I am only 18 years old and I have been diagnosed with thoracic kyphosis (a form of scoliosis/curvature of the spine) and sciatica with muscle spasms. There has not been