Frequently Asked Questions:
What is the cost of an initial consultation?
An Initial consultation is BULK-BILL If you have Medicare and a GP Referral to Dr Reza Adib. If you do not have a referral or Medicare, the initial consultation fee is $200.
Do I need a referral to see Dr Adib?
Yes! You require referral to see any specialist according to Medicare law. This can be obtained at your local GP and will last for 12 months. If you have a referral from a specialist it will only be valid for 3 months.
Does Dr Adib peform bariatric procedures from a public hospital?
No. Dr Adib does not operate out of public hospitals.
Can I have weightloss surgery without private health insurance?
Yes! You can have the Gastric Sleeve, Lapband or Orbera Balloon without private health insurance. Uninsured patients are liable for all costs associated with the procedure and can use their superannuation to cover the cost of the procedure.
How much does weightloss surgery cost without private health insurance?
Pricing for uninsured weightloss surgery can be found on our uninsured page underneath the cost tab OR click here to be redirected to this page.
I am uninsured, can I still have weightloss surgery?
Yes. You can have a Sleeve, Lapband or Orbera without private health insurance. Uninsured patients are liable for all costs associated with the procedure. Patients can use their superannuation to cover the cost of the Sleeve, Lapband and Bypass procedures.
What is the wait time for a consultation?
Patients can usually expect a consultation with Dr Adib within 1-2 weeks.
What is the wait time for surgery?
There currently no wait times at the Brisbane Obesity Clinic.
Do you have before and after photos of previous patients?
We sure do! Visit our before and after photos page on our website. Alternatively, head to our Facebook page ‘Brisbane Obesity Clinic’ and you will have access to photos, reviews and more!.
Do you have a social media page e.g. Facebook?
Yes we have a Facebook page with patient reviews, before and after photos and more! Head to: ‘Brisbane Obesity Clinic‘.
Frequently Asked Questions for Sleeve Gastrectomy:
How long do I have to stay in hospital following the Sleeve Gastrectomy?
The Sleeve Gastrectomy is a two night stay in hospital.
How much does the Gastric Sleeve cost without private health insurance?
Without private health insurance the cost of a gastric sleeve is $22,250. This includes all out of pocket expenses such as the surgeon, surgical assistant, anaesthetist, lifetime follow up care, 12 months of dietitian care, 2 night hospital stay, and all testing. Patients can expect some medicare refunds.
How can I access my superannuation to pay for the Gastric Sleeve?
Brisbane Obesity Clinic will provide you with instructions and an application form which is completed by the surgeon to access your superannuation. For information on how to get superannuation released early visit our EARLY RELEASE of SUPERANNUATION page or Click Here
What is the lowest BMI that will be considered for the Gastric Sleeve surgery?
To qualify for the Gastric Sleeve patients should have a BMI of 35 and above with or without associated obesity related illnesses such as back pain, diabetes, sleep apnoea, knee and joint problems, to name a few. However If your BMI is between 32-35, Dr Adib will carefully assess your medical history, age & your family history of obesity & associated serious illnesses. He will then consider your particular case before making a decision about your eligibility for surgery.
How much weight can I expect to lose from the Sleeve Gastrectomy?
Weightloss varies from patient to patient. On average patients lose 70% of their excess weight following the Sleeve gastrectomy.
Do I need to see a dietitian before undergoing the Sleeve Gastrectomy?
Yes. Patients will require to see either of our dietitians, Sharon Rochester or Annette Williams, before surgery to organise a pre-operative diet. All bariatric patients will also require to see one of the dietitians 3 times after their procedure to go through the change of diet phases. With all bariatric procedures you will recieve 12 months worth of complimentary dietetic appointments.
Is the Sleeve Gastrectomy reversible?
No. A Sleeve Gastrectomy is not a reversible procedure.
Can I fall pregnant following the Sleeve Gastrectomy?
Yes. It is recommended that patients who undergo this procedure should wait 12 months before trying to conceive.
When can I exercise after my Gastric Sleeve?
It is recommended that patients do not engage in cardio exercise for at least 3 weeks following procedure, no weight lifting for at least 6 weeks and no swimming for 3 weeks post procedure.
When can I drive after my Gastric Sleeve?
Patients cannot drive till at least one week post-op.
How long will it take to recover after the Sleeve Gastrectomy?
Most patients take 2 weeks to recover following this procedure, however each patient is different.
