1500 grams to be removed.

Unfortunately, each insurance company has their own criteria. Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.This procedure is commonly covered by insurance through insurance criteria are becoming more and more restrictive.

Many insurance companies want to be sure they're not paying for cosmetic procedures to they place minimums on the amount of tissue removed. I practice in Indiana and I'm not aware of any plans mandating 1500 grams be removed. 500, yes. 1500 gms is a huge reduction and I'd get a second opinion before proceeding. Good luck

Breast reductions are based on measurements and what is proportionate to your body type. Insurance numbers are not a guideline for medical treatment. I would recommend discussing with your surgeon and ask more questions about your surgery. An examination with evaluating your breast measurements such as the distance from your sternal notch to your nipple is very important.

First, I am sorry you had the experience you had as that is not typical for most plastic surgeons and a mandated 1500 gram reduction seems excessive. I would recommend you seek a second or even third opinion from other plastic surgeons in your area to review your concerns, perform an examination, explain the surgical and insurance predetermination procedures and make you feel comfortable in the process. We can help you with your weight issues as well as being in the best shape possible before surgery will lessen possible adverse issues. Good luck.

Your plastic surgeon should be able to help you "visualize what it will look like" through the use of before/after photographs. If your intuition is telling you that you are not in the right place, seek second opinion consultations. Keep in mind, that 1500 gram removal does seem excessive, beyond what most insurance companies require. Make sure you are also aware of the potential risks/complications, some quite serious, of undergoing breast reduction surgery at your  weight. Make your decisions carefully. Best wishes.