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Is a breast reduction covered by insurance?

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Breast reduction plastic surgery

The condition of oversized breasts is clinically known as macromastia. When these excessively large breasts cause pain and other physical concerns, the condition is called symptomatic macromastia. Breast reduction cosmetic surgery can effectively treat these symptoms in some cases.

In such cases, breast reduction costs may be covered by insurance. Patients should discuss the possibility with their surgeon as well as the insurance provider. Cutting edge, notable, and board certified female plastic surgeon Dr. Kristi Hustak provides breast reduction to patients in Houston, Texas and surrounding locations.

Medical Problems Covered by Insurance

Some of the health problems caused due to excessively large breasts can be successfully addressed with breast reduction plastic surgery. Insurance coverage may be possible under the patient’s health plan in such cases. These medical conditions include:

  • Obesity arising out of diminished capacity of the patient to do physical exercises
  • Chronic pain in the neck, back, and shoulders
  • Pain in the chest wall
  • Shortness of breath
  • Frequent headaches
  • Shoulder grooving
  • Poor posture
  • Tingling and numbness in the hands
  • Disturbed sleep patterns
  • Rashes in the breast crease and in the bra strap grooves

In most cases, symptomatic macromastia has a straightforward diagnosis and will not require extensive medical investigation.

How Breast Reduction can Help?

Reduction mammaplasty or breast reduction can be a very effective treatment for symptomatic macromastia because it directly addresses the cause of the symptoms. Research studies have shown the benefits of breast reduction for patients with symptoms related to excessive breast weight.

Some of the health benefits of breast reduction surgery include pain relief, increased physical function, improved skeletal stability, better lung power, superior quality of sleep, reduction in headaches, and improved breast visualization on mammography. Breast reduction has high patient satisfaction rates, and only a rare patient may report lack of relief in her symptoms after the surgery.

Insurance Requirements

Heavy breasts create strain on the body structures, which makes insurance coverage of reduction mammaplasty a distinct possibility in such cases. Patients considering a breast reduction should first go through their insurance policy. If breast reduction is listed as a policy exclusion, no coverage may be possible even for medical reasons.

But in other cases, the insurance company may require the surgeon to write a letter outlining the patient’s symptoms and their physical findings. The surgeon should mention an estimate of the breast weight to be removed and request for coverage. This formality should be completed prior to scheduling the surgery because the insurer may not be obligated to pay if surgery was not preauthorized.

If an insurance provider denies coverage by defining breast reduction as a cosmetic procedure, the surgeon should explain to them about symptomatic macromastia and describe how breast reduction can help. Preauthorization may not be possible in standard Medicare and Medicaid plans.

Up-to-date insurers are usually familiar with the current standard of care for treating macromastia, and may approve coverage based on reasonable proof of medical necessity. Dedicated and standout female cosmetic surgeon Dr. Kristi Hustak receives patients from Houston, Texas and other neighborhoods and suburbs in the wonderful Lone Star State for breast reduction surgery.

For more information on procedures and treatments provided by board certified female plastic surgeon Dr. Kristi Hustak please call us to schedule a consultation at 713-799-9999 or click here. Offices in Houston, Texas.

Breast Reduction Plastic Surgery

Breast reduction cosmetic surgery costs will be an important starting point for many patients who are considering this procedure. In some cases, the costs may be covered by insurance if breast reduction is performed as a medical necessity.

Board certified female plastic surgeon Dr. Kristi Hustak provides breast reduction to patients in Houston, Texas and surrounding communities.

Financial Factors

The following stipulations may influence the actual price tag of breast reduction surgery:

Surgeon’s Fee

The fee charged by the surgeon is an important component in the overall cost of breast reduction. The fee may vary based on the skills, experience and recognition of the surgeon in the field of breast surgery. The American Society of Plastic Surgeons (ASPS) recommends patients to choose the best possible surgeon for their needs, and view surgeon’s fee only as a secondary consideration.

Location of the Practice

The sticker price of breast reduction may vary depending on the practice location. The cost of living can be different from one region to another, which will impact the cost of various products and services, including the cost of surgical services. Prices of surgical procedures may be higher in main metropolitan areas and prime urban centers compared to smaller location in interior regions.

Anesthesia and Operating Room Costs

If the surgeon decides to perform breast reduction using general anesthesia, the fee charged by the anesthesia team should be considered. The cost of a surgical facility may also vary depending on the kind of surgical technology, amenities, staff, services and care provided at a particular facility.

