How To Get Breast Surgery Covered By Insurance?

If you’ve decided to get breast augmentation surgery, there are a few things to think about, including which type of implant and size will work best for you, as well as choosing the ideal plastic surgeon in your area. Finding out if your insurance will cover your breast augmentation treatment is another crucial step. Before undergoing any type of plastic surgery, it’s critical to have a full idea of the costs involved. Breast augmentation is typically considered elective surgery and is therefore not covered by insurance. Breast reconstruction surgery including breast implants, on the other hand, may be reimbursed in full or in part. Before scheduling your treatment, it is a good idea to educate yourself on the specifics of your plastic surgery and your insurance coverage.

Will insurance cover surgery for uneven breasts?

Breast revision surgery is a treatment or set of operations used to improve or repair a previous breast surgery’s unsatisfactory outcome. This could be due to age-related changes in the body altering surgery outcomes, your body responding in an unanticipated way throughout the healing period, or simply a desire for a new look.

Breast revision surgery can treat a variety of difficulties from a previous procedure, such as implant placement issues or unequal breasts (asymmetry), scar improvement, reducing excess scar tissue surrounding the implants (capsular contracture), and implant replacement, removal, or modification. Regardless of why you needed revision surgery in the first place, the goal of breast revision surgery is to offer you beautiful, natural-looking outcomes.

Patients who are considering breast revision surgery are concerned about whether their insurance would cover the treatment. Breast revision surgery is frequently covered by health insurance companies, especially if it is linked to:

Does insurance pay for breast deformity?

POLICY Reconstructive surgery, such as breast reconstruction to rectify abnormalities and surgery on the contralateral breast to establish symmetry, is considered reconstructive surgery and should be covered by third-party payers.

When is breast augmentation medically necessary?

If ALL of the following conditions are met, breast augmentation/mammaplasty is considered medically appropriate: Agenesis or hypoplasia on one side only. There has been no confirmation of a breast cancer diagnosis. The afflicted breast undergoes augmentation.

How big do your breasts need to be to get a reduction?

According to Dr. Bernard, the surgery is an outpatient procedure that takes roughly three hours. Women usually return home the same day or the following morning. However, you’ll most certainly be exhausted and hurting afterward, so take a few days off work or school to recover. You’ll be encouraged to get up and move around on a daily basis, but any strenuous exercise should be avoided for about a month, he advises.

You might not be able to get the exact cup size you want

The extent to which your breasts can be lowered is determined by your size, breast composition, and desired results. Your plastic surgeons will assist you in determining the best course of action throughout your consultation. According to Dr. Bernard, most breast reduction patients lose one to two cup sizes.

You’ll get a breast lift, too

Your surgeon will remove superfluous tissue and skin from your breasts to make them smaller, and then relocate your nipples up in place to give them a lift.

You’ll have scars

For a period, the incision wounds (which commonly resemble lollipops and loop around the nipples before going straight down to the bottom of the breast) will swell. “Scars improve dramatically in most people within a year of surgery, but they’re always there,” Dr. Bernard explains.

“It’s just as much genetics as anything else when it comes to scars. Every plastic surgeon can close a wound well, but it all relies on the individual.”

There’s a chance you’ll have decreased nipple sensation

Your nipples may feel numb immediately after surgery. “Almost invariably, some sensation in the nipples returns, although it may take a month or two,” Dr. Bernard explains. Certain surgical approaches are more likely to retain nipple sensation, so if this is a concern for you, make sure to discuss it with your surgeon.

How much does it cost to get your boobs the same size?

Costs. The cost of breast implants is determined by the location, doctor, and implant type. The operation usually costs between $5,000 and $10,000.

How much is a mommy makeover?

Let’s start with a basic explanation of what a mommy makeover is and what it comprises in most cases.

Even the healthiest mothers who strive tirelessly to regain their pre-pregnancy figures discover that the effects of pregnancy are irreversible and cannot be exercised away. When the body is stretched and tugged, excess skin is left behind, and the swelling and subsequent shrinking of the breasts can leave them flat and sagging.

‘Mommy makeover’ is an old phrase for a sequence of surgeries that surgically restores the pre-baby shape as closely as feasible. A mommy makeover is, at its most basic level, any breast surgery combined with any abdominal surgery. You can reduce recuperation time and get back on your feet faster by doing both procedures at the same time.

A mommy makeover consists of a breast procedure combined with one of the following body surgeries:

Breast augmentation

Breast augmentation may be the perfect decision if your breasts have lost volume or are sagging more than you would like. You can walk away with either saline- or silicone-filled implants after a one- to two-hour operation. Although breast implants are a permanent treatment, they may need to be changed after a few years.