When can I go swimming following the Sleeve Gastrectomy?
Following weight loss surgery we advise that you wait three weeks until swimming in either a pool or the ocean. The reason we advise the three-week wait is to allow your body and wounds to completely heal. This will help avoid unnecessary infections and delay in healing.
Frequently Asked Questions for Orbera Balloon:
What is the recovery time for the Orbera procedure?
Recovery time varies from patient to patient; patients usually return to work in around three to five days after the procedure.
Who is NOT suited to the Orbera Balloon?
The intragastric balloon system is NOT right for you if:
- You have a BMI of less than 27
- You are pregnant or breast-feeding
- You have had previous gastric surgery, or any of the following conditions:
- Prior gastrointestinal surgery
- Major prior or present psychological disorder
- Any inflammatory disease of the gastrointestinal tract
- Potential upper-gastrointestinal bleeding conditions
- A large hiatal hernia (larger than 5 cm)
- A structural abnormality in the oesophagus or pharynx, such as a stricture or diverticulum
- Any other medical condition that would not permit elective endoscopy
- You are addicted to drugs or alcohol
- You are unwilling to participate in an established, medically supervised diet and behaviour modification program
- You are aspirin, anti-inflammatory agents, anticoagulants, or other gastric irritants not under medical supervision.
Is the Orbera Balloon permanent?
No. The Orbera Balloon is a temporary 6 month weightloss procedure.
Can the Orbera Balloon stay in longer than 6 months?
Longer periods of use than six months are not recommended because the acidic content of your stomach can weaken the intragastric balloon material and cause the intragastric balloon to deflate. Should your surgeon recommend use of the intragastric balloon for longer than six months, it must be replaced with a new intragastric balloon at the end of the six month period.
How much weight can I lose with the Orbera Balloon?
It is important for you to understand that the intragastric balloon is a tool to aid weight loss and must be used in conjunction with diet, exercise and a behaviour modification program. The amount of weight you lose and maintain will depend on how closely you follow your diet and adopt long-term lifestyle changes. Weightloss varies, but the average is around 10-15kg*.
How long do I need to stay in Hospital?
The Orbera Balloon procedure is a day case, which means that patients can return home on the same day of their procedure.
Can I drink Alcohol if I have the Orbera Balloon?
Alcohol in moderation is acceptable but keep in mind that it is calories without nutrition..
Frequently Asked Questions regarding Lapband:
How much weight will I lose?
Weightloss results vary from patient to patient, and the amount of weight you may lose depends on several things
- The band is in the right position
- You need to be committed to your new lifestyle and eating habits
Obesity surgery is not a miracle cure, and the kilograms won’t come off by themselves. It is very important to set achievable weightloss goals from the beginning.
A weightloss of around a kilo a week in the first year after the operation is possible, but half a kilo per week is more likely. Twelve to eighteen months after the operation your weekly weightloss is often less.
Remember that you should lose weight gradually. Losing weight too fast creates a health risk and can lead to a number of problems. Your main goal is to have weightloss that prevents, improves, or resolves the health problems associated with severe obesity.
Can I have the Lapband surgery without private health insurance?
Yes. Dr Adib performs Lapband procedures on uninsured patients. Patients are liable for all costs associated with the procedure and can use their superannuation to cover the cost of the procedure.
How long will it take to recover after surgery?
If LAP-BAND® procedure is performed laparoscopically patients typically spend less than 24 hours in hospital. It takes most patients about a week to return to work and a month to six weeks to resume exercising. In the case of open surgery or if there are complications, recovery may take longer.
Will I feel hungry or deprived with the Lapband?
Quite the contrary! The Lapband makes you eat less and feel full in two ways – by reducing the capacity of your stomach and increasing the time it takes food to get through the digestive system. After a small meal, the amount of which varies from person to person, you should feel full. If you follow the nutrition guidelines when you choose your food and then chew it well, you should not feel hungry or deprived. Remember that the LAP-BAND® is a tool to help you change your eating habits.
Do I have to be careful with the access port just underneath my skin?
There are no restrictions based on the access port. It is placed under the skin in the abdominal wall, and once the incisions have healed it should not cause discomfort or limit your movements or any physical exercise. The only sensation you may have from the port is when you go in for adjustments. If you feel persistent discomfort in the port area, let us know as soon as possible.
How is the Lapband adjusted?
