Breast Reduction Q & A : Dr. WilcoxDoes insurance cover this procedure? If the breast reduction can be proven to be medically necessary, then the insurance might very well cover the procedure. What would be considered medical necessity? Medical necessity would be like back and neck pain, deep shoulder grooving, rash under the breasts. If there is a record of the patient being treated for any of these conditions that is very helpful. Would I need to stay overnight in the hospital? Many times it is beneficial for the patient to remain in the hospital overnight, or what is referred to as 23-hour observation. How much discomfort is involved? There is really not that much pain involved because there are no muscles involved. Will there be scars? Every surgery involves scars: there is no way around that. Hopefully the scars will become thin and fade within a year. Most of the incisions are made around the areola and underneath the breasts so they are less noticeable. How much breast tissue can be removed, and does the doctor decide what size my breasts will be? The doctor will work with you to decide what would be the best size for your body, and he will certainly take into account your desires as to size. How long would I need to be off of work, or to be on restricted activity? You would probably need to be off of work for 10 days to 2 weeks. No aerobic exercise for 4 - 6 weeks. You would also need to avoid sun exposure to the breasts for at least 3 months. Would I be able to breast feed after a breast reduction? Some patients are able to successfully breast feed following a breast reduction, however many are not. There are no guarantees. If my insurance does not cover my breast reduction, how much would it cost? The total cost for this procedure would be about $6,000.00. That would include the surgeon's fee, as well as operating room and anesthesia charges. There is an additional fee if the breast tissue that is removed is sent to pathology for examination.
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