First consultation - Dr Phoon or CosMedi Tour? Mentor implants + fat grafting

[Jamball 2]

Hi everyone,

I had a consultation with Dr Phoon (based in Sydney) from the Park Clinic two days ago and have also been in communication with someone from CosMedi Tour Australia. I am really quite confused on what to do next and I am desperately seeking advice.

Dr Phoon was incredibly professional and the entire consultation process was flawless. I was very nervous going in as this is the first time I had ever seen anyone about my breasts (aside from my GP). Dr Phoon spent a lot of time explaining things, was kind and did everything he could to make me feel comfortable. After taking a look at my breasts he told me I had the tuberous breast deformity...I can't say that i'm surprised as I always knew my breasts weren't normal but having it confirmed was bitter sweet. Dr Phoon recommended Mentor implants, 330cc, along with fat grafting to round out my shape. My quote just came through and its close to $17,000. I knew it would be pricey but this is more than I can afford now, although - I fully trust Dr Phoon and his team in regards to their pricing and fees. I am certain I want to go through with this, its just a matter of saving the funds.

I also sent through my pictures to CosMedi Tour and I received back a quote of around $8000. The quote I received mentioned the following, but no mention of 'tuberous breasts' -

"As you have a tight lower pole (distance from your nipple to breast fold) and very wide set breast tissue, the firmer gel Teardrop implant is recommended to push up your natural breast tissue to provide you with more upper pole fullness. This will create a closer cleavage and more ‘side boob’, whilst maintaining upper pole fullness, due to the dimensions of the implant."

I have heard that CosMedi Tour (Sydney) use the Dr's from Park Clinic as their surgeons, so this would be Dr Phoon and Dr Moradi (he was my second choice for consultation). I am now thinking it would be worth going through CosMedi Tour Australia (Sydney) to get my procedure done as they will be using the two surgeons I was interested in anyway. But for the price of $8000 I am a little skeptical...does anyone have any experience with CosMedi Tour? I'd love to go direct with Dr Phoon, I am going to start saving more so that I can do this, but just curious on the price difference.

Any help would be so greatly appreciated!

[I HaveBoobs 951]

As good as Cosmeditour sounds please be weary as i know of girls that have been quoted a price only to have it jump 2 to 3 thousand dollars when they had their face to face consult with the surgeon on the day of your op your's isn't a straight forward procedure and like Dr Phoon said it will require fat grafting to the breasts and possibly diffrent sized implants or lowering the breast crease to release tight lower poles associated with tuberous breasts and you need a very skilled plastic and reconstructive surgeon to perform this type of surgery, i know the price seems like a lot but for my own piece of mind i would take a little more time and save up the extra money to have it done at home as if things dont quite turn out right its another flight back to see your original surgeon and there is no guarantee that it will be fixed for free as there is always a cost involved plus time away from family when you'll need them the most for support, time off work , flight costs and accommodation ect, not saying you shouldn't do it but all these things to consider, but let me ask you is your health really as cheep as 8,000 grand (sorry to sound blunt) , on a side note are any of the surgeon's experience in correcting anyone with tuberous breasts over there.

[Jamball 2]

53 minutes ago, I HaveBoobs said:

As good as Cosmeditour sounds please be weary as i know of girls that have been quoted a price only to have it jump 2 to 3 thousand dollars when they had their face to face consult with the surgeon on the day of your op your's isn't a straight forward procedure and like Dr Phoon said it will require fat grafting to the breasts and possibly diffrent sized implants or lowering the breast crease to release tight lower poles associated with tuberous breasts and you need a very skilled plastic and reconstructive surgeon to perform this type of surgery, i know the price seems like a lot but for my own piece of mind i would take a little more time and save up the extra money to have it done at home as if things dont quite turn out right its another flight back to see your original surgeon and there is no guarantee that it will be fixed for free as there is always a cost involved plus time away from family when you'll need them the most for support, time off work , flight costs and accommodation ect, not saying you shouldn't do it but all these things to consider, but let me ask you is your health really as cheep as 8,000 grand (sorry to sound blunt) , on a side note are any of the surgeon's experience in correcting anyone with tuberous breasts over there.

