Is a breast reduction from a 34DD to a 34B plausible with insurance? (photos)
Doctor Answers 8
Is a breast reduction from a 34DD to a 34B plausible
Yes, it is possible to reduce the breasts size very significantly. The concern with the amount of tissue removed is related to blood flow to the remaining tissue; if too much tissue is removed in one operation the blood flow to the remaining tissue (including nipple/areola) may be compromised. Part of the tissue that is left in place is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola tissue. If the pedicle is made too small (in the effort to reduce the breasts as much as possible) then patient will likely have problems with tissue survival. My best suggestion: seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. This careful selection of plastic surgeon will be the most important decision you make.
Before undergoing the breast reduction procedure it will be very important to communicate your size goals with your surgeon. Most patients wish to achieve a enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso. I suggest that you do not communicate your goals in terms of achieving a specific cup size. For example, a “B cup” may mean different things to different people and therefore may be a source of miscommunication. In my practice, I ask patients to communicate their goals with the help of goal photographs. I hope this, and the attached link/video, helps. Best wishes.
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#BreastReduction - Is a reduction from 34DD to 34B plausible with insurance?
There are two different issues: (1) insurance coverage and (2) what should be done in your best overall interest.
Insurance coverage is a long and complicated topic. Each insurance company is different, as are their requirements for obtaining coverage. In general, the larger the breasts are RELATIVE to your overall size, the greater the likelihood you can get approval. The same size breasts on someone who is 5' 2" and weighs 115 pounds would be likely to be covered while on someone who is 5' 2" and weights 165 pounds, or 5'6" and 150 pounds for example, might not. Most companies require documentation of the failure of conservative methods of treatment (physical therapy, weight loss) and a low enough BMI (Body Mass Index) before authorizing payment for this surgey.
On the other hand, it may not be a good idea to have surgery based on the insurance company's mandate. A real B cup may be too small for you (depending on what you like) and/or may have an unfavorable shape (sometimes the shape is more important than the absolute size).
You should have in-person consultations with several board-certified plastic surgeons in your area and go over what you'd like done. Then listen to what their recommendations are and take it from there. They can (normally) help you navigate the approval process.
I hope that this helps and good luck,
Dr. Alan Engler
Member of RealSelf100
Insurance coverage for breast reduction
Insurance and Breast Reductions
Call your insurance plan and find out the requirements to get approval for the procedure.
For more information, read my book " Cosmetic Breast Surgery - a complete guide from A to double D".
Insurance coverage of breast reduction
Many insurance companies calculate a minimum that they require to remove in order to cover based on different formulas. Therefore it is best to see a plastic surgeon for a consultation. This way they can examine you, look into your benefits and discuss with you what your options are given where you are today, your goals and the requirements of your insurance company if they cover this specific procedure. Hope this helps and best of luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.