Other Expenses

These may include costs of medical tests, mammograms, prescription medications, surgical garments, and post-operative visits to the surgeon’s office. Patients should take into account all these related expenses to have an accurate estimate of the overall costs of surgery.

Extent of Surgery

The cost of breast reduction plastic surgery may even differ from one patient to another at the same practice. This could depend on the complexity of a case and how much time it may take to perform the procedure. Some patients may require only liposuction, which will bring down the costs, while others may need liposuction in conjunction with breast tissue excision, which could marginally increase the costs.

In some cases, the patient may choose a combination of procedures such as breast reduction and breast lift or tummy tuck, or a mommy makeover including breast reduction. The overall procedure will become more cost-effective in such cases, even though the absolute cost will increase.

Insurance and Financing

Breast reduction costs will not be covered under health insurance when it is performed solely for aesthetic reasons. However, if it is performed for medical reasons, full or partial coverage may be possible under the patient’s health insurance plan. Patients should discuss with their insurance provider to determine their coverage.

If insurance is not possible, the patient may consider financing options to make payments conveniently within their monthly budget. Experienced female cosmetic surgeon Dr. Kristi Hustak receives patients from Houston, Texas and nearby areas for breast reduction surgery.

For more information on procedures and treatments provided by board certified female plastic surgeon Dr. Kristi Hustak please call us to schedule a consultation at 713-799-9999 or click here. Offices in Houston, Texas.

Breast Reduction Plastic Surgery

Breast Reduction Before and After Photos | Houston Plastic SurgeryReduction mammaplasty, popularly known as breast reduction, is a cosmetic surgery procedure designed to reduce the size and volume of breasts to make them more proportionate with the rest of the body.

While the procedure is primarily performed for aesthetic reasons, it can also address back, neck and shoulder pain and other medical problems for some patients.

Breast reduction is sometimes combined with breast lift or tummy tuck, or may be a part of a mommy makeover surgery. Stellar, judicious, and board certified female plastic surgeon Dr. Kristi Hustak provides breast reduction to patients in Houston, Texas and surrounding locations across the horizon.

Appropriate Candidates

Women seeking breast reduction should get in touch with a breast surgeon who will evaluate their health condition, breast anatomy and personal aesthetic goals before recommending breast reduction surgery. A suitable candidate would typically have one or more of the following attributes:

  • The patient is dissatisfied with the cosmetic appearance of oversized breasts.
  • Her physical activities are restrained because of the hindrance caused by excessively large breasts.
  • She experiences frequent pain or discomfort in the back, neck and shoulders.
  • Breast skin is stretched, causing the areolas to enlarge.

Procedure

Breast reduction plastic surgery procedure may be performed with the patient under local anesthesia and IV sedation or general anesthesia. The surgeon will begin the procedure by creating incisions at discreet locations that have been decided in advance as per the patient’s preferences. Through the incisions, the surgeon will remove excess glandular tissue, fat and skin.

Sometimes, breast reduction may be combined with liposuction, if the patient also has excess fatty tissue in the breasts. Incisions may be made encircling the areola, keyhole shaped, vertical, or anchor shaped, depending on the surgical technique. Underlying breast tissue is reduced and shaped through the incision. Areola size may be reduced and the nipples may also be repositioned to a more youthful location.

Once the overall breast volume and size has been reduced, the surgeon will suture the breast tissue deep inside to provide support to the new shape of breasts. Incisions will be finally closed with sutures or skin adhesive. Incision lines will gradually fade over a period of time.

Recovery

In the first week, the patient may experience some soreness and pain in the incision sites, which can be managed with prescription pain meds. Most patients will be able to resume their normal routine in about 10 to 14 days after breast reduction surgery. A compression garment or a surgical bra may have to be worn for several weeks to allow the breasts to firm up in their new shape.

Results

Breast reduction results are visible immediately after the procedure. However, the final outcome can be seen only over the next several months as the bruising and swelling resolves completely and the incision lines become thinner. Results of breast reduction are long lasting, as long as the patient keeps her body weight under check.

Profound and innovative female cosmetic surgeon Dr. Kristi Hustak receives patients from Houston, Texas and other towns and cities in this part of the country in the amazing state of Texas for breast reduction surgery.

For more information on procedures and treatments provided by board certified female plastic surgeon Dr. Kristi Hustak please call us to schedule a consultation at 713-799-9999 or click here. Offices in Houston, Texas.

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