While it’s important to have a basic awareness of the other aspects that determine the cost of a breast augmentation, the breast implant you choose is one of the most important. The cost of breast augmentation surgery varies depending on the patient’s surgical goals and needs.

When comparing the cost of silicone versus saline breast implants, consider the look and feel you want to attain. Would you prefer a substance that is a little firmer but has a similar composition to the fluid that makes up the majority of the human body for a more natural look and feel, or would you prefer a substance that is a little firmer but has a similar composition to the fluid that makes up the majority of the human body?

  • Breast implants made of silicone gel are more expensive because they are filled with a cohesive gel that holds together uniformly while keeping the natural give of breast flesh. To ensure uniform fill quantities, the manufacturer prepares these and tests them for quality. Because there are various distinct types of silicone implants, the cost each implant varies. There are various silicone implants, such as ‘gummy bear’ or’shaped’ implants, that are more expensive than traditional round silicone implants. Austin-Weston surgeons provide every commercially available breast implant available in the United States.
  • Because they are filled with a saltwater solution similar to the fluid that makes up the majority of the human body, saline-filled breast implants are less expensive, but they are slightly stiffer to the touch and are filled by the surgeon during the breast augmentation operation.

Breast lift

If the idea of implants makes you feel uneasy, a breast lift may be the way to go for a mommy makeover that restores that desired young shape and appearance. Perky breasts don’t have to be a thing of the past; this technique provides an alternative to re-inflating sagging, droopy, or improperly formed breasts. Excess skin is removed, breast tissue is elevated, and nipples and areolae are repositioned or even shrunk.

Temporary discomfort, swelling, bruising, and scarring, similar to breast augmentation, are possible adverse effects. The treatment might take anywhere from an hour and a half to more than three hours, but the good news is that the benefits are long-lasting. You can’t entirely stop gravity, but you can put it on hold for a while. In one to two weeks, most patients should be able to return to work.

Breast augmentation with lift

Because the breasts tend to spread and lose shape and volume after pregnancy, many women who have had children are great candidates for a combination breast augmentation with concomitant complete lift. This surgery, on the other hand, can be advantageous for any woman who wishes to increase the size of her breasts while also reducing breast sagging.

Breast Reduction

Women who have pain in their backs, necks, and shoulders, or who have indentations in their bra straps, may benefit from a breast reduction. A breast reduction can also help women who seek a lower breast size and better breast form.

Tummy tuck

An abdominoplasty, often known as a stomach tuck, is a treatment that takes two to five hours to complete. Your surgeon will remove superfluous skin, realign your navel, and tighten your abdominal wall to give your weak abdominal muscles new vitality.

A belly tuck leaves a scar, and recovery is lengthy — you can return to work and motherhood in one to three weeks, but it could take longer depending on your physical condition. The end result, though, can be a much flatter tummy and a much slimmer waist.

Liposuction

Although liposuction is referred to as “body shaping,” the surgery is far from glamorous. Having fat pulled out of your body isn’t as glamorous as it sounds, but the benefits can be incredible and immediate. If you’ve ever seen liposuction on TV, you know how brutal it can be. However, there are newer ways that alleviate some of the pain by melting the fat using ultrasound first.

Keep in mind that liposuction is not a substitute for weight loss. It can, however, help to get rid of stubborn fat that refuses to respond to diet and exercise. This means that you shouldn’t be surprised if your doctor advises you to reduce additional weight before undergoing this treatment.

The procedure might take anywhere from 45 minutes to two hours, depending on how much area you want liposuctioned. Bruising, pain, and even numbness are possible side effects, but the final contour is usually seen after three months. You should be able to return to work in one to two weeks, but you should plan on wearing a compression garment for up to six weeks to encourage your skin to contract and reduce swelling.

Mommy makeover statistics

It’s vital to remember that the price of a mommy makeover varies greatly from one patient to the next and frequently excludes other surgery-related costs. The surgeon’s charge, facility fee, anesthesia fee, post-surgery fees, and implant cost are the key costs that go into your total.

So, to give you a quick response, the total cost of a mommy makeover surgery can range from $9,000 to $20,000.

However, the final cost will be determined by a number of factors and variables, including:

Surgeon selection

Because they have varied amenities at their disposal and varying degrees of experience and accreditations, all surgeons have their own technique to executing mommy makeovers.

It’s reasonable to believe that choosing a surgeon has the greatest impact on the entire cost of surgery. Our four board-certified plastic surgeons at Austin-Weston, The Center for Cosmetic Surgery, for example, have a combined 75 years of experience and have built a solid reputation in Northern Virginia and the DC Metro area.

