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Australian Government introducing changes to cosmetic surgery process from 1 July 2023.

The Medical Board of Australia and the Australian Health Practitioner Regulation Agency (AHPRA) are implementing updated guidelines for cosmetic surgery as of 1 July 2023.

These guidelines include the requirement for patients to have a referral letter from their GP or another specialist provider, minimum of two consultations with a surgeon prior to booking surgery, and completion of a psychologist questionnaire to support the surgeon in assessing a patient’s readiness and suitability for cosmetic surgery. If there are concerns raised during the psychological questionnaire, you may be referred to see a psychologist. Cosmetic surgery is not suitable for every patient at any given time, and further consideration of surgery will only proceed if it is considered in your best interest. These are processes that have always been followed by Mr Keating at Hobart Plastic Surgery, and we support the government mandating these steps. Additionally, following your second consultation with the surgeon, you will need to wait a minimum of 7 days until you can schedule a date for your surgery and make a deposit payment.

Please note these processes are mandatory and cannot be waived for any patient.

2D and 3D Imaging

We have two clinical photography rooms that have been installed by Clinical Imaging, using Canon cameras. We use 3D Vectra rendering for surgical planning, communication and visualisation.
Standardised high quality photography is used for your initial clinical assessment and for monitoring your postoperative result. By standardising the room, camera, backdrop, light, and distance from the subject accurate post-surgical improvements can be identified. Before and after photos will be sent to you during and after your recovery.
3D imaging is used in the assessment of breast volume, particularly when there is congenital asymmetry. In many consultations it is used as a communication tool for breast implant surgery and rhinoplasty to clarify the patients aims and to give examples of realistic outcomes.


What is PACSS?

PACSS is a validated screening tool that assesses your emotional preparedness for surgery.

Surgery is both a physical and an emotional journey. Surgeons are not experts in Psychology so we partner with Psychologists who specialise in assessing patients preparing to have plastic and cosmetic surgery. We aim to make you happy. Therefore, our priority is to minimise both the physical and emotional risks prior to surgery ensuring that you have the best outcome and the smoothest possible recovery.
You complete a digital psychosocial assessment on your mobile phone or device after your first consultation with Dr Keating. This is analysed and reported on by Dr Michelle Roesler and her team of Psychologists. The report is then discussed with Dr Keating at your second preoperative appointment.
Dr Michelle Roesler undertook a PhD studying the screening and assessment of patients planning to undertake cosmetic surgery.
Absolutely not. PACSS screening is an important piece of information for both the patient and the surgeon to consider. However, it is no substitute for getting to know a patient from multiple consultations. Think of it like a preoperative blood test. Most patients will score within the normal range. However, some patients will have a score that requires further investigation by a Psychologist or a Psychiatrist.
Psychological screening processes such as PACSS are now mandated by the Australian government, and as such the $50 cost for the PACSS questionnaire will be invoiced to the patient. 

Hobart Plastic Surgery has always required all patients considering cosmetic surgery to undertake a PACSS assessment We believe is in the best interest of both the patient and practice to ensure that the patient is emotionally suitable and ready for cosmetic surgery. We support the government in mandating that all practices offering cosmetic surgery require this process in Australia.





Dr Cameron Keating (MED0001202462) Registered Medical Practitioner, Specialist Plastic Surgeon (Specialist Registration in Surgery – Plastic Surgery). Provider Number: 262586VB
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