Cleft Lip

Q & A’sCategory: FaceCleft Lip
AvatarKaren asked 4 years ago

I was born with a cleft lip and have had work done on my lip and nose a few years ago now due to breathing difficulties and self esteem issues because of it. It wasn\’t noticeable as much a few years ago but my eyes have also been affected because my nose was never straight. I have developed a bubble / fatty tissue under my left eye and they are a different shape. This has affected my self esteem along with the lip and nose for years. Is this considered as  reconstructive surgery resulting from a birth defect and covered by medicare? I am considering seeing a plastic surgeon about it or does my GP have to refer me? Basically, I just want to know what my next step is in getting my eyes looked at and if I will be covered by Medicare.

2 Answers
Dr Jayson OatesDr Jayson Oates Contributor answered 4 years ago

To get a rebate on your consult with a private specialist you need to have a GP referral. You will get a mediocre rebate for the surgery but will not, probably, cover the total surgical bill. Private insurance will top that up and possibly cover the surgery and be necessary for the private hospital costs. Even with private insurance there may be a gap for the anaesthetic. In a public hospital there is no cost. Surgeons are now required to give complete disclosure on costs.

Dr Jayson Oates

Dr Oates is committed to being able to provide a comprehensive range of cosmetic surgery, dermal therapies including advanced professional skin care products and injectable treatments.

TrishTrish Contributor answered 4 years ago

I have been advised by a Plastic Surgeon that this MAY be considered reconstructive depending on exactly what it is – if you get a GP Letter then see a plastic surgeon who specialises in craniofacial and cleft surgery.
Hope that helps.


Trish is a plastic surgery blogger. She is passionate about wellbeing, health and beauty, and doesn't mind a little bit of 'help' from the amazing cosmetic and beauty procedures that are available today. Trish spends her days talking to women and men who are looking for suggestions and advice on procedures that are available to them. Cutting through the sales pitch and hype, a down-to-earth response on general information is what you will get.

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