Thank you so much for your reply! :)

I am certain on going to Dr Phoon and am happy to save the extra money to have him do my surgery - he has experience in tuberous breast correction.

CosMedi Tour have assured me that their surgeons have experience in this type of corrective surgery - and I believe that because they use the same clinic that Dr Phoon works at for their Sydney surgeries. I just don't understand why going to the Park Clinic through CosMedi Tour is quoted as $8000 but going directly to the clinic is nearly $17,000. Whatever the reason is I don't feel comfortable with paying less because it is my body and I want everything to be perfect.

Thank you again for your insight, greatly appreciated for someone who is new to this forum

[Frankie* 40]

Hi @Jamball ?

I’m a CosMedi girl and 3 months post op from surgery in Thailand.

@I HaveBoobs is 100% right about the price jumping. I think I had been initially quoted about 9,500AUD but my final invoice came to about 12,000AUD (not inclusive of flights). My case was not complex - just a lollipop lift and implants (250cc and 275cc). One of the girls that had her surgery the same time as me had tuberous breasts and she was so overjoyed with her outcome BUT she did have some minor complications afterwards and managed to get back to see the surgeon (not for further surgery, just for advice and assurance).

It would probably be worth getting back in touch with CosMedi (if you’re still considering them) and letting them know that you’ve seen another plastic surgeon face-to-face and what his recommendations were.

Sorry I’m actually from NZ so am unfamiliar with the surgeries that you’re talking about - are they both based in Sydney?

[Jamball 2]

Hi @Frankie*, thanks for taking the time to respond

I have already contacted CosMedi Tour and told them about my consultation and what the surgeon recommended for me. Currently awaiting response and will call them tomorrow to follow up.

To answer your question, the Park Clinic is based in Sydney. Dr Phoon works at Park Clinic clinic with another surgeon named Dr Moradi. CosMedi Tour Australia (Sydney) told me that they use the Park Clinic for their Sydney breast surgeries.

I have heard stories about the quote rising in price through CosMedi Tour. I did ask them about this and they said that this 'rarely happens' but i'm not so sure now...

Thanks again

[Jamball 2]

Just realised I looked at my quote wrong...its $17,000 for the implants, fat grafting and procedure. Then another $6000 ontop for anaesthesis and hospital fees.

Total of $23,000. Completely unsure what to do now, is this too much?

[Moderator 511]

$17000 sounds like you may be having a benelli lift or some additional procedure along with your correction?
It seems like quite a jump from $1000 to $17000 with just fat grafting.

I would suggest that an inperson consultation will always trump the opinion given via a photograph.
Can you go ahead with an inperosn consultation with cosmeditour and then go from there?

Dr Phoon is an amazing surgeon and you will certainly be in good hands and would only offer you advice on what is best for you. I believe that you must be having extensive work done and you might be able to have just an implant but run the risk of being unhappy with the outcome

[Jamball 2]

20 minutes ago, Moderator said:

$17000 sounds like you may be having a benelli lift or some additional procedure along with your correction?
It seems like quite a jump from $1000 to $17000 with just fat grafting.

I would suggest that an inperson consultation will always trump the opinion given via a photograph.
Can you go ahead with an inperosn consultation with cosmeditour and then go from there?

Dr Phoon is an amazing surgeon and you will certainly be in good hands and would only offer you advice on what is best for you. I believe that you must be having extensive work done and you might be able to have just an implant but run the risk of being unhappy with the outcome

The breakdown of price from Dr Phoon is as follows:

Mentor implants - $2000

Assistant surgeon fee - $400

Fat grafting - $2500

Post surgery garment - $50

Tuberous breasts - $12,000

Hospital - $3885

Anesthesist - $1760

I loved my in person consultation with Dr Phoon - he made me feel so comfortable whilst also being very professional and informative.

