Commonly referred to as breast reduction surgery, mammaplasty is a surgical procedure whereby a cosmetic surgeon removes excess fat, tissue, and skin to reduce a patient’s overall breast size. This type of surgery is ideal for individuals with large breasts and can benefit from breast reduction surgery, not only to resolve discomfort but also to achieve a breast size that is in proportion with the rest of the body. Also, mammoplasty can improve a woman’s self-confidence along with their physical health. In this article, we will take a closer look at what this procedure entails and the process involved in having it covered by health insurance.
Although resolving pain and achieving a more proportionate breast size are the main reasons why most women opt to undergo mammoplasty, there are several other factors including
While all surgical procedures are inherently risky, mammoplasty is generally safe with most complications stemming from an undesirable reaction to anesthesia, bleeding, and infection at the incision site. That said, breast reduction surgery may not be a good fit for all women endowed with large breast. Young women under the age of 16, for example, are encouraged to avoid undergoing the procedure as their breast are usually not fully developed. Additional factors that can rule out breast reduction surgery include
Heart disease and cardiovascular disease
In discussing safety, it is also worth noting that breast reduction surgery is not recommended for women who are trying to conceive in that breastfeeding can be difficult following surgery.
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 you’re 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.
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 patient’s 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.
Generally speaking, breast reconstruction surgery is only covered by insurance if the procedure is deemed medically necessary, but everything is not always black-and-white. Breast reduction surgery will generally be construed as a cosmetic procedure unless the patient can prove that they have an underlying health condition that can only be remediated by undergoing the corrective procedure. Breast reduction surgery will generally be construed as a cosmetic procedure unless the patient can prove that they have an underlying health condition that can only be remediated by undergoing the corrective procedure. Also, patients will have to meet a predetermined insurance threshold before the surgery can be covered by their insurance policy.
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.
Although the process of getting breast reduction surgery covered by insurance can be challenging, it can save you a considerable amount of money, provided your claim is approved. According to data compiled by the American Society of Plastic Surgeons, the average cost of a breast reduction surgery is $5,482, which includes the following additional fees:
Obviously, the cost of breast reduction surgery can be cost-prohibitive for some people; however, it is important to note that some cosmetic surgeons do offer financing plans that can make paying for a much-needed surgery more manageable. That said, if having the procedure covered by insurance is not an option, it may be a good idea to speak with your physician about possible financing options. For more information, please contact Scot Bradley Glasberg, MD at 212-717-8550.
Breast reduction surgery can be an important procedure for many women with large breasts who experience pain and discomfort as part of daily life. From difficulties with exercise and back pain to a desire for a different appearance and overall silhouette, breast reduction surgery in NYC can help women to achieve their goals for their breast shape and size. This effective, safe procedure includes the removal of fat, tissue and skin in order to decrease the overall size, weight and volume of the breasts.
As with any plastic surgery procedure, breast reduction surgery cost can be a major factor for many patients planning their procedure. There are a number of pricing claims that are presented by different facilities. When you set up a consultation with Dr. Glasberg for NYC breast reduction surgery, we can go over the total costs for breast reduction and present to you a complete price estimate for the surgery. If you’re considering breast reduction and want to find out more about making your goals a reality, please contact our office today to set up a consultation with Dr. Glasberg.
In order to achieve your goals for breast reduction surgery, the procedure will be customized for your individual body shape and desired outcomes. During the consultation, Dr. Glasberg can learn about your personal desires for the surgery and recommend the best type of procedure to meet your needs and achieve natural and beautiful results. The right procedure for you depends on the size and shape of your breasts as well as the amount of reduction that you wish to achieve.
There are several methods for breast reduction, including traditional incision breast reduction, vertical incision breast reduction and scarless reduction, which involves the liposuction of excess tissue. The outcomes of each of these procedures are dependent on the amount of reduction that you seek. Dr. Glasberg will determine the most appropriate procedure for your body and goals.
The cost of your procedure will vary depending on the type of procedure selected and its complexity. Because the consultation will provide Dr. Glasberg with an opportunity to thoroughly review your case, medical history and desired outcomes, he can present you with a complete estimate for costs based on the procedure that can achieve the outcomes that you desire for breast reduction.
The procedure itself takes approximately two hours and is conducted in Dr. Glasberg’s accredited surgical facility. You will receive detailed recovery advice and instructions and can expect to return to work and daily activities after five days to one week following your breast reduction surgery.
Because there are several types of procedures and the cost of the procedure is influenced by the complexity of the case, it is important to have a full medical consultation in order to provide an accurate cost assessment for NYC breast reduction surgery with Dr. Glasberg. There are some advertisements available that list procedure costs; however, these one-size-fits-all estimates do not take into account the specifics of your individual case and generally cover only one part of the total cost of breast reduction surgery, including anesthetic, post-operative care and surgical center costs.
All of Dr. Glasberg’s surgeries are performed at his private and fully accredited surgical center in order to eliminate expensive hospitalization fees. When you receive your cost estimate for breast reduction surgery, the final price will include all relevant costs so that you are fully aware of the total costs of your procedure. This personalized estimate will be calculated based on the specific procedure Dr. Glasberg selects for your case in order to achieve the results that you desire from your breast reduction procedure.
In many cases, plastic surgery procedures are not covered by health insurance, because they are considered to be cosmetic surgeries. However, some breast reduction procedures can be covered by health insurance, depending on your reason for pursuing the procedure. If you are experiencing back, neck or shoulder pain or other medical consequences as a result of large breasts, it may be possible to receive coverage for breast reduction surgery from your health insurance provider. If you are seeking breast reduction for medical reasons, please bring your relevant information in order to pursue insurance eligibility for the procedure.
Another option that some patients may pursue to make breast reductions surgery costs more manageable is CareCredit financing. This form of credit-based lending is available only for medical care and allows patients to complete payments for their procedure in a structured, organized fashion.
To learn more about the costs of your breast reduction procedure, schedule a consultation with Manhattan breast reduction specialist Dr. Glasberg. He provides daily private consultations and performs breast reduction surgeries at his New York City office for patients who come to see him from across the United States and around the world. Please phone our office to schedule a consultation with Dr. Glasberg and receive a full breast reduction surgery cost estimate.