Not going to lie this is mainly for my appearance but also for health reasons.I do weight about 165 lbs currently and I saw my primary doctor who told me I needed to lose some weight and see if the would help. When I saw my primary I was almost 180 lbs and losing the 10-15 pounds did nothing for me. I've been reading into it a lot and I do have the dents in my shoulders from my bras. I do tend to feel uncomfortable doing anything active and I do experience back and neck pain.
Answer: Reduction Candidate? Candidates for breast reduction will typically have documented evidence of neck/back and shoulder pain as well as rashes and bra strap grooving attributable to the increased breast weight. They will often demonstrate that these symptoms have been resistant to more conservative measures like therapy, weight loss and pharmacologic intervention. This is needed for insurance coverage. In addition to establishing a case for medical necessity, there are also requirements for resection weight (when covered by insurance). This may be a standard "500 gm per side" stipulation or a more variable standard based upon body surface area/Schnur scale. Insurance coverage is contingent on the meeting the requirements (which will vary) for establishing a case for medical necessity. Based on your narrative, you would seem to be a reasonable candidate for reduction. I would recommend reaching a stable weight before proceeding. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Verified Member RealSelf Top 100 RealSelf Hall of Fame
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Answer: Reduction Candidate? Candidates for breast reduction will typically have documented evidence of neck/back and shoulder pain as well as rashes and bra strap grooving attributable to the increased breast weight. They will often demonstrate that these symptoms have been resistant to more conservative measures like therapy, weight loss and pharmacologic intervention. This is needed for insurance coverage. In addition to establishing a case for medical necessity, there are also requirements for resection weight (when covered by insurance). This may be a standard "500 gm per side" stipulation or a more variable standard based upon body surface area/Schnur scale. Insurance coverage is contingent on the meeting the requirements (which will vary) for establishing a case for medical necessity. Based on your narrative, you would seem to be a reasonable candidate for reduction. I would recommend reaching a stable weight before proceeding. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Verified Member RealSelf Top 100 RealSelf Hall of Fame
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April 3, 2020
Answer: Do I meet the requirements to get a breast reduction? 19 years old, 5'0", 36 DDD, 165 lbs BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by medical insurance. If not, your medical insurance provider may try to deny you based upon a lot of things such as weight, lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed. Read your medical insurance certificate of coverage. Determine what medical information is required for your medical insurance provider to issue a pre-authorization or predetermination of benefits for BR surgery. Then seek consultation with a board certified plastic surgeon who can evaluate your medical condition, discuss the pros and cons of this surgery as it applies to you, determine the amount of tissue to be removed, and help you in completing the paperwork required by your medical insurance provider.
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April 3, 2020
Answer: Do I meet the requirements to get a breast reduction? 19 years old, 5'0", 36 DDD, 165 lbs BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by medical insurance. If not, your medical insurance provider may try to deny you based upon a lot of things such as weight, lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed. Read your medical insurance certificate of coverage. Determine what medical information is required for your medical insurance provider to issue a pre-authorization or predetermination of benefits for BR surgery. Then seek consultation with a board certified plastic surgeon who can evaluate your medical condition, discuss the pros and cons of this surgery as it applies to you, determine the amount of tissue to be removed, and help you in completing the paperwork required by your medical insurance provider.
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April 3, 2020
Answer: Breast reduction through insurance Thanks for your question! It really depends on your insurance company and their requirements. I would start by reaching out to them and seeing what they say. Then, they may be able to refer you to someone in network that can help you. Good luck!
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April 3, 2020
Answer: Breast reduction through insurance Thanks for your question! It really depends on your insurance company and their requirements. I would start by reaching out to them and seeing what they say. Then, they may be able to refer you to someone in network that can help you. Good luck!
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April 3, 2020
Answer: Breast reduction There is evidence that complications of breast reduction are more common in women who weigh more trhan 80kg. Your recent weight loss has brought you into this group. It is important that you achieve a weight that you will maintain. Some women lose weight after surgery and then the beneficial effects on breast shape may be lost - so lose any weight you are going to first.
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April 3, 2020
Answer: Breast reduction There is evidence that complications of breast reduction are more common in women who weigh more trhan 80kg. Your recent weight loss has brought you into this group. It is important that you achieve a weight that you will maintain. Some women lose weight after surgery and then the beneficial effects on breast shape may be lost - so lose any weight you are going to first.
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April 2, 2020
Answer: Breast reduction can improve symptoms and appearance For my patients, we recommend that they are at a stable and reasonable weight prior to breast reduction. But sometimes, patients lose weight but their breasts don't go down in size. This happens because women have different proportions of breast tissue and fat in their breasts. So if breasts don't go down with weight loss then there might be a lot of dense breast tissue. If they have the other symptoms of neck pain, back pain, bra strap grooving and meet the insurance requirements for gram removal then sometimes insurance will pay for it. It is best to meet with a board certified plastic surgeon for an evaluation.
Helpful
April 2, 2020
Answer: Breast reduction can improve symptoms and appearance For my patients, we recommend that they are at a stable and reasonable weight prior to breast reduction. But sometimes, patients lose weight but their breasts don't go down in size. This happens because women have different proportions of breast tissue and fat in their breasts. So if breasts don't go down with weight loss then there might be a lot of dense breast tissue. If they have the other symptoms of neck pain, back pain, bra strap grooving and meet the insurance requirements for gram removal then sometimes insurance will pay for it. It is best to meet with a board certified plastic surgeon for an evaluation.
Helpful