I'm an 18 year old female, I'm 5'5 and 170 pounds, small frame and have fairly large breasts. Even at my healthy weight at 120 I had large breasts, at about a 36D. I am in the process of losing weight but my back and neck soreness is getting to me. I'm always slouching due to my breasts and they are becoming saggy and I can't stand the extra weight on my chest. I'm wondering if I'm a good candidate for breast reduction? I have BCBS and I currently live in ND
Am I a Good Candidate for Breast Reduction? I Have BCBS and Currently Live in ND.
Doctor Answers (4)
Breast Reduction Candidates
The best candidate for a breast reduction has a combination of disproportionately large breasts and associated symptoms of midscapular back pain, neck pain, bra strap grooving and a recurrent rash beneath the breasts. Breast reduction surgery alleviates these symptoms in the majority of patients. In the hands of a board certified plastic surgeon, patients are usually quite happy with both the cosmetic and functional improvement. In general, the procedure is performed with few risks and can often be performed on a outpatient basis.
Insurance providers have different standard for preauthorization for this procedure. It would be prudent to check your membership materials to find out what these requirements are. A preauthorization letter from your plastic surgeon is generally required. Often this is based both on symptoms, the patient's BMI (body mass index), and amount of breast tissue expected to be removed from each side.
Breast reduction and insurance
Every insurance company is a bit different regarding coverage for breast reduction surgery. Certainly if you have large breasts, and significant symptoms related to is, then it is very possible. WIthout an exam I could not be sure.
Insurance coverage for breast reduction
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Good Candidate for Breast Reduction Surgery
Thank you for your question. If your large breasts are contributing to your back and neck pain, then you are a good candidate for breast reduction surgery.
Each insurance company is different with what they require to "authorize" the breast reduction surgery through insurance. I write a letter and send photos of the patient when trying to get authorization (I am sure most plastic surgeons do this as well). Also getting supporting letters from other doctors who can document that you have had neck, back and shoulder pain and/or rashes due to the large breasts. Supporting documentation is usually very helpful.
This is one of our most patient pleasing operations.
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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