I'm a 34G and Waiting on Insurance Approval for my BR. Want a D but PS Said Based on Insurance Regulations? (photo)

Hello, I'm a 34G and waiting on insurance approval for my BR. I would like to be a D but PS said based on insurance regulations I might be a C. I want a round look on top also, based on my pics will I need implants or will a BR and lift suffice? (photo)

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G to D cup insurance opinion recommendation round implant

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5 Doctor Answers | Asked by readyfornewboobs

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I'm a 34G and Waiting on Insurance Approval for my BR. Want a D but PS Said Based on Insurance Regulations?

Thanks for the photos. Based upon the requirements of YOUR health insurance plan I believe a minimum of 500 grams of tissue needs to be removed per side. So it is possible that you will be a small D cup or even large C cup. If you have implants at the same operation you will have pay for this portion of the operation and have the risk your insurance will deny coverage. It is a very slippery slope. I recommend having the reduction only, heal over 3 months than see what you appear like-... more

Breast reduction and implants

First, I agree with Dr. blinks as to the resection and cup size. If you have implants in the same procedure, the insurance company will, in all likelihood, deny the entire case as cosmetic, leaving you holding the bag for the entire cost at the full rate. I think you have to be honest with yourself as to your motivation for having surgery. If it is really to have a lift and to retain breast volume, then you could have a small reduction/lift which would not be covered by insurance.... more

Breast reduction

The additional information of your height and weight would be helpful but you appear to have enough breast tissue to give you and your insurance company what you and they want. Go for it.

Breast Reduction - Insurance Regulations?

In general, for someone who is a G cup the normal 500 gram (per side) reduction that is required by an insurance company will take you down about 2-3 cup sizes. Each person is different, of course. Since a G is supposed to be equivalent to a 4D, that should reduce you to a D. However, the decision is made by weight, not volume, so if your tissue is less dense it may take more to achieve 500 grams. This is clearly something you'll have to go over with your PS and... more

Breast Reduction ad Insurance Coverage?

Thank you for the question. 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 “authorization” for the procedure. This documentation and letter/pictures from your plastic surgeon will help you obtain authorization. Make sure you're saying... more