American Society of Plastic Surgeons
For Medical Professionals
 
socogirl
one year ago
Answered

Revision post-reduction

I am 10 months post reduction and one of my breasts is still unequal along with sagging along the incision under the arm. Would a revision be covered by insurance as a medical necessity or would it be deemed purely cosmetic

Procedure: Breast Reduction
Type: Question

Replies 9

Gregory Dowbak
ASPS Surgeon

Moot. Your surgeon is responsible and will do it. Let the chips fall where they may

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Michael Streitmann
ASPS Surgeon
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I would suggest consulting with your physician and see what can be done.

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J. Gerald Minniti
ASPS Surgeon

Insurance will not cover your concerns of asymmetry and sagging under the arms. Herein lies the problem of considering breast reduction as a medical procedure and not cosmetic.; it is impossible to separate the two, as the female breast is such an important part of a woman's appearance. Bottom line is you'll have to pay for cosmetic improvements of your breast and lateral chest.

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Susan Buenaventura
ASPS Surgeon
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Insurance is not likely to cover a revision, but all insurance companies have their own policies. Breasts do settle over 10 months, so it is definitely worth seeking a revision so that you are completely happy with the result. See your surgeon to discuss. There may be some cost involved but hopefully minimal. Best wishes to you.

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Nelson Castillo

Thank you for sharing your question. Best to ask your surgeon about revision options but in most cases that area would not be covered by insurance.

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Barry Citron
ASPS Surgeon
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I agree with Dr. Dowbak. If a revision is needed, we do it.

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Paul Parker
ASPS Surgeon

Most plastic surgeons will not charge for revisionary surgery such as this within one year of the original procedure. Discuss with your surgeon.

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Karen Leong
ASPS Surgeon

Hello, have you been to see your surgeon? We typically do not charge a surgeon's fee for revisions within one year of surgery and for what you are describing (dog ears/scar revision), this can easily be done in the office setting.

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Mark Solomon
ASPS Surgeon

Given the variety of answers here, you might want to consider the fact that each of these surgeons operates in a different environment, some in their office, others in a hospital or surgery center. Each of us a revision surgery policy. You should ask your surgeon about his/hers. In addition, there are other costs, such as anesthesia fees and facility fees that need to be addressed. Finally, only you can learn about your insurance company policy since it is a contract between you and them. You should ask them about their revision policy. It is my experience over many years of practice that if insurance covers the initial procedure, they will often cover the cost of a revision if their review demonstrates that it is worthwhile. That becomes the key factor, which is unknown until you ask, and if your surgeon helps. Again, it is a contract issue with you and your insurance. Hope this helps.

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