Denver Breast Reduction doctors

This is an excellent question and one that shows the problems of insurance requirements and a third party having control over breast reduction choices as well as using grams removed as the measured factor -- something similar to using cc's of an implant to figure results from an augmentation. 

There is no way to know or accurately measure the weight of the tissue to be removed before the procedure. 500 grams to a 95 lb woman is completely different proportionally than to a woman who is taller, bigger, and weighs 150 lbs for example. Thus the "weight removed" requirement discriminates against shorter, smaller women. Another way to look at it is that the surgeon can't go into the surgery and keep cutting out breast tissue until he or she reaches 500 grams and the patient will just have to accept whatever breast size is left. The goal is to solve the problem and achieve the breast size, position, and shape the patient is comfortable with, not remove an arbitrary weight of breast tissue. The best way to get around this is for the patient to decide on the result of the surgery as long as it's feasible and medically sound regardless of the weight of tissue removed but this means she will have to avoid the insurance or government control and bear the cost herself. 

By way of comparison, this is similar to choosing the size of a breast implant in cc's and forcing it to work for breast augmentation. The proper way is to measure the patient, choose an implant that fits, know what effect it will have in terms of size increase, and then find out the number of cc's. It doesn't make good sense to start from the number of grams or cc's and work backwards. 

Removing breast tissue is measured in grams rather than cc's and unfortunately there is no way to measure or know the amount before the procedure and it does not correlate well with cup size of the breast. The way to think of it is that the surgeon needs to remove breast tissue from the appropriate areas until the desired size and shape is left. The tissue removed is then weighed and checked by pathology exam. 

If you use an insurance company including government plans, you are asking someone for permission to do what you want and feel you need but since they pay for it they get control over whether you can have the surgery, who can do it for you, where you can have it done, and how much tissue has to be removed in order to qualify (which can't be known with any surety before the procedure). I approach this as rightfully the patient's choice and it doesn't matter whether it's a lift or a reduction or how much is removed. The patient is in control and decides if she wants the surgery but has to bear the cost. 

For functional issues and symptoms, the way to understand it is that the female body/chest is built to handle A, B, and C size breasts relative to the chest around but sizes larger and heavier than that can and will cause problems. Therefore, to correct the functional issues, the breast needs to be reduced to a full C or borderline D in order to be assured of proper proportions and symptom relief. There is no reason this has to be done if the patient is in control and understands the issues. Lifting the breast without removing any tissue or reducing it to a DD cup size is certainly possible if the patient has the choice. Remember also that there is no exact measure of bra cup sizes.