Breast Reduction: Q&A
Ask a QuestionWill Insurance Cover Asymmetrical Breasts for 16-year-old?
Hi, I'm 16 and my right breast is at a DDD while my left is a C. I constantly am in pain on my right side and my shoulders and back are seemingly getting crooked (in my opinion.) It's really hard for me to go out like this or even see myself in the mirror. I know that this is how I would go about the surgery: - reduction in right breast - double implants (to a D or DD) - and areola reduction on my right and possibly left. will any of this be covered by Insurance?
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19 Doctor Answers |
Asked by
Wuz
in Missouri
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Breast Reduction for 16-year-old?
Thank you for the question.
It sounds like you are dealing with juvenile breast hypertrophy; in other words, the breasts are too large for the frame causing both physical and psychological distress.
As you think about breast reduction surgery make sure you do your homework and understand the potential risks and complications associated with the procedure. Unsatisfactory scarring is one of the potential complications. Make sure you also...
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See a Board Certified Plastic Surgeon
You should have insurance coverage for your breast reduction. See a qualified, Board Certified plastic surgeon with your parents and have them take photos and send a letter to your insurance company. I would think that you would be covered for a breast reduction. Good Luck! Dr Grant Stevens
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Insurance coverage for correction of breast asymmetry
Hi there-
Unfortunately, it has been my experience that cases like yours are almost NEVER covered by insurance plans.
Unless you can prove that your breasts are the cause of FUNCTIONAL problems (this would require multiple visits to physical therapists, chiropractors, and possible spine surgeons willing to say you have problems due to your breasts), I would not be optimistic.
Your breasts can be made beautiful and comfortable, but I would not want to hold out false hope to...
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Breast Assymetry in 16 year old
What a great question! Here are some thoughts:
1. Ins cos. are a bother to deal with. Often don't pay. Will want a certain volume removed. Won't pay for any technique that is advanced or not on their list.
2. Without an exam it is hard to say for sure, but some younger women are candidates for liposuction alone for the larger breast. This avoids the scars that will likely be hypertrophic for a while in a 16 yr old (high growth hormone levels I believe is the cause). See...
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Insurance and breast asymmetry
It is clear that you have a problem, and the large right breast may be contributing to your back pain. However, one cannot predict what your insurance company will cover. I suggest that you have a plastic surgery consultation and ask the plastic surgeon to write a letter on your behalf. Also, submit any documentation you have if you have had treatments for back pain. Good luck.
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Insurance Coverage for Asymmetric Breasts
Whether or not insurance covers a particular surgery or diagnosis is really up to the insurance company. I would recommend contacting your insurance company and carefully reviewing your individual policy. Good luck.
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Breast Asymmetry and Insurance Coverage
Congenital breast deformities and severe breast asymmetry as well as Breast reduction for large breasts is usually covered by insurance when the surgery is performed as part of a medically mandated procedure to treat neck, back, or shoulder pain or other problems related to the spine.
Recently, managed care has adopted stricter standards for coverage, so these problems have to be thoroughly documented in writing by your primary care physician and plastic surgeon. They may also have to...
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Options for asymmetrical breasts
Most likely the pain on your right side is actually from the weight of the left breast pulling and putting strain on the muscles. So reducing the left side does make sense and insurance might cover that. There is another option that might work out, which is a grant program from the research foundation of the American Society for Aesthetic Plastic Surgery. You would need to see an ASAPS member surgeon for that, to see if you qualify. The link below should give you some more information, and...
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Asymmetric breasts
Unfortunately, it would be rare for an insurance carrier to cover anything on your right breast. They may cover a reduction of the left side, but anything having to do with implants they are very wary of unless it is for breast cancer.
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Breast Reduction Surgery
They would absolutely not cover any surgery to do with the right side. There is a small possibility they may cover a breast reduction surgery on the left side. This entriely depends on your height and weight.
The BSA, body surface area is plugged into a table and there is a predetermined amount of breast tissue to be removed.
Hope that helps.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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