Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

18 Year Old In Pain - Bend, OR

UPDATED FROM Ren5115
1 month pre

Quick Update

Ren5115
$8,000
Ok, so this is going to be a really quick update (I'll explain more in the next post), but I have my consultation with a plastic surgeon in about two hours! There's been a lot of crazy/bad things that have come up in the past week so I decided to cancel my appointment a few days ago due to what has come up. But after talking with my mom she wanted me to call the plastic surgeon's office back and see if I could set up another consultation. Well I found out this morning that they ended up not canceling my appointment! Which I'm insanely happy about because now I don't have to wait another month and a half for a consultation. But now I'm really worried because I'm afraid that I'll forget to ask him (the surgeon) something since I originally though that I wasn't going to be able to see the surgeon. I'll start making a quick list now! Wish me luck!

Replies (0)

UPDATED FROM Ren5115
3 months pre

Primary Appt.

Ren5115
Hey everyone! I've been back in America for a little over a month now and I've had so much to do since returning, but I just scheduled an appointment with a primary doctor about an hour ago! She (the doctor) had an opening for tomorrow, but my mother couldn't make it so I scheduled an appointment on the 27th of this month! Since I turned 18 while I was overseas, I had to find a new doctor for 'adults' and schedule a new patient appointment. I'm a little worried that she won't even listen to anything about a reduction because of my age (let alone that I'm bringing up a reduction on my first appointment with her), but I guess I won't know until the appointment day. Wish me luck and I'll keep you updated!

Replies (2)

User Avatar
September 14, 2016
Welcome back! When i separated from the U.S. Navy in 2012, i had to find a new doctor and at my first apt i brought up my breasts being heavy and wanting a reduction. The earlier you document it the better, in my opinion. Not sure who you have insurance through, but i have Anthem Blue Cross and Blue Shield. When i first got my denial, and it was only because they didn't wait for my medical documentation or put any medical info in the request, I'm not fully sure. But i called and spoke with my case manager and she said just showing I've been wearing the correct bras for at least 3 months, that alone would have approved me! I've been getting professionally fitted since 2008! I went through some torture this year because i thought you needed at least 3 months of physical therapy, chiropractor something to prove that nothing works and the pain is caused by the girls. Nope, just one of a list of many things, one being the bras! Crazy,but in the end i was approved and I'm a little over a month post-op now. If you check out my profile, i have my consult and pre-op questions, take a look at them. Use them as they are or a guide to make your own, but make sure you being questions when you start your consults. Wishing you the best in the start of your journey!
User Avatar
September 14, 2016
Correct bras for 3 months without relief*... sorry i missed the extra words...
October 17, 2016
How did your appt go?
UPDATED FROM Ren5115
5 months pre

Questions on Insurance

Ren5115
So I am returning to the States next week after my year abroad (so many mixed feelings). But I am excited because that means that I can finally start trying to peruse a breast reduction, however I feel like my mother has started to become unsure about me getting one mainly because of the whole insurance process because I feel like she doesn't really understand how to start applying for a reduction. I've tried sending her information about how to start the 'application process' (i.e. go to your primary care doctor and tell them you want a breast reduction) and that your doctor (if they think you're a good candidate) will help put your case together and send the documentation and everything off to your insurance company, but I still feel like she doesn't understand the whole process. Reading what plastic surgeons here on RealSelf have said, usually you need to have experienced back/neck/shoulder pain (all of which I do), indentations in your shoulders due to your bra, have gone to physical therapy for three(ish) months to help show that your back/neck/shoulder pain is not due to weak muscles, etc. to help get approved. Before I left America last August, I had been going to physical therapy for 6-8 months to help strengthen the tendons in my knees (from past injuries), but my physical therapists ended up adding exercises for my shoulders and back due to the pain that I experience in them. I'm hoping I can use that to my advantage during the application process, but we'll see. Anyways! I was wondering if you wonderful ladies could share with me how exactly you started your breast reduction process (for insurance to help cover) and that whole process if that makes any sense. What were the 'requirements' for your insurance company to cover your reduction, how much of the surgery did they cover, what was your 'starting size', how long did you have to wait, were you rejected, etc. This could help me so much if you're willing to share! Thank you so much ladies!

Replies (2)

July 27, 2016
I got a letter of medical necessity from my GYN sent to the plastic surgeon. My GYN also sent me for therapy, even though I had been in the past. I discussed my pain issues with the therapist who also noted that I couldn't do any more to reduce the pain. I got medical records from the chiropractor and the therapist sent to the plastic surgeon. The pa office had me write a letter as to why I felt I needed the surgery for the insurance company. I'm a 32g/h with assemetry. I'm 5'9" and 160. I was approved in a few weeks. Good luck!
July 27, 2016
That ps not pa
July 27, 2016
Hi, I have Cigna insurance in November of last year I spoke to my doctor about a reduction. She sent me to get a neck x ray to show that my neck pain was not skeletal. She documented and told me to use heat/ice and call her when that didn't work to send me to physical therapy. I was traveling in December do I called her in late January to send the referral for PT. I did 10 sessions of physical therapy for my back neck and shoulder pain. At this point I called my GP again and got a referral to see a surgeon, he took pictures and noted my shoulder indentations. My doctor, physical therapist and surgeons wrote letters and sent everything off to insurance. I was approved two weeks later. I had to meet my deductible but after that surgery was covered. My biggest fear was that I would be denied becauseof weight I'm 5'4 and 180 but my breasts were a 34G and I was approved. Had my surgery last week and I feel amazing!!!!!!