Insurance companies pay for breast reductions when you meet 2 criteria. First, you have to have symptoms related to the large breasts such as neck, back and shoulder pain or rashes. Second, you must have weight removed that meets their criteria. Their weight criteria is determined by your height and weight, which determines your body surface area. At 5'6 1/2 and 256 lbs, your body surface area is 2.3 meters squared. If your insurance was Aetna, they would require 1 kilogram removal. At size 42 each 300 grams correspond to 1 cup size change. 1,000 grams would reduce you 3 cup sizes, from a M down to a J. You may want to be smaller than that. I recommend a new technique called The Ultimate Breast Reduction. This technique is done without vertical incisions and the breast weight is transferred to the underlying muscle. This results in immediate pain relief and allows the patient to choose the size proportionate to their body.
Gary Horndeski, M.D.