Is this asymmetry drastic enough that it would be potentially covered by insurance as a congenital breast condition?

It would be highly unlikely that insurance will cover any of your surgery. The technique I recommend is a lift using The Bellesoma Method on the larger breast and a modified Benelli lift on the smaller breast with fat transfer. I have done this on several patients with great results. Also, this avoids the use of implants which are not lifetime devices. These techniques avoid the vertical scar, maintain nipple sensation (in 95%) and the ability to breast feed.

Best Wishes,

Gary Horndeski, M.D.

Dear sugar_teeth,
based on your photos, it looks like you have a severe asymmetry but it is unlikely that insurance will cover the costs of your surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

If one is under 18 insurance MIGHT cover it but I would make sure you get preauthorization. And you should be prepared with a full price quote either way so you know exactly what you might end up paying. Fat grafting may enhance left breast but it will take several sessions at least.

Thank you for sharing your question and photographs. I would not expect insurance to cover any aspect of surgery to improve symmetry. The lift, as you mentioned, would not be covered and the only way to increase the size of the left would be through a lift or rounds of fat transfers, neither of which would be covered.

Plastic surgery is not deemed medically necessary and therefore it is unlikely that insurance will cover correction of your asymmetry. In order to improve the asymmetry you can consider a breast lift and implant to the smaller breast or both if you would like more volume overall. See a board certified plastic surgeon near you to learn more.

I believe your problem may be solved by performing a Breast Lift with a small implant on the Right side, and an Augmentation on the Left side with a much larger implant..The insurance coverage may be difficult in the present time, but it certainly does not hurt to submit a request...Good luck and hope you get the Surgery..It will make a big difference...