CosMedi Tour do their consultations the day before your surgery date. I was told by someone from CosMedi Tour that they use the same clinic that Dr Phoon works at for their Sydney breast surgeries. So confused about prices now. Especially since with CosMedi Tour I won't be able to meet my surgeon face to face until the day before! The quoted price from CosMedi is good but as other ladies have said, this price can change.

I think I will also make enquiries with Dr Tavakoli and Dr Miroshnik, just for peace of mind. Although I really want to go with Dr Phoon.

[Frankie* 40]

Good idea to enquire all over and I do agree that an in-person consult trumps CosMedi’s consults.

I didn’t have my consult until the day OF my surgery, as we flew into Thailand late the day prior. I was happy with this as had already asked a barrage of questions beforehand, and had a list to ask when I went into the consult. Interestingly enough, I had always presumed I’d be >300cc but when trying the implants in a bra and tshirt as part of the consult, he wouldn’t tell me what cc they were until I had made my final decision, so that I didn’t get hung up about actual size and it was more about what actually looked good for my body shape. Hence ending up with <300cc.

[Moderator 511]

3 hours ago, Jamball said:

The breakdown of price from Dr Phoon is as follows:

Mentor implants - $2000

Assistant surgeon fee - $400

Fat grafting - $2500

Post surgery garment - $50

Tuberous breasts - $12,000

Hospital - $3885

Anesthesist - $1760

I loved my in person consultation with Dr Phoon - he made me feel so comfortable whilst also being very professional and informative.

CosMedi Tour do their consultations the day before your surgery date. I was told by someone from CosMedi Tour that they use the same clinic that Dr Phoon works at for their Sydney breast surgeries. So confused about prices now. Especially since with CosMedi Tour I won't be able to meet my surgeon face to face until the day before! The quoted price from CosMedi is good but as other ladies have said, this price can change.

I think I will also make enquiries with Dr Tavakoli and Dr Miroshnik, just for peace of mind. Although I really want to go with Dr Phoon.

I think you should contact the clinic again, I think maybe there is a mistake and it is $12000 all up
Unless you are having more work done on top of the fat grafting, your breast augmentation should not cost you more i.e. they have on their website breast augmentation cost is $11k so that plus the fat grafting really should only take it to $13500.

I would follow this up and there is likely an error in your quote or your procedure is including a benelli lift.

For comparison, tuberous breast correction using implants and fat graft with Dr Tavakoli is under $15k.

Check with the clinic on Monday, they are always super helpful and will be able to talk you through your quote. I honestly think it might just be poorly stated and is showing you the fee twice

[Jamball 2]

34 minutes ago, Moderator said:

I think you should contact the clinic again, I think maybe there is a mistake and it is $12000 all up
Unless you are having more work done on top of the fat grafting, your breast augmentation should not cost you more i.e. they have on their website breast augmentation cost is $11k so that plus the fat grafting really should only take it to $13500.

I would follow this up and there is likely an error in your quote or your procedure is including a benelli lift.

For comparison, tuberous breast correction using implants and fat graft with Dr Tavakoli is under $15k.

Check with the clinic on Monday, they are always super helpful and will be able to talk you through your quote. I honestly think it might just be poorly stated and is showing you the fee twice

Attached is a screenshot of the quote I was given, I hope it is okay to post this. Again, I am in no way doubting the costs as I fully trust Dr Phoon and his recommendation for giving me the best treatment option available. I will definitely give them a call tomorrow to sort out the quote as it has me so confused! Haha.

