Breast reduction after pregancy

hi i'm a 21-year-old-mother who gave birth over 14-months ago,my problem is that i always had an a-cup breast and during my pregnancy my breast changed to a c-cup and stayed that way. i never felt back pain until my pregnancy and now a year later its still there. hypothetically i drew the conclusion it's my breast after reviewing diffrent stories. because my back,neck and sholders are hurting and my breast is so heavy. do you think my insurance company would cover it even though i'm not a d-cup? (i included a pic) thanks in advance dana321

Breast reduction after pregancy
Sort: Date | Helpful
9 answers to “Breast reduction after pregancy”

A: Breast reduction surgery after pregnancy

Elizabeth S. Lee, MD

Breast reduction is indicated when large breast size causes back and neck pain and irritation of the skin from bra straps or from areas where the breast rubs against other skin.  That being said, what your insurance will cover depends on your plan. I would advise that you wait at least 6 months after you... more

A: Breast reduction and insurance

Steven Wallach, MD

 Every insurance company is different and with breast reduction surgery, all bets are off. Without very large breasts and well documented medical reports from treating physicians, it is very difficult to get them approved.

A: Breast Reduction after Pregnancy

Foad Nahai, MD

You must consult with your Physician in regards to the neck, back and shoulder pain.  It has to be documented in order for the insurance company to consider paying for it.  The Insurance company will usually base there incision on a Height to Weight ratio, and how much volume your  Plastic... more

A: Breast reduction and insurance coverage

Jeffrey E. Schreiber, MD

Hi dana321 - All insurance companies are different concerning their policy on covering a breast reduction.  Have your plastic surgeon look at your specific insurance plan to determine whether or not you meet the criteria.  This can be grams of tissue removed or simply pre-authorization with photos... more

A: Insurance coverage for breast reduction

John P. Stratis, MD

The best answer for this question will come from your individual insurance company. They all have different criteria. You should call them first to find out what their criteria are and then proceed with what they might require ahead of time, ex. chiropracter visit, physical therapy, family doctor evaluation, etc.

A: Do you think my insurance company would pay for a Breast Reduction even though i'm not a d-cup?

Peter A. Aldea, MD

Dear Dana, EVERY single insurance company writes multiples different types of policies which are different. The FIRST thing you should do is READ the fine print in your benefits book (or ask your HR person) if YOUR policy even covers / has "Breast Reduction Benefits". Many do not. If your does not -... more

A: A breast reduction requires a large amount of weight reduction to be covered by Insurance.

Carl W. "Rick" Lentz III, MD

 From the photos you included with your question, I doubt that you have enough breast tissue to have a large enough reduction to give you much relief of your symptoms and to be covered by your insurance. If enough breast tissue is removed to obtain coverage I think you will feel you are too small. But... more

A: Breast reduction by insurance

Richard P. Rand, MD

You might see a plastic surgeon who can try to estimate how many grams of weight you might have removed.  This will tell you if insurance might provide coverage. 

A: Insurance will pay for true breast reductions

Kevin Brenner, MD

Your symptoms of back, neck and shoulder pain are quite typical. Most insurance companies will pay for breast reduction that needs to be done for medical reasons. However, each company's criteria are a bit different, so be sure to check with your insurance provider beforehand.

Post your question

Breast lift before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.