How much to remove in breast reduction.

Tracy M. Pfeifer, MD answers: Breast implants for C cup breasts after reduction?

I am 5'2, 115 lbs, and 21 years old. I have huge 34DD breasts. I am very active and enjoy staying fit, although it's difficult for me to be able to do all the things I enjoy because of back problems. I got approval from the insurance company to get a breast reduction, but they have requirements on how much they will need to reduce. They want to make me into a small or medium B cup. I won't like my body too much if I went from DD to small B, so I'm wondering if it's possible to get  breast implants after my reduction to have medium or large C cup breasts?


Tracy M. Pfeifer, MD
28 days ago

Hi Lovelife941.  Talk to your plastic surgeon.  Insurance companies usually never say what cup size you will be.  They will say how many grams need to be removed in order for them to pay for the surgery.  Your plastic surgeon can estimate what cup size you will be after reduction of the amount specified by your insurance company.  In order to go from a DD to a B, you would need to have a lot of tissue removed and I doubt that your insurance comany is requiring removal of that amount.  Something does not make sense.  Normally, an insurance company will insist on removing 500 grams; that would not normally make you a B cup if you are a DD now.  Talk to your plastic surgeon.  Having breast reduction surgery knowing you will need implants to be happy with your size is not a logical approach at all.

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A: Breast reduction and implants

Nina S. Naidu, MD
23 days ago

I would not recommend having implants placed at the time of a breast reduction for the sole purpose of allowing your surgeon to remove enough volume for the insurance company.  Not only will this potentially create issues with the blood supply to your breasts and nipples, it would be considered fraud if your surgeon tried to get the insurance company to pay for the implants or time required to place them.  I would recommend having the breast reduction done to reduce you to the size you want, but just prepared that you may have to pay out of pocket if the insurance company decides that enough tissue was not removed from the breasts.  In some cases, they will request a copy of the operative report or pathology report to verify that the stated amount was in fact removed.  Good luck, /nsn.

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