Are there guidelines? Are there measurements? What’s this thing called the Schnur scale?
Answer: Breast Reduction The Schnur scale sets the amount of tissue to be removed for a breast reduction to be covered by insurance depending on a patient's BMI. Roughly 500 gm per side minimum is required for insurance coverage. Otherwise insurances consider these smaller reductions more as lifts and will not cover the procedures.
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Answer: Breast Reduction The Schnur scale sets the amount of tissue to be removed for a breast reduction to be covered by insurance depending on a patient's BMI. Roughly 500 gm per side minimum is required for insurance coverage. Otherwise insurances consider these smaller reductions more as lifts and will not cover the procedures.
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Answer: Reduction If your insurance company is covering the reduction, they will require a certain amount of breast tissue to be excised based on your height and weight. The more overweight you are, the more tissue must be removed to be covered. The guide insurance companies use is called the Schnur scale. If you are paying the costs yourself, you can request a certain size. However, your surgeon will want to leave some breast tissue behind to keep nipple function and sensation. Very large women with very large breasts may safely go down to D to DD cup size, where smaller ladies may safely go down to a C. Going down to A or B cups may require losing nipple sensation and function for enough blood flow is not present.
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Answer: Reduction If your insurance company is covering the reduction, they will require a certain amount of breast tissue to be excised based on your height and weight. The more overweight you are, the more tissue must be removed to be covered. The guide insurance companies use is called the Schnur scale. If you are paying the costs yourself, you can request a certain size. However, your surgeon will want to leave some breast tissue behind to keep nipple function and sensation. Very large women with very large breasts may safely go down to D to DD cup size, where smaller ladies may safely go down to a C. Going down to A or B cups may require losing nipple sensation and function for enough blood flow is not present.
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July 10, 2023
Answer: Breast Reduction Hello and thank you for your question. It depends on the desired result you are looking for and what will look best on your frame. If you are going through Insurance it will depend how many grams they require. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!
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July 10, 2023
Answer: Breast Reduction Hello and thank you for your question. It depends on the desired result you are looking for and what will look best on your frame. If you are going through Insurance it will depend how many grams they require. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!
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January 4, 2023
Answer: Breast reduction In practice, the following elements determine how much tissue is removed during an insurance-covered breast reduction: existing breast size, breast tissue density, patient goal size, and insurance minimum specimen weight. Surgeon skill and judgement is a critical part of this equation as well. Generally speaking, I spend the time to gain a detailed understanding of the breast size/shape my patient wants to achieve with surgery using before and after photos to guide discussion. The Schnur scale is a method for determining how much tissue should be removed during an insurance breast reduction based on body surface area. It is not a very useful tool for planning surgery except to the extent that it may influence the minimum amount of tissue to be removed to make sure your procedure is covered by your insurance plan.
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January 4, 2023
Answer: Breast reduction In practice, the following elements determine how much tissue is removed during an insurance-covered breast reduction: existing breast size, breast tissue density, patient goal size, and insurance minimum specimen weight. Surgeon skill and judgement is a critical part of this equation as well. Generally speaking, I spend the time to gain a detailed understanding of the breast size/shape my patient wants to achieve with surgery using before and after photos to guide discussion. The Schnur scale is a method for determining how much tissue should be removed during an insurance breast reduction based on body surface area. It is not a very useful tool for planning surgery except to the extent that it may influence the minimum amount of tissue to be removed to make sure your procedure is covered by your insurance plan.
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December 12, 2022
Answer: How do surgeons determine how much breast tissue is to be removed in a breast reduction? Hello, Thank you for the question. Based on what you are describing, it does sound that you have large/heavy breasts causing physical symptoms, and breast reduction may be an option for you. However, it is difficult to tell without seeing the photos and/or in person consultation. Schnur Sliding Scale is a scale used by many insurance companies as a guideline for how much breast tissue should be removed in order to improve your physical symptoms. In addition, most insurances in order to approve the surgery, will require for 2-3 letters of medical necessity (from your chiropractor, primary doctor, OBGYN, Dermatologist, etc) demonstrating that your physical symptoms due to large breasts are not improving with conservative management. The goal of breast reduction surgery it to make the breasts smaller and lifted, but also proportionate with the rest of your body. I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. I hope this helps.Best regards, Dr. Karanetz Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon
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December 12, 2022
Answer: How do surgeons determine how much breast tissue is to be removed in a breast reduction? Hello, Thank you for the question. Based on what you are describing, it does sound that you have large/heavy breasts causing physical symptoms, and breast reduction may be an option for you. However, it is difficult to tell without seeing the photos and/or in person consultation. Schnur Sliding Scale is a scale used by many insurance companies as a guideline for how much breast tissue should be removed in order to improve your physical symptoms. In addition, most insurances in order to approve the surgery, will require for 2-3 letters of medical necessity (from your chiropractor, primary doctor, OBGYN, Dermatologist, etc) demonstrating that your physical symptoms due to large breasts are not improving with conservative management. The goal of breast reduction surgery it to make the breasts smaller and lifted, but also proportionate with the rest of your body. I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. I hope this helps.Best regards, Dr. Karanetz Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon
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