Verified Plastic Surgeon
 Robert Drielsma

Robert Drielsma

Verified
  • Sydney Cosmetic Plastic Surgery
  • Bondi Junction, New South Wales, Australia
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Abdominal Scar revision or apronectomy & BA or BA+ lift

I am 40 years old considering a mummy makeover. Ideally I would like to achieve fuller more symmetrical, perkier breasts. My question is if I had a lift alone would my breasts then look fuller albeit smaller or Is BA the only way of achieving fullness. If I were to have a BA to achieve fullness would I also require a simultaneous lift. I am not fixated on having larger breasts necessarily. In relation to my abdomen, ideally I would like to achieve symmetry. The right side is higher due to puckering and tethering of old an appendix scar.

Anon 03/01/2018 QLD

  • Answer
    Thanks for posting your questions and photographs.  You are an ideal candidate for a mummy makeover combining breast and tummy surgery.  In order to achieve fuller, perkier breasts you would need a breast lift with augmentation.  This would lift your breasts back up your chest wall into a more youthful position and the implants would add fullness.  A very natural look can be achieved with this procedure.  A tummy tuck with liposuction would help you address your muscles separation and excess skin and fat.  You appendix scar could be revised at the same time. A tummy tuck would help you achieve a flatter tummy contour.  Its essential to choose a plastic surgeon with extensive experience in mummy makeover surgery.  A comprehensive consultation to discuss your goals and options is your first step.

How much does it cost and how old do you have to be for a breast augmentation?

How much does it cost and how old do you have to be for a breast augmentation?

Anon 29/12/2017 QLD

  • Answer
    A great question!  Firstly its best to wait until your breasts have stopped growing or changing in size or shape before undergoing breast augmentation. Fees for breast augmentation vary depending on the qualifications, skills and experience of your plastic surgeon.  Having said that, its best to avoid surgeons who charge exorbitantly as that does not mean you are engaging a better surgeon and don’t be tempted to get a cheap job done .Prices can be very cheap for cosmetic doctors  who lack the extensive qualifications and skills of plastic surgeons and fees can also be very expensive as some surgeons pass on the high costs of social media and marketing campaigns onto their patients.  I always tell prospective patients that shopping around based on price usually leads to very disappointing results.  

Restore symmetry 15 years after nasal trauma

I sustained nasal trauma 15 years ago, and did not receive treatment. Based on the pictures I have provided, what is going wrong? How much symmetry can be restored to the nose, lip, and cheeks?

Anon 29/12/2017 Australia

  • Answer
    Thanks for posting your questions and photographs.  You may be an ideal candidate for a total rhinoplasty to correct deviation of your nasal skeleton and refine your nasal tip. You need a formal consultation with a fully quaified specialist plastic surgeon to answer your questions and address your concerns.

Breast lift and anesthesia

Do you need general aesthetic for a breast lift? I have a fear of general anesthetic. And hoping there are procedures that can be done with local anaesthetic

Jasmin 21/12/2017 Australia

  • Answer
    The only safe and effective way to perform breast lift is under a general anaesthetic with a fully qualified plastic surgeon. 

Is breast implant related illness real?

I have come across a few facebook groups and online websites that claim breast implants can cause illnesses such as IBS, hormonal issues, fatigue, brain fog, thyroid issues etc Is this a legitimate concern I should have, is there any scientific basis for these claim?

BMurph 20/12/2017 Australia

  • Answer
    There is no scientific evidence of breast implant related illness. 

Cancer and breast implant

I had (ALL) Acute Lymphoblastic Leukemia and underwent 2 years of chemotherapy. Would getting breast implants be dangerous for me?

Anon 05/12/2017 QLD

  • Answer
    There is no scientific evidence that having breast implants would be dangerous for you.  There is a rare condition called Acute anaplastic large cell Lymphoma that you may have heard or read about but it is very rare and you would not be any more at risk of this than the general population.  It would be best to have a formal consultation with a fully qualified specialist plastic surgeon to discuss any concern you have.

should I get this breast revised?

