Being 5'4 and 122 pounds, I wear a 32DDD or 32E bra. I worry that not enough tissue will be removed during my breast reduction surgery because, in comparison to others, my breasts aren't particularly large. However, for my slender frame, they're overly large, leading to neck and back pain and headaches. I aspire to reduce my size to a 32B or maybe 32C, but my current financial situation won't allow for surgery without insurance coverage. My fear is that not enough tissue will be removed, leaving my breasts still too large for my frame.
Thank you for your inquiry! Insurance coverage for breast reduction is typically provided when the procedure is deemed medically necessary to alleviate pain or other issues related to the spine, which seems to be the case for you. However, insurance companies have become more stringent in their coverage criteria, so it's important to thoroughly document your symptoms in writing by both your primary care physician and plastic surgeon. Photographs may also be required, and you may need to seek a second opinion from other healthcare professionals such as a chiropractor, physical therapist, or orthopedic surgeon. Large breasts can have physical and emotional impacts, and breast reduction surgery can help by removing excess tissue and reshaping the breasts to a smaller and perkier size. I recommend scheduling a consultation with a board-certified plastic surgeon who can provide you with detailed information about your options.
Hello, I'm sorry to hear that you are experiencing this issue. In most cases, insurance companies should cover breast reduction if the following can be documented: 1. Unsuccessful non-surgical treatments, such as chiropractic care or physical therapy. 2. Lack of improvement with prescribed medications, such as muscle relaxants and NSAIDs (non-steroidal anti-inflammatory drugs). 3. Impairment in daily activities, such as difficulty caring for yourself or your family due to pain, limitations in physical activities, or the need for specialty bras. 4. Presence of neck pain, back pain, shoulder grooving, and/or skin changes as determined by a physical examination. It is advisable to first consult with a primary physician for a general examination to rule out other potential causes of neck and back pain. They can then refer you to a board-certified plastic surgeon for further evaluation and treatment. I hope you find this information helpful. Best wishes.
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