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More recently insurance companies have classified condiions as either functional. This means they want to know if surgery will correct a functional problem. Since tubular breasts are not a functional issue, they tend to decline coverage. IF you want to know for sure, have your physician compise a letter of predetermination of benefits.
You would have to ask your insurance provider, however in general tubular breast correction with implants is not covered by insurance.
Hello! Thank you for your question! This is usually considered an aesthetic procedure to correct tuberous/constructed breasts, since there is no functional deficit from this...mainly cosmetic appearance. The standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift. These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae. These are the hallmarks of tuberous breasts. You could likely get great results with an implant and possible breast lift.Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations. S/he will then be able to examine and discuss the various options and assist you in deciding which option will be the right one for you. Hope that this helps! Best wishes for a wonderful result!
Insurance companies vary, so you may want to check your benefits before consulting with a plastic surgeon. However, it's likely that breast implants for tubular breasts will not be covered. Unfortunately, it's hard to get many things covered by insurance even though they may not be cosmetic. Good luck!
Hi Jaycee,Insurance companies typically do not cover surgery to correct tuberous/tubular breast deformity. Although it is a deformity and can affect self-esteem, it is not life threatening. Correction is performed to improve cosmetic results and is not considered medically necessary.That being said, surgery can make a huge difference in the appearance of the breasts and your self-perception. Surgery generally involves release the tight band at the base of the breast that causes the tubular deformity and placing an implant.Most board-certified plastic surgeons partticipate with third party finance companies that allow patients to pay for surgery over several months. Best of luck.
