Cosmetic Surgery Tips

How Much Is A Breast Reduction 2020

The American Society of Plastic Surgeons stipulates that breast reductions have an average cost of just under $6,500. This figure only relates to breast reductions performed for cosmetic reasons, not as part of an essential medical procedure. Lots of costs are tied into the overall treatment, including fees for anesthesia, facilities, medical tests, post-surgery care, medication, and the surgeon’s fees. Therefore, the exact cost of your breast reduction surgery can vary depending on all of these factors. If you book a consultation with Dr. Brenman, he will help you understand the total costs of the treatment based on your specific needs. 

Breast Reduction Overview

Breast reduction (reduction mammaplasty) is a surgical procedure aimed at reducing breast size. It brings the breasts into a more proportional shape for your body, so they’re not too large. This is mostly a cosmetic treatment, though breast reduction has been shown to help with back and neck pain in many women. 

Dr. Brenman will perform your surgery by removing any excessive glandular breast and fatty tissue from your chest. Following this, he will reshape the breasts, so they look more natural and perky. In most cases, your nipples will need to be repositioned to look more natural.

In this article we discuessed How much is breast reduction surgery with insurance and How much is a breast reduction and lift.

Benefits of a Breast Reduction

You will see various cosmetic and health benefits from breast reduction surgery. Firstly, it reduces the size of your breasts, making you feel more natural and confident. This can also help you fit into clothes or find bras that actually contain your breasts. If your large breasts have caused back or neck pain, this surgery will lighten the load on those muscles. In turn, this can provide long-term relief from chronic pain and postural issues. 

Breast reduction surgery is also shown to benefit people with breathing problems caused by large breasts. As the weight of your breasts pulls your spine forwards, it puts pressure on your lungs, making it hard to breathe. Again, reducing the size of your breasts will undo this problem by allowing you to stand upright and return to normal posture.

Thinking of a breast reduction? You’re probably wondering what a surgery like that costs.

Several variables factor into the cost of a breast reduction, including your surgeon’s expertise and location. Let’s dive in.

WHAT FACTORS INTO THE COST OF A BREAST REDUCTION?

The average cost of a breast reduction procedure in the United States varies. According to the American Society of Plastic Surgeons, the average can be as low as $5,913. In other places, such as New York or California, prices are higher. You’ll need to consider other factors before understanding the true cost of a breast reduction, including:

  • The surgeon’s experience and expertise in performing breast reduction surgeries can significantly impact the cost of the procedure.Always make sure you undergo plastic surgery with a highly experienced, qualified plastic surgeon. A lower price tag might look appealing upfront, but you could be putting yourself at severe risk if you work with an inexperienced surgeon. With over ten years of deep-rooted experience in plastic and reconstructive surgeries, Dr. Kashan’s technique enables his patients to witness stunning results with every procedure.
  • The type of anesthesia used during the procedure can affect the cost.
  • The cost of using the surgical facility, including staff, equipment and other supplies.
  • Pre-operative tests and medications.
  • Post-operative garments that reduce swelling and provide support.
  • The cost of living and healthcare in the place you’re getting the surgery.
  • Insurance coverage. If the procedure is deemed medically necessary due to symptoms such as back or neck pain, insurance may cover a portion of the cost.

Patients of Dr. Kashan’s can opt to pay using Care Credit. With Care Credit, you can easily cover the cost of your procedure through monthly installments without having to worry about high out-of-pocket costs. Simply apply for Care Credit with Dr. Kashan online using this link and get an answer within minutes. Enjoy the benefits of your aesthetic journey while making convenient monthly payments that fit your budget.

WHY GET A BREAST REDUCTION?

Patients opt for breast reductions for several reasons. These might include:

  • Physical discomfort: Large breasts can cause physical discomfort, such as back, neck and shoulder pain.
  • Difficulty with physical activities: Women with large breasts may find it challenging to participate in physical activities or sports due to the size and weight of their breasts.
  • Posture problems: Large breasts can also cause poor posture and spinal curvature, leading to long-term health issues and chronic pain.
  • Difficulty finding clothes that fit properly: Women with large breasts may struggle to find clothes that fit properly, which can lead to frustration and low self-esteem.
  • Self-consciousness: Some women may feel self-conscious or embarrassed about their large breasts, leading to anxiety and a negative self-image. In young women, it can lead to judgment and ostracization from their peers, which also affects their self-confidence.

Breast reduction surgery can help alleviate these issues by reducing the size and weight of the breasts, improving physical comfort and boosting self-confidence.

HOW DOES THE PROCEDURE WORK?

