Need Breast Reduction, Over BMI, What To Do?

Question

My breasts are so big that they hurt my back and I am unable to exercise. I am going to be seeing a new dr. My old dr referred me for a breast reduction surgery and the plastic surgeons at UW refused both times. They gave the excuse that I am over the BMI. What do I do?

Ronald J. Edelson, MD · Answer

You probably don't fit into the insurance company's criteria for them to pay for the surgery at your current weight.  Believe me, however, if you really want it done and are a reasonable candidate, you will be able to pay for it as a cosmetic procedure out of pocket and have no problem finding a surgeon to do your surgery.  Expect the cost to be $8000 to $10,000.  It sounds like do your question you are overweight, but not frankly obese.

Scott C. Sattler, MD, FACS · Answer

The insurance companies use antiquated BMI based tables to determines if a patient is eligible for breast reduction surgery. Surgeons know that higher BMI patients (>30) tend to have more surgical complications.

	If you think you are a good breast reduction candidate, and don't want to wait on an insurance company to 'approve' the procedure, then consider paying for this life-changing operation out-of-pocket. Several of my patients have done exactly that, and have told me that it was the best money they ever spent.

George Marosan, MD · Answer

Thank you for your question. You do not give your height and weight, age or any other medical problems, which go into the decision who is a good surgical candidate. We do breast reductions on patients who have higher than normal BMI's. It is a catch 22, to have large breasts that prevent you from exercising, yet everyone expects you to exercise and lose weight prior to surgery. You need to see a board certified plastic surgeon for an in person consultation and evaluation. Good luck.

Steven Wallach, MD · Answer

If you are severely overweight, then it is a good idea to lose weight first.  Being very obese can impact  safety as well.

Mennen T. Gallas, MD · Answer

In all elective surgery the first concern is that it is safe for you to undergo the planned procedure(s).  BMI is part of that determination as is the rest of your medical history.  If the surgeons you visited feel that it is unsafe for you to have the surgery you need to consider ways to bring that your weight down.  Exercise does not have to consist only of running.  Eating a balanced diet and engaging in a modified exercise program can be very beneficial.  Good luck to you.

Need Breast Reduction, Over BMI, What To Do?

Answers (8)

Answer: BMI and breast reduction

Answer: BMI and breast reduction

Answer: Safety is #1

Answer: Safety is #1

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Everything you need to know about Breast Reduction

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Need Breast Reduction, Over BMI, What To Do?

Answers (8)

Answer: BMI and breast reduction

Answer: BMI and breast reduction

Answer: Safety is #1

Answer: Safety is #1

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Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.