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POSTED UNDER Breast Reduction REVIEWS

20 YO, 145 Lb, 5'3 with 34H Breasts Applying with BCBS

ORIGINAL POST

Hello everyone. This site has been so useful and...

millhann6226
WORTH IT$20,400
Hello everyone.

This site has been so useful and meaningful to me over the past few years. I have wanted a breast reduction for years and I have been waiting for the right opportunity. This past year I got a better insurance plan that doesn't specifically exclude breast reductions (like my last one). I also should have enough conservative treatment under my belt to have a compelling case. I have tried chiropractic adjustments and massages, multiple medications, physical therapy, and lost 25+ lbs with no improvements with my back pain.
I have been waiting for months for a plastic surgery consult because the surgeon my physician recommended within my health network was on maternity leave. I finally have my consult in one day! I cannot wait. Although I don't know what they will say, it's hard to believe that they won't support my claims that my breasts are too large for my frame.
Insurance is my only way to do this conserving that I (and my SO) are both college students. I can't possibly cover the expenses without help from health insurance. My college schedule also restricts my ability to schedule the surgery. I'm basically restricted to summer break, maybe winter break if I'm lucky.
I experience so much discomfort due to my large breast size. It effects my work life, schooling, relationship, and ability to exercise. I honestly want them to be gone and as small as possible!
I am planning to document my journey in hopes that it will inspire or comfort someone else. I rarely see people who are as young as I am, with as large of a gap between weight and breast size.

millhann6226's provider

Sewit Amde, MD

Board Certified Plastic Surgeon

Replies (2)

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July 8, 2017
Hi there, I'm glad you are doing so well. I am 2 days post op today. What kind if pillow is that you made? Thanks
July 9, 2017
It's meant to be worn over your chest. I used it in the car and when I slept (I have small pets that like to crawl all over me) to protect my boobs!
UPDATED FROM millhann6226
1 month pre

Consult was a success!

millhann6226
I met with doctor Amde. She was extremely friendly and knowledable. We went through patient history, did measurements, and found where I would be on the Schnur Scale. I came out in between 1.7 and 1.8. This means I would have to have about 410 g removed from each breast for insurance to cover the procedure. She estimated that she'd like to remove between 400 and 450 g for me, so I meet the requirements! Dr. Amde stated that she beleived I wouldn't have an issue receiving insurance coverage. The only hiccup is that I have 2 insurances currently through my divorced parents and it could cause confusion when applying. I should hear back in the next 3 weeks!
If I get an approval I am hoping to squeeze a surgery in before I resume school at the end of August. Due to my clean medical history and age she believes I should have a speedy recovery.
Now that I have the hope of getting the surgery I know I will be crushed if I can't get coverage.
Fingers crossed for a quick approval! Wish me luck.

Replies (9)

May 4, 2017
I'm in the same boat as you. My claim was submitted on Tuesday to BCBS--I have records galore and a letter of recommendation from my chiro. I will be devastated if denied. Prayers for both of us!
May 6, 2017
Fingers crossed!!! My PS surgeon said that she hasn't had any issues with getting people approved with BCBS using the Shnur scale. She said if you are over the required amount of tissue to be removed that she doesn't even usually submit a report of conservative treatments. Because they usually cover it!
May 6, 2017
My approval came in Thursday night! Surgery is may 16! So close! I hope yours comes fast too!
May 7, 2017
Wow. That's amazing!!!
How long exactly did it take for you to get the approval?
May 7, 2017
She sent it in on Tuesday morn and it came in approved Thursday night!
May 9, 2017
I got my approval today at work. Almost started crying! My surgery is June 21st. Good luck with your surgery! It's so close. I will continue to post on here.
May 9, 2017
So happy for you! Yay! I have 8 days and counting!
June 7, 2017
I feel your pain - 23, 5'4, with a size 32J and only a small window this summer before grad school. I literally don't even have a torso anymore, and I get daily headaches - makes studying very difficult. May I ask what size your PS said he/she'd be bringing you down to? I'm having an issue determining a final size with my PS.
June 8, 2017
The problem is that different sizes look different on everyone. A "B" to you may not be a "B" to me. So my PS, like many others, wouldn't give me a size. What I've read from other posts is that it's most effective to print off boob inspiration pictures to show your surgeon. That's exactly what I'm going to do! I actually went to the photo section of this site and looked for young people who have a similar body type and breast size. If their after pics look like the right size I save it. A lot of times they also say how many grams were taken from each breasts. I'd say showing them pictures is the best way to communicate what size you want to be. Good luck!
UPDATED FROM millhann6226
1 month pre

Approval Recieved!

millhann6226
Today when I was at work I recieved a phone call that I recieved the approval from BCBS. The earliest date they could schedule me was May 23rd, which is only two weeks away. I would've taken it in a heartbeat, but I move on the 20th and my SO is going out of town for a week on the 26th. Not going to lie, I'm so eager I almost took it anyway!
So, I took the next available date which was June 21st. They said they would send me a packet with surgery info soon in the mail. 5 weeks feels like an eternity, but I'm hoping the time will fly by. It will give me time to let my employer know, make sure my SO has the surgery day off, and stow away some money.
Is it weird that I still am anxious? I've spent so long trying not to get my hopes up, so that I don't get disappointed. It honestly doesn't even feel real. I don't know if it will feel real until the surgery day. Up until then I will probably be waiting for soemthing to go wrong. I have wanted this for so long!

Replies (8)

May 9, 2017
Congrats!! I'm hoping to get an approval. I also have BCBS but the first Dr. Wouldn't even submit saying I needed a lift and not a reduction but I'm a 36G however I weigh 185 sooo I'm co suffering trying another Dr. Feeling discouraged!
May 9, 2017
Don't get discouraged yet! I had to about year long intense stand off with my primary care physician because he wouldn't give me a referral to a plastic surgeon for a consult. I had to jump through lots of hoops. If it makes you feel better, my approval came in 2 days and was pretty easy to get. I hope you get one, too! Best of luck:)
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May 24, 2017
hey! your story is so similar to me :) I found a great doc and am scheduled for June 30! 32 H, 145 lbs and 5'3. I actually was wondering the same thing as you regarding the pre op. I called my docs office and they confirmed no pre-op planned- just plenty of time to talk the day of. This made me a bit nervous so good to see it's normal :)
May 24, 2017
We will be really close with our surgeries! Woohoo :)
It turns out I don't have a pre op appointment, I just will get there early and have a little consult before the surgery. Make sure to check back in on my review. I'm hoping to post the day after surgery and do updates every day for the first week.
Good luck with everything!
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May 25, 2017
Definitely! Good luck and all the best to you too! It's nice to have someone on a similar track to chat with.
November 24, 2017
Wow, your surgery looks great! Thanks for sharing your experience! I am just beginning to look into a breast reduction (currently a 34DDD) and have BCBS. I was wondering what type of documentation they required for approval? Did you go to any physical therapy/chiropractor prior? Thank you so much!
November 25, 2017
I was told by so many people that I needed “documentation”. My PS ended up basically telling me that she doesn’t ever submit anything except for the Schnur scale and if you fall within the recommended amount of tissue to be removed, then you get approved. I had to do physical therapy twice, chiropractic visits, and medication before my physician would refer me to a surgeon. But the only thing that helped me get approved was meeting my minimum breast tissue removal requirement! Good luck :) it has been one of the best decisions I have ever made!
May 30, 2018
i have BCBS, how long did it take for them to approve it? my aunt is telling me they won’t approve my surgery bc apparently my pain doesn’t inhibit me from doing anything (according to her), could you shoot me a message about it?