Breast reduction surgery, also known as reduction mammoplasty, is a surgical procedure designed to reduce the size and weight of the breasts by removing excess breast tissue, fat and skin. This procedure also involves lifting and reshaping the breasts to give them a more youthful appearance. The procedure typically involves several steps, starting with the administration of general anesthesia or intravenous sedation to ensure the patient is comfortable and that the surgery remains pain-free.

Dr. Kashan will then make an incision around the areola and down to the breast crease. The length and pattern of the incision will depend on the amount of breast tissue to be removed. He removes excess breast tissue, fat and skin from the breast to achieve the desired size and shape. The nipple and areola will be repositioned to a higher position on the breast. The size of the areola is often reduced and made to be more symmetrical as it tends to stretch and expand with larger breast sizes.

After completing the tissue removal process, Dr. Kashan closes the incisions with sutures and may use surgical tape or skin adhesives to support the incision site. The patient will be monitored in the recovery room for a few hours and is discharged home the same day. Dr. Kashan and his team will provide instructions on post-operative care and follow-up appointments.

The exact techniques used for breast reduction surgery may vary depending on the patient’s unique anatomy and desired outcomes. The procedure typically takes several hours to complete, and patients can expect some soreness and swelling for a few weeks after surgery.

How Much Is Breast Reduction Surgery With Insurance

It depends. Health insurance only covers breast reduction if it’s considered medically necessary to treat chronic health symptoms.

This means that before you can schedule the breast reduction surgery, you’ll probably have to get insurance authorization. The insurance company will require your surgeon to submit certain health records on your behalf; it will then assess your medical need for the surgery. (Even if your insurance does cover the surgery, you’ll still have to pay copays or deductibles.)

If your breast reduction surgery doesn’t meet your health plan’s medical necessity criteria, it will be considered cosmetic, meaning the insurance company won’t cover it.

How to get a breast reduction covered by insurance

Getting approval for breast reduction surgery can be a long, complicated process. Insurers have different criteria for judging the surgery as medically necessary.

Your health insurance plan may require: 

  • A physician’s letter detailing your health symptoms and how long you’ve had them
  • Medical records of previous treatments you’ve tried
  • Your height and weight
  • Photos of your breasts

You’ll generally have to provide records showing that:

  • You have chronic health symptoms caused by having large breasts
  • You have tried other, nonsurgical treatments
  • The nonsurgical treatments have not helped

Some insurers have required a person to be within 20% of their ideal body weight before approving coverage, as weight loss alone can cause the breasts to become smaller. However, this requirement has been questioned by some surgeons and academics, given that lasting weight loss is difficult and sometimes unrealistic.

Your best bet is to contact your insurer as early as possible, and ask them to list and explain all the requirements and what forms of proof they will accept. That way, you’ll know exactly what documentation to gather and submit.

What makes a breast reduction medically necessary?

When it comes to undergoing surgery, particularly for musculoskeletal issues, it is crucial for a doctor to determine that the procedure is medically necessary. This means that the benefits of surgery outweigh the potential risks and that other non-surgical treatments have been tried without success. Before a doctor will recommend surgery, they may require evidence that alternative treatments such as physical therapy, weight loss, or musculoskeletal treatments have been attempted.

In some cases, the doctor may also need documentation that the patient has been experiencing symptoms for an extended period of time, typically at least 6 months. This is important because it shows that the condition is chronic and not likely to improve with conservative management alone. Insurance companies often require this proof before they will approve coverage for surgery, as they want to ensure that the procedure is truly necessary.

As part of the pre-surgical evaluation process, patients may need to provide medical records, imaging studies, and documentation of treatment attempts. This could include physical therapy notes, weight loss logs, and medication histories. In some cases, the doctor may also order additional tests or imaging studies to further document the severity of the condition and the need for surgery.

Ultimately, the goal of requiring evidence of medical necessity is to ensure that patients are receiving appropriate care and that surgery is the best course of action for their specific situation. By undergoing a thorough evaluation process and providing the necessary documentation, patients can feel confident that they are making informed decisions about their healthcare.

In conclusion, before undergoing surgery for musculoskeletal issues, it is important for doctors to determine that the procedure is medically necessary. This may involve providing evidence of failed non-surgical treatments, chronic symptoms, and the severity of the condition. By following this process, patients can ensure that they are receiving the most appropriate care for their individual needs.

