Thursday, April 18, 2024

Breast Reduction Surgery Cost With Insurance

Am I A Good Breast Reduction Candidate

Cost of Breast Reduction in Atlanta, GA. Can Insurance Cover It?

The only way to know for sure is to visit Dr. Basner for a breast reduction consultation. You will discuss your goals and what you would like to change, and then Dr. Basner can make recommendations based on those goals. Generally, women who experience one or more of the following are likely good candidates for reduction:

  • You feel unhappy, less confident or have low self-esteem because of the largeness of your breasts.
  • You experience back, neck and shoulder pain because of the weight of your breasts.
  • You experience discomfort while exercising and being active because of your breast size.
  • Indentations form on your shoulders because your bra straps dig into the skin.
  • The skin beneath your breasts chafes and/or becomes irritated.

You deserve to feel confident, beautiful and feminine, and to be free from the discomfort caused by overly large breasts.

Is Breast Reduction Without Surgery Possible

Unfortunately, there is currently no non-surgical treatment or natural remedy that can mirror the results of breast reduction. While there are certain breast reduction exercises that claim to lessen the chest mass, creating an effective and noticeable decrease in breast size often involves removing excess breast tissue, skin, and fat. Consequently, these workouts typically fail to address the redundant breast tissue and skin laxity that often cause the appearance, as well as the physical stressors, of large and heavy breasts. To make the breasts more proportionate to your body size for a substantially lighter and more comfortable outcome, a breast reduction remains the most powerful solution. Dr. Jon Paul Trevisani can evaluate your concerns in a consultation to let you know the full scope of your treatment options.

Who Performs Your Surgery

Breast reduction is considered to be relatively safe, but there are risks, from asymmetry to difficulty breastfeeding.

Youll have the best chance of a safe procedure with a good aesthetic and functional outcome if you choose an experienced, board-certified plastic surgeonideally one who specializes in breast surgery and frequently performs this procedure. They will likely cost more than a surgeon with less training and experience, but if you base your choice of surgeon on cost alone, you could end up paying handsomely. A cheap breast reduction becomes much more expensive if complications arise, or you need revision surgery.

You May Like: How Much Does Cataract Surgery Cost Without Insurance

Will Losing Weight Result In Smaller Breast

Women who are actively trying to lose weight are also encouraged to postpone the procedure since losing weight can indirectly contribute to smaller breast size. Breasts are mainly made up of fat tissue, and as fat cells expand, they become larger. Conversely, as these cells shrink, they become smaller. So as you lose weight, you will notice an appreciable reduction in the size of your breasts, especially if youre naturally predisposed to storing a lot of fatty tissue in the breast region.

It is important to note that the extent to which breast become smaller as a result of losing weight can vary. Some women, for example, have breasts that are comprised of less fatty tissue, meaning they will experience a less noticeable reduction in breast size as they lose weight. Genetics also plays a role in the amount of fat tissue stored in the breasts, not to mention their size as you gain or lose weight. The best way to gauge how much smaller your breast will become as a result of losing weight is by scheduling a consultation with your prospective surgeon. In most cases, he or she will recommend that you lose weight prior to surgery and will advise you on how much smaller your breast will become after losing the weight.

Recovery From Breast Reduction Surgery

Will Health Insurance Cover A Breast Reduction

The recovery from breast reduction surgery will require six to eight weeks. Every person heals at a slightly different rate and Dr. Parker will let you know when you are cleared for physical activities.

You will have surgical drains for the first 24 hours which Dr. Parker will remove in your follow-up appointment the day after surgery.

Don’t Miss: Driving After Cataract Surgery On One Eye

How Much Is A Breast Reduction Without Insurance

Without insurance, a breast reduction typically costs between $7,705 and $9,765. Remember that the cost of the operation, the anesthetic that goes along with it, and any hospital stays are all independent expenses.

The reason you chose to get breast reduction surgery will determine whether you can use medical insurance for the procedure. Aesthetic breast reduction surgery is regarded as a cosmetic technique.

An insurance provider wont pay for cosmetic surgery in such circumstances. According to data from 2020, the typical out-of-pocket expense for aesthetic-based breast reduction surgery was $5,913.

On the other hand, your insurance might pay for a breast reduction if you need one owing to chronic pain or other physical conditions. The catch is that the majority of insurance companies demand evidence that youve first tried other nonsurgical treatments like physical therapy.

Additionally, in order for the procedure to be covered by some insurance carriers, a minimum amount of breast tissue that is estimated based on your body weight may need to be removed.

Is Breast Reduction Surgery Covered By Health Insurance

Some health insurance policies include a benefit for breast reduction surgery if it’s medically necessary. Private health insurance hospital cover is available in a range of levels to suit the cover needs and budgets of different people: public hospital cover, basic hospital cover, medium hospital cover and top hospital cover. While the exact list of treatments and procedures covered by these policies differ between funds, you will need a top or possibly mid-level policy in order to receive a benefit for breast reduction surgery.

