1000g breast reduction from insurance? (Photo)

Question

I previously had a consult done and the surgeon went through The insurance process (Aetna). It was denied due to their minimum requirements being 1000g removal for each breast. The surgeon was only willing to perform 750g each. Is it worth it to get a 2nd/3rd opinion to see if I can actually get 1000g removed? My breast tissue is quite dense. I'm not worried about having smaller breast at all. What could they potentially look like if I'm currently at 36H?

Scott C. Lindsay, DO · Answer

Aetna has very strict requirements. 1000g is A LOT of breast volume. It would be extremely difficult to leave you with an attractive breast after trying to remove that much tissue. It might be worth pursuing the surgery out of pocket with some good financing options. Best of luck!

Camille Cash, MD · Answer

There is never anything wrong with getting a second opinion (or even a third) when considering surgery.  What you want to be cautious of is to listen to each surgeon's opinion and not "shop" for the one who will deliver the answer that you want.  Hearing varying professional thoughts though is a good idea, just be sure to visit with board certified plastic surgeons.

Gary M. Horndeski, MD · Answer

At size 36 H, each 200 grams removed corresponds to 1 cup size change.  1000 gram removal would take you down to a size C which may be disproportionate to your body.  The technique I recommend is The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  This technique is not covered by insurance.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Calm110310,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Finny George, MD · Answer

Hi, thank you for sharing your question. A large reduction can be done but may leave you smaller than you wish. A cup size is hard to predict and your surgeon may have been trying to make sure you are not too small after the surgery. It is hard to say based on photos alone but second or third opinions will be helpful.

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1000g breast reduction from insurance? (Photo)

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