Breast Reduction Surgery Questions and Answers Archive

Jan
2002

Q&A: What can I do about really bad scaring from a breast reduction and can I do anything legally?

Question:

I had a breast reduction done in July of 2000, and my scaring is unbelieveable!!When I went in to see the surgeon before my surgery date was set, he explained what would be happening and he also sent me to consult with a nurse. She also told me of the procedures and then the day of my surgery nothing happened the way it was supposed to. I ended up getting an infection and ended up in the hospital in my home town for a week. The scares are very ugly and I am very disappointed in the way that they look. My husband describes it as a "hack job." Is there anything i can do about this legally?

- Jody

Answer:

 Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Jocy, Breast reduction surgery involves long scars. The scars are likely not of the best quality (thin, white lines) mostly because of the infection. Scars that become "hypertrophic", that is, thick, red or wide, can often be significantly improved with scar revision surgery. I am certain that your plastic surgeon would like to see you again in order to review the options. Unfortunately, infections and bad scarring is unpredictable and a risk of the surgery. I would suggest that you seek to improve the scars rather than legally try to receive compensation for them being unsightly.

-- Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Jan
2002

Q&A: Can I get insurance to help pay for a single breast reduction to make me even?

Question:

I am an 18 year old female who wants to get a breast reduction, but only in one breast. My right breast is about 2 cup sizes larger thatn the other one I have difficulty finding bras. Usually having to just buy sports bras, and whats to me it is very embarrassing when people notice. My questions are because of the abnormal size of my breast is there anyway way I have a reason to get a reduction for health reasons? Is there finical aid I can apply for to get this surgery and do you know of a specialist in th area of louisville kentucky? I would be very apprietiative if you could answer my questions

- Veronica

Answer 1:

David M. Metzner, MD - LocateADoc.com

The best way to start is to see a Board Certified Plastic Surgeon, who will evaluate your needs and can contact your insurance company to pre-determine coverage. David M. Metzner, MD

--David M. Metzner, MD
Metairie, Louisiana

Answer 2:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Veronica, You have a developmental disorder which resulted in uneven breast sizes and, likely, shape. Your medical insurance should cover the cost of the unilateral reduction since it is similar to a birth defect. There are a number of fine plastic surgeons in the Louisville area, just look in the yellow pages or visit the ASPRS or ASAPS web sites for their names and contact numbers.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Jan
2002

Q&A: What weight should I be to qualify for breast reduction surgery?

Question:

Before having children, my breasts were 34B, after my first child they were 36D and now after my second child they are 38DD. They don't seem to reduce in size after I stop with breastfeeding and losing weight seems to have no affect other than making my breast size more obvious. My insurance company says that I'm not a candidate for breast reduction because of my weight. I am 5'2" small frame and weigh 180 lbs. My breast size is staying the same despite losing over 40 lbs. What weight should I be to qualify for breast reduction?

- Leigh

Answer 1:

David M. Metzner, MD - LocateADoc.com

From a plastic surgeon's point of view you are a candidate for breast reduction. If your insurance company has its own criteria to try to avoid coverage, then they need to tell you their guidelines. David M. Metzner, MD

--David M. Metzner, MD
Metairie, Louisiana

Dec
2001

Q&A: What can I do to reduce the size of my breasts to reduce back pain and can I get insurance to help?

Question:

I am seventeen and wear a 34DD. My breasts seem greatly out of proportion to my 115lb frame. I have back pain and find it difficult to engage in sports, etc. Is breast reduction by liposuction a good idea? And how does one go about getting the insurance to pay for part of the surgery?

- Athena

Answer 1:

David M. Metzner, MD - LocateADoc.com

You are probably a candidate for breast reduction. Liposuction of the breasts can reduce the size some, though not as effectively as a true breast reduction. Some insurances cover breast reduction and some do not. It is necessary to contact your insurance company to determine coverage. David M. Metzner, MD

--David M. Metzner, MD
Metairie, Louisiana

Answer 2:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Athena, Liposuction does not allow reshaping of the breast and, at your young age, there may be calicifications in time which could interfere with mammography. I would suggest standard breast reduction surgery to give you the best result, albeit with significant scarring. With your functional problems, your insurance should cover at least a portion of the procedure. Your policy needs to be reviewed to see what limitations they put on the procedure (some companies require a minimal amount of tissue removal). Your local plastic surgeon should be able to guide you in the process.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Dec
2001

Q&A: What is the youngest age that breast reduction surgery can be performed?

Question:

What is the youngest age that breast reductions are usually performed?

- Anna

Answer 1:

David M. Metzner, MD - LocateADoc.com

If symptoms are significant and the young woman mature and motivated breast reduction could be done as young as 14 or 15. David M. Metzner, MD

--David M. Metzner, MD
Metairie, Louisiana

Answer 2:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Anna, Usually we try to let breast development complete itself so that a minimum number of reductions need to be performed. The youngest that I have personally done has been 16 years of age.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Dec
2001

Q&A: What should I do if I have constant back pain, neck pain, and shoulder pain and my mother is opposed to breast reduction surgery?

Question:

I am a 20 year old girl with a big problem--make that 2 big problms. I am 5'1", 110 pounds--and my breast size is 32 DD. I've been a DD since I was 16 years old. Having large breasts effects every aspect of my life, I dread going up and down stairs, running, etc. I am a college sophomore who is claimed as a dependent by my parents. My mother is highly opposed to a breast reduction--and I've wanted one since I was 14 years old. I have constant back pain, neck pain, shoulder pain, etc. I know that I might not be able to breast feed and I know that there will be scars. But I also know that getting a breast reduction is something that I WILL do eventually. I just need some advice. Should I go ahead and do this now or should I wait? And if I do decide to wait, are there any options to help with the symptoms of having large breasts?? Thank you!

- Carrie

Answer 1:

Josh Korman, M.D., F.A.C.S. - LocateADoc.com

I would suspect that your mother is concerned about scars as relates to future boyfriends, but honestly,I'm not sure that your mom realizes how much it affects your life.

--Josh Korman, M.D., F.A.C.S.
Mountain View, California

Answer 2:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Carrie, You are in college and should be able to make decisions for yourself. I do not wish to make a rift between you and your mother, but it certainly sounds as though you would benefit from breast reduction surgery. I suggest that you visit with two or more plastic surgeons and then make your decision. In your case, insurance may be able to help with the cost. I would not suggest any interim measures before having the proper procedure performed.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii

Answer 3:

David M. Metzner, MD - LocateADoc.com

Only you can decide whether or not to have breast reduction, and you are old enough to make this decision yourself. You certainly have sufficient problems to have it done now and I can see no advantage to delay. There is no non-surgical way to make them smaller. It is possible that liposuction of your breasts will make them lighter, though liposuction of the breasts is often less effective in someone your age than in an older woman. David M. Metzner, MD

--David M. Metzner, MD
Metairie, Louisiana