Reduction Plus Agumentation?

Thank you all so very much for the info. that I truly need the ver./full lift. I appreciate all of your comments. I have another ? Is it possible to have my breasts reduced and have implants? I don't just want a reduction because I prefer the look and "perkiness" of implants. Plus, I've heard implants hold up better. Also, my pal at work had insurance pay for her reduction. Could I get my insurance to pay for the reduction portion and pay cash for all costs associated with the breast implants?

Doctor Answers 11

PHOTOS: LARGE breasts treated with reduction and implants

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You should first meet with a surgeon and have a predetermination of benefits letter submitted to your insurance carrier. Based on miscellaneous cirterai they will either conditionally approve or disapprove the surgery. You can then establish a payment plan wiht your surgeon regarding the uncovered portion of the procedure.

Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Breast lift, breast augmentation

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A combination of a lift  and an augmentation is a very common procedure. A small reduction of the existing breast tissue can be performed at the same procedure when indicated. In that case, the implant is being used as a shape preservation device, not for increased breast size or volume. The implant preserves the upper pole fullness that is generally lost fairly quickly when lifts are performed without an implant. Insurance dose not cover these procedures. For a breast reduction to be covered by insurance, a very significant down-sizing of the breast has to occur.

Patti A. Flint, MD
Scottsdale Plastic Surgeon

Breast Reduction with Implants

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It is very possible to reduce the volume of your breasts (which as they age tend to concentrate volume at the bottom) with the replacement of volume (through an implant) at the upper aspect of the breast.  A reduction/lift alone does not achieve what a implant can in terms of shape and upper pole fullness.  As for insurance coverage, you would need to discuss the details with your surgeon and provider as there are specifics that you need to meet to be approved.  Paying for elective cosmetic procedures at the time of insurance based procedure is possible, however.

Best of luck

Vincent Marin, MD, FACS

La Jolla Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 52 reviews

Breast Reduction with Implants to Maintain Volume

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Yes a lift with or without reduction and implants are a great combination. Unless you are preapproved for a breast reduction (usually 500 g or more which your photos don't seem to support) with multiple documented functional problems it will be difficult at best for insurance to cover this procedure.

Breast Reduction plus implants??

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You want a breast augmentation-mastopexy, a LIFT with implants.  Reduction is the opposite of augmentation, and NEVER are the two indicated at the same operation.

Steve Laverson, MD
San Diego Plastic Surgeon
4.9 out of 5 stars 50 reviews

Options for breast lift and augmentation

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Since your breasts are only excessively long and not heavy you would most likely not qualify for a breast reduction.  You have a generalized lack of upper pole fullness.  It would be worthwhile for your to consider a breast lift with a breast augmentation otherwise you will not be left with much upper pole fullness.  It would be possible for you to have a vertical type lift, an shifting of the ptotic breast tissue creating an auto-augmentation effect without the use of an implant.  If you are happy with the current size of your breasts, when in a bra, then this would be a second option.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Doubtful this would be covered by Health Insurance

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Hello, While I can see how this might make sense to you, it is a case very likely to be denied by health insurance adjusters leaving you with a large liability. I would encourage you to just call this what it is...a full breast lift plus implant operation.   Best Regards,   John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon

Breast reduction combined with breast implants

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It is true that breast implants will give the breast a firmer fill and a supported rounder upper fill. The problem with the logic is that reduction and placement of a breast implant is no longer breast reduction, but a breast lift and augmentation. True, insurance will provide coverage for breast reduction in many cases and you can complete your reduction (and the lift reduction provides) if benefits will apply, though you probably should wait until after the reduction to decide if you even need the implant at all.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Reduction and lift

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If you wnat  more volume , you would need a lift and an implant placed to fill the breasts out.  Insurance will not cover this surgery.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Reduction with Implants Might Constitute Insurance Fraud

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Although you certainly could undergo an augmentation with mastopexy (it sounds as if this is indicated to take care of your concerns), all of the costs should be self-paid.  To have your insurance company pay for a reduction to correct symptoms of too heavy breasts and then add the weight back with implants would, in my mind, be a form  of insurance fraud.  I would be concerned about the ethics of a surgeon willing to do this.

John Whitt, MD (retired)
Louisville Plastic Surgeon

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.