I'm 6mths po and my right breast has never been the same as the left. It's always been fuller up top and my nipples seem to point in different directions. I'm meeting the surgeon in 2 weeks to decide whether it should be revised. He thought capsular contracture could be the reason and agrees it doesn't look "happy". I'm wondering - should I bother? While they're not perfect, mostly I'm not bothered and I don't really want to start all over with recovery. What are the chances he can fix it perfectly? I did have some asymmetry to begin with.

researchcrazy12 31/10/2017 WA

  • Answer
    Firstly some important points to remember - no breast surgery will ever result in “perfect” breasts.  Breasts are sisters not twins which means differences between the two breasts are usually normal.  It would have been helpful to see your before photos - was your right breast fuller before surgery?  What was your nipple position before surgery?  If you aren’t really bothered then its probably not worth revision surgery at this stage.  If you have capsular contracture however then revision surgery may be an option.

Can you fly after surgery??

How soon after Breast Augmentation survey can you fly? Or is there no issue?

rock#3 28/10/2017 QLD

  • Answer
    Some of my patients fly into Sydney for breast surgery and I’m happy for them to take a short flight home the following day.  Long haul flights are not recommended and its best to delay holiday plans for at least a few weeks after surgery.

How much for this procedure

I need lipo, breast lift, tummy, eyes,

Kay sargentson 24/10/2017 NSW

  • Answer
    I always advise prospective patients that shopping around based on price usually leads to very disappointing outcomes.  You need a comprehensive consultation with a fully qualified specialist plastic surgeon to determine the scope of the procedures in your individual case.  Fees vary widely based on the qualifications, skills and experience of your surgeon. Having said that, its best to avoid surgeons who charge exorbitantly as that does not mean you are engaging a better surgeon and don’t be tempted to get a cheap job done. 

Implant feeling

3mth po feels like I have a implant in my whole torso all numb from breasts to hips I can bend kids over excercise ball as per dr. Will this feeling ever go away and ext tight from navel to pubic region at 3 mth all else norm

Becky70 11/10/2017 Australia

  • Answer
    How were your implants placed?  Its difficult to advise you without knowing the details of your procedure or without a formal consultation.  Some loss of sensation can be normal after breast augmentation but its unusual to experience extensive numbness.  If you are concerned, return to your surgeon for a review.

Unhappy with BA. Can symmetry be achieved with breast revision/correction?

I had my breast augmentation Dec 2015. I have never been happy with the results. I understand perfect symmetry cannot be achieved, however I have two very different breasts. My left upper pole slope is bulky, round and appears to be riding high in comparison to the right. My breasts are placed at varying distances from my midline and I have wide set cleavage. Right boob has a cone shape appearance while the right has a block appearance. Can the overall appearance of my breasts be improved with a breast revision/reduction?

Kylie1991 08/09/2017 NSW

  • Answer
    It would be useful to see a pre-operative photograph as I suspect your breasts had some asymmetry prior to your surgery.  Of course it may be possible to correct you asymmetry with further surgery but this can only be determined following a full examination at consultation.  Its best to speak further with your PS about your concerns. 

QLD Mummy Makeover

Im a Mum of 3, youngest being 10 months old! I have muscle separation and all the other great stuff - apron, love handles etc. Can anybody advise if Medicare still rebate for BA or TT? I was going to go overseas for it but my partner doesn't want me to, so we upgraded health insurance so I can stay here for it. So does Medicare still rebate and can I use my health cover for the hospital fees? Anyone recommend surgeons in or around Brisbane also?

