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POSTED UNDER Breast Reduction REVIEWS

40 Years Old, 5'4" 143lbs., 32G - Finally doing this!!! - Aliso Viejo, CA

ORIGINAL POST

Hello everyone, I've been on this site for a few...

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Chloe610
WORTH IT
Hello everyone,
I've been on this site for a few weeks now, and decided to finally share a little bit about myself. Like most of you, my breasts began to grow when I was young, in 5th grade. I can't recall what sizes I wore at certain points in my life, but I'm pretty sure I was a full C by 8th grade. The teasing and taunting was unbearable for me, and many days I would come home from school crying not wanting to go back. High school was easier, maybe because I developed a thick skin, or maybe because I wasn't one of the only girls with a big chest anymore. Of course I still got rude comments and a lot of unwanted attention, but I think I was so used to it at that point, it was easier to ignore. I never played sports because it was uncomfortable and I felt awkward. And running? Never.
I've never had a problem with self confidence, but I've always been insecure about my breasts, if that makes any sense. I have done my best to hide them, wearing minimizers and layering clothes. I have curves, and it's difficult to find tops that don't make me look 20 lbs. heavier or matronly. Sigh. What I would give to wear thin straps, or strapless maxi dresses!
I turned 40 this year, and I feel that I'm at a point in my life to finally do this. I've thought about breast reduction surgery for almost 10 years, and in that time I had consultations with 3 different surgeons. The first was in 2007. My insurance denied it. I went back to the same surgeon a couple years later when I had different insurance, and they required 6 weeks of documented treatment (physical therapy, chiropractor) which I did not have, and couldn't afford to do at the time. Surgeon #2 was in 2011 and ended up being out of network. I think I didn't pursue it because surgery is scary to me. I have never had surgery, ever!
So now here I am with surgeon #3. He told me right off the bat that my insurance wouldn't even consider my case unless I had 3 months of PT. So I did it. I just finished my PT last week and saw my surgeon this morning. He took photos to submit to my insurance, and said he isn't worried about me getting approved. He said we have everything the insurance requires, and that I'm a strong candidate for the surgery. On the flip side of that, he did warn me that he's submitted cases he felt were a sure thing that got denied by insurance. He said if that were the case, we will appeal. It's just a waiting game at this point. I hope 3rd time's a charm! I really like my surgeon, and am hopeful that I will finally get to do this.

Chloe610's provider

Michael Payne McConnell

Board Certified Plastic Surgeon

Replies (8)

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August 6, 2015
Best Wishes!!! If your surgeon's office informed you of when the were going to send the paperwork, I'd call the insurance to confirm that they got on it. I've heard of people calling every day. HOPING you get approved! Our stories/size/age are similar. Oh... this was my very first surgery too.
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August 6, 2015
Thank you! I wouldn't have even thought to call my insurance to verify that they received it. My surgeon said he was going to submit it that day (Monday). He also told me that Aetna has a committee that meets twice a month for reviews, so I may have an answer as soon as a week, or a little longer in about 3 weeks depending on which meeting they review my case. Now that I've gotten this far, I'm trying to be patient. But it's hard! Just really hoping for an approval.
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August 18, 2015
Anxious for you!
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September 26, 2015
Hi Chloe. I have not submitted to my insurance for approval, but my doctors say I have a good chance of getting approved by my size, rashes under my breasts, bra strap grooving and upper back pain. I'm hoping! I have medicaid for insurance. What insurance do you have? Do you think I havea good chance of getting approved by my insurance? God Bless
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September 27, 2015
Hi Mollie! I have Aetna insurance. I don't know anything about Medicaid, but if your doctors think you have a good chance, that's great! My surgeon told me he wasn't worried about me being approved, and he was right! In my opinion, I think the key in getting approved is documentation by the surgeon and the photos, of course. My surgeon's scheduler told me that my surgeon is very good with his insurance submission paperwork, and that he really fights for his patients when it comes to the insurance companies. I think it's really important to have a surgeon that's an advocate for the patient. Have you had your consultation yet? I wish you the best, and I'll say a prayer for you! :)
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September 27, 2015
I had my first visit with the nurse practioner. My next appointment with the surgeon is Oct 12 if I can get down to 200 lbs by then. Hopefully I will be able to be approved. This appointment he is going to take pictures and measurements. Thank You for saying a prayer for me. God Bless
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December 17, 2015
What size are you now?
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December 24, 2015
I don't know exactly what size I am right now because I'm only wearing medium sized sports bras. I think I may be a DD, but I am still swollen. My surgeon told me after my surgery I should end up a full C, or small D once all my swelling goes down.
UPDATED FROM Chloe610
3 months pre

