What can I do if the surgeon didn't remove enough breast tissue for insurance?

Removing breast tissue for a breast reduction is sometimes a judgment call.  The surgeon may have felt that removing any more may have caused an adverse problem.  To remove anymore now may be done by direct excision or liposuction. You may have to consult your insurance company.

as many companies have a fudge factor where if you're close, its good enough.  But is 314 close enough to 360?  As for not removing a minimum, usually such scenarios are covered in the pre-op discussion.  If your surgeon is a newbie, then its the wisdom learned with experience.  If your procedure is denied due to the low resection weight, your options are somewhat limited.

The weight requirement that most insurance companies use, to which you refer, is based on the Schnur sliding scale.  It is based on a patient's body surface area, and is used by insurance companies mostly to deny authorization or payment for breast reduction surgery.  This scale is widely used by insurance companies, but is not based on any scientific evidence.  These weight requirements will not predict whether or not a patient will have functional relief of symptoms following breast reduction surgery.  For these reasons, the American Society of Plastic Surgeons is opposed to the use of this scale by insurance companies.  How much tissue removed is a judgement call.  It is often based on what looks good relative to the rest of your body, safety, and any pre-operative discussions about expected post-operative size.  Sometimes you don't know beforehand whether the weight requirement will be met.  My advice would be to discuss these issues with your plastic surgeon and ask him or her to write an appeal letter.

Unfortunately both you and your surgeon are in a difficult situation and may not get reimbursement.  They have given he and you no option but to appeal -> Good LuckDr Corbin