Breast reduction bsa

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Considering breast reduction surgery? Not sure if your insurance covers breast reduction or whether you are eligible? Can't seem to find any one who knows the answer to your questions?

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Reduction mammoplasty also breast reduction and reduction mammaplasty is the plastic surgery procedure for reducing the size of large breasts. In a breast reduction surgery for re-establishing a functional bust that is proportionate to the woman's body, the critical corrective consideration is the tissue viability of the nipple-areola complex NACto ensure the functional sensitivity and lactational capability of the breasts. The indications for breast reduction surgery are three-fold — physical, aestheticand psychological — the restoration of the bust, of the woman's self-imageand of her mental health.

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You probably cannot go more than a week or two without noticing an article touting the benefits of exercise for preventing chronic illness and disease like heart disease, dementia, diabetes, and even breast cancer. Other risk factors, like the amount of weekly exercise are, for a large part, controllable. Estrogen receptor-negative breast cancer affects African-American women at higher rates than other women and can be deadly.

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Some carriers use the absolute weight of breast tissue removed as their guide. Other carriers emphasize symptoms suffered by their insureds such as back and neck pain, shoulder strain, skin rashes developing in the skin underneath he breasts or shoulder grooves from the chronic need for a support bra and the weight of the breast within the bra cup. Some or all of these symptoms may be sufficient to qualify a patient for insurance coverage.

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Breast Reduction Surgery, or Reduction Mammaplasty, removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body. The procedure enhances the overall appearance of your breasts and helps to alleviate the discomfort associated with overly large breasts. Overly large breasts can cause some women to have both health and emotional problems.

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Reduction mammoplasty for asymptomatic members is considered cosmetic. Aetna considers breast reduction surgery medically necessary for non-cosmetic indications for women aged 18 or older or for whom growth is complete i. Note : Breast reduction surgery will be considered medically necessary for women meeting the symptomatic criteria specified above, regardless of BSA, with more than 1 kg of breast tissue to be removed per breast.

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Brenner frequently see patients in consultation for breast reduction surgery. Even though most patients have decided that they want to proceed with breast reduction surgery before they even meet with him, nearly all of them want to know if their operation is medically necessary. Further, and maybe even more importantly, his patients want to know if their insurance company will approve their surgery as medically necessary.

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Call us today to discuss cosmetic surgery options to enhance your enjoyment of life. Alameda: Brentwood: Reduction mammoplasty, often called breast reduction, is a surgical procedure to reduce, lift and reshape the breasts.

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At Rosenberg Plastic Surgery, we regularly consult with patients regarding their eligibility for breast reduction surgery. Many patients have already determined that breast reduction is right for them but are unaware if it would be considered a medically necessary operation. What these patients learn is that their insurance provider may not approve coverage of the surgery unless their current state is considered a medical concern.

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InDr Paul Schnur and his colleagues published an article correlating the weight of breast tissue to be removed in a breast reduction operation with the total body surface area BSA of the patient. They presented a very cogent argument for selecting three groups of patients: those with medical indications for operation, those who merit review, and those whose operation could be considered cosmetic. The Schnur Sliding Scale is widely used by insurance companies in the western United States in the process of preauthorizing breast reduction operations, and its use may be spreading eastward. The Schnur group presented a nomogram for calculating BSA and a scale in the form of a table for guiding a determination of whether the patient is a reconstructive patient as opposed to an aesthetic patient.

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