CM83 28/08/2017 QLD

  • Answer
    You have asked some very important and common questions when it comes to mummy makeover surgery.  Firstly its important to say that pursuing plastic surgery overseas is fraught with danger.  Shopping around based on price typically leads to disappointing results and in the case of overseas medical tourism it can result in serious complications and even worse.  If you can’t drink the water in the country you plan to have surgery in then why would you contemplate surgery there.  Its likely your surgeons qualifications are not of an international standard and you have no way of checking the quality and integrity of the facilities or even basic things such as whether your implants are genuine TGA approved devices.  If you experience complications or you are unhappy with your results its difficult to travel back to see your surgeon overseas particularly if you require regular ongoing post operative care.  Breast augmentation is a cosmetic procedure and Medicare and health funds have never provided a rebate for this procedure.  Medicare changed the rulings more than 12 months ago and tummy tuck procedure are no longer eligible for rebates either except in some instances.  Your best option is to arrange a consultation with a fully qualified plastic surgeon to discuss your options and obtain a comprehensive estimate of fees and your individual eligibility for rebates. 

Post op consultation

Hi there, I had my breast done in Thailand. I am 8 weeks post op and was wondering/wanting to have checkups here, Any suggestions on who to contact? (On the GC). Thanks

Tinytee 10/11/2016 QLD

  • Answer
    One of the many downsides to having your surgery performed overseas is that its very difficult to return to the doctor who performed your surgery for ongoing reviews.  Your best step is to take a look at the Australian Society of Aesthetic Plastic Surgeons website to find an Australian plastic surgeon in your area.

    http://asaps.org.au

Do I need revision for labiaplasty scarring?

Do I need revision for labiaplasty scarring? I had labiaplasty 4 years ago. I'm 47 years old. I don't like the scalloped edges caused by scarring from the stitches. Is it overly noticeable or am I over reacting? Is it unattractive and would it look abnormal to a future partner? Is further surgery to fix the ruffled edges worth it?

Rabbit 08/11/2016 WA

  • Answer
    There is no “normal” when it comes to vaginas - they come in all sorts of shapes, sizes and appearances so you should not be concerned abut the cosmetic appearance of your vagina as it would not be of any concern to future partners. Any revision at this stage would risk over-resection (taking too much) which would more of a concern to you than your present appearance.  I would advise accepting your result.

Natural looking breasts augmentation January 2017

Hello there, I decided to finally have breast augmentation but am stuck with picking a surgeon. The original one I opted at seems to have a couple of bad reviews and restrictions so I want to find somebody else. Since I'm only able to have the procedure done in January I will need to find somebody very soon that can help me to achieve the look I'm after. I am 5.2 foot and 49kg. Currently I'm a 10b and would like to go slightly larger to a large c or small d cup. I would prefer them to look and feel as natural as possible. If any surgeon in the Brisbane and Gold Coast area could please contact me if you have free surgery spots in January? That would be amazing. Thank you.

Theloveofa 08/11/2016 QLD

  • Answer
    Thanks for posting your question and photographs.  Based on your photograph you should be able to achieve a lovely, natural result with breast augmentation.  Its best to find your surgeon based on their qualifications, skills, experience and results.  In this digital age, reviews are not always independent and there will always be patients with unrealistic expectations of what can be achieved with surgery.

Worried that I will may has assymerical breasts after surgery

Hi there, I am scheduled to have surgery this thursday. During my preop consultation, the nurse took me in to have vetra imaging done. I have decided to go with 390cc hp below muscle. Attached is a front view image of my before and after picture with 390cc implants. I am worried that I may have assymetical breasts after surgery. I can see a noticeable difference in fullness between my breasts and my crease fold is lower on my left breast compared to my right. I prefer the look of my left breast as well. The nurse never noticed it during consult and I only just noticed it recently. I phoned the office and another nurse had a look at it and doesn't believe there will be a problem. My questions are, how accurate are vetra images? Is it worth being worried about? Should I raise my concerns with my surgeon on the day of surgery? And are there any techniques that can fix the assymetry?

snayla 05/11/2016 QLD

  • Answer
    Thanks for posting your questions and photographs.  In my practice, I use a sizing system that allows you to “try your implant” in front of a mirror to se what size you are most comfortable with.  I find this better than digital imaging which can a little misleading. The first thing to note is that if you have asymmetry prior to breast augmentation then you will have asymmetry after breast augmentation unless it is specifically addressed with different sized implants or other surgical approaches. You actually look reasonably symmetrical on your photographs so you shouldn’t worry about noticeable asymmetry.    You should speak with your plastic surgeon and not a nurse before you go ahead with surgery on Thursday to discuss your concerns.

