Is a Tummy Tuck Covered by Medicare
  • 28 October 2021
  • Dr Masood Ansari

Is your abdominal area a source of self-consciousness? It’s not just you. The good news is, it’s not necessary to choose your outfits according to how well they hide your stomach anymore. You can get a tummy tuck from Dr Masood Ansari at My Cosmetic Clinic that will address this issue and help you achieve your body goals. If you’re asking whether Medicare will cover this procedure, read on.

Is a Tummy Tuck Covered by Medicare?

Those who meet the weight loss criteria introduced in 2016 will receive a modest rebate. To qualify, you must demonstrate that you meet certain criteria.

For example, you may be eligible if you have lost at least five BMI points’ worth of weight not related to pregnancy. So, for instance, a woman who has lost at least 15 kilograms without weight fluctuations for a period of six months would generally qualify for this program. You can also apply if you have excessive skin interfering with everyday activities due to weight loss and if the skin irritation caused by excessive skin has not been cured by non-surgical treatment. You can also seek coverage for a hernia if you can document it with an ultrasound.

What About Pregnancy?

Women suffering from muscle separation or excess skin caused by pregnancy are not covered by Medicare. Research studies show that women who have had muscle separation which was repaired during a tummy tuck had significant improvements in back pain and incontinence, so there are lobbying efforts underway to change this rule. Government officials are currently reviewing their position on this issue, but it is unknown whether they will make any changes.

Why All the Confusion?

Patients remain confused about the difference between surgical procedures with functional benefits and those with mainly cosmetic benefits under Medicare. The most common reason for the confusion in Medicare is that answers differ from patient to patient, and everything depends on your unique situation. Medicare does not reimburse for postpartum problems on their own. Medicare may pay for redundant skin reduction if you meet strict criteria following weight loss. Those who have lost weight must meet strict criteria including changes in body mass index (BMI) and skin conditions.

Your GP and specialist might be able to tell you if your needs qualify for Medicare rebates for plastic surgery. Come talk to us, and review your options at the Australian Government Department of Health. 

Should You Get a Tummy Tuck?

For people with excess skin and other conditions, this is definitely a procedure worth considering. Within three months, you will notice a significant change in your abdomen. Approximately six months after surgery, you will be amazed by how flat your stomach looks and wonder why you didn’t have it done sooner.

If you maintain a healthy lifestyle, you have a very good chance of achieving your goals throughout your life. Nevertheless, there is a small chance that if you become pregnant later in life you will need a follow-up procedure.

Are You an Ideal Candidate?

If you are in relatively good health and concerned about the appearance of your midsection, you may be an ideal candidate for this procedure. The results of your procedure may not be what you are looking for, though, if you have a great deal of abdominal fat. Tummy tucks, also called abdominoplasty, aim to remove a small amount of fat from the abdomen.

To achieve your ideal contours, you may also need liposuction in conjunction with abdominoplasty if you have a lot of abdominal fat. The ideal candidate should be relatively healthy and within 20% of their ideal weight.

What If I Smoke?

Because you must stay nicotine-free for several weeks before and after your procedure, it is ideal if you are a non-smoker. Because nicotine raises blood pressure, it is a good idea not to smoke before your procedure, either.

You must have healthy blood pressure at the time of your scheduled appointment, and your health generally must be fairly good. You may also find that your recovery takes longer if you smoke during this period.

What If I’m Having Trouble Maintaining My Weight?

To be considered a good candidate for this procedure, you should be able to maintain your weight fairly well. If you’re having trouble staying within a few kilos of your target weight, you’ll need to wait to have this procedure done until you’re able to get weight fluctuations under control.

Combining Treatments for Maximum Results

If you want to achieve the results that you want, you may need a combination of liposuction and abdominoplasty. Your initial consultation will consist of a discussion of all of your cosmetic concerns and the design of a treatment plan that addresses them all as efficiently as possible.

