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POSTED UNDER Breast Reduction REVIEWS

28HH to 28F

ORIGINAL POST

My story is similar to many others' I have read...

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a351l
$6,000
My story is similar to many others' I have read here. I was a C cup in 7th grade, and I remember forgetting to put on a bra one morning and crying when I got home from school, because I had felt so gross all day. By the time I was 15, I was DDD, and I knew that I was going to get a reduction. It has taken me a little longer to get here than I would have hoped, but I was waiting on having good insurance. Now, Surprise! Insurance will not cover this. Even at a 28HH/30H, it is still considered a cosmetic procedure.

Like many, I have back pain on an almost daily basis. I also have frequent neck and shoulder pain, mostly later in the day. In the summer, I often get rashes due to the bras I have to wear. I am so glad that companies like Freya and Curvy Kate exist, but prior to the last 3 years I had no idea, and was stuck with ill-fitting, bland undergarments. And the cherry on the cake is that I cannot find clothes that fit me AND are flattering. Petite clothes typically seem to expect petite boobs. When I do find clothes that are flattering, I have inches of cleavage. Sometimes that's okay, I guess, but I would really like to be a little more modest, especially in public.

Up until a few years ago, I was very overweight (about 31.5 on the BMI chart). My bra size was a 34J UK. Over the next year and a half, I started to go on walks with my now husband ranging from 1-5 miles a day, and restricted my calories to just above starving, and got my BMI down to 23-24. I did also go down a few cup sizes! But I am still in the H-HH range today, and I don't think I will be able to get them down further on my own.

I had my first consultation in Feb 2015, but was not entirely comfortable with the surgeon, and his staff miscommunication a couple of things to me and my husband that cost me over a month of waiting. Then, I submitted the paperwork to my insurance company, United Healthcare, and they denied my claim, saying reductions are cosmetic procedures and therefore not covered. I appealed the claim, and it was also denied. This time, I did not receive the denial letter until after the 60 days were up, because the insurance company sent it to my old address. So at this point, it looks like insurance is a no-go. So, out-of-pocket it is! It'll make this next year a little tight on funds, but it has to be done.

a351l's provider

Dr. Janetzke

Replies (4)

December 17, 2015
Hi-I live in the same area as you do. Would you share the name of your surgeon? I have had a couple of consultations and am hoping for a February date. I will follow your journey.
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December 17, 2015
My first consult was worth Dr. Busuito, and he was alright. However, my surgery is scheduled with Dr. Ellen Jenetzke. My consult with her was so much warmer and more welcoming, and I am really confident that she has produced great results in the past. She says that breast reductions are her favorite surgery to perform! I have my pre-op appointment on Tuesday, and I will update then.
January 3, 2016
Did you document back pain over time with your dr and have a referral? That's how you have to do it around here.
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February 25, 2016
I have United Healthcare too and, like you, was initially denied. Ask your surgeon to call the Insurance Company for a doctor/doctor consult. Mine did this and using my results from her doing the Schnur Sliding Scale measurements on me, she was able to convince them that the procedure was medically necessary --- not a cosmetic fix at all. You can read more about the Schnur scale here:http://drbrennerarticles.com/blog/schnur-sliding-scale-dictates-medically-necessary-breast-reduction-surgery/. A few years back UHC was hit with a bunch of women "working" the system for non-essential breast reductions -- acing it out for the likes of you are me. Try again --- or find a surgeon who is willing to measure you and advocate on your behalf with UHC. You can get this done with UHC if you get the right team on your side.
UPDATED FROM a351l
17 days pre

Before Pics

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a351l
18 days to go!

Replies (4)

January 2, 2016
they don't seem too big in my hopinion
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January 4, 2016
Forgive me if I stick to my surgery plan despite your opinion.
January 7, 2016
ok.
January 11, 2016
So happy for you! They were really saggy, did the cause a lot of shoulder and back pain?
UPDATED FROM a351l
4 days pre

Less than a week left!

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a351l
Last week I had my pre-op appointment, got my prescriptions, and had a chance to sit down with the staff at the PS office again and go over the plan. I love the office staff and the surgeon. They answered all of my questions and were very sweet.

While I like my surgeon, since I scheduled my surgery, I haven't been sleeping well at all. I toss and turn almost every night. I am really looking forward to being able to sleep through the night again. I am definitely looking forward to being smaller, but I am still really nervous about surgery, post-op, and the uncertainty about the results.

I have amassed most of my post-op supplies. I borrowed a recliner chair from my in-laws. I got a travel pillow as a Christmas gift. I bought a couple of soft cup bras in what I am guessing my size will be (Somewhere between a 30C and 30DD). I also took a trip to the library and got a stack of books, which will be one nice thing about being pretty much useless post-op.

Just 5 days to go.

Replies (2)

December 30, 2015
I'm so excited for you! (and me too!) Like you, I have been gathering my supplies together, pre-op appointment tomorrow then surgery Tuesday. We are on the final countdown now! :-)
January 2, 2016
Thanks for the post. Best of luck. My consultation in on the 22nd ... hopefully reduction a few months later. I know I will/would be nervous weeks/days prior. Hang in there - change is coming!