Insurance companies may approve breast reduction surgery as medically necessary if:

  • You have severe rashes or skin infections that are hard to treat.
  • Your physical activities are restricted.
  • You have nerve compression due to the weight of the breasts.
  • The weight of your breasts is significantly affecting your posture and spine alignment.
  • Your breasts are painful.
  • You have upper-back, neck, or shoulder pain.
  • You have shoulder grooves from bra straps.

Do breasts have to be a certain size in order for you to be a candidate for reduction?

When it comes to reduction surgery, it’s not exactly a matter of how large your breasts are. The main measure is the amount of tissue to be removed. Your insurance company’s “medically necessary” criteria may require that the procedure remove a certain minimum amount of tissue.

Some insurers use the Schnur Sliding Scale as a reference. This is a ratio that compares the weight of the removed breast tissue with your total body surface area. Although this calculation is a common guideline, it’s not always an absolute rule.

Typically, if your Schnur ratio is above the 22nd percentile, your surgery is considered medically necessary. If it’s below the 5th percentile, it’s considered cosmetic. If your ratio is in between, it may be considered either medical or cosmetic, or a mix of both, and may or may not be approved by insurers.

How much weight is removed in breast reduction? 

The minimum amount varies according to your insurance carrier’s definition. For some, if the amount of breast tissue removed is less than 200 to 350 grams (7 to 12 ounces), the procedure may be considered a breast lift rather than a breast reduction. A breast lift is typically considered cosmetic surgery, and so it is not covered by insurance.

Does Medicare pay for breast reduction?

Not always. Like private insurers, Medicare doesn’t cover cosmetic breast reduction surgery. Both original Medicare and Medicare Advantage will cover the procedure when it is determined to be medically necessary. However, you will probably have to pay for a deductible, copay, or coinsurance.

How much does a breast reduction cost with insurance?

The total cost of breast reduction surgery has several components, including:

  • Surgeon’s fee
  • Anesthesia fees
  • Hospital costs
  • Medical tests
  • Post-surgery garments
  • Prescription medications

The average plastic surgeon’s fee for breast reduction was $5,717 as of 2020, according to the Aesthetic Plastic Surgery National Databank. But fees vary significantly depending on factors like:

  • The surgeon’s level of experience
  • What breast reduction technique the surgeon uses
  • Whether you have the surgery on one or both breasts
  • Market pricing in your geographic location

For example, according to estimates from FAIR Health, here’s a cost breakdown for a patient in Columbus, Ohio, with commercial insurance.

ItemPrice
Surgeon’s fee$4,782 ($2,391 per breast)
Anesthesia fee$997
Facility cost for ambulatory surgical center$6,548
Facility cost for hospital outpatient$10,257
Total$12,327 at an ambulatory surgical center
or
$16,036 at a hospital as an outpatient

Not included: Possible costs such as medical tests, post-operative recovery garments, prescription medications, follow-up treatment, or other fees.

How much does breast reduction surgery cost for the uninsured? 

Without insurance, that patient in Columbus, Ohio, would face costs like this, according to FAIR Health:

ItemPrice
Surgeon’s fee$15,870 ($7,935 per breast)
Anesthesia fee$2,151
Facility cost for ambulatory surgical center$16,582
Facility cost for hospital outpatient$20,179
Total$34,603 at an ambulatory surgical center
or
$38,200 at a hospital as an outpatient

How Much Is A Breast Reduction And Lift

In general, breast size is a permanent result once a woman reaches maturity. While weight gain or pregnancy can cause the breasts to increase in size, they will generally remain small and shapely. However, it’s important to consider the natural effects of the aging process, which can impact the appearance of the breasts over time.During puberty, the breasts develop as a result of hormonal changes in the body. The size and shape of the breasts are largely determined by genetics, although factors such as weight gain, hormonal fluctuations, and pregnancy can also influence their appearance. Once the breasts have fully developed, they typically remain a relatively consistent size and shape, barring any significant lifestyle changes or medical interventions.For many women, having small and shapely breasts is considered desirable, and they may choose to maintain their natural breast size through proper diet, exercise, and overall health maintenance. However, some women may feel self-conscious about their breast size and may seek out surgical options such as breast augmentation to achieve their desired look.It’s important to remember that the aging process can have an impact on the appearance of the breasts. As women age, the skin loses elasticity, leading to sagging and a loss of volume in the breasts. Factors such as menopause, fluctuations in hormone levels, and weight gain or loss can all contribute to changes in the breasts over time.While small and shapely breasts are generally a permanent result, it’s important for women to be aware of the potential effects of aging and to take steps to maintain the health and appearance of their breasts throughout their lives.

Leave a Comment

Your email address will not be published. Required fields are marked *