Table of Contents
Breast Reduction Surgery | Everything You Need to Know

Mammaplasty, also known as breast-reduction surgery, is a procedure in which a cosmetic surgeon removes excess tissue and skin to completely reduce the breast size. This surgery is great for people with large breasts. It can help reduce discomfort and make the breasts more proportionate to the rest of your body. Mammoplasty can also improve a woman’s self-confidence and physical health. We will be taking a closer look at the procedure and how to get it covered by your health insurance.
A breast reduction procedure is becoming more popular. There are many reasons women consider breast reduction. These include post-childbirth changes, or if your breasts are so large that it is preventing you from doing everyday activities like exercising. There are many benefits to breast reduction.
Many women are curious if their insurance covers breast reduction surgery. This question is frequently asked in our office. We work hard to make sure that patients are fully informed about their options and know exactly what their insurance company covers.
FAQs On Breast Reduction Surgery and Insurance
How Safe is breast reduction surgery | It’s Safe but has side effects |
How Much Does Breast Reduction Surgery Cost | $6000 to $10, 000 |
How long is Breast Reduction Surgery recovery | 3 to 6 months |
Common Problems after Breast Reduction Surgery | Potential loss of skin and Skin discoloration |
Does Insurance Companies covers Breast Reduction Surgery | Yes |
How Safe Is Breast Reduction Surgery ?
Although all surgeries are risky, mammoplasty has a low rate of complications. These include bleeding, allergic reactions to anesthesia, and infections at the incision site. Breast reduction surgery is not recommended for women with large breasts. It is best not to undergo the procedure for young women if they are under 16 years of age, we have celebrities like Allegra Cole who is due for breast reduction surgery. Their breasts are often not fully developed. Other factors can also rule out breast reduction surgery.
- Excessive Smoking
- You don’t want scars on your breasts
- Obesity
How To Get Breast Reduction Covered by Insurance

Breast reduction surgery is generally not covered by insurance. However, it is possible to have the procedure covered if it is medically necessary. Unless the patient can show that they have an underlying condition, breast reduction surgery is generally considered a cosmetic procedure. Breast reduction surgery is commonly regarded as a cosmetic procedure unless the patient can show that they have an underlying condition that cannot be treated with the corrective procedure. Patients will need to meet a predetermined threshold in order for their insurance to cover the surgery.
Getting an Insurance that covers Breast Reduction Surgery
Although the process may vary according to the insurance company, breast reconstruction will be covered by most insurance plans. Patients who are interested in having their surgery performed must provide their insurer with a letter of medical necessity. This states that the procedure is necessary to treat an underlying condition. To ensure that other treatments are not excluded, most insurance companies will require 6-12 months of documentation.
Requesting a letter from your insurance company detailing the requirements for approval is the best way to speedily get approval. This is done well before you have any breast reconstruction surgery. Because each insurance company has its own approval criteria, this is crucial. The average turnaround time after submitting all necessary documentation can take anywhere from 3 to 6 months.
The insurance provider can confer with the treating doctor and seek second opinions from other healthcare providers, such as chiropractors, to confirm that the surgery is medically necessary. It is best to notify your doctor that you intend to have the procedure covered by insurance. This helps ensure that letters of medical necessity are sent promptly to your insurance provider.
What is the Cost of Breast Reduction Surgery without Insurance?

The biggest question has always been how much does breast reduction surgery cost ? While the process of getting your breast reduction surgery covered by insurance may seem complicated, it can help you save a lot of money if your claim is approved. The American Society of Plastic Surgeons has found that the average breast reduction surgery cost is approximately $6,000. This includes the following fees:
- Facility costs
- Anesthesia
- Surgeon fees
- Prescription medications for post-surgery
How long is Breast Reduction Surgery Recovery
Three to six months is the recovery phase for breast reduction surgery. Its all depends on the nature of surgery that you performed, contact your doctor for more information.