e.g. Australasian College of Cosmetic Surgeons, Royal Australasian College of Medical Administrators, Cosmetic Physicians College of Australasia, Royal Australasian College of Surgeons, The Australasian College of Phlebology, et c.) are private bodies with vested interests. Importantly, be aware of the politics in medicine, including cartel behaviour, and do not be forced into getting any intervention or procedure.

Many authorities around the world already recognise cosmetic practice as a specific area. There is a good chance that cosmetic medicine, like sports medicine, shall, logically, become officially recognized by the Australian regulatory system, too. In the meantime, patients are advised to look for doctors who are board-certified or fellowship-trained, by bodies such as A.C.C.S. (Australasian College of Cosmetic Surgeons) or C.P.C.A. (Cosmetic Physicians College of Australasia).

Is Cosmetic Medicine And Cosmetic Surgery Covered By Medicare Or Medical Insurance Policies?

In general, cosmetic procedures are, rightly, not covered by Medicare (Medicare Benefits Schedule is Australia’s universal health-care program). Most medical insurance policies also have exemptions for cosmetic surgeries, but there might be small contributions towards the need for the hospital admission. The onus is entirely on the patient to check and claim reimbursements. Importantly, what the quoted fee covers (e.g. anaesthetist’s fee, hospital’s fee, surgeon’s fee, etc.).

What Can You Expect To Experience At Ignite Medispa®?

It is the first of its kind in Australia – and possibly the world. Never before has a facility been created where beauty, cosmetic medicine, cosmetic surgery, cosmetic dentistry, wellness, and skin-care, are available in one site that is based in the confidence-inspiring setting of a hospital.

Our approach: honesty and empathy, and without the nonsense.

Our aims: patient satisfaction, and a happy team (doctors, dentists, nurses, therapists, management and administrative staff).

Our motto: excellence and integrity.

Our modus operandi: attention-to-detail.

Our tagline: ‘Be Noticed, Not Known.®’ (trademarked).

Please note that children are explicitly ‘not’ allowed at the clinic, and there is no variation to this policy.

Consultation fees (from July 2019 until varied)

  • To see a surgeon about cosmetic surgery = $250 (reduced from $300).
  • To see a physician about cosmetic medicine = $200 (reduced from $250).
  • To see a nurse (with input by a doctor) about wellness treatments = $150 (reduced from $200).
  • To see a certified dermal therapist = $150.
  • As a gesture of goodwill, these fees shall be offset against various minimum spends


Cosmetic Medicine - Dermal Fillers FAQ Answers

  • Dermal Fillers Are Natural – tissue friednyl sugar solution resembes the skins own material
  • Dermal Fillers Are Safe – over 10 million treatments performed over 10 years
  • Dermal Fillers Are Long Lasting – but not permanent (typical results last 6-24 months)
  • Dermal Fillers Are Quick And Simple – most treatments take less than 30 minutes to complete
How Old Do You Have To Be To Have Dermal Fillers?

The most common age for getting dermal fillers is between 40 to 50 years old.  However, you can have dermal fillers as young as being in your 20s.

Can I Get Dermal Fillers Done As Prevention?

Receiving dermal fillers before you see wrinkles, lines, folds, creases, sagging skin and lost volume may the very best time to start an anti-aging regimen with dermal fillers. Dermal fillers can prevent those unwanted symptoms from appearing in the first place and keep you looking youthful for as long as possible.

Can Dermal Fillers Be Combined With Anti-Wrinkle Injections?

Absolutely! It fact, it’s common to have a combination of treatments done on your face at one time. Please consult one of our trained staff memebers for more information.

What's The Difference Between Dermal Fillers And Anti-Wrinkle Injections?

In short, dermal fillers lieft and smooth the wrinkled and hollowed areas through volume replacement. Wrinkle injections chemically stimulate the muscles causing the wrinkles to rela and release the folds of skin seen as wrinkles.

How Long Will My Dermal Fillers Last?

This depends on the location and the type of dermal filler used. Typically this ranges between 3 or 4 months up to 18 months or longers.

How Much Do Dermal Fillers Cost?

Regardless of the type of dermal filler used, it won’t come cheap. There’s a huge range in price based on location, number of units used and the skill level of your injector. Think about how large the area you’re treating is too. We’re basically talking in terms of pricey to even pricier; expect something between hundreds to thousands of dollars. For the most accurate estimate, schedule a constulation with our medical staff today.

Cosmetic Medicine - Wrinkle Relaxing Injections (Anti-Aging Injections) FAQ Answers

Wrinkle Relaxing Injections are a purified protein produced by a specific strain of bacteria.  Developed during the 1970s to 1908s, Wrinkle Relaxing Injectoins were made to treat blepharospasm (spasm of the eyelids) and strabismus (squinting).

In 1997 Wrinkle Relaxing Injections achieved FDA approval for cosmetic use in the USA, 2002 in Australia and by 2006 was gratned a license by the MHRA in the UK for the treatments of frown lines.

Worldwide, now more than 3 million anti-wrinkle treatments take place per year.

How Soon Can I Fly After Having Wrinkle Relaxers?

After at least 12 hours.

Can I Go To The Gym After Having Anti-Wrinkle Injections?

