I am currently weighing 239 lbs, but I'm unsure about my breast size.
There are still many practitioners who accept Medicaid. The criteria for eligibility remain the same as with any other insurance. You will need to demonstrate symptomatic macromastia, such as neck, back, and shoulder pain, rashes, or bra strap grooving. The amount of tissue that needs to be resected will be determined using the Schnurr scale. However, the biggest obstacle to undergoing a breast reduction is not Medicaid but rather your weight. At your current weight, there may be increased risks of wound healing issues and seromas. Depending on the amount of tissue to be removed, you may require a free nipple technique, which involves completely removing the nipple and then placing it back onto the breast similar to a skin graft. This can result in insensitivity of the nipples and a higher chance of partial loss. Nevertheless, a breast reduction can provide significant relief if you are experiencing the effects of having large breasts. It can also serve as a starting point for adopting a healthier lifestyle to facilitate weight loss. I recommend consulting a plastic surgeon in your area for further guidance. Please refer to the community section of your replies to find a plastic surgeon near you.
To find a surgeon who accepts your specific insurance, it is best to contact your insurance provider directly. The requirements for coverage are generally the same across different providers, including demonstrating symptomatic macromastia (back/neck/shoulder pain, rashes, bra strap grooving) and failure of conservative measures. The amount of tissue to be resected will be determined by the Schnurr scale, which takes into account body surface area (BSA). I recommend discussing your concerns with a board-certified plastic surgeon.
Instead of going the Medicaid route, it is recommended to find a teaching hospital with plastic surgery residents where the surgery is done under supervision.
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