Nip, tuck and Thai

Get Up & Go

While most people go shopping in Bangkok for discounted designer clothes, Judith Jones* came home with fuller breasts and a smaller waist. As one of thousands of Australians who have visited Asia for medical procedures, she represents a new type of traveller — the medical tourist.

"I first approached the idea with trepidation," says Judith, a 55-year-old business consultant in Sydney. "I didn't know much about Thailand's medical system and had my concerns about safety. Like a typical Australian, I was very wary that it might be like a third world country, but my partner, who has lived in Asia, encouraged me to broaden my horizons. So I did a lot of research on the hospital and the surgeon's credentials and I e-mailed him to ask questions. I decided to go ahead tentatively, knowing that you don't have to pay the hospital until you get there and you have a consultation with the doctor before the surgery, so I could still check it out and change my mind."

Satisfied and reassured, Judith signed up for a breast augmentation and liposuction on her abdomen and waistline. "The hospital system amazed me — it was more like a luxury hotel and I have nothing but praise for the staff. They check you out very thoroughly and it's so swift from one test to the next. The operation went fine and I was well looked after. I stayed two nights in the hospital — all the rooms are private — and eight days in a hotel while I recovered, because you can't fly for about a week after surgery. Then I had to go back to the doctor for him to check me out on the day before I flew home."

The risk factor

Dr Norman Olbourne, past president of the Australian Society of Plastic Surgeons, however, has concerns about people going on overseas trips for surgery. "There is an attraction for people to do that sort of thing because it's said to be less expensive and you can also have a holiday for much the same price. What isn't understood is that plastic surgery is serious surgery — it's like brain surgery or heart surgery and things can go wrong. If things go to plan, then no matter where you have it done, it's been the right decision. But if things go wrong, you want to be in an environment with the highest standards and where your doctor is available. You may not be covered by your travel insurance overseas, so suddenly it becomes a disastrous and expensive experience," he says. "I'm not saying it always happens or if it happens in Thailand specifically, but things do go wrong sometimes. The same applies for travelling within Australia, from Perth to Sydney, for example. Distance is always a danger and it's better to stay near home."

Dr Olbourne says the Australian Society of Plastic Surgeons knows of instances where people have gone overseas and come back with complications, "and then they turn up on the doorstep of a plastic surgeon here, seeking to have the problem corrected; but it's hard for a surgeon to competently handle another surgeon's work because they don't know what they did. This then puts the burden on the health system here, on Medicare and our doctors".

Dr Olbourne offers these words of warning to people thinking of going overseas for surgery. "I say they should think again. You need to be sure of the standards of the doctors and be able to check their credentials. People should bear in mind that the only way to have safe surgery is to factor into the decision all the things that could go wrong and how to minimise that."

Age is also a consideration regarding the suitability of plastic surgery. "The major thing to worry about for the over-55s is their general health. If they are healthy, it's no more complicated than with a young person, but if they have other conditions or they're on medications or taking aspirin, this has to be factored in."

As Judith says, "It's a big decision to have surgery done and I may just be a lucky one, so you've got to make sure it's right for you and do your own research. No amount of research can assure you you're going to get the results you want, but be open-minded and consider it."

Advice when considering overseas surgery

  • Don't be wooed by seductive marketing.
  • Research the hospital, your assigned surgeon and the post-operative care.
  • Ask the surgeon for references and photographs of past patients.
  • Find out what happens in case of complications or an unsatisfactory result.
  • Investigate your insurance coverage.
  • Talk to your local doctor about your decision.
  • Examine the contract and disclaimers before you sign.

Contacts Australian Society of Plastic Surgeons
Tel: 1300 367 446;
Website: www.plasticsurgery.org.au
E-mail: info@plasticsurgery.org.au

Provided by GetUp & Go magazine
Website: www.getupandgo.net.au

*Name changed on request.