In order to receive cover for the procedure, Medicare will need to deem it medically necessary. Breast reduction surgery conducted for purely cosmetic purposes isnt covered by your health fund. There are also some funds that dont offer any cover for breast reduction surgery.

Youll need to check the specific terms and conditions of your health insurance policy to find out whether its possible to receive cover for the cost of the procedure. Your doctor will also need to provide information to support your claim and your eligibility for cover could depend on factors such as the amount of breast tissue to be removed.

Finally, its worth pointing out that any health problem that needs to be alleviated by breast reduction surgery will likely be classed as a pre-existing condition by your health fund, so you will need to serve a 12-month waiting period before you will be eligible to receive any benefits.

Why compare health insurance with Finder?

You May Like: Greater St Louis Oral Surgery

Whats Involved In Breast Reduction Surgery

Breast reduction surgery, which is also commonly referred to as reduction mammaplasty, involves cutting and removing excess fat and glandular tissue from the breast, repositioning the nipple and areola higher on the breast and removing the excess skin. This makes the breasts smaller and lighter. The aim of the surgery is to produce breasts of a size and shape that are in proportion to the rest of the patients body.

However, its worth pointing out that it is recommended that you wait until your breasts are fully developed and childbirth and breastfeeding have been completed before undergoing the procedure. Your ability to breastfeed following breast reduction surgery may be harmed and changes to your breasts while pregnant can also alter the results of previously completed surgery.

Estimate From A Plastic Surgeon

Will insurance cover breast reduction surgery?

Its advisable to submit one or more cost estimates from plastic surgery specialists with your insurance application. After an initial consultation, you will receive a list of the costs. Cost estimates should always show all price components.

Make sure that the offers arent conspicuously expensive when making your selection. You can also ask the health insurance company whether they work with certain surgical facilities in advance.

Read Also: Plastic Surgery Of The South

Autologous Platelet Gel During Breast Surgery

In a within-patient, randomized, patient- and assessor-blinded, controlled study, Anzarut et al evaluated the use of completely autologous platelet gel in 111 patients undergoing bilateral reduction mammoplasty to reduce post-operative wound drainage. Patients were randomized to receive the gel applied to the left or right breast after hemostasis was achieved the other breast received no treatment. The primary outcome was the difference in wound drainage over 24 hours. Secondary outcomes included subjective as well as objective assessments of pain and wound healing. No statistically significant differences in the drainage, level of pain, size of open areas, clinical appearance, degree of scar pliability, or scar erythema were noted. These investigators concluded that their findings do not support the use of completely autologous platelet gel to improve outcomes after reduction mammoplasty.

Whos A Good Candidate For Breast Reduction Surgery

A plastic surgeon can help determine whether youre a good candidate for breast reduction. Chronic back pain is the most common reason individuals elect to have this surgery.

Breast surgeries are most typically done in adults. But some teens may also qualify for a breast reduction when they have significant discomfort that lasts for a year or longer, and in individuals who retain the same breast size for at least a year.

Other considerations include your overall health and whether you engage in certain behaviors that could affect the recovery process, such as smoking.

Also Check: Best Digestive Enzymes For Post Gallbladder Surgery

Does Breast Reduction Make You Lose Weight

While breast reduction can remove excess fatty tissue in the chest contributing to an overly large breast size, this differs significantly from weight loss. You should not pursue breast reduction surgery under the expectation that it will lower your weight however, many patients are able to live a more active and healthy lifestyle after the procedure, with positive changes in their diet and exercise habits often reflected in their weight.

How Much Does A Reduction Mammoplasty Cost

Pin on Breast Implants

The cost of breast reduction surgery can range from $5,000 to $10,000. According to statistics from the American Society of Plastic Surgeons, the average price for breast reduction in 2020 was $5,913.

Some surgeons offer low-cost breast reduction procedures. But its essential to know if these prices include all fees associated with the surgery. If you do a reduction mammoplasty to relieve pain, theres good chance insurance will pay for the surgery.

Read Also: Should I Have Weight Loss Surgery

How To Get Insurance To Cover Your Breast Reconstruction Surgery

While the process can vary depending on the insurance provider, patients interested in having breast reconstruction surgery covered by their insurance will typically have to furnish their insurance provider with a letter of medical necessity, which states that procedure is required in order to resolve an underlying health problem. Beyond that, most insurance providers will request 6 to 12 months of documentation, along with treatment by a physical therapist, chiropractor, dermatologist, or orthopedist, to ensure other treatments have been ruled out before approving surgery.

The best way to speed up the approval process with your health insurance provider is by requesting a letter stating what is required for approval from your insurance provider well in advance of breast reconstruction surgery. This is important since the criteria for approval is different for each insurance company. After submitting the necessary documentation, the average turnaround time can be anywhere from 3 to 6 months.

This time frame allows the insurance provider to confer with the treating physician and also seek second opinions from other healthcare providers like chiropractors, for example, to confirm the surgery is medically necessary. Ideally, it is a good idea to inform that your physician of your intent to have the procedure covered under insurance, which helps to ensure that letters of medical necessity and other documents are promptly sent to your insurance provider.

