Do insurance companies cover revision for breast reduction?

I am so sorry that you aren't happy with your results. First, wait at least 6 months before considering breast reduction revision surgery. Then, yes, seek a consultation with another board certified plastic surgeon in your area to discuss your options. Then, call your insurance company and see if they would cover and if so, what exact criteria would need to be met. Best, Dr. Nazarian

Thanks for your question. First I am sorry that your results are not what you expected. Occasionally this is the case but there is hope. I have treated a number of patients who have come with uneven or under-reduced breasts after reductions elsewhere. Most of the time (probably about 75%) I have been able to get insurance to cover the revision. The important things to consider are the functional limitations and symptoms/signs that persist. Just as the initial procedure is considered a surgery to address pain, difficulty with hygiene, and skin issues, one needs to demonstrate that at least some of these issues persist. This requires careful documentation from your primary care physician, a list of medications used to treat pain and rashes, an estimate of the additional resection weight of breast tissue needed to achieve the desired result and photographs. Essentially, it will be the same insurance pre-certification process you went through initially. Many if not most breasts are asymmetric naturally and many remain so after surgery. Asymmetry of this degree alone will not likely qualify for revision. I recommend to my patients that we wait at least 3 months before considering revision. This will allow the tissues to stabilize and the inflammation to resolve. The revision will be easier and less risky after 3 months. Hope this helps.Good luck.