Breast reduction + lift options? Back and rash problems

Question

I'm 39 years old, 38DDD+ with back and rash problems. I've had a few reduction + lift consults with one looking into insurance. Insurance would cover but requires min 575g of tissue on one side and 675g on other (to make them even), follows the schnur scale. This would be about 2/3rds of my chest. Seems like A LOT! With no insurance, the price is $13-16k in greater Boston. My husband says to go smaller since they will get larger as I age so just go thru insurance. I'd rather have flexibility...

Johanna D'Agostino, MD · Answer

Significant pain and rashes are usually indications for a breast reduction. If your symptoms are not tolerable, surgery could provide improvement or resolution of your symptoms and a better quality of life. Unfortunately, insurance and not your surgeon will determine the gram required for coverage. Based on the composition of your breast (fat vs glandular tissue) a reduction of 675gr may still leave enough breast tissue and achieve the desired cosmetic results. However, to properly determine this, a detailed physical exam performed by a board certified plastic surgeon is needed. Good luck!

Camille Cash, MD · Answer

From your description it sounds like you would benefit from a breast reduction procedure.  An examination is needed to determine if the removal amount required by insurance is realistic for you in order to have a good result.  I encourage you to visit with a few board certified plastic surgeons to hear opinions.

Alan Gonzalez, MD, FACS · Answer

Hello @realselfuser40397 thank you for your question. When making the surgical plan all aspects are taken into account, including future aspects. Improving the volume will not only have good results with the weight load that the back assumes. Also through a proper surgical technique you can obtain an anatomical and aesthetic shape that allows you to have volume and aesthetic symmetry. For more information and recommendations it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Scott C. Lindsay, DO · Answer

Thanks for your question! That choice is yours, of course. If you are comfortable with the insurance requirements, proceed that way. If you'd rather have control and flexibility, you should consider proceeding cosmetically. Good luck!!

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Breast reduction + lift options? Back and rash problems

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Breast reduction + lift options? Back and rash problems

Answers (9)

Answer: Breast reduction

Answer: Breast reduction

Answer: Bellesoma Breast Reduction

Answer: Bellesoma Breast Reduction

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Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.