Can I Finance My Breast Reduction

Many practices like ours offer convenient financing options for those that wish to defer their payments and spread out the cost into monthly payments. Your total cost could be higher because interest is typically included in most finance plans such as CareCredit and Alphaeon.

Also, check to see if our practice or the practice you are considering for the procedure has any promotional offers during less busy periods throughout the year such as the summertime months.

Having a breast reduction is an investment in yourself. If youre considering the procedure, schedule a consultation with a board-certified surgeon who has done many breast reductions. If you meet with multiple surgeons with similar experience and credentials in the same area, the price range should not be that different from each other. Be very careful about very low estimates, your surgeons expertise, skill and surgical abilities require many years of education, training, and experience in order to be qualified to perform breast reduction surgery and give you the best results.

Also Check: How Much Is Skin Removal Surgery

What To Expect During Surgery

As you would probably expect, breast reduction surgery is almost always done under general anesthesia and performed in an outpatient facility or hospital. During the procedure, the surgeon will use one of two methods to remove excess fat and reduce the overall size of the patients breast, surgical incision or liposuction. The surgeon will also make an incision around the areola, which is the pigmented ring surrounding the nipple, and down the length of each breast before removing fat, tissue, and skin, which, in effect, reduces the overall size of the breast. Lastly, the breasts are reshaped before the areola is repositioned on the newly resized breast. Lastly, the breasts are reshaped, and the areola is repositioned to match the new size of the breasts.

Scars After The Breast Reduction

Insurance Coverage for Breast Reduction Surgery

The surgeon performs the surgery through three points. So, you should expect three scars. The first scar is around the areola, the second is vertical to the lower fold of the breast, and the last is along the entire lower fold. However, it also depends on the surgery method used.

The surgeon will recommend compression strips and the appropriate creams to improve the scars final appearance. It usually takes several months for the scar to take on its final appearance. Avoid sunbathing directly on the chest during the first year so that the scar doesnt become hyperpigmented.

Don’t Miss: Average Age For Cataracts Surgery

How Does It Work

A plastic surgeon removes unwanted or extra breast tissue, fat, and skin during a breast reduction. The goal is a breast size that is more proportionate to the body or to relieve discomfort caused by larger breasts.

Breast reduction is a permanent, highly successful surgery. However, your breasts can change with pregnancy, weight gain, age, or hormonal fluctuations.

What Are The General Breast Reduction Insurance Requirements

Most insurance carriers will offer breast reduction covered by insurance as long as it meets certain requirements to be deemed “medically necessary”. Traditionally the main point an insurance company considers is the amount of tissue to be removed from each breast. Most major insurance companies have established basic criteria as to the amount of tissue that must be removed relative to a patient’s height and weight. However, these days insurance companies are beginning to focus more and more on patient’s symptoms in order to determine whether breast reduction is medically necessary. Health concerns such as back and neck pain, or skin rash developing in the skin underneath one’s breasts may be sufficient to qualify a patient for insurance coverage for breast reduction. Typically any procedure in which the breasts are reduced by less than two cup sizes is categorized as a breast lift and will not be covered by insurance.

Also Check: How Long Is Recovery For Hernia Surgery

Will I Need A Breast Lift With My Breast Reduction

A breast reduction typically achieves some of the benefits of a breast lift to a certain extent. The removal of redundant skin, fat, and breast tissue can provide a moderate lift to the breast aesthetic, and the nipples and areolas can also be repositioned to a more central location if desired. With that said, the primary goals of a breast reduction are not to elevate the breasts to a higher location on the chest wall therefore, patients seeking a smaller breast size in conjunction with more extensive rejuvenation may require a combination breast lift and breast reduction procedure. During a consultation, Dr. Jon Paul Trevisani can help you determine whether additional breast lift surgery will be necessary to realize your cosmetic goals. In general, breast reduction patients who experience moderate to severe breast sag and desire a firmer and more projected breast appearance may achieve more effective results by undergoing a breast lift simultaneous to their reduction.

Does Your Stomach Look Bigger After Breast Reduction

How To Get Insurance To Pay For Breast Mri / Hypertrophy Of Breast ...

A breast reduction will not cause you to gain weight, and theres no correlation between the two. However, recovery can be a bit of a trap. If you stop working out after your recovery period or indulge in too many foods post-operation, you might gain weight or even bloat as you recover.

Most patients who undergo this surgery actually look slimmer and see a couple pounds drop off on the scale. It makes sense since you are removing excess tissue and fat.

You May Like: Buck And Phillips Oral Surgery

Understanding Factors Which Shape Breast Reduction Cost

A number of factors will affect how much you can expect to pay for a breast reduction procedure. Patients who undergo treatment for medical reasons, such as neck or back pain, may have their entire procedure covered by insurance. Frisco Plastic Surgery & MedSpa also accepts CareCredit® financing to help patients manage out-of-pocket expenses. Dr. Ken Smart and his team in Frisco, TX, do all they can to help patients afford treatment and keep down the cost of breast reduction.

Latest news
Related news