I want to go bigger

Hi I had Breast augmentation nearly 8 weeks ago and i am really not happy with the size. What do you think i should do? Am i better to wait a while to see or can i get surgery again? Thank you

Jaimee 03/11/2016 NSW

  • Answer
    Hi Jaimee.  Sorry to read you are disappointed with the results of your recent surgery.  Without any photographs to review its difficult to offer much advice.  In any case, its too early to determine your final result.  Best to wait at least six months before considering revision options.

can i get away with breast implants or do i need more

Embarrassed by my ugly wouldnt even say boobs what do i need to get done HELP

rachrach 30/10/2016 QLD

  • Answer
    Thanks for posting your questions and photographs.  You appear to have a degree of asymmetry together with breast ptosis or dropping.  Its likely a breast lift with implants would address these issues and give you an excellent result.  In my practice I would need you to arrange an in person consultation though to determine the best surgical approach for you.

Found a rupture so now Wanting to go bigger, will I need a lift as well??

Hi, I have just found in an ultra sound breast check up that I have a ruptured left implant. And now have to consider revision. I have had these 500cc implants under muscle and placed through the armpit, Existing for 10years and I have breast feed my two children 7 and 4. Now I have to have revision, I am really wanting larger size 700 ultra high profile? as While I was breastfeeding I loved the big size so the 500cc now feel extremely small, and the fat roll under the arm bothers me. 166cm, 62kg, 10E was a 10B I'm not sure if the shape is from the rupture on side, or sagging as my left breast always had more milk, and the muscle pulls a bit on the left. I would like an opinion on whether I should be considering a lift, as well or is a bigger size sufficient to fill what I need for large round high profile look. ??? Thanks

Sylve 26/10/2016 QLD

  • Answer
    Thanks for posting your questions and photographs.  Given your goals you should be able to have a removal and replacement of your implants at this stage.  Size is a personal choice but you should discuss with your surgeons the pros and cons of selecting larger implants.  Make sure you choose a fully qualified plastic surgeon with experience in removal and replacement of implants.

Implant removal? Reattach?

Hi I got a breast uplift and 225cc round silicone implants fitted in Bangkok 9 weeks ago. I had a wound infection which has been treated by antibiotics and recent blood tests have returned negative for infection. I have had several ultrasounds which showed fluid in both breasts. This fluid was drained from right under ultrasound. The fluid was tested and returned negative for infection. Fluid from left breast could not be aspirated as it was too close to lung. The treated doctor said he felt the left impnat had dislodged however no medical imaging has been carried out to confirm this. I have been getting dressings changed daily. My breasts are completely different shapes and sizes and appear to be getting more deformed daily. I am now looking for a plastic surgeon in Australia to help rectify this. I am unsure however I will need both implants removed / reattached / seroma drained / wait for a while. Any advise would be greatly appreciated. I have attached a few photos taken today. Thank you in advance AC

ACFB 20/10/2016 WA

  • Answer
    Thanks for posting your questions and photographs and I am sorry to read that you have been experiencing ongoing difficulties after your surgery.  You need to arrange an urgent review with a fully qualified and experienced plastic surgeon.  Its possible your implants are infected and you may be at risk of serious complications.  Without a formal review its difficult to assess your options.  Unfortunately, one of the many downsides to medical tourism is that you can’t access your surgeon for ongoing post operative care and in many cases patients such as yourself face much bigger financial costs to help fix post operative problems as well as the risks to your health.  Don’t delay, see a surgeon immediately.

