Is Breast Reduction of 38I to 38D Possible?
- Asked by Laura41 in Memphis, TN
- 3 years ago
I have had a great deal of neck and back pain for years (I was a DD as a 10-year-old and I am now an I cup as a 41-year-old). I also have rashes under my breasts, and grooves in my shoulders from the weight even though I have fantastic bras.
I know I am a good candidate for reduction surgery and insurance has indicated they will likely approve due to these factors. I have lost 80 pounds and now weigh 190lbs only a loss of one cup size. I am wondering how much tissue is likely to be removed.
Technique Used to Reduce Breast Size Can Effect How "Small" You Can Go
As plastic surgeons, we estimate how much breast tissue MAY be removed using a formula called the Schnur Scale...it is based on BMI ( which is based on height and weight). Since you did not mention your height I cannot compute the estimated amount per breast that MIGHT be removed. Sometimes women have very dense breast tissue which weighs "heavy"; sometimes they have very fatty breast tissue which weighs "light"...therefore, sometimes the "estimated" weight does not equal the "actual" weight of tissue removed at the time of the procedure. Typically, we don't "chase" after a number, we are focused on achieving results that are safe and look good!
That being said, certain techniques restrict how much may or may not be removed during a reduction. For example, if I am performing a reduction by "inferior pedicle" technique (nipple/areola stay attached to a "stalk" of breast tissue attached to the chest wall, providing adequate blood supply), the remaining breast will be at least as large as that "stalk", plus the overlying tissue that is used to shape the breast. Usually I can achieve a "C" cup in most breast reductions. If a patient wants to be smaller than what I can make her with a pedicle technique, then a free nipple/areola grafting technique may be the procedure of choice to permit the breast mound to be made smaller, since the blood supply of the nipple/areola are no longer dependent on the pedicle, but rather will be "attached" by way of grafting. Good Luck!
Massive breast reduction can change your life.
You probably need to have 1000 grams of tissue removed from each breast, and based on your picture and your story, I recommend that you have a breast reduction.
Breast Reduction Goals and Objectivies
First - for insurance to "cover" Breast Reduction surgery you first must have Breast Reduction benefits on your policy. (Not all policies have this coverage).
Second - Regardless of your breast size, most policies in Tennessee (and many other states) mandate you can prove 6 months of "conservative therapy" - visits to chiropractor, bra changes AND a letter from your primary care physician recommending the operation.
Third - Depending on your insurance, your Plastic surgeon MUST remove a set amount of breast tissue for the insurer to pay for it. Some companies set the weight at anywhere from 500 to 1,000 grams PER breast. Others based the amount that has to be removed on the SCHNUR scale which relates your weight and height to a projected body surface area and a pre-determined weight based on the relation of your height and weight.(If you are a BlueCross BlueShield patient this scale is posted on their website)
Your Plastic surgeon should be able to tell you how much weight needs to be removed per breast depending on the insurer.
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Dr. P. Aldea
Recent Breast Reduction Reviews
Breast Reduction Photos
Insurance coverage for a breast reduction
It is certainly possible that a you would be a candidate for a breast reduction. If the breast are excessively large and disproportionate to your body size and are causing neck back and shoulder pain. All insurance plans are different about qualifying for coverage.
Very large breast reduction.
You certainly should be qualified to have a breast reduction because of your size and noted complaints. The largest bra size that I have ever had for a breast reduction was a 42JJ, and the patient was reduced to a D cup. The amount of weight removed from each breast was about3000 to 3500 grams( approximately 6.5 pounds each side. You should be able to have a good result, but the technique may have to be a free nipple technique, meaning that the nipple and areola will be removed and moved to a higher position on the breast as a graft rather than to remain attached to the breast. You should ask your local Plastic Surgeon about this.
Good luck to you.
Frank Rieger M.D. Tampa Plastic Surgeon
Web reference: http://w.w.w riegercosmeticsurgery.com
Breast reduction sizing
Congratulations on your weight loss. I'm also happy that that your insurance company has indicated that they will cover your breast reduction surgery. It sounds like it is clearly indicated.
Breast reduction surgery is one of the most patient pleasing operations we do. Patients generally experience almost instantaneous gratification with relief of the symptoms you describe.
Unfortunately, it is not possible (without direct examination) to give you a estimation of the amount of tissue that will be removed from each side. Furthermore, discussing cup size is somewhat arbitrary, given that cup sizes very depending on who makes the bra.
I would suggest communicating your goals is clearly as possible (personally I like to see pictures of what breast size the patient wishes to achieve) with your surgeon.
Going down to a "D" cup is probably reasonable if you are so larger, but a formal exam would be important to be more precise.
Breast Reduction of 38I to 38D
Hard to answer but I sure over 800 grams per side if not more. Go see 3 boarded plastic surgeons in your area to get an in person opinion. This is the best route foryou. Regards!
Breast Reduction Requirements
Once you have seen a plastic surgeon for your breast reduction, they will take pictures and do a write up and submit it to the insurance company. They will look at your height and weight and come up with body surface area which will translate to how much breast tissue needs to be removed for this procedure to be medically necessary.
If you are an I cup then I dont think it would be any issue getting your surgery approved under insurance. Is it possible to get you down to a D cup? Yes it is possible, difficult to say but it may require a free nipple graft. Not commonly done, but in order to get your size down all the way to a D from an I cup it may require that. Hard to say without an exam.
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.