How many referrals for breast reduction showing the medical necessity would you recommend?

Hello,Every insurance plan has specific criteria for authorization of a breast reduction. Generally, they require proof of medical necessity over a period of time and documentation of all medical therapy that has failed (physical therapy for the back, analgesics, weight loss, etc.).  I  have found it beneficial to have multiple specialists (back, pain management, physical therapist and plastic surgeon) who can recommend this surgery as a means of treating your symptoms.  Of course some insurers also require a specific amount of tissue to be removed. Once the proposal and data (photos are often requested) are sent to your insurer, they will then determine whether your surgery is authorized.  Good luck!Warm regards,Dr, Pedy Ganchi                                                                                                                                                      Village Plastic Surgery

In most cases, one evaluation by a plastic surgeon should be enough for insurance approval. But it is up to you to check with your specific insurance plan. 

 Thank you for the question. This is a common question. If you have insurance and you are symptomatic; i.e. have neck, back and shoulder pain and you have documentation by your primary care physician, then I think you should try the insurance route. The plastic surgeon will submit all the information along with his examination findings. The insurance may approve the surgery or reject it. If the surgery was denied they will tell why it was denied.If you decide to pay for it, then you have to find a board certified plastic surgeon, this can be from the American Society of Plastic Surgery directory. Get a consultation, look at before and after photos and determine what you want.