What Nikki said :) My understanding is that the majority of chests can have some form of reconstruction and there are many options.
I also had a miserable experience with surgeons and live in a rural area--my advice is that if you are going to do this, do it once and do it well. Research, research, research. It sucks that we country folk have to get out of our comfort zone and go metro for these sorts of procedures but that is just the way it is.
I guess one of the advantages of delayed recons is the urgency is taken out of the equation. You have time to make considered decisions rather than being shocked and terrified and under all that pressure. I totally get your dissatisfaction with the way you look; if it is starting to really get you down it's time to start looking at what you can do to fix it.
I'm in a situation where my implant recons were an epic, and painful, fail. Ten years and a recurrence later I've decided I'd rather put up with them than go through a more complex rebuild, but I know if I change my mind it is an option.
There may be a wait to get what you decide you want but I think, having come this far, you should hang in there and make sure that it is worth all the effort you will have to go to if you want to fix the Boob Butcher's efforts. Can his name be Bob? Bob the Boob Butcher has a certain ring to it :) Marg