Hi @Jandy232, I had a single skin and nipple sparing mastectomy with immediate recon using a silicone implant - that was 23 months that ago - through the public system in NSW. Cost me my appointment fees with my oncoplastic surgeon who did the whole lot. I was left with uneven breasts because of one being fake and one being real. My surgeon told me that a new protocol had been implemented and that any further reconstruction (which evening up the breasts is still considered as due to the initial breast cancer diagnosis)would have to be around the two year mark. I was scheduled to have a breast reduction (real breast) and fat grafting (from stomach to around implant - to get rid of dents from implant softening and dropping) but had lost some excess weight and ended up having two breast lifts instead - this was 12days ago. Again all through the public system. My surgeon (who also works for breast screen) asked whether I was going to continue losing weight and I said yes another 7kgs is the plan - and she has said that we can still use the fat grafting then. The fat grafting is the only thing I would have to pay for and at this stage it would have been $1000 per breast. I don't know about I the future as I have been very spoilt with my surgeon and she works out of two public hospitals but sent me to one in particular as she dictates which surgery she will do there, the other they dictate to her. She is an absolute perfectionist and anytime I can refer anybody to her I do - I do not know if she has had somebody very close to her affected by breast cancer but she certainly gets how much it can effect our lives.
