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Dr. Stroup is fantastic

UPDATED FROM Rayna775
2 months post

Can't even believe this is happening to me. Has anyone else had this issue?

Rayna775
WORTH IT
So I got my reduction on April 27th. I was pre-approved by insurance (Anthem) and thought everything was good to go. I had the surgery according to my insurance guidelines, and am extremely unhappy with the result (although, my surgeon did an excellent job). I'm way smaller than I wanted to be and have been really having issues adjusting and accepting my new shape. My surgeon said he took out the exact amount required by insurance. However, insurance is NOW refusing to pay and claiming that the surgery was cosmetic and not medically necessary. I'm sick to my stomach. Not only am I stuck with much smaller breasts than I originally asked for, but now I have to pay for the surgery despite being pre-approved?! I've never heard of such a thing! Has this happened to anyone else? I have Anthem insurance. When I called, they actually called my Dr.'s office to confirm that it was medically necessary. They said they will re-submit the claim and see what happens. Please, has anyone had this experience? I'm really depressed...

Rayna775's provider

Robert Stroup, Jr., MD, FACS

Robert Stroup, Jr., MD, FACS

Board Certified Plastic Surgeon

Rayna775 rating for Dr. Stroup:

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Replies (2)

August 12, 2015
Oh my gosh! I'm so sorry this happened to you. Has the insurance issue been resolved? I'm looking into getting my own BR and want to go through my insurance but not if they will renege on their approval. Did they give a reason for taking it back and considering it as cosmetic all of a sudden?
August 18, 2015
Hello! Thank you for your comment. No, it has not been resolved. To my understanding, they are legally able to do this without explanation. All they keep repeating to me is that it was not considered medically necessary. I actually feel very violated that I changed my body according to their regulations and then they did this to me. What an awful experience this has been. I would just recommend that you do some research on tour insurance company before you go ahead with surgery. From what I understand, it's extremely rare that they do this, so it's not likely that you will have the same issue. Best of luck to you!
October 11, 2015
Thank you. I had my consultation Friday, so now waiting to hear back from the insurance company.

Best of luck to you as well!
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October 25, 2015
I just stumbled upon your review! I'm terrified of the same thing happening to me...but for different reasons! I worry that my surgeon didn't remove enough and that insurance is going to deny the claim. How has the process been for you? I know it's a annoying having us all ask, but it's a unique situation. Hoping for the best for you!
UPDATED FROM Rayna775
18 days post

First period after surgery...

Rayna775
So I've been pretty emotional lately about my small size. However, I've noticed within the last few days that my boobs were rounding out a bit and looking much more voluptuous (and frankly, quite a bit larger!) I've been so happy I can't stop staring at them and wondering why j was so upset with them a few days ago. Then it dawned on me....I got my period. So, my happiness has turned back to sadness. How's that for an emotional roller coaster?! To those of you who have experienced this before, are my boobs just temporarily larger because of my period or are they just filling out more since I'm about 2.5 weeks out from surgery. Don't want to get my hopes up if these puppies are going to majorly shrink back down next week. Help!

Replies (2)

May 15, 2015
I've read that much of the swelling is in the chest area, not the breasts themselves. One woman thought that she didn't have anything left at all and panicked when the doctor said it was swelling. Then the chest swelling went down and her breasts began looking larger - then she was much more pleased with them. I hope you will find the same with yourself. Give it time!
May 15, 2015
That definitely helps. Thank so much!
May 20, 2015
Hi, how are things going now?
May 21, 2015
Hello! Thanks for checking! I'm still getting used to the size. I'm loving the perkiness and the way they look, but really find myself wishing for a bit larger size, just to feel like myself. I'm slowly getting used to it and am thrilled with my job my surgeon did, just wishing I held my ground on the size and waited until I could pay out of pocket instead of allowing an insurance company decide. I'm the one that has to live with my body, not them! All in all, I'm ok. Thank you again for asking about my progress!
May 22, 2015
Glad to hear it! I'm the opposite of you - I wish he had taken more, although as time passes I may end up being smaller.
UPDATED FROM Rayna775
14 days post

Having major buyer's remorse

Rayna775
I'm feeling a little emotional today, which I know from reading all the reviews that that is normal, but I'm majorly regretting my decision to have insurance pay for my surgery. When I went in for my consultation, I said that I wanted a full C or a D in order to keep my proportions. Then my doctor submitted a request to my insurance company, which got approved easily. However, when I showed up for surgery (didn't have another appointment in between consultation and surgery), my doctor informed me that I would be a B after surgery. I told him I wasn't comfortable with that, but I was literally already in the hospital all ready for surgery. Sure enough, I'm a B and I absolutely hate it. I don't feel like myself and feel way out of proportion. I'm hoping this feeling is temporary, but I majorly regret having an insurance company dictate what I do to my body. Wish I would have saved up for a few years and made my own decision.

Replies (2)

May 15, 2015
I am 5'8, 183 pounds and a size 38H. My doc says with my frame he would take me to a D, which I kept thinking is too small. My concern is that I've been a big chested gal all my life and that it's part of my identity. After going back and forth about it in my head and reading different reviews that many woman will go up a cup size after their surgery I decided that a D cup would be proportionate to my body, and if I ever feel like I'm lacking in the boob department (which is a crazy thought looking down at these big knockers!) then I can always get a padded bra. I'm sorry you're not happy and I fully understand your frustration. However, you sound like you're petite and I imagine that a B cup would be proportionate with your body. Give it time. I also hear that many women get very emotional and may have regrets about it in the beginning. I wish you the best and hope you will learn to love your new breasts and the new wardrobe that comes with it.
May 15, 2015
Thank you so much for your kind words! It has been emotional, but as you said I've realized that there are still options for me if I really decide I want to be a bit bigger. Best of luck to you with your surgery and recovery!
May 10, 2018
I had my reduction 5/5/2018, when you go through insurance you have no choice, to get approved with Athem they use a formula and based on the results the surgeon is required to remove a certain amount of breast tissue. This is why some patients are dissatisfied with the outcome of smaller breast but the surgeon is meeting the requirements for payment by the insurance. This is why it's so important that patients understand how much tissue is being taken off each breast and convert that to pounds. I will be lad to answer any questions