Breast reduction surgery gone wrong - 18 months post-op. (photo)

Question

for any surgeon. i had breast reduction Nov 2015. it went wrong. tissue started dying. 3 months of hyperbaric for infection. left with scars, disfigured, breasts not symmetrical, nipples inverted. will health insurance cover revision without any cost to me. surgeon retired.

Paul Vitenas, Jr., MD · Answer

Thank you very much for your question and
photograph. I’m sorry to hear that you are dealing with severe complications
following your breast surgery. A revision breast augmentation will be able to
provide a significant improvement in the appearance of your breasts. However,
whether this is covered by your insurance will depend on your individual
policy. I recommend scheduling an in-person consultation with a board certified
plastic surgeon. At this time, he/she can perform physical examination to
determine the exact set of techniques needed for your revision procedure.
Additionally, the office can assist you in determining if this surgery is
covered by your health insurance.

Andrea Marando, MD · Answer

I am sorry to hear that you suffered major complications after your breast reduction and that therefore the cosmetic result is disappointing, requiring further surgery. I agree with Dr Pousti that the best and more appropriate way to proceed now will be for you to see a qualified, experienced plastic surgeon to evaluate your choices and chances of success with secondary surgery. Best of luck.Andrea Marando, Manchester, UK

Tom J. Pousti, MD · Answer

I am sorry to hear about the complications that you have experienced after breast reduction surgery. Online consultants will not be of specific help to you when it comes to whether or not your insurance company will cover revisionary surgery.
Your best next step is seeking consultation with a board certified plastic surgeon who can demonstrate lots of experience helping patients with revisionary breast surgery.  He/She could potentially help you interact with the insurance company.Communicate your concerns/goals with your plastic surgeon. Working together you can come up with a good plan to improve your outcome.Best wishes.

Lawrence Bundrick, MD (retired) · Answer

It could be possible for insurance to cover revisions for breast reduction surgery. It all depends on your specific coverage. The first step would be to find a board certified plastic surgeon who accepts your insurance and whom you would feel comfortable with. His/her office would then send a letter and pictures in to your insurance requesting approval. You will more than likely have some out of pocket expense depending on your personal deductible.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Hello and thank you for your excellent question. Based on your photos, I suggest that you consult with a surgeon to revise your reduction. There are a number of options available to you, including scar revisions, breast lift, fat grafting, and/or implant augmentation. Preoperative visualization and surgical simulation with the Crisalix system may help with your decision. Any treatment plan should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck!

Best,
Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Best,
Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

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