We highly suggest taking care of all your concerns at the same time so that you will only have to spend a week or two off from work in total, no matter how many procedures you receive. If you separate procedures, you’ll have to take time off for each one separately.

How To Maintain Results

You must commit to maintaining a healthy lifestyle after your procedure. Weight gain post-op may affect results if there is significant fat storage in your abdomen.

You may also develop a ventral hernia or tear your abdominal wall if you lift too much weight. Maintain your ideal results by eating a well-balanced diet, exercising at least 2.5 hours per week, and lifting with your legs instead of your back whenever you need to deal with a heavy weight.

Important Benefits of a Tummy Tuck

The benefits of a tummy tuck go beyond physical appearance. Many people overlook the many other advantages of this procedure!

It May Help With Posture Issues

If you undergo an abdominoplasty, your posture may improve dramatically. Because your abdominal wall is so integral to your core, it has a great effect on your posture. Your spine will elongate more if you have a strong core. As a result, your posture will improve and neck and back pain will decrease.

Whenever you have weak abdominal muscles, your back muscles are forced to pick up the slack. Because of this, the lower back muscles are constantly tense, causing pain. Additionally, you may notice that you look slimmer after this procedure, as hunching over due to a weak core can make you look heavier than you are.

It May Help With Bladder Issues

Weakened bladders are one of the unfortunate side effects of aging, and due to pregnancy, even younger women tend to experience frequent urination and accidental leaks. A tummy tuck can be extremely beneficial if you find yourself leaking when you cough, sneeze, laugh, run, or jump. Strengthening your pelvic floor muscles can strengthen your bladder and prevent leaks caused by stress.

It Could Improve Your Muscle Tone

If you have a ventral hernia or have recently been pregnant, your stomach muscles may not be as tight as you’d like as a result of exercise. Abdominal muscles can become damaged to the point that they cannot heal on their own as a result of such life events. Abdominoplasty repairs torn muscles and tighten loose muscles, which may even give you the six-pack you’ve always wanted.

It Gets Rid of Loose Skin

When you lose excess weight, loose skin and excess skin are two of the most frustrating possible side effects. Excess skin under clothing can make you appear heavier than you actually are, causing you to feel self-conscious about your slimmer physique instead of confident. Rashes may also result from loose, excessive skin.

Excess skin is removed and loose skin is tightened with this procedure. If you have excess skin and remove it, you’ll look much slimmer under your clothes and feel more confident wearing a bikini or crop top.

It Can Erase Stretch Marks

Weight gain that occurs rapidly, such as during pregnancy, often causes stretch marks. Although you may have gained weight without developing abdominal stretch marks, you may have developed them after losing weight.

Many people are proud of their stretch marks because they remind them of their journey or their accomplishments. Many other people, however, wish they could permanently remove their stretch marks. It may be possible to remove stretch marks from the abdomen via abdominoplasty. Feeling confident in your favourite bathing suit can be easier once those stretch marks are gone!

Contact Us To Learn More About Your Options

No one should have to feel self-conscious about their stomach for the rest of their lives, especially after a great achievement like significant weight loss or childbirth. The tummy tuck may restore your ideal abdominal contour following extreme weight fluctuations, childbirth, or the aging process. And in some cases, Medicare can help.

To learn more about your options and what a tummy tuck may be able to do for you, contact us today at My Cosmetic Clinic. We can’t wait to meet you and help you in the next stage of your journey.

Dr Masood Ansari
About The Author

Dr Masood Ansari

Dr Ansari has undergone nine years of extensive surgical training around the globe. He received his initial surgical training under the auspices of the National Health Services (NHS) in the United Kingdom and obtained Membership in the Royal College of Surgeons (Edinburgh) in 2006. Due to his particularly keen interest in surgical research, Dr Ansari has been involved in multiple academic research projects and was awarded a Masters (MSc) in Advanced Surgical Practice from Cardiff University in the United Kingdom.

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