I’m 18, 5’6”, 118 lbs, size 32DD. Would I qualify for a breast reduction? (Photo)

Question

I have a lot of back and shoulder pain. If I stand or sit up straight for too long I get a lot of back pain. I also feel extremely uncomfortable in bathing suits, finding bras, and just clothes in general. I feel really uncomfortable all the time both physically and emotionally.

Stephen M. Krant, MD, FACS · Answer

You are an excellent candidate for a breast reduction. All of your complaints about pain, discomfort, should grooves and probably inflammation under your breast crease.
I would do a McKissock type reduction, inferior pedicle blood supply. Presentation of the nipple sensation is very important, as is the possibility of breast feeding at a later date.

Gary M. Horndeski, MD · Answer

At size 32, each 100 grams removed corresponds to 1 cup size change.  Insurance companies usually require a minimum of 500 grams removed, which would take you down 5 cup sizes resulting in very small breasts.  I recommend The Bellesoma Method to reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction.  Vertical scars are avoided, nipple sensation and the ability to breast feed.  Best Wishes,Gary Horndeski, M.D.

Miguel Delgado, MD · Answer

If you mean would you qualify for insurance coverage, it is possible. Most insurance companies require that 500 grams of breast tissue need to be removed, and that usually equates to a DD cup. Also, they will want to know what you have tried to alleviate your symptoms, i.e. special bras, physical therapy, analgesics, etc. See a board certified plastic surgeon who will help you obtain pre-authorization for your surgery. Good luck.

Edwin C. Pound, III, MD · Answer

I assume you are asking if you would qualify for insurance coverage for your breast reduction.  Insurance companies look at two things when considering coverage:  1. the amount of tissue to be removed.  By my calculation, you would easily qualify on this score.  2. Functional issues related to the size of your breasts.  You have already outlined a few problems that you are having as a result of large breasts.  I think that you would be an ideal candidate for a breast reduction procedure and I see no reason that you would be turned down by your insurance company.

Ralph Trey Aquadro, MD · Answer

Based on your symptoms and photograph, you may qualify for a breast reduction.  Every insurance plan has different criteria for determining who qualifies for breast reduction. I recommend you find a board certified plastic surgeon who is in network with your insurance plan and schedule a consultation.  He or she should be able to tell you if you qualify based on your insurance plan.  You could always do a reduction as a self-pay or cosmetic procedure as well.Best,Trey Aquadro, M.D.Auburn, AL

Thomas Trevisani, MD · Answer

From your limited photo- it appears that you would benefit from Breast Reduction/Lift. I recommend that you seek an in person exam/consultation with an experienced Board Certified PS

Erik Miles, MD, FACS · Answer

Based on your photograph, you appear to be an excellent candidate for breast reduction. Of course to get it covered by insurance you need to meet some specific criteria. In general you need to have documentation of conservative attempts to relieve your symptoms. There’s also a breast tissue minimum that must be excised based on your height and weight. Based on your picture, the weight requirement will be made easily.  You also have to ensure that your insurance policy covers breast reduction surgery.  In my office, we provide you with your policy requirements and go over everything with you. If you do not qualify through insurance there is an option to do the surgery as a cosmetic procedure. Based on your photograph, you should get an excellent result. Breast reduction surgery consistently has a very high satisfaction rate. You live close to my office and I would be happy to see you and consultation.  Best wishes to you!

Scott C. Lindsay, DO · Answer

Hi and thanks for your question.
Reach out to your insurance company to see if breast reduction surgery is a covered benefit under your plan, and what the guidelines are. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

J. Garrett Harper, MD · Answer

So you have a couple things going on that are adding to your issues.  The first is the size of your breasts and the second is the asymmetry- both of those things will get resolved with a breast reduction!  Find a surgeon that you connect with and that can deliver the beautiful results that you deserve.  You should expect nothing but an outstanding result and I'm excited for you- this surgery is life-changing!!  Hope this helps.  We aren't far from you in Charlotte.-JGH

Tom J. Pousti, MD · Answer

Thank you for the question. Based on your description and pictures, you may be an excellent candidate for breast reduction surgery (even though you are starting with relatively  aesthetically pleasing breasts). This operation tends to be one of the most patient pleasing operations we perform. 
“Typical” patients who present for breast reduction surgery are women who have disproportionately large breasts, causing problems such as neck/back/shoulder discomfort, postural changes, bra strap grooving, skin irritation/rashes under the breasts, and/or difficulty with activities of daily living and/or exercise etc. There may be both physical as well as psychosocial “stress” caused by the disproportionately large breasts. Patients considering breast reduction surgery should also consider the potential downsides (risks/complications) associated with the procedure as well. Poor scarring, for example may be associated with the procedure.  Additional surgery may be necessary in the short or longer term for a multitude of reasons.
Best to seek consultation with board-certified plastic surgeons who can demonstrate significant expense achieving the types of outcomes you will be pleased with. Then it will be very important to learn about the pros/cons/risks/complications associated with breast reduction surgery. After you go through this consultation process you will be able to make an informed decision whether or not to proceed. Best wishes with your decision-making.

I’m 18, 5’6”, 118 lbs, size 32DD. Would I qualify for a breast reduction? (Photo)

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