Adjustments are often carried out using an x-ray machine so that the band can be easily seen. Sometimes adjustments can be done in an outpatient clinic or office. Local anaesthesia may or may not be needed. A fine needle is passed through the skin into the access port to add or subtract saline. This process most often takes only a few minutes. Most patients say it is nearly painless.
Does the Lapband require frequent office visits after surgery?
Monthly check-ups are a normal and very important part of the Lapband System follow-up.
Can the band be removed?
Although the Lapband System is not meant to be removed, it can be if required. In some cases this can be done laparoscopically. The stomach generally returns to its original shape once the band is removed. After the removal, though, you may soon go back up to your original weight or even gain more weight.
Does the Lapband limit any physical activity?
The Lapband does not affect or hamper physical activity including aerobics, stretching and strenuous exercise.
Is it true that the Lapband feels tighter in the morning?
This is a fairly common feeling, especially for people with bands that are tight or just after an adjustment. During the day the water content in the body changes and this may cause the band to feel “tighter” some of the time. Some women have also noticed that the Lapband feels tighter during menstruation.
Will I need plastic surgery for the surplus skin when I have lost a lot of weight?
That is not always the case. As a rule, plastic surgery will not be considered for at least a year or two after the operation. Sometimes the skin will mold itself around the new body tissue. You should give the skin the time it needs to adjust before you decide to have more surgery.
What will happen if I become ill?
One of the major advantages of the Lapband System is that it can be adjusted. If your illness requires you to eat more, the band can be loosened by removing saline from it. When you have recovered from your illness and want to lose weight again, the band can be tightened by increasing the amount of saline. If the band cannot be loosened enough, it may have to be removed.
What about pregnancy?
Becoming pregnant can be easier as you lose weight. Your menstrual cycle may become more regular. If you need to eat more while you are pregnant, the band can be loosened. After the pregnancy, the band may be made tighter again, and you can resume losing weight.
Will I need to take vitamin supplements?
You may. It’s possible you may not get enough vitamins from three small meals a day. At your regular check-ups, your specialist will evaluate whether you are getting enough vitamin B12, folic acid, and iron.
What about other medication?
You should be able to take prescribed medication. You may need to use capsules, break big tablets in half or dissolve them in water so they do not get stuck in the stoma and make you sick. You should always ask the doctor who prescribes the drugs about this.
What if I go out to eat?
Order only a small amount of food, such as an entree. Eat slowly. Finish at the same time as your table companions. You might want to let your host or hostess know in advance that you cannot eat very much.
What about alcohol?
Alcohol has a high number of calories. It also breaks down vitamins. An occasional glass of wine or other alcoholic beverage, though, is not considered harmful to weightloss.
Can I eat anything?
After your stomach has healed, you may eat most foods that don’t cause you discomfort. However, because you can only eat a little it is important to include foods full of important vitamins and nutrients such as those recommended in the nutrition section of this booklet and as advised by your surgeon and/or dietitian. If you eat foods that contain lots of sugar and fat or drink liquids full of ‘empty’ calories, such as milkshakes, the effect of the Lapband may be greatly reduced or cancelled.
Will I suffer from constipation?
There may be some reduction in the volume of your stools, which is normal after a decrease in food intake because you eat less fibre. This should not cause you severe problems. If difficulties do arise, let us know as soon as possible.
How do the weightloss results with the Lapband compare to those with the gastric bypass?
Sometimes the gastric bypass operation can produce fast weightloss in the first twelve months. It is important to remember however that gastric bypass is a permanent procedure that cannot be adjusted or removed depending on your life circumstances. Instead, it is wise to focus on long-term weightloss and remember that it is important to lose weight gradually while reducing obesity-related risks and improving your health.
How long will it take to recover after the lapband procedure?
If Lapband procedure is performed laparoscopically, patients typically spend less than 24 hours in the hospital. It takes most patients about a week to return to work and a month to six weeks to resume exercising. In the case of open surgery or if there are complications, recovery may take longer.
Will I be sick after the operation?
Laparoscopic Gastric Banding limits food intake. If you feel nauseated or sick on a regular basis, it may mean that you are not chewing your food well or that you are not following the diet rules properly. However, it could also mean that there is a problem with the placement of the band so you should contact us if this problem persists. Vomiting should be avoided as much as possible. It can cause the small stomach pouch to stretch. It can also lead to slippage of part of the stomach through the band, which would reduce the success of the operation. In some cases, it would also require another operation.