Q: Right Now, I Am Wearing a 38 I Cup. . .

March 24, 2011
by Dr. Carlin Vickery

Q: I am 5'3", 37 years old and a mother to two teens. I have lost 50 pounds and am working on another fifty to get me to my goal weight of 140 (I am muscular, lower than 140lbs and I am too thin). Right now, I am wearing a 38I cup. Yes, I said "I" cup. It hurts. My breasts have NOT decreased in size with weight loss, and they are pendulous. Insurance is a problem even though I am being treated for back/shoulder pain, and have had surgery on both arms now. How do I get started?

A: Check with your insurance company and find out specifically what they require to cover a breast reduction. Some companies want documentation that you have been treated for neck and shoulder pain either by a neurologist, or orthopedist. Some companies require a trial of physical therapy before they will agree to certify surgery. Documentation is important so get whoever operated on your arms to give you a letter. When you have your plastic surgery consult, pictures of your breasts and shoulders will be taken and sent with your pre-certification letter. Generally if you have good documentation and your pictures show large beasts, then coverage will be provided.
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