Would I be eligible for a breast reduction covered by OHIP? (Photo)

Hello and thank you for your question.
The best thing to do is to call your insurance company. Ask if Breast Reduction surgery is a covered benefit and what criteria you need to have to have it covered. Best wishes!

Unfortunately,
you have not told us your bra size. 
Frequently, insurance companies require certain amounts of volume
removed.  The technique I recommend is
The Bellesoma Method.  This will 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 are maintained.  Dr. Mahmood Kara in Toronto performs this
technique.  Best Wishes,Gary Horndeski, M.D.

 I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Dear teesmithers,it is hard to tell for sure without an examination. There is a chance that your surgery will be covered by your insurance. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I wish I could give you a yes or no answer but I can't.  Many insurance companies use something called the schnurr sliding scale which takes into account your height and weight to determine how many grams need to be resected from each side, and even then requires additional letters and photos.  Speak to a plastic surgeon in your area and then decide.  Good luck, Dr. Schuster in Boca Raton Florida.

Dear Tee,Hello and thank you for your excellent question.  You should be evaluated for a No-Vertical-Scar breast reduction technique. There are a number of no-vertical scar breast lift techniques, but my preferred technique is the Bellesoma Breast Lift technique. Our technique provides an exceptional breast lift, upper pole fullness, relief from neck and back pain, and no vertical breast lift scar. It uses a woman’s OWN breast tissue to produce an internal suspension technique, without the need for a breast implant. It does not disturb the nipple, areola, or breast glands, so sensation and the ability to lactate is preserved. It uses 3D scanning of your breasts and body to design a procedure specifically designed for YOU, and you alone. Finally, for patients who desire breast enlargement, it can be combined with fat grafting. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

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