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Severe Body Pain from DD Breasts Qualifies for Breast Reduction?

asked 2 years ago by Devine in California
Latest answer by Tom J. Pousti, MD
Question viewed 1,578 times
Tags: back, breasts, neck, shoulder, female, DD cup, pain

I have been having severe back, neck and shoulder pain for many years now and I have pain in my chest when I sleep and when im awake. I have DD breasts and I want to know if I'm a canadate for breast reduction surgery.

13 answers to Severe Body Pain from DD Breasts Qualifies for Breast Reduction?

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Breast reduction insurance coverage

It is important to rule out other sources of neck and back (and in your case chest) pain prior to proceeding with breast reduction surgery; otherwise you may be disappointed if the symptoms persist despite having had the surgery. If your symptoms are related to large breasts then the chances that you will be please with results of surgery (and the relief of symptoms) are very high. The best way to obtain insurance coverage for breast reduction surgery involves some... more
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Candidate for Breast Reduction

Many patients who are candidates for breast reduction will have back, neck and shoulder pain. Consult with a plastic surgeon to discuss your situation and to determine if your symptoms are indeed related to breast enlargement.
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Breast Reduction Surgery

A consultation and examination with a board certified plastic surgeon would help you answer your question.  Check with your insurance company to determine if a breast reduction is a covered benefit. Also ask about their specific criteria for coverage. Please note that every insurance company and plan is different. Best of luck!
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Breast reduction

You may very well be a good candidate for a breast reduction, but an exam is in order to see what can be done for you.
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DD breasts great for breast reduction.

Hi. You are a great candidate for breast reduction.  Are you asking if you would have insurance coverage?  I wrote an article about this for RealSelf which you can read at the bottom of my profile.
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Breast Reduction Candidate

You certainly may be. I would want to know your height and weight and your bra size. If you are trying to cover this under insurance, that is what they look at. Your BSA is calculated and then a determination is what as to how much breast tissue needs to be removed for this to be medically necessary. If you are not planning to do this under insurance, then we can determine how much breast tissue you would need to be removed. Hope that makes sense, you very well may be a candidate to have... more
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Does body pain and DD breasts make you a candidate for breast reduction surgery?

Back, neck, shoulder pain as well as irritation of the skin between and under the breasts are all symptoms that can be caused by large breasts. Since you are suffering from some of the above, you will likely benefit from breast reduction surgery. A consultation with a surgeon certified by the American Board of Plastic Surgery will help define in what ways your breasts are contributing to your discomfort and what improvement you can expect from breast reduction. It certainly sounds like... more
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Breast reduction candidate

It sounds like you are an excellent candidate and would be very happy with breast reduction results. The usual criteria are large breasts, neck, back and shoulder pain, breast pain and, irritation of skin under the breasts and failure on conservative treatments and documentation of those treatments.
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Insurance coverage determination of breast reduction procedure

Your best option is to go in for a consultation and have photographs taken. Your physician can then submit a letter of predetermination of benefits to ascertain your level of coverage by your third party payor.
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Breast Reduction Candidacy

Your symptoms are the usual symptoms of someone who will benefit from a breast reduction surgery. There are other causes for these pains which must be ruled out, but you have classic symptoms. Insurance coverage for reduction vary widely among comanies and different states. You should have a consultation with a Board-certified Plastic Surgeon.
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Breast reduction by insurance

Insurance companies try hard NOT to cover you for breast reduction, preferring to believe that it is fundamentally not medically necessary. They each set their own criteria for what constitutes an insurable situation with symptoms being part of that along with BMI and predicted weight to be removed from each breast. Check with your coverage for specifics. If all else fails, you could go to your regional plastic surgery university teaching program and see if they can help you out.... more
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Breast reduction for severe body pain from DD breasts

SOME medical insurance companies MAY partially pay for Breast Reduction surgery in the treatment of SYMPTOMATIC MACROMASTIA (symptom causing large breasts). Just having large breasts is NOT an insurance accepted reason for breast reduction approval. Each and every company has its own criteria of what symptoms, weight, breast size, length of trial of "conservative" non surgical therapy before they allow their subscribers to have the procedure. So unless I was very familiar with... more
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Breast Reduction for Pain

Breast reduction surgery is a viable method of reducing breast weight, particularly if you are having symptoms of pain and tenderness.  In this case, pain in the breasts can be improved with breast reduction, but complete mammogram and breast exam should be performed first.

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