Unbalanced Breast Size

Lavinia Chong, MD answers: Will insurance cover revision for uneven Breast reduction results?

I had a Breast reduction done many years ago and have very painful scar tissue as a result of it. My breasts are also 2 VERY different sizes where do you find a bra with a B cup and a C cup : (

Will my insurance pay for this disaster to be corrected?


Lavinia Chong, MD
5 months ago

Please check the eligibility requirements of your insurance plan first.  These are usually posted on their website and include the Company's rules on how many grams (weight) per side should be resected, as well as their recommendations on whether you have "failed" conservative therapy (such as physical therapy, weight reduction, utilization of support bras, etc.).  The Company's may also have a position on your BMI (Body Mass Index, weight in kg/ heigh in cm), which must conform to their position.  These are the usual parameters required for patients with heavy breasts who wish to have reduction surgery to address their musculoskeletal symptoms.

In your case, you mentioned that your discomfort had been somewhat alleviated by the original procedure. Try to enlist your primary care physician to intercede on your behalf by writing a letter in support of the discomfort you have in the scar line. Also ask him/her if they know a Board Certified Plastic Surgeon, who has an active practice which includes breast reduction, who is also on your plan.  By building a case and using "preferred providers" you may get some financial assistance.  You may have to attach photographs to support your petition.  Good luck.

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A: Breast Reduction Revision

Farbod Esmailian, MD
5 months ago

It really depends on your insurance, some will and some wont.  It just depends on who reviews the preauthorization paper work. 

You plastic surgeon will have to take pictures and submit it to the insurance company to see if they approve the surgery.  I would likley say they will not. 

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