URGENT B.R. advice needed!

  • Aestas1
  • 3 years ago

Hi all. Well, my surgery is scheduled for May 17 and I'm all ready to go, even requested the time off work. My insurance company has thrown me for a loop. Yes, they'll cover the procedure, but only if my doctor removes 620 grams per side, not the 500 he recommends. At 500 grams, I'd move from a full F to a medium C. At 620 grams, my doctor says I'd barely be a B (if I'm lucky). Going that small is unacceptable and not even an option. The problem is that I'm a big girl (230 pounds). According to the insurance company equation, at my weight, anything under 620 grams is "cosmetic." So, I have two options: 1. Lose about 70 pounds over the next 9 months to a year and put off the surgery. Hopefully, if I lose that much, my insurance company will approve less gram removal. 2. Get a small personal loan ($6,000) for $130 a month and get the surgery on May 17 as planned. (Yes, I can afford this.) Obviously, losing the weight is the smarter choice because I need to lose it anyway, and maybe the goal of surgery will motivate me. On the other hand, I think the ladies on this forum know better than anyone how important this surgery is. I want this and need this SO BAD, and I don't want to wait...but waiting is the smart play. I need feedback. Please be brutally honest! I need to make a decision on getting the loan by Monday or Tuesday. Thanks, ladies. This is probably the biggest decision I will ever make.

Comments (8)

I think it's a decision that only u can make. I know I had over 1000 of each breast and Bcbs paid with no min or max. I was a DDD and weighed 237. I lost 37 lbs since surgery. I am a C
Oops looks like this was done 2years ago. How are you doing and what size are you now. I had mine Dec17 2013. Took 3 months to feel better but love the new me.
Everyone - thanks SO MUCH for the feedback. I took it all to heart before making my decision.

Ultimately, I had a long talk with my PS, who advised that I wait and go the lose-weight route.

I'm starting tomorrow and hope to lose enough weight to try this again come November or December. I'll return to this forum closer to that time.

Thanks again, ladies, for your help and support. Good luck to everyone!!

Excellent choice!  You can do this:)
I had 680 grams from each boob. Started as a 38ddd and I'm a 36c now. 4 weeks after surgery. It really depends on what they are removing. Fatty tissue or breast tissue. Weight varies. My sister was a spilling 38dd and is a 36c now. Less than 300 in one and about 325 in the other. Good luck with your decision. I am so thrilled with my results I could care less if I am a C or a B. The point is I'm no longer just these giant boobs. If I want them "bigger" I'll get a push up bra. I can't comment on the weight loss and timing but I would really think about what matters the most to you about the whole procedure and go from there.
That's a hard decison. If you can afford it and don't mind paying...I say go for it. I wouldn't remove more than necessary just to have the insurance pay for it. Go with your plans for a C-Cup and if it is less than 620 grams...pay for it. Your doctor can't be totally certain he will only remove 500 grams...he is estimating.

Insurance companies don't want to pay. I weigh about the same as you and my HMO sent me to a dietician and physical therapist. I work for the government----so I just changed to a PPO and got approved immeditately.

It is best to have the surgery at your ideal weight....but it is not comfortable working out with heavy breast. I'm hoping that reducing my breast will allow me to be more active and motivate me to lose weight. My surgery is 25 May.


Also, you can try appealing their decision....before or after the surgery. Those tables shouldn't be the only criteria for how much to remove. If your symptoms are well documented and the removal amount is close...maybe they will reconsider.
Hi,
WAIT! I would get to a weight you plan on maintaining, whatever that may be. So, the doctor can get to the size you want to be. It's your money(even if covered by insurance, you pay the premiums) and your body. You need to end up where you would be happy with the result. Put yourself in the best possible position for that to happen. When you accustumed bigger breasts, going smaller will be an adjustment. But, ended up too small because of subsequent weightloss may make you unhappy and regretful. You can't put back what was taken away. Money comes and goes, but you only have one body that you need to live with.

Ok here is my take on this.. I had my BR before I lost my 76 pounds.  Right after surgery I was a full C cup.  Now after my weight loss I am a small B. 

So my advice is if you plan to drop weight after the surgery then plan for the breasts to shrink even more.  If you are happy with your weight and plan to maintain then go for the surgery now.  You will feel completely amazing getting the weight off your back, neck and shoulders. 

I might add that prior to my surgery I never lost an ounce in the breasts when I lost a few pounds.  Go figure...

Now I am small so the B cup is fine with me.  However a little more fullness would be nice...but thank god for VS magic padded push up bras...LOL