Am I Eligible for a Breast Reduction?

I am 17, 5'2, 120lbs, and 34D. Am i eligible for a reduction? And can i get it covered by insurance? My back and neck are always sore not to mention headaches all the time. I wear baggy cloths a lot to try and cover the size of my breasts and swim suit shopping always ends in tears because of them. All i want is to be physically and emotionally happy, but its hard with my unproportioned body. Insurance is the only way possible for the surgery to happen if eligible.

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14 Doctor Answers | Asked by Kaley22121 in Wisconsin

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Breast Reduction for Teenager

It sounds like you are dealing with juvenile breast hypertrophy along with the physical and psychosocial consequences of this diagnosis. In other words, the breasts are too large for the frame causing both physical and psychological distress. It sounds like you have done your homework and understand the potential risk and consultations associated with breast reduction surgery. You also understand that further surgery may be necessary in the future (for example if the breasts were... more

Insurance and Breast Reduction

First find out if your insurance has an exclusion for breast reduction, unfortunately many do these days. Most that do cover the procedure require a minimum of 500 grams to be removed from each breast. In most cases that would be a DD. However you are small in relation to your breasts, so as long as you have parental approval, you need to have a consultation with a Board Certified Plastic Surgeon who can help you seek pre authorization for your surgery. If you get turned down,... more

Breast Reduction and Insurance Coverage

Hi Kaley22121, Each insurance company is different and, not surprisingly, it is become harder and harder to get insurance companies to pay for this procedure. In general, though, they will cover the procedure if you can show that removing the indicated amount of tissue (more on that below) will be likely to alleviate certain specific symptoms. First, then, you have to have those symptoms. Typically they would include neck, back and shoulder pain, bra strap grooving and/or intertrigo... more

Questions regarding a breast reduction in a 17 year old

You have several very good questions and concerns that need to be sorted out. First of all, being a minor at 17 you would need permission from your parent(s)/guardian to proceed with surgery. You can be made smaller via a breast reduction. Whether it is "necessary" or will improve your appearance and self esteem is unclear. You must also consider the scars that would eventuate from the surgery and whether or not the trade off would be worth it. Insurance coverage varies... more

Breast Reduction

Because you are a minor, discuss your concerns with your parents. A consultation with a Board Certified Plastic Surgeon would be the first step in determining if you are a candidate for this procedure. A letter from your Primary Care Physician will also be beneficial in obtaining approval. Insurance companies will also ask about conservative therapies such as losing weight (which you do not need to do), trying a wide strapped bra, etc. Your parents should also... more

Will insurance cover my breast reduction?

Kaley, you ask an excellent question. I perform several breast reductions a month and have become quite dismayed at how insurance companies completely control the process. The truth is that each insurance company has different criteria and some plas have exclusions. Without consulting with a plastic surgeon and submitting to insurance for pre-determination, you may never know. Good luck

Breast reduction may be covered by insurance.

This is a reasonable request. The minimum age for surgery without a parent or guardian is 18. Unless you are an emancipated minor. You can get a letter of predetermination from your insurance company to see if the procedure may be covered. In some cases and depending on the insurance company, they will cover it because it is causing you physical pain and distress. see video

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Eligible for breast reduction?

From what you describe, you may benefit from a breast reduction and it may be covered by insurance. The next step would be to see a Bard Certified plastic surgeon for a consultation.

Breast Reduction Surgery Requires Predetermination Letter For Potential Insurance Coverage

Insurance coverage for breast reduction requires a predetermination letter to be sent by your plastic surgeon with specific qualifying information. Your height, weight, breast cup size, history of medical symptoms associated with your large breasts, what non-surgical treatments have been attempted, and how much breast tissue in grams is to be removed is the needed information. This letter, complete with photographs of your breasts, will be submitted for their review. They will then... more

Breast Reduction in Teen

It sounds as if you would be a good candidate for a breast for a breast reduction with your breast size and symptoms. Although there i a good bit of variation among insurers and some policies have an outright exclusion for reductions, your reduction would likely be covered if you are willing to go to a B/C cup range. Discuss this with your parents and your physician.