Surgeon wants to move what she thinks would be the right amount, I asked her to remove what insurance says is necessary (Photo)

Thank you for your question and concerns. With all breast surgery, it is impossible to assure and predict exact post op bra size before surgery. As with any type of clothing, depending on the manufacturer, the letter or Cup size of the bra can vary greatly with any given patient from brand to brand. Thus, as PS we rarely promise and exact post op bra size, rather instead a range, while still keeping to the insurance requirements for tissue removal. Also, each woman's breast tissue volume to weight ratio can vary greatly based on the density of the breast tissue. That said if you do not trust the opinion of your PS, you can certainly seek a second opinion. But be sure to see a Board-Certified PS for your second opinion that does a lot of breast surgery. Also, just be aware that if you were approved for surgery by one PS, and you chose another, the entire process of obtaining authorization usually has to start again from the beginning.

Although I agree with your surgeon, go talk to another and see what he/she says. Your tissue will only support just so much weight. You did not show your breasts so I cannot be specific. However, stretched- out skin will not support heavy breasts.

Hello,Insurance companies often require a minimum amount of breast tissue to be removed during a breast reduction for it to qualify as medically necessary. Many insurers use a patient’s body surface area, calculated based on height and weight, to determine a proportional amount of tissue that should be removed. The “Schnur Sliding Scale” is a common reference chart that estimates required tissue removal based on BSA.Insurance companies also look for documented symptoms associated with macromastia (excessively large breasts), such as chronic neck, shoulder, or back pain, skin irritation, shoulder grooves from bra straps, and posture issues. Documentation of non-surgical interventions (e.g., physical therapy, weight loss) is often required to show that other treatments haven’t relieved these symptoms.Despite having symptoms, it is not always possible to remove the minimum requirement established by the insurance company safely. When I see patients for a breast reduction evaluation, I provide an estimate that in my opinion will likely provide the best aesthetic outcome while minimizing potential complications. If my estimate does not meet the minimum threshold provided by the insurance company, I advise the patient to proceed with the surgery cosmetically. I hope this helps.