23 with 40K Breasts. I Weigh 220lbs. Because It Hurts to Exercise. Would I Qualify for Reduction? (photo)

Question

5'4" BMI of 38. I've tried exercising and gain weight(last 6 months and gained 20 lbs) although I lost 5 inches in my waist. It hurts to exercise.I pay for it in the following days with migraines and pain. Exercising seems to make them grow. I'm not happy with my weight, but I feel as though I can support the weight on my chest better when I am bigger. Would I qualify for a reduction? If not, what would I need to do in order to qualify? I don't have insurance and would pay out of pocket.

Stefan Mark Szczerba, MD · Answer

You seem to meet criteria except that your weight is above 200lbs. You will likely meet criteria for insurance coverage. Since you don't have insurance, seek out a board certified plastic surgeon. Best Wishes!!

Vincent N. Zubowicz, MD · Answer

From the picture it looks like you would benefit dramatically from a breast reduction. It might also facilitate additional weight loss. Nevertheless, the insurance company will need to be consulted about the provisions for coverage.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. There is no doubt in my mind that you will be an excellent candidate for breast reduction surgery at some point. As you may know, this operation is one of the most patient pleasing operations we perform.

	Best to achieve a long-term stable weight prior to proceeding with surgery. Although I understand the difficulties you experience with exercise, you may be best off seeking “consultations” with your primary care doctor ( rule out medical issues such as hypothyroidism), personal trainers, nutritionists etc.

	 As you know, achieving a long-term stable weight prior to proceeding with surgery will decrease risks associated with the breast reduction procedure and help minimize the chances that additional surgery will be necessary subsequently.

	When the time is right, seek consultation with board-certified plastic surgeons. Ask to see lots of examples of their work and communicate your goals clearly. You may find the attached link helpful to you as you learn about the procedure's details.

	Best wishes.

Steven Wallach, MD · Answer

You certainly are a candidate for a breast reduction. It is best to go for a consultation to discuss your goals.  Good luck.

Kevin Tehrani, MD, FACS · Answer

You are a good candidate for breast reduction. You would need to be seen by a board-certified plastic surgeon and likely medical necessity can be established. You would also need to have A medical work up to make sure that you are optimized for surgery by your medical doctor.

Alan M. Engler, MD, FACS (retired) · Answer

Maybe.  You would certainly benefit from having a breast reduction - it would help you achieve exactly what you mentioned (inability to exercise), in additional to the typical relief of neck and shoulder and back pain.  I think it would provide a significant improvement in the quality of your life.

	That being said, obtaining insurance coverage is a separate issue.  Each insurance company has its own criteria for "coverage" and you'll need to contact the insurance company and your surgeon to see if you are eligible.  You may need to lose some weight first, even though it looks like you would benefit from the surgery even as you are now.  That, however, is the way it is with insurance company coverage for a surgical procedure such as this.

	I hope that this helps and good luck,

	Dr. E

23 with 40K Breasts. I Weigh 220lbs. Because It Hurts to Exercise. Would I Qualify for Reduction? (photo)

Answers (6)

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