Waiting, and more waiting...

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Chloe610
Today is 2 weeks since my consultation. I decided to call Aetna today just to confirm that my paperwork was received, and if any additional documentation was needed. After a 20 minute phone call (most of it on hold), I was told they haven't received anything. I then called my PS's office to follow up, and was told that the girl who submits the paperwork for the doctor is on vacation, and if I had been in during the last 10 days (which I had), then my paperwork hasn't been submitted yet. Most likely the first day of her vacation was the day of my appointment. Of course.
So now I must wait for her to return, and even then I have no idea how long it will take, given that she probably has a ton to go over once she gets back. I was so over being on the phone at this point, I forgot to ask when she got back from her vacation.
If I'm approved for this surgery, I don't plan on scheduling it until November or December, so waiting for the surgery itself isn't so much the issue. What is driving me crazy is that I want to go shopping! I need new bras and tops, but I've been holding off because I don't want to waste my money buying big sizes if I'm fortunate enough to have this surgery!
I want closure, too. This is the closest I've come to doing it after wanting it for over a decade. I just want to know if I'll be free of this weight and back pain, or if I have to resign to the fact that I'm stuck with these ginormous boobs for the rest of my life.
Okay, I know I'm whining. It's only been 2 weeks. But I'm back to square 1 knowing that nothing has been submitted yet. I just need patience. God please give me patience. And small boobs.

Replies (3)

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August 19, 2015
Ugh.... How horrifically frustrating!!!
September 25, 2015
Ohmigosh! I am here in Orange County too and my surgery just got scheduled for December 10th as well- i have to be there @ 6am. Okay the hard part for me now is to not chicken out- this is too long to wait! Best of luck with yours- I am with Kaiser and oddly, I got approval the day I went to the PS.
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September 26, 2015
Hi neighbor! You are so lucky to have received your approval so quickly! The waiting nearly drove me insane! I have to be at the hospital at 5:30am (which is brutal), but the woman at my PS's office said, "you don't have to worry about being hungry from fasting all day, and you really can just roll out of bed and come to surgery" haha. I'm not really nervous yet. I think I'm still in shock that it's actually going to happen. But I know that will change the closer I get to the surgery date. Best of luck to you, too! Crazy to think we'll be going through it at the same time!
UPDATED FROM Chloe610
3 months pre

Tentative surgery date!

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Chloe610
Yesterday I received a call from Julie, the scheduler at my PS's office. She was so nice. She called to touch base with me, and apologized for the delay with my paperwork while she was on vacation. She assured me that she had submitted all my documents to my insurance and told me we should have an answer in about 2 weeks. Because my surgeon wants me to stay overnight in the hospital, she said my surgery will be on a Thursday. She asked if I'd like to go ahead and schedule a date because Thursdays book up fast. So I chose Thursday, December 10th at 7:30am (which means my check-in time at the hospital is 5:30am-ah!). We also scheduled my pre and post- op appointments. I can enjoy Thanksgiving and have 2 weeks of recovery under my belt in time for Christmas. Part of me thinks I'm crazy for scheduling between holidays, but we shall see! Now I just continue to wait, and keep my fingers crossed that I'm approved so I can keep my date!

Replies (2)

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August 31, 2015
Congrats - that is exciting!!!
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September 1, 2015
Thank you! I'm still scared that my insurance will deny it, but I'm hoping for the best!