Saint Charles Breast Reduction doctors
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Bahram Ghaderi, MD
Chicago Plastic Surgeon
2900 Foxfield Rd Suite 201, St. Charles |
23 answers | |
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Todd S. Hewell, III, MD
Saint Charles Plastic Surgeon
260 West River Drive, St. Charles |
Recent Answers
I am 20 yrs old and I'm seriously looking into having breast reduction. I have always had very large breast but now that I've had a child and breastfed my bra size is 34DDD. I am 5'3 and I weigh about 140 lbs. I have been hunching more than ever and now it hurts to sit up straight in addition to severe back pain at the end of the day. My husband is worried about me regretting the surgery and I do not know anyone who has had breast reduction.
What should I consider before having the surgery? What questions should I ask my doctor? Any information is welcomed and thank you in advance!
Sounds like you are a great candidate for the surgery. The benefits to your daily life and quality of life are many. The trade-off is the scarring involved. Also, since you are young you should consider the possible effects of another pregnancy as well as the possbility that you will lose the ability to breast feed after surgery. This is just the main considerations. I would consult with a board certified plastic surgeon to discuss the entire surgery as well as the recovery involved.
I have already called my insurance company and they do cover Breast reduction with PA's. So I went to my consultation and she sent in info to get PA and I was denied and told I need to try alternative solutions such as special bra's, chiropractor, physical theraphy etc.
My insurance doesn't cover chiropractor at all and if I had the money for the visits, I would not need my insurance to cover my breast reduction. Chiropractors are quite pricy. Orthopedic surgeons, sports medicine, pain management, and physical therapy are available. Which would be best to go to?
This is a typical technique for some insurance companies to deny coverage eventhough they list breast reduction as a benefit when they sell you the insurance plan. The details will always get you with insurance companies. They will always win the shell game. One option would be to ask your plastic surgeon which insurance company understands the benefits of breast reduction the best in your area. If you have the ability to switch to that company, then you will have a better chance at getting coverage. Just be careful to not get stuck with pre-exisiting condition clause. Otherwise, just list out the criteria required by your current insurance company and try to meet them as best as possible.
My insurance company will not approve my breast reduction unless the surgeon takes 850 grams of fat. My surgeon has recommended 650 grams. Is the extra 200 grams too much?
It is very difficult to determine exactly how much will be removed prior to surgery. Of course most experienced plastic surgeons can gauge the range of tissue to be removed but no one can be exact until the tissue is weighed on a scale. Insurance companies use inaccurate formulas to determine the amount of tissue to be removed so they can deny the claim. They list breast reduction as a covered benefit but don't tell you that there are sometimes 20 or more criteria to meet before it is paid. And one of those criteria - amount of tissue removed - is not even known until after surgery. That is the unfortunate reality if you wish to have your insurance company involved. Some companies/plans are better than others. However, definitely having a good outcome is more important than satisfying an insurance company criteria. So discuss the financial liability with your surgeon. If you have high deductibles, then it may be even better to prepay and generally those charges are lower than you think. Just because insurance covers the surgery does not mean that you will not be paying anything. Be careful, and make sure you understand your insurance deductibles and copays. 200 grams can be a lot and you may not be happy with the size of your breasts after surgery. Follow your surgeon's advice.

