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What Do I Do? I Have a Extreme Case of Tubular Breast Deformity? (photo)

. I have a extreme case of tubular breast deformity. I have extreme depression due to my deformity. I'm waiting to see if my insurance will cover it. The lady in the office of where I went to get my consultation says she thinks it will not be covered. I can't live like this anymore. I really don't know what to do. Please help me

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12 Doctor Answers | Asked by shanna27 in usa

Doctor Answers (12)
Community Comments (2)

Breast Augmentation with Mini Ultimate Breast Lift for Tubular Breast Deformity

The best technique to correct asymmetry is to operate on both breasts. The left breast will need augmentation with implant and areola aligned to match the opposite side. If you are happy with the right breast volume then you may not need augmentation but you need a circumareola approach to adust areola positioning. Insurance does not cover cosmetic deformity and it will be an out of pocket expense. I recommend you use CareCredit. It is possible to change the... more

Unfortunately breast deformities aren't usually covered by insurance

Unfortunately, the breast surgery is not likely to be covered by insurance. However, there's no harm in pursuing it. There might be a chance that, with extensive documentation of the associated depression, the insurance company may reconsider as an appeal. That being said, the surgical cost with silicone implants (preferred method of correction) would likely be under $7K and there are MANY financing options out there. The interest rates are not that high. It might be the best money you... more

Insurance coverage for breast deformity

Thank you for your question. Unfortunately medical insurance companies do not consider the repair of a breast deformity as medically necessary, unless there is breast cancer involved. I have had many patients with similar breast deformity, and none of the repairs were covered by medical insurance. There are many cosmetic financing companies to chose from. And some terms with no interest attached to the loan. Also some practices will set up a "layaway"... more

Breast asymmetry

The abnormality/asymmetry is significant enough that in California state law would require coverage by your health insurance. I do not know about other states. Your posted photo shows a very small breast on the right with a small nipple to fold distance and a deflated drooping left breast. The left breast fold appears much higher than the right. The correction is difficult given the degree of asymmetry and the number of breast components involved. I do not think you will be able to raise the... more

Tubular breast deformity is not covered by insurance

Unfortunately, tubular breast deformity does not fulfill insurance criteria for functional medical necessity. I sympathize and understand how this affects your mental health. You can have surgery but it will be cosmetic. You can save up for apply for Care Credit to see if you qualify for patient financing.

Tubular Breast Deformity?

I leave the question mark in the headline, as I am not sure that this is a tubular deformity or not. The photo is dark and not much detail can be discerned. Without a side view, I can't see some things that would help put a name to the diagnosis. What is apparent is that there is marked asymmetry, with an underdeveloped right breast and a markedly sagging left breast. Surgery to enlarge the right breast and to lift the left breast will improve your appearance. While insurers... more

Tubular Breast

Yes, it appears that surgery is the right answer for you. The best result is usually a combination of breast implants and a lifting (mastopexy) procedure. The surgery would have to be customized to your body to achieve the best results. As for cost, this really is something that you would need to address with your insurance company and it may or may not be covered. Otherwise, there are options such as CareCredit for financing or going to a teaching facility where you... more

What Do I Do? I Have a Extreme Case of Tubular Breast Deformity?

First of all, thanks for the photo as it makes answering your question much easier. The short answer is that you can have nearly normal looking and symmetrical breasts and be very pleased with the results. The long answer is that there are multiple ways to go about this and you would need to consult with a very experienced surgeon in that type of surgery, so be sure you interview several in your area. In my practice it would involve a lift of the left breast with an areola reduction, and... more

A breast lift with or without implants is likely your best option.

Thank you for your question and the photo. A breast lift with or without implants is likely your best option. If you want the smaller side bigger, then you will need breast implants. To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.

Tuberous Breast Deformity

I am sorry to hear about your anguish. From the picture one can see you have a significant breast asymmetry. This can be improved by a bilateral breast augmentation and a mastopexy (lift) on the left. This will obviously leave more scarring on the left breast in comparison to the right but should help achieve fairly good symmetry. Make sure you consult with a board certified plastic surgeon who has experience in these kinds of cases. Good luck.

What Do I Do? I Have a Extreme Case of Tubular Breast Deformity? (photo)

Sorry for your feelings and genetic breast deformity. Though the posted photo is extremely under exposed, it appears as a significant breast asymmetry not a tuberous deformity. Your right breast is hypo plastic vs the left that appears grade IV ptosis. In my opinion based upon the very limited information posted and the poorly posted one photo I believe you will need a series of operations to achieve a "good" result. Plus I doubt any health insurance company will cover these operations. You... more

Correction of Severe Breast Asymmetry/Tuberous Breasts?

Thank you for the question and picture. I'm sorry to hear about the understandable “distress” your significant breast asymmetry causes you. As you probably know, the best way to achieve improved breast symmetry may be bilateral breast augmentation along with mastopexy (breast lifting) on your left side. I'm sure you are aware that the downside of breast lifting will be the presence of scars; the resulting scar on the more ptopic ( drooping) breast will likely be around the... more

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Comments (2)

shanna27 6 Sep 2012

I had a consultation and was told I have tubular breast deformity and would need a lift on the left side and reconstructive surgery and nipple re-positioning. My breasts are very cone shaped. I hate them I'm trying to get everything covered. I would also like a tummy tuck due to my 118 pound weight loss.

shanna27 6 Sep 2012

I already have researched everything and know what doctor I want. tI's just very expensive. I don't understand how my insurance company can get away with not covering a birth defect. All the money we pay for health insurance and they wont cover it?? Boggles my mind and I will fight them and bring them to court.

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