Advice re nose

Hi Is there anything that can be done with my nose. I don't mind that it is upturned but the way the cartilage is growing it makes it look like it is unclean all the time. I notice people think I need to blow my nose and it is making me paranoid. I don't know if it is the cartilage or the White growing tip that is doing this Thanks Sissy

Sissy2016 19/10/2016 QLD

  • Answer
    Sissy, thanks for posting your questions and photographs.  It possible you have a deviated septum and the white area you describe inside your nostril is the septum protruding.  A septoplasty will straighten your septum and address the cosmetic concerns you have as well as any functional or breathing issues you may be experiencing.  

Disappointed

Just had my Skype appointment with Dr ***** and now I'm scared shitless. I was fine till now but he's told me I'm a difficult case so I'm having second thoughts. So I am very bottom heavy breasted and I have a very wide gap at the bottom of my breasts. This makes round implants a NOT an option and he is concerned I'll be ok in a bra but out of a bra - the big gap will remain and I may be unhappy. Then he told me that I can expect about a c cup only, I have a higher risk of rotation if I attempt ANY exercise except walking strolls because I'll stretch the pocket of the implant. I'm confused now and while I don't want it sugar coated, I'm wondering if I'm even a candidate for successful implants Desperate for feedback as my surgery is friday

Kirst74m 17/10/2016 NT

  • Answer
    If you have doubts and concerns then you should arrange a consultation with another fully qualified plastic surgeon.  Was your doctor a plastic surgeon or a cosmetic doctor?  You don’t appear to present as a very difficult case from your photographs.  One important thing to note is that implants need to be centred behind your nipples in order for them to appear natural.  So if your nipples are wide set then it won’t be possible to create a tight cleavage.  

Mole removal

Hi all i am posting here because I am not really sure where else to post it. I had a mole removed for cosmetic reasons 2 days ago by a plastic surgeon. It seemed very expensive ($500), but I thought it was best to pay the extra for peace of mind. He removed the dressing today and there is a very large wound. I feel disfigured. My first question is can anyone recommend things that I can do to minimise scaring? Will it settle? My second question is has anyone had this procedure done before? Is it normal to have such a large incision for cosmetic mole removal? Thank you in advance.

Moleremoval 12/10/2016 Australia

  • Answer
    Thanks for posting your questions and photographs.  Firstly, you did the right thing by selecting a plastic surgeon for your mole removal.  Secondly, don’t be alarmed by the appearance. Excisions typically look larger than anticipated but they heal very quickly and the resulting scar fades over time is often only noticeable to you.  Keep in contact with your surgeon for advice.

Fat grafting to Breast

Hello, I'm looking for a surgeon in Perth who does fat transfer to breast? I want a more natural approach to plump up my boobs after breastfeeding. Is there anyone in Perth who does this? Or do I have to fly to the eastern states? cheers :)

Thanks 09/10/2016 WA

  • Answer
    Contact the Australian Society of Plastic Surgeons for a list of surgeons in your state.
    http://www.plasticsurgery.org.au

Breast lift?

Hi there Just wanted to get some advice and answers to some questions. I am 5 months post partum with my second child. I am still breastfeeding, I have lost 10kgs but have another 15kgs to lose. Do you recommend waiting a certain period of time once I have stopped breast feeding before I get surgery? One boob is alot bigger than the other due to my bub feeding better on one side. I think I already know the answer but is a breast lift required in my situation? I am currently a 12 DD/E? I don't like the fake boobs look but my boobs have definitely lost their perkiness and I hate how saggy they are. But I also dont like the lollipop scars.

Net84 03/10/2016 QLD

  • Answer
    Thanks for posting your questions and photographs.  My recommendation to patients in my practice is to wait until you are at your goal weight and have held it steady for a few months before scheduling your surgery.  Fluctuation in weight after surgery may affect the aesthetic results of your surgery.  Its likely you would be ideal candidate for a breast lift procedure and your asymmetry could be addressed at the same time.  Small implants can be used to help restore lost volume but it depends on the results you are after.  A very natural result can be achieved.  I find that my patients find the minor scar trade off well worth the results of this transforming breast surgery.

What do I need and how much should I be paying?

