Hi I am 23 and I am a 38DDD In most bras After having my daughter my boobs have lost all elasticity and are very heavy. If I wear a bra for even 30 minutes and take it off my boobs ache bad on the sides all the way to my arm pits. The straps to my bra dig into my shoulders and make it to where I can’t wear one from pressure. Also if I was to be able to get a reduction would they take the excess skin that causes them to be heavy and sag as well or would I be left with flat sagging breasts?
August 28, 2019
Answer: Coverage of reduction Candidates for breast reduction will typically have documented evidence of neck/back and shoulder pain as well as rashes and bra strap grooving attributable to the increased breast weight. They will often demonstrate that these symptoms have been resistant to more conservative measures like therapy, weight loss and pharmacologic intervention. In addition to establishing a case for medical necessity, there are also requirements for resection weight (when covered by insurance). This may be a standard "500 gm per side" stipulation or a more variable standard based upon body surface area/Schnur scale. It is important to realize that these weight requirements can occasionally exceed your goals for size reduction. Insurance coverage is contingent on these requirements being met, thus cosmetic concerns become secondary(i.e. cup size goals). Based on your narrative, you would seem to be a reasonable candidate. The absolute requirements from each insurance provider will vary but that being said your clinical narrative checks all the proverbial boxes. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Top 100 RealSelf Hall of Fame
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August 28, 2019
Answer: Coverage of reduction Candidates for breast reduction will typically have documented evidence of neck/back and shoulder pain as well as rashes and bra strap grooving attributable to the increased breast weight. They will often demonstrate that these symptoms have been resistant to more conservative measures like therapy, weight loss and pharmacologic intervention. In addition to establishing a case for medical necessity, there are also requirements for resection weight (when covered by insurance). This may be a standard "500 gm per side" stipulation or a more variable standard based upon body surface area/Schnur scale. It is important to realize that these weight requirements can occasionally exceed your goals for size reduction. Insurance coverage is contingent on these requirements being met, thus cosmetic concerns become secondary(i.e. cup size goals). Based on your narrative, you would seem to be a reasonable candidate. The absolute requirements from each insurance provider will vary but that being said your clinical narrative checks all the proverbial boxes. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Top 100 RealSelf Hall of Fame
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Answer: Breast Reduction Question Breast reduction surgery would include removing excess skin in addition to excess breast tissue. While one of the focuses of breast reduction is to relieve unwanted symptoms due to the heaviness of the breasts, overall aesthetics and attractiveness of the breasts are goals of breast reduction as well. Please let me know if you have any additional questions.
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Answer: Breast Reduction Question Breast reduction surgery would include removing excess skin in addition to excess breast tissue. While one of the focuses of breast reduction is to relieve unwanted symptoms due to the heaviness of the breasts, overall aesthetics and attractiveness of the breasts are goals of breast reduction as well. Please let me know if you have any additional questions.
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