Cosmetic Surgery Tips

Breast Reduction Cost In NYC

Breast reduction is a procedure that reduces the size of the breasts to improve their shape and appearance. The procedure can be performed for a variety of reasons, including pain or discomfort in the breasts, physical limitations caused by large breasts, and body image issues.

Breast reduction surgery can also help reduce the risk of conditions such as back pain, neck pain, shoulder grooving (a condition in which breast tissue squeezes into the shoulders), skin irritation and infection, rashes or other skin conditions due to friction from tight clothing against the chest area.

Costs for breast reduction vary depending on factors such as surgeon experience and equipment used during surgery. Costs may range from $7,000 to $25,000 per patient depending on location and insurance coverage provided by an employer or government program such as Medicare or Medicaid.

In this blog post we will discuss about breast reduction weight requirements and breast reduction surgery cost with insurance

Breast Reduction Cost In NYC

Cost plays a big role in most life-changing breast surgeries. While breast reconstruction procedure following a mastectomy is covered by insurance for cancer patients, the majority of other breast surgeries aren’t. But you can always try to have your health insurance pay for your breast reduction.

For insurance purposes, purely cosmetic surgeries aren’t considered medically necessary. For a breast reduction, which always includes a second procedure, a breast lift, the estimated cost starts at $6,000. This isn’t the real cost of the surgery, but rather the base rate. Factors to consider in the price of a successful breast reduction surgery include:

  • Board certification. The breast reduction surgeons at Rowe Plastic Surgery may have a higher consulting fee due to their years of experience and their board certification. In return, you get the assurance of the American Society of Plastic Surgeons, which stands behind the certification. Certification isn’t easy to achieve and has to be renewed every few years.
  • Experience and skills. The skills of your surgeon, along with the years of experience, contribute to the success of your procedure.
  • Affiliations. Ensure your surgeon has professional affiliations with area hospitals and professional organizations. It’s also a good sign if the doctor has won awards, such as a “Top Doctor in the New York Metro Area.”
  • Qualifications. Check on the qualifications so you know the surgeon has studied at a reputable medical institution. Ask where residency and advanced training took place.
  • Referrals. Every plastic surgeon worth the money has before and after photos of previous patients. You can even ask for a past patient to talk with about her experience.

So What’s the Real Cost of a Breast Reduction?

Besides the surgeon’s fees, your surgery for breast reduction also incurs additional costs that increase your final price. You can expect to pay on average, anywhere from $15,000 to $25,000, for your breast reduction surgery, which includes the breast lift.

Your ultimate breast reduction surgery costs include items such as:

  • The anesthesiologist’s fees. Breast reduction surgery is not considered minimally invasive surgery. You need general anesthesia for this procedure.
  • The cost of the surgical facility. Some plastic surgery practices have their own ambulatory surgery centers, which minimizes these fees. Hospitals usually charge more if you have to use them.
  • Locations. Where you have the procedure can increase or decrease the costs. The surgeons at Rowe Plastic Surgery believe it’s worth finding a practice that offers top-notch services. You want a surgeon who makes you feel at ease before, during and after the surgery. Your relationship with your plastic surgeon doesn’t end with the surgery; you need regular checkups to ensure your recovery.
  • Prescription medications. You likely need pain relievers for a short period after your surgery for the pain and swelling.
  • Pathology lab tests. Your surgeon may determine to collect some tissues samples to have analyzed if there’s something unusual during the surgery.
  • Post-surgery garments. For the short-term, you require a special bra to support your breasts and prevent too much movement while they heal. After you’re healed, you likely need to buy new bras that match your new breast size, but that’s not included here.

Breast Reduction Surgery Cost With Insurance

The average cost of breast reduction (aesthetic patients only) is $5,913, according to the most recent statistics from the American Society of Plastic Surgeons. This average surgeon’s fee is only part of the total price – it does not include anesthesia, operating room facilities or other related expenses. Please consult with your plastic surgeon’s office to determine your final fee.

Prices for breast reduction can vary. A surgeon’s cost may be based on his or her experience, the type of procedure used and geographic office location

Breast reduction costs may include:

  • Anesthesia fees
  • Hospital or surgical facility costs
  • Medical tests
  • Post-surgery garments
  • Prescriptions for medication
  • Surgeon’s fee

Is breast reduction surgery covered by health insurance?

Health insurance policies frequently cover breast reduction surgery, but your cosmetic surgeon might need to obtain authorization from your insurance provider. A letter and images may need to be submitted as part of this process. You can schedule the operation after the authorization has been granted, but bear in mind that you will still be responsible for any copayments or deductibles that your insurance has set. You will have the choice to pay for the surgery out of pocket if your insurance does not cover it.

Who Is a Candidate for Breast Reduction?

Breast reduction can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Childbirth and breastfeeding may have significant and unpredictable effects on the size and shape of your breasts.

Typical breast reduction candidates have large, pendulous breasts that may cause them to potentially experience various medical problems caused by the excessive weight of the breast tissue. Problems with posture, skeletal deformities, back and neck pain, skin irritations, and breathing problems are common with this condition. Bra straps often leave indentations in the shoulder area.

Breast reduction usually can significantly improve these problems as well as improve the size and shape of your breasts. Because of the symptoms associated with very large breasts, the breast reduction procedure is generally considered a reconstructive plastic surgery procedure and may be covered by most insurance plans. Many women, especially teenage girls, are very self-conscious if they have disproportionately large breasts.

Breast Reduction Weight Requirements

Body mass index (BMI). This is a number that is used to determine your weight status. It correlates your height and weight and should be used as a general guideline only. See the bottom of this document for information on the BMI and how to calculate it.

Some insurance companies will deny breast reduction surgery unless the BMI is <30, others <35, while others need to see documentation that the patient has attempted to lose weight in the past through diet, exercise or weight loss surgery. This is because breast size may decrease with weight loss.

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