Hi, I live in Brisbane and my usual injector has suggested a "mini facelift". I always thought I was too young and never knew such a procedure existed! I just thought it was a full on facelift or S lift etc or nothing!! It's just my lower face jowl area that needs fixing I already have a chin implant and Ive already had lipo on my neck!!So I'm desperately trying to find information on plastic surgeons in Brisbane or on the Gold Coast who have actually performed these mini facelift procedures! Everything I look at on the Internet just mention is full on facelift sand prices for these! Can somebody please give me the names of some plastic surgeons I should contact to enquire about such a procedure or if you know anyone who is had a procedure and has been happy or not happy I would be so grateful

Jane2712 02/10/2016 QLD

  • Answer
    There are many different surgical and non surgical options for facial rejuvenation and if your regular regime of injectables is no longer having the results you desire then it may be time to consider other options.  In my view, “mini" techniques do not offer long term results for the investment and do not adequately deal with the aging neck. Combining a gentle mid-face suspension I find greatly improves results as does fat transfer to the face.    Arrange a consultation with a fully qualified plastic surgeon to discuss your concerns, goals and options.

Best Surgeon? Price?

Hi, So i have recently contacted a few surgeons and have been told from some that i have Tuberous breasts and as you can see from the photos uneven breast. I have been quoted around 16k and wondering who is the best Surgeon to go to and cheaper prices?

tamara.lees 01/10/2016 NSW

  • Answer
    Thanks for posting your questions and photographs.  You do appear to have a mild form of tuberous breasts.  My approach to your breast correction is to have a peri-areolar or around the nipple breast tightening along with breast implants to expand the breast base and augment the breasts.  I often will add fat transfer to the lower pole of the breasts as well.   Do you want the best surgeon or the cheapest price?  I can’t say it enough…shopping around the for cheapest deal leads to disappointing results.  You need a fully qualified plastic surgeon with extensive experience in breast surgery to help you achieve the best aesthetic outcome.  

Nostrils create bulbous looking tip; rhinoplasty necessary?

I look like I have a bulbous tip and my nose spreads a LOT when I smile. However the tip isnt solid its like a 'bubble' my nostrils make and can be pushed in easily. However my bridge is quite slim (my nose looks like a triangle!) Would I require rhinoplasty to correct this or would alarplasty or a 'tip' plasty correct it? Or even just suturing somehow?? Thank you for your time!

Bri92 01/10/2016 VIC

  • Answer
    Its difficult to assess from the photographs provided as you haven’t shown your nose in full or in profile.  From what you describe you have a bulbous or bulky nasal tip which is due to full cartilages in the tip of the nose.  What you describe with your nostrils being pushed in easily is basically normal.   Its possible you could address your concerns with an alarplasty procedure.  Arrange a consultation with a fully qualified plastic surgeon to discuss your options.

2nd opinion

So my surgeon has basically advised that I have had a good outcome as I was borderline lift. I am quite unhappy with the different shapes, the much lower and the constant heavier feeling of one breast. What do I do know and what recommendations would another plastic surgeon make

Cuddlybear 29/09/2016 QLD

  • Answer
    Thanks for posting your questions and photographs.  Its difficult to offer much advice without knowing the details of your surgery or when the procedure was performed.  Your breasts take several months to soften and settle after surgery and I advise patients in my practice to be patient during this time as differences in size, shape, sensations and appearance are normal.  Small differences between your breasts are also normal, they are sisters not twins!  Revision surgery, if required, is usually not recommended for 12 months.  

Rhinoplasty and neck liposuction

Are there any surgeons who do rhinoplasty and neck Lipo at the same time? I can see that there are ent but is it possible to find a surgeon who does both procedures really well?

Jujujuju 29/09/2016 NSW

  • Answer
    Its common in my practice to combine multiple facial rejuvenation procedures in a single surgery.  Your first step is a consultation to determine your suitability for surgery.  One of the challenges of liposuction is that removal of fat can leave you with deflated and unsightly skin so its not always an option.  Arrange a consultation with a qualified and experienced plastic surgeon.
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