I have heard that Dr Tavakoli is very good as well, especially with tuberous breast correction. Thank you again for all your help

@Frankie* thanks for sharing your experience with CosMedi Tour, ive found it difficult to source recent reviews or experiences about this company so its really helpful

[Moderator 511]

Your quote is $22,595 - i am almost certain that the possible areola reduction mentioned on your quote is a benelli breast lift and if you dont end up having that done, your fee will be wayyyyy less

[Jamball 2]

@Moderator wow, that seems like a massive number! Will have to confirm with the clinic tomorrow so I can be 100% clear on what my fee will be. Thanks!

[Moderator 511]

Your definitely quoted for a benelli lift and honestly if Dr Phoon recommends you need this as part of your tuberous correction then you should consider it, otherwise you run the risk of your breasts looking the same as they do now, just bigger.

It really cant hurt to have another consult with a plastic surgeon for a second opinion before deciding on the cosmeditour route or not

[Jamball 2]

@Moderator ok this is great information, thanks so much! What exactly is a benelli lift? Dr Phoon didn't mention this during our consult and i've never heard of it before

[Moderator 511]

benelli lift is where they make an incision around the areola, in your case they may intend to remove some of the tuberous tissue that causes the herniation of the nipple.
There is a video and more information about this on our procedure page here: https://cosmeticjourney.com/procedures/details/tuberous-breast-deformity/

The surgery perfomed in the explainer video is a benelli lift and illustrates what happens during that procedure.
You can see from the footage, there is far more work involved than just performing a breast augmentation with fat grafting.

Your quote says possible areola reduction and I suspect this is referring to the benelli lift aspect which at least doubles your time in theatre.
Give them a call and follow it up. Id be incredibly surprised if this was not the case

[Jamball 2]

Thanks for the info on the benelli lift I contacted Dr Phoons office yesterday via email (was unable to make a phone call) and was informed that the hospital fees and anaesthetic fees were increased for my case due to the extra time I would be having in theatre. So I am assuming you are correct about the benelli lift as I was told that I could be in surgery for two or three hours.

I also contacted Dr Tavakoli and was told my procedure was estimated at $13,990 and then an additional $3,500 for fat grafting. However, im sure once I go for a consultation that this price could increase.

I will try to contact Cosmedi Tour today as well as I am curious about them. If they really use the same clinic that Dr Phoon uses (Park Clinic) then why are their fees quoted as cheaper? Not saying that I will go the CosMedi route but genuinely interested about how their pricing works, lol.

[s16m 4]

On 4/2/2024 at 6:14 AM, Jamball said:

Thanks for the info on the benelli lift I contacted Dr Phoons office yesterday via email (was unable to make a phone call) and was informed that the hospital fees and anaesthetic fees were increased for my case due to the extra time I would be having in theatre. So I am assuming you are correct about the benelli lift as I was told that I could be in surgery for two or three hours.

I also contacted Dr Tavakoli and was told my procedure was estimated at $13,990 and then an additional $3,500 for fat grafting. However, im sure once I go for a consultation that this price could increase.

I will try to contact Cosmedi Tour today as well as I am curious about them. If they really use the same clinic that Dr Phoon uses (Park Clinic) then why are their fees quoted as cheaper? Not saying that I will go the CosMedi route but genuinely interested about how their pricing works, lol.

Hi!!! I went with Dr Alex Phoon just two weeks ago, and honestly compared to other surgeons he's great regarding his service and price. i literally paid 10990 for my boobs, he recommended fat grafting but ended up not even being neccessary, he is a very talented surgeon and it's not just the surgery you pay for but the relationship with your doctor as well. literally 2 days before the surgery i contacted him saying i might want a bit bigger, and he was able to order my implants asap and on the day i let him choose what was best, and turned out perfect. his implants are motiva's as well which are much more natural. However if you do have tuberous breasts i dont know if i would run the risk of skipping or picking and choosing procedures that he gives you. Other surgeons bump the price for the name unneccesarilyy but with him youre seriously in good hands im glad i didnt go withany of those popular people they didnt come across as caring doctors.