18 years old with a 42F cup size that is accompanied by severe pain. How can I get a breast reduction?

I am 18 years old with a 42F cup size that is accompanied by severe back, neck, and shoulder pains, and shortness of breathe. I have tried tirelessly to lose weight specifically in the chest area, however I have found it to be very painful. I have been to a surgeon and was told that I was an exceptional candidate. I have previously been denied for a breast reduction. Is there anything that I can do to prove that this is not a cosmetic surgery and that it is really causing me significant pain?

Doctor Answers 6

How can you get a breast reduction?

 I am very sorry for your dilemma. I would recommend that you see a primary care  physician to document your back pain, shoulder grooving and large breasts. Additionally, there should be documentation that non-surgical  treatments that were rendered were unsuccessful. At that point you can be referred to a board-certified plastic surgeon for evaluation for breast reduction and hopefully insurance coverage. 

Most insurances will pay for breast reduction

If you want your breast reduction paid for by insurance, simply call the office of a board certified plastic surgeon, and let them know your intentions. If they perform this type of work under insurance (which many do), they will walk you through the process of getting pre-approval. This usually involves an exam and breast measurements, a history of your syptoms and pictures taken to send to the insurance company. Then, if apporved, your surgery can be perfromed as medically necessary.

David Rankin, MD
Jupiter Plastic Surgeon
4.9 out of 5 stars 154 reviews

Breast reduction

Thank you for your question. Sometimes conservative measures like wide bra strap, physical therapy and may be chiropractor, Just need to say they tried and it did not work and will get benefit from reduction for symptoms. Good luck

Breast Reduction

Than you for your question. Most board certified plastic surgeon's preform these procedures regularly for your symptoms, and most often the surgery is insured. We have little control over the way insurance policy's are written. Persistence, documentation, and patients, should yield prior approval from most carries.
  

Breast reduction coverage

The denial should have stated a reason. Most insurers are denying everyone under age 18 because of the likelihood of subsequent breast development, not to mention that any denial keeps money in their pockets.  You have omitted your weight which could be a basis for denial and have not provided any information as to whether you have attempted conservative management.  Review the insurance guidelines online.  Also, I have treated many women who did not pass preauthorization because their surgeons did not advocate strongly in their behalfs. Good luck!

Breast reduction candidate, some advices:

Thank you very much for sharing your concerns with us.

After having analyzed all the information provided to us, i can realize that you have very large breasts for your height and weight, and they are responsible for the back and shoulder pain that you has.
In the future may cause permanent osteo-articular damage in the back and shoulders and skin problems (mainly under the breasts).

For these reasons we should consider performing a breast reduction surgery on you.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 174 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.