I need to have a partial lumpectomy. Can I combine two surgeries into one? Could it be cover by my health insurance? (Photo)

Question

I have a large fibroadenomas in my left breast and a small one in my right breast. I had a procedure once before to even the left breast with the right breast and it did not turn out so good. I already had a procedure schedule before the fibroadenomas grew and are now being recommended to be removed.

Ram Kalus, MD, FACS · Answer

Unfortunately the photos you provided are of limited angles such that it is difficult to provide you with precise or specific recommendations. A board certified plastic surgeon is generally able to advise you as to the best options to achieve a symmetrical outcome, but a breast (general) surgeon will generally be the type of surgeon who would remove a fibroadenoma in most cases. Most plastic surgeons today who perform reconstructive breast surgery work in coordination with general surgeons and it might be wise to coordinate your surgery between a general breast surgeon and plastic surgeon. From your description it seems likely that your insurance company should cover such a procedure, but the proper precertification process would need to take place to be sure. Best of luck to you.

Daniel Barrett, MD · Answer

Dear elizabethk25,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tom Tracey Gallaher, MD · Answer

Hello, I wanted to follow up on the question that you asked back in February. Were you able to get in to see a plastic surgeon? Also, in regards to insurance, your plastic surgeon should be able to submit a pre-cert or authorization to your insurance company if he feels the procedures are medically necessary.

I need to have a partial lumpectomy. Can I combine two surgeries into one? Could it be cover by my health insurance? (Photo)

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