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At his Newcastle clinic, Dr Yezdi Mistry, Specialist Plastic & Reconstructive Surgeon, often meets patients who ask: “Will Medicare cover my arm lift surgery?” This is an important question. For many people, the answer shapes their decision-making, budgeting, and expectations.
In Australia, Medicare only provides rebates for procedures that meet strict criteria for medical necessity. Cosmetic procedures are not covered. For patients in Newcastle considering brachioplasty, understanding these rules is the first step toward making an informed decision.
Dr. Yezdi Mistry, Specialist Plastic & Reconstructive Surgeon in Newcastle, regularly assists patients in answering this question. His practice helps individuals understand Medicare’s requirements, assess their eligibility, and explore treatment options that support both function and wellbeing.
The upper arms are an area where skin can lose elasticity after significant weight loss, through ageing, or due to genetic factors. This often results in redundant skin that can cause more than aesthetic concerns.
Some individuals report concerns such as:
For some, brachioplasty is considered not only for cosmetic reasons but also to address ongoing physical concerns associated with excess upper arm skin.
Brachioplasty, also known as an arm lift, is a surgical procedure to remove excess skin and, in some cases, fat from the upper arms.
The outcomes shown are only relevant for that patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
Different techniques may be used depending on the severity of skin excess:
At his Newcastle practice, Dr Yezdi Mistry considers each patient’s anatomy and health concerns to recommend the most appropriate technique.
The Medicare Benefits Schedule (MBS) includes item numbers for procedures that are medically necessary. Brachioplasty is listed under Item 30169, which applies to the removal of redundant skin and fat in non-abdominal areas such as the arms.
However, coverage only applies if strict conditions are met.
To qualify under Medicare Item 30169, patients must demonstrate:
If these requirements are not met, Medicare will not provide a rebate.
Excess arm skin can cause several health issues that strengthen a case for Medicare coverage. These include:
Dr Yezdi Mistry assists patients in Newcastle by documenting these conditions clearly to support Medicare eligibility.
Thorough documentation is essential for Medicare claims. At his Newcastle practice, Dr Mistry, Specialist Plastic & Reconstructive Surgeon, helps patients prepare the required information.
Although Medicare does not offer pre-approval, complete documentation means claims are processed appropriately after surgery.
Brachioplasty costs in Newcastle vary based on individual needs and surgical complexity. On average, patients can expect costs between $5,000 and $15,000.
At his Newcastle clinic, Dr Yezdi Mistry provides detailed quotes outlining costs and potential rebates so patients can plan ahead.
Not all patients will qualify for Medicare coverage. Common reasons include:
For patients in this category, surgery is self-funded. Options include:
Recovery times vary depending on the individual and the extent of surgery, but typical guidelines include:
At his Newcastle practice, Dr Yezdi Mistry provides structured aftercare, which includes:
Brachioplasty requires expertise in both function and aesthetics. By choosing a surgeon with FRACS (Plastic Surgery) credentials, patients benefit from advanced training and accreditation.
This means patients receive comprehensive care and accurate advice.
You must show significant weight loss, stable weight for six months, and medical problems such as infections, hygiene issues, or restricted mobility.
Cosmetic surgery is done to improve appearance only. Medically necessary surgery addresses functional problems caused by excess skin.
Medicare does not provide pre-approval. Claims are processed after surgery, but preparing the required documentation can take several weeks.
No. Private health insurance only applies if a valid Medicare item number is approved.
Most scars run from the armpit to the elbow along the inside of the arm. Scars are permanent but usually fade with time and proper care.
Results are generally long-lasting. However, ageing or future weight fluctuations may affect the outcome.
Yes. Medicare may audit claims. Comprehensive pre-operative documentation protects both the patient and surgeon.
If you are struggling with excess skin on your arms, a consultation is the best place to start. Dr Yezdi Mistry, Specialist Plastic & Reconstructive Surgeon in Newcastle, will review your medical history, assess whether you meet Medicare’s criteria, and provide a clear explanation of costs and recovery.
Call (02) 4062 7888 or visit the website’s contact us page to arrange your appointment.
Dr Yezdi Mistry is a Specialist Plastic and Reconstructive Surgeon based in Newcastle, NSW. With extensive training and experience in both reconstructive and aesthetic surgery, Dr Mistry is committed to providing safe, evidence-based care that is tailored to each patient’s individual needs.
After completing his Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic Surgery in 2013, Dr Mistry relocated to Newcastle with his family in 2015. He began his work as a Visiting Medical Officer (VMO) in Plastic and Hand Surgery at John Hunter Hospital before establishing his private practice in 2017. His practice offers a comprehensive range of reconstructive and aesthetic procedures for the breast, body, face, and skin.
Dr Mistry’s approach to patient care is grounded in trust, respect, and open communication. From initial consultation to recovery, he aims to ensure patients feel informed, supported, and comfortable throughout their surgical journey. He is dedicated to maintaining the highest professional and ethical standards in all aspects of his work.
To remain at the forefront of modern surgical techniques, Dr Mistry continues to pursue ongoing professional development both in Australia and internationally. He was Australia’s first delegate at the Body Contouring Academy in Paris, where he received advanced training in body contouring and skin-tightening techniques, including VASER and RENUVION technologies.
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Please Note: Information provided on Dr Mistry’s website is provided as a basic guide, it does not constitute a diagnosis and should not be taken as medical advice. Any surgical or invasive procedure carries risks.
“I care because it’s my job as a surgeon, as a plastic surgeon, to do the appropriate thing and to give you a good outcome. I want to leave knowing that I can tell a patient, hand on heart, that I did the very best I could and that I looked after them, so when I see them post op later that day or the next morning, that they feel they were in good hands.”
– Dr Yezdi Mistry
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