We can only speak for ourselves when we say that each operation is preceded by a thorough consultation including computer analysis and imaging technologies, as well as the expert eye of our surgeons, to ensure that we provide our patients with satisfactory and life-changing outcomes.

Geographic location

Plastic surgery expenses vary based on geographic locations, such as big urban centers, because physicians in these areas have higher overhead costs. So, the first step in determining how much you’ll pay is to look at the fees in your location and the cost of living there.

Using the Healthcare Blue Book to get a ballpark price for treatments depending on location (it works the same way Kelley Blue Book lists the prices of cars).

Surgical facility

The surgical facility is an important consideration not only because of the overall expense, but also because it may place a value on your safety and satisfaction.

In the decision-making process, it’s vital to have your surgery performed in an accredited surgical facility by qualified staff. Don’t try to save money by having your surgery done at a non-accredited facility or by a surgeon who isn’t certified by the American Board of Plastic Surgery.

The Austin-Weston Center is a stunning free-standing surgery center in Reston, Virginia, with five operating rooms. The Accreditation Association for Ambulatory Health Care (AAAHC), an organization that accredits office-based surgical facilities, has fully accredited our state-of-the-art facility.

Our surgeons are fully insured and board qualified in plastic surgery, and our Certified Nurse Anesthetists (CRNAs) are nationally certified by the Council on Certification of Nurse Anesthetists. Additionally, all of our staff is licensed and certified in Advanced Cardiac Life Support (ACLS).

Surgery-related expenses

You should inquire directly with the surgeon if these are the total fees included in your estimate. Because there is no predetermined dollar amount for such expenses, it is vital to weigh your options by consulting with a number of surgeons and obtaining estimates for not only their physician fees but also any additional surgical-related costs.

Make careful to factor in the following surgery-related costs when calculating the cost of a mommy makeover:

Anesthesia fees

Anesthesia costs for mommy makeover surgery can also differ. The cost will be higher if you use a board-certified anesthesiologist. The cost will be less if you use a CRNA (nurse anesthetist). Another cost-cutting factor is when a doctor uses a non-certified anesthetist nurse or a medical assistant to administer anesthetic medications (and yes, unfortunately, this does happen). Anesthetic fees are charged by the hour, so if the surgeon takes his time to provide the best possible results, the anesthesia fee would be greater. This can also vary based on the surgical approach employed, which can take longer or shorter depending on the circumstances.

Will insurance cover a breast augmentation?

Breast augmentation surgery, which involves the placement of breast implants for cosmetic reasons, will cost an average of $4,516 in the United States in 2020.

The majority of women are responsible for paying this out of their own pockets. Breast augmentation surgery is frequently not covered by insurance. Breast implants will, however, be covered for women who have had mastectomies owing to breast cancer.

If you require additional surgery in the future, your health insurance may not pay it. Breast implants may effect your insurance rates in the future.

Do they remove your nipples when you get implants?

Your skin extends to suit the size of your breast implants when you have them. Your breasts may sag, droop, or appear deformed after implant removal.

Many women combine implant removal with a breast lift to achieve their desired results (mastopexy). Your surgeon will remove extra skin and restructure your breast tissue during a breast lift. The surgeon can also adjust the nipple and areola if necessary. As a result, the breasts become firmer and more raised.

Breast implant removal is a procedure that removes silicone or saline implants from the body. Breast implants usually last between 10 and 15 years. Because of tissue hardening around the implant or other issues, some people require implant removal surgery. Others may require surgery to have their old implants replaced with new ones. You may also decide that you no longer desire implants. Breast implant removal surgery is usually performed as an outpatient procedure. A breast lift may be recommended if you are concerned about the appearance of your breasts after implant removal.

What are the safest implants 2020?

Implants made of saline are thought to be the safest alternative. Within ten years of their initial surgery, approximately 45 percent of women who chose silicone gel implants must undergo reoperations. Only 20 to 26% of patients who select saline had to undergo reoperation in the same timeframe. Though rupturing is a rare occurrence (the rupture risk is 3 to 10% after 10 years), the saline would be absorbed by the patient’s body if it did. Significant breast tissue would not need to be removed. Because of this, a saline implant is less likely to burst than a silicone implant. Because of the lesser risks, the FDA has approved saline implants for patients aged 18 and up, as opposed to silicone implants, which have a minimum age of 22.

How much do DD cup breast weigh?

For both of your breasts, DD cups can weigh up to 4.2 pounds. Each of your breasts may weigh around 950 ml or 2.09 pounds if your bra size is a DD cup. Your bra size can also help you estimate how much they weigh.