Breast Reduction: Q&A

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I Am 5'6, 148 pounds 32-34 Ddd Am I Qualify for Insurance Coverage? (photo)

i am 22 years old. have one child(18 month old). my breasts started to be saggy and heavy sinse i was 13-14, i was 32-34d. after breastfeeding i got ddd. i am still brestfeeding but baby takes just left brest. so he doesnt take right brest for 6monthes(no milk in there but its still ddd size). back neck shoulders pain all included)))). and also if i will be qualified when should i stop brestfeeding before sergery? (hope to get answer on this quest)

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7 Doctor Answers | Asked by valerie76 in san francisco CA

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Breast Reduction and Insurance

Hi Valerie: Getting insurance approval for breast reduction surgery can be tricky. You should be an excellent candidate, however insurance companies have lots of criteria that needs to be met. Breast reduction specialist usually have good office support that can help you get approval. We have found for our patients that even if the insurance company does not give approval, we can request a review and many times we get approval that way. You might want to have a consultation now so that... more

Breast reduction

If you are still nursing, you are not a surgical candidate and you would need to wait 3-6 months afterwards to determine what size you actually are. Then you will need to establish medical necessity, subject to the conditions of your insurance coverage.

Breast Reduction Candidate?

Thank you for the question and picture. Based on your picture and description I think you will be an excellent candidate for breast reduction surgery; it is one of the most patient pleasing operations we perform. It will be best for you to have stopped breast-feeding 3 to 6 months before the breast reduction procedure. You will find that online consultants cannot with any degree of certainty predict whether a specific insurance company will cover the breast reduction... more

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Breast reduction often covered by insurance.

Hi. It sounds like you will have insurance coverage. I wrote an article in my RealSelf profile about this, and you may find it helpful.

Breast Reduction Candidate While Breast Feeding?

Once you stop breast feeding, you should wait about 6 months to determine if you are a candidate. If you have DDD cup breasts at that time, you will likely be a candidate.

Insurance Coverage For 34DDD

Valerie, It would certainly seem that you would have your breast reduction covered by your insurance company with your sizes and your symptoms. The only caveat is that some insurance policies have an outright exclusion for breast reductions in which case you would not be covered.

Breast Reduction Information

Based on your picture, you seem to be an excellent candidate for breast reduction surgery. I would recommend waiting 6 months after you stop breast feeding to determine your ultimate breast size which will help in determining the best procedure for you. My breast reduction patients are amongst my happiest patients. After surgery my patients always say, "Why did I wait so long to finally have surgery?" These women feel less self conscious and feel prettier. They can wear the... more

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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.

Breast Reduction: Q&A