How do I go about getting tuberous breast corrective surgery covered by insurance?

Question

my whole life I have been confused about my breast shape. I recently discovered I have tuberous breast. they cause me so much discomfort and insecurity I would love to get them fixed however cannot afford it and I would like to get it covered by insurance. I’m aware that it is unusual but I do know that there are some cases that have been able to. I’m 19 and only have state insurance. who do I ask about furthing this journey my pedi?

Leila Kasrai, MD, FRCSC · Answer

Tuberous breasts are characterized by an indistinct breast fold, constriction of tissue around the nipples and possible nipple/areola puffiness. Typically, correction of this is not covered by insurance since it is considered to be for aesthetic purposes only. However, you can check with your primary care physician to make sure.

Ronald J. Edelson, MD · Answer

I doubt insurance will cover this surgery. A residents clinic at a university might be a good option to limit costs

Daniel Barrett, MD · Answer

Dear Imaginative238418,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

How do I go about getting tuberous breast corrective surgery covered by insurance?

Answers (3)

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