It is recommended to wait at least 12 hours.

Can I Drink Alcohol After Wrinkle Relaxers?

It’s not recommended at least for 12 hours after treatment.

How Many People Have Wrinkle Injections?

Over 3 million wrinkle relaxer treatments take place per year.

    Will Wrinkle Treatments Hurt?

    No. Discomfort is minimal and no local anaesthetic is required.

    How Long Do Wrinkle Relaxers Take To Work?

    There is noticeable wrinkle reduction in 3-5 days and the final result appears by 2 weeks.

    How Long Will The Effect Of Wrinkle Relaxers Last?

    You should expect results to last at least 3 months.

    Are Anti Wrinkle Injections Dangerous?

    Nno.  Adminstered in the correct manner by a skilled professional carries very little risk.  The injectable has a proven safety record since the 1970s.

    Questions To Ask Your Surgeon Regarding Cosmetic Surgery FAQs

    Integrity and Excellence – Ignite Medispa®

    Our philosophy for achievable, natural results is underpinned by our belief in excellence, ethical care, and pragmatism in cosmetic medical practice.  Every patient is a unique individual; so, we ascertain the particular desires and needs, and match them with what is safely and efficiently attainable with our current services and technology.  However, you should be satisfied with the following…


    Questions to ask yourself, before your consultation and operative planning

    • What are my expectations after surgery?; 
    • Am I a good candidate (financially and emotionally) for this procedure?; 
    • By when do I need to return to my normal activities/job?; 
    • Do I know the risks and complications associated with my planned procedure?; 
    • Do I have funds to pay for the treatment of a post-surgery complication, should I experience one?


    Questions to ask your cosmetic surgeon, regarding minimally invasive and open surgical procedures

    • Does anything regarding your medical history raise concern for your surgeon?; 
    • Are there any medications which you need to stop taking? If so, then when?; 
    • Where shall your procedure take place?; 
    • What are your surgeon’s expectations after surgery?; 
    • What ‘cosmetic specific’ training has your surgeon had?; 
    • How often has your surgeon performed the procedure which you wish to have?; 
    • If you are traveling a considerable distance, then are you required to stay in-town for a period of time after the surgery?; 
    • How long is the recovery time after surgery?


    Procedure-Specific Complications Regarding Cosmetic Surgery

    Unfortunately, the media is guilty of confusing the terms ‘botched surgery’ and ‘complications of surgery’.  

    A botched procedure is one where the wrong operation has been undertaken, where, perhaps, the patient and/ or surgeon is inappropriate with regard to the procedure. 

    In contrast, complications are possibilities with all medical procedures.  They may be general, such as altered sensation, asymmetry, bruising, infection, over- or under- correction, and wound breakdown (dehiscence).  A normal scar is not a complication; rather, it is a consequence of cutting the skin, and it shall mature and improve over 18-24 months.

    There are procedure-specific complications, such as: 

    • Abdominoplasty (tummy tuck): seroma (fluid collection); 
    • Augmentation mammaplasty (boob job): punctured lung; 
    • Labiaplasty: over-exposed clitoris; 
    • Liposuction: pulmonary embolus (clot in lung); 
    • Lipotransfer to buttocks (Brazilian butt lift): loss of fat (i.e. loss of result) after a few months, and associated irregularities (‘cobblestoning’); 
    • Reduction blepharoplasty (eyelid reduction): xerophthalmia (dry eyes).

    Quick-Fire ‘Yes’ And ‘No’ Answers Regarding Skin Care, Cosmetic Injectables, Cosmetic Surgery FAQs

    Integrity and Excellence – Ignite Medispa®

    Dr. Niro first trained in injectables in 2007, around the same time he started training in plastic surgery in London.  He has put together an interesting list of ‘one word’ answers to commonly asked questions: 


    Is it okay to go into the sun after receiving cosmetic injectables?

      • Yes. 

    Is it okay to fly after cosmetic injectables?

      • Yes. 

    Can I make my lips look fuller or more in proportion, without using dermal fillers?

      • Yes. 

    Are face-slimming injections the same as masseter injections?

      • Yes. 

    If on roaccutane, then may I receive cosmetic injectables?

      • Yes. 

    Are permanent dermal fillers still used?

      • Yes. 

    Is it possible to get pregnant after liposuction to the tummy area?

      • Yes.

    Is it possible to get pregnant after a tummy tuck?

      • Yes.

    If I put on weight after a tummy tuck, then shall the appearance of the tummy change?

      • Yes. 

    In most cases, is obesity the fault of the patient (i.e. the patient’s eating habits)?

      • Yes. 

    Does liposuction make fat multiply in untreated areas?

      • No. 

    Is it dangerous to combine different surgical procedures during the same operative episode?

      • No. 

    Do I necessarily have to stay in hospital after breast augmentation surgery?

      • No. 

    Is the outcome after large-volume lipotransfer, such as a Brazilian butt lift, easy to predict?

      • No. 

    Does cheap skin-care work as well as skin-care with active ingredients?

      • No. 


    Ignite Medispa’s® website offers an COMPLIMENTARY Initial Dermal Consultation.


    Ignite Medispa’s® website offers an COMPLIMENTARY Initial Dermal Consultation.