I need advise about breast reduction correction

[belleangel]

I had a breast reduction 13 month ago. A developed some sebaceous cyst, and fat necrosis in both breast. But my right one it's the worst. It really bother me. Today a had my 1 year check up with my Plastic Surgeon. After he read the mammogram result, he told me that this happen frequently and it's something simple. He order to fill up  paper work for insurance. But that bother me in his attitude, is that he even paid attention that I told him that I have thick scars on my sides, some like dog ear between my breasts. It looked like for him every of this thing are normal and he said that they are not visible, so he won't work on them only on the hardness in my breasts.  I concern about the hard things on my breast but also about the way that they look, one breast bigger than the other one, one of my areolas is bigger than the other one, thick scars on sides and one side bumpy than the other one also. Should he fix every of this issues or only the inside part?. Do you think that I should go to another Plastic Surgeon and get another opinion? If I decide change my Plastic Surgeon would the insurance pay for the new reconstruction? I'm really upset. I need advise about what to do. My insurances is BCBS blue choice option POS and they paid for the first surgery.

Thanks ahead for your replay

  

[belleangel]

Thank for your replay!!! I will talk about with my plastic surgeon. thank you again.

[Howard Rosenberg, MD]

You are faced with what may be a real dilemma with your post breast reduction results.  Dog ears, thickened scars, and fat necrosis with some residual lumps all occur occasionally in patients having this procedure. (You obviously have them all!)

It can be difficult to get insurance companies to agree to pay for tne original breast reduction, let alone subsequent revisions (even though they are usually minor procedures).  Your doctor is trying to obtain pre-aurthorization for part of the revision, but there may be no assurance that this will occur.  

In my practice, I do not participate in any insurance plan.  If we get pre-aurthorization from the insurance compnay for the original reduction, the patient pays my full fee and receives a fraction of that back from the insurance carrier.  If an occasional patient needs a revision, then my policy is to charge no professional fee for the revision procedure, but the patient is responsible for any facility or anesthesia fees.  You will need to discuss this further with your surgeon to come to a satisfactory agreement.