Could a Breast Reduction Help Me? Would Insurance Be Likely to Cover It? (photo)

I'm 21 years old, and I have horrible back pains every day of my life. I've been wearing a C cup but was recently sized as a 32DDD. I'm waiting for a new bra to be shipped to me in hopes for a little relief. I was put in physical therapy by my neurologist because she said I was developing a hump, and when I stopped the pain came back and was worse. I'm back in now and have a prescription to a muscle relaxant called chlorzoxazon. The pain is unbearable, and it makes my Narcolepsy worse. Recommendations?

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8 Doctor Answers | Asked by ikkinay in Mississippi

Doctor Answers (8)
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Candidate for breast reduction?

In order to obtain insurance coverage for breast reduction surgery, one must first demonstrate "medical necessity". This usually means a history of musculoskeletal symptoms (shoulder pain/grooving, neck pain, back pain), no improvement with conservative treatment (such as physical therapy), hygiene problems (such as rashes in the crease underneath the breasts), and the proposed removal of a certain minimum amount of breast tissue (the amount varies from insurance plan to... more

Breast Reduction Candidate?

Thank you for the question and pictures. Based on your description you may be a good candidate for breast reduction surgery; it is one of the most patient pleasing operations we perform. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance... more

Breast reduction candidate

You may very well be a candidate for a breast reduction but an exam would be necessary so that a proper evaluation can be made.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast reduction

Your best bet is to see a board certified plastic surgeon for a consultation. They will advise you regarding the best way to approach your situation.

Breast Reduction and Liposuction

Unfortunately it is impossible to evaluate your particular situation without medical quality photos, but from the symptoms you describe I would be quite surprised if you didn't see significant and lifelong relief with a reduction. The only way to find out about insurance is to see a well qualified board certified plastic surgeon and after the consultation his office will communicate with your insurance company and get that anwer for you.

Breast reduction

Breast reduction would improve your back pain. See a board certified plastic surgeon in your area who can evaluate you and begin the insurance preauthorization process. Every insurance company has different standards and hoops that you haveto jump through. Best of luck!

Could a Breast Reduction Help Me? Would Insurance Be Likely to Cover It?

The photos do not show the breasts well enough. But you should set up an in person consult with a boarded PSs in your area to determine if the health insurgence would cover the surgery. I think yes but over the internet and with poor representative photos hard to be sure.

Benefits of Breast Reduction

Most women find breast reduction VERY beneficial in alleviating back pain, neck pain, shoulder grooves and rashes beneath their breasts. Additionally women remark at how confident they feel and happy that they can now wear stylish clothing, bathing suits and bras. It seems as though you have taken the appropriate steps in seeking "conservative methods" to treat your symptoms. Your next step would be to schedule a consultation appointment with a board... more