I'm 24, 5'8" and 180lbs. I'd like to lose 20lbs before getting a breast reduction to a C, but I've always been big busted. At least a D, even when I weighed 145 2 yrs ago. I just had twins 6 mo's ago so sagging is an issue too. Just wandering if a breast reduction will be ideal (thinking in terms of ins. coverage). I have very good insurance, but I know how difficult it can be to get these types of surgeries covered. I have had back pain since before I can remember as well as posture problems.
Answer: Breast Reduction Candidate?
Thank you for the question and pictures.
Based on your description you may be a good candidate for breast reduction surgery; it is one of the most patient pleasing operations we perform.
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 working with a well-trained/experienced board-certified plastic surgeon.
Best wishes.
Helpful 1 person found this helpful
Answer: Breast Reduction Candidate?
Thank you for the question and pictures.
Based on your description you may be a good candidate for breast reduction surgery; it is one of the most patient pleasing operations we perform.
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 working with a well-trained/experienced board-certified plastic surgeon.
Best wishes.
Helpful 1 person found this helpful
Answer: Breast Reduction Thank you for your question. Call your insurance company to find out your covered benefits. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!
Helpful
Answer: Breast Reduction Thank you for your question. Call your insurance company to find out your covered benefits. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!
Helpful
July 11, 2016
Answer: Breast reduction If you are unhappy with the size of your large breasts, and especially if they are causing you any back, neck or shoulder pain, you are a candidate for breast reduction (as long as you are in good health). It is great that you have a goal to lose some additional weight before the surgery. But like you said, you have always had large breasts, so it sounds like surgical reduction is the best option for you. From your picture it also looks like your breasts are different sizes, so a breast reduction can help make your breasts appear more symmetrical as well! You should consult in person with a board certified plastic surgeon who has special expertise in breast reduction surgery. At that time, the surgery coordinator at the office should be able to assist you in getting your insurance to cover your procedure, if it is medically necessary. Good luck!
Helpful
July 11, 2016
Answer: Breast reduction If you are unhappy with the size of your large breasts, and especially if they are causing you any back, neck or shoulder pain, you are a candidate for breast reduction (as long as you are in good health). It is great that you have a goal to lose some additional weight before the surgery. But like you said, you have always had large breasts, so it sounds like surgical reduction is the best option for you. From your picture it also looks like your breasts are different sizes, so a breast reduction can help make your breasts appear more symmetrical as well! You should consult in person with a board certified plastic surgeon who has special expertise in breast reduction surgery. At that time, the surgery coordinator at the office should be able to assist you in getting your insurance to cover your procedure, if it is medically necessary. Good luck!
Helpful
October 12, 2016
Answer: Breast Reduction: insurance candidate Thank you for your question and photos. From your pictures, it appears that you do would definitely benefit from a #breastreduction. The symptoms that you are experiencing are quite typical for a woman with large breasts. In addition to relieving the physical discomfort, we find that breast reduction also improves self image, allows for participation in various physical activities and it's easier to find clothes that fit.In general when the excessive breast size causes functional problems, #insurance will generally pay for #breastreduction if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck #pain, back or shoulder pain, hygiene difficulty, and breast pain. Many women that elect to have #mammoplasty, also will require a lift. The lift is part of the procedure at no extra cost. A #lift is necessary to ensure proper placement of the #nipples and can allow for areola reduction if needed. The best advise I can give you is to schedule a consultation with a Board Certified plastic surgeon who will be qualified to evaluate your current breast shape and volume. They will also be able to explain all of your options. Good luck!
Helpful
October 12, 2016
Answer: Breast Reduction: insurance candidate Thank you for your question and photos. From your pictures, it appears that you do would definitely benefit from a #breastreduction. The symptoms that you are experiencing are quite typical for a woman with large breasts. In addition to relieving the physical discomfort, we find that breast reduction also improves self image, allows for participation in various physical activities and it's easier to find clothes that fit.In general when the excessive breast size causes functional problems, #insurance will generally pay for #breastreduction if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck #pain, back or shoulder pain, hygiene difficulty, and breast pain. Many women that elect to have #mammoplasty, also will require a lift. The lift is part of the procedure at no extra cost. A #lift is necessary to ensure proper placement of the #nipples and can allow for areola reduction if needed. The best advise I can give you is to schedule a consultation with a Board Certified plastic surgeon who will be qualified to evaluate your current breast shape and volume. They will also be able to explain all of your options. Good luck!
Helpful
December 30, 2014
Answer: Breast reduction You don't have to be an excessively large size to get a breast reduction. As long as you understand the risks related to the surgery and all that it entails, as well as are mature enough to make an informed decision, then you are a candidate for surgery. It's best to achieve your ideal weight first. If the pain you're feeling is a result of your large breasts and this can be proven, then you may be able to get insurance to cover your surgery. Consult with a board certified PS who will examine you and make sure breast reduction is right for you. They will then help you get insurance approval.
Helpful
December 30, 2014
Answer: Breast reduction You don't have to be an excessively large size to get a breast reduction. As long as you understand the risks related to the surgery and all that it entails, as well as are mature enough to make an informed decision, then you are a candidate for surgery. It's best to achieve your ideal weight first. If the pain you're feeling is a result of your large breasts and this can be proven, then you may be able to get insurance to cover your surgery. Consult with a board certified PS who will examine you and make sure breast reduction is right for you. They will then help you get insurance approval.
Helpful
February 1, 2013
Answer: Prior Authorization Has To Be Complete Before Knowing if Insurance Will Cover Breast Reduction
Based on your pictures and symptoms, I believe you’re probably a good candidate for breast reduction surgery. Unfortunately, it's almost impossible to know whether or not an insurance carrier will cover the expense of this procedure until prior authorization is complete. Each insurance company has its own unique requirements and some companies consider breast reduction a contract exclusion. This means they won't cover it, even if you're a perfect candidate for surgery.
I believe you would benefit from this procedure in multiple ways. Breast reduction alleviates symptoms associated with breast enlargement, such as back pain, neck pain, breast pain, shoulder pain, and chronic rashes. It improves breast aesthetics by reducing the size of the breast, reducing the areola size, and lifting the breast into normal position. It results in improved self-esteem, self-confidence, and self-image. All of these benefits make breast reduction an extremely popular procedure with high satisfaction rates.
Helpful
February 1, 2013
Answer: Prior Authorization Has To Be Complete Before Knowing if Insurance Will Cover Breast Reduction
Based on your pictures and symptoms, I believe you’re probably a good candidate for breast reduction surgery. Unfortunately, it's almost impossible to know whether or not an insurance carrier will cover the expense of this procedure until prior authorization is complete. Each insurance company has its own unique requirements and some companies consider breast reduction a contract exclusion. This means they won't cover it, even if you're a perfect candidate for surgery.
I believe you would benefit from this procedure in multiple ways. Breast reduction alleviates symptoms associated with breast enlargement, such as back pain, neck pain, breast pain, shoulder pain, and chronic rashes. It improves breast aesthetics by reducing the size of the breast, reducing the areola size, and lifting the breast into normal position. It results in improved self-esteem, self-confidence, and self-image. All of these benefits make breast reduction an extremely popular procedure with high satisfaction rates.
Helpful