I am 48 years old and considering breast reduction surgery. I am 5 feet tall and weigh 107 lb. My breast size is 32DDD, and I cannot wear Victoria's Secret brand bras but find a good fit with Vanity Fair, Chantelle, and Wacoal brands.
Many insurance carriers often require a minimum tissue removal of 400 mg per side in Breast Reduction Surgery. It's important to note that 454 gms is equivalent to one pound. Typically, 200 cc's or mgs are considered to be approximately one cup size. Therefore, in an 800 mg Breast Reduction, you would be losing 1.76 lbs or 3.88 kg, which is equivalent to dropping two cup sizes.
In my practice, we utilize the Schnur scale and submit our calculations to the insurance company. The insurance company ultimately determines the minimum amount of tissue that needs to be removed for coverage. If I choose to remove more tissue, it is solely because it will result in better breast proportionality for the patient's frame. There are no financial incentives for removing additional tissue. I'm unsure why your plastic surgeon is stating that insurance won't cover the cost if 400 grams of breast tissue isn't removed, as the insurance company clearly requires a lesser amount to qualify for coverage. I recommend discussing this matter with the insurance coordinator at that practice for a more accurate explanation.
No plastic surgeon can guarantee or predict cup size accurately as there are no standard sizes and variations exist among different brands. Insurance companies have specific criteria for coverage based on the amount to be removed, which aligns with the Schnur scale you mentioned. To get an estimation of the desired size after reduction, the surgeon can simulate the reduction by pinching your tissue and discussing it in front of a mirror. Weight should not be a major concern as long as it meets the insurance minimum. Being petite and considering a reduction from a DDD, 400 cc implants should still result in a nice size. Consult with your surgeon for further guidance.
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