Would you consider going abroad for plastic surgery? Have your say using the comments form below:

User comments
Myself and a friend had full face lift at above hospital, which is like a five star resort. Look about 10 years younger, I am 53. Face still feels a bit tight, but I just love looking in the mirror and seeing myself once again as young as I feel. Especially my neck, had the typical turkey neck really bad, now like a swan. Cost $9800 included 3 nights in hospital plus 5 follow up visits or consultations compared to $36,000 in Perth as got a quote, for only one night in hospital. Language barrier a tad daunting with nursing staff, but the hospital is changing to having a wing devoted to cosmetic surgery patients and will have approp staff. went through Aust rep Sharon at eastwestelite.com.au
Hi i'm going to Yanhee in January to do my breast Augmentation with Dr Pitch. I have heard good and bad feedback. I'm confused for my safety and infection. Any advice from anyone??
I had breast implants done in Bangkok 14 months ago (Dr Pitch, Yanhee hospital). Incision point was under the armpit, scars are absolutely non-existent (I just looked down to measure them and I can’t even find the one in my left armpit, the one under my right armpit is about 1.5cm long – also tiny and very difficult to see). I was very pleased with the service I received, the nurses were amazing. I stayed in the hospital for one night, walked out the next day and stayed in a hotel for a week before I flew home. No complications, the healing has been very fast. The reason why I was attracted to Thailand as opposed to Australia is that Yanhee hospital in particular actually guarantees their work for 6 months, something many doctors here don’t do. For instance, if you were to develop capsular contraction (quite common with breast implants), which normally occurs in the first 6 months, they will re-do the surgery for free. My girlfriend in Melbourne had this complication (cont...)
(cont...) and simply had to pay her doctor another 12k to have the surgery re-done. Spending 24k in 6 months on breast implants was not something I wished to do… My breasts are very natural looking and soft, I had a wonderful experience and I wouldn’t hesitate to recommend my doctor or the hospital to friends and family. Of course, complications often arise with plastic surgery, so do your research and fully prepare your body for the surgery, and make sure to look after yourself and your impants etc afterwards. Also, be realistic – some people may be fooled to think you can have a holiday at the same time – this isn’t really how it works. I spent the whole week in my hotel room watching tv (not allowed in the sun for a few weeks afterwards), reading and just resting up. I went alone but I highly recommend to go with a friend, since you can’t really do anything yourself for a week or so.
can some of these people who had good experiences provide some names, contact details for these hospital and dortors please. I have wanted an enlargement for quite sometime, but can not afford to get it done. I would really like to know how to contact these doctors people were so happy with. Travel at NineMSN could you help me to get in contact with these people who commented if they don't mind, please. Thanks Dani
I went over with my sis in law in 2004, she was getting a breast enlargement. Looking at the streets made me feel a little uneasy, but once we stepped into Bumungrad hospital, the place was soooo clean, it felt like an entirely different place! The surgery went well, the nurses were fantastic and to this day, not a thing has gone wrong. I do highly suggest though, do the research and if you are planning on going to Bumungrad hospital, don't stay at the residential rooms, as it is an old hospital and the beds are like concrete!!!!
Thanks Katie in Canberra - let me know if you want some further advice. And of course, Medistudent - I guess you need to defend your system. My opinion was based on my experiences. Yes I have been to more than 1 hospital in Thailand and yes I have been to more than 1 hospital here.
Message to Skippy, there is another saying 'each to his own'. You have a right to think as you do, but on the other hand, you cannot push your opinions onto others. ( You can try, but does it work?) All adults have the right to make up there own minds, and if this is not breaking the law and involves themselves, why not? if you are at an age where you have earned the right to be who you want to be, then so be it. You chose not to alter yourself, your choice, but everyone IS different and can make up their own minds really. Message to Australia, if you don't want us take our money overseas, clean up the hospital system here and offer us an incentive to want to have the surgery here!
I had plastic surgery in Thailand 2 years ago, I had spent 3 years researching various hospitals and surgeons before I decided on a hospital. Unfortunatley I had major complications. I had a post op infection and needed to have a breast implant removed. I also had a tummy tuck, I have a terrible large scar on the suture line, as one of the drains used following the surgery had been mistakingly stiched into the wound it took a total of six months for this wound to heal. It is possible that these complications could have happened even if I had surgery in Australia, I recieved professional care in Thailand, it was pretty much bad luck. But it was the fact that I wasnt at home, I had to stay longer as I was unable to fly and this was very difficult for both myself and my family at home to cope with. Thai nursing staff did their best to make me comfortable. The hosptial covered the cost of my accomodation and hospital expenses to have my breast surgery corrected six months later. I
Just wanted to say this was a great article and comment from BB. I've always wanted to get plastic surgery, but never really considered going overseas due to the risks. But this article has given me more insight, and its good to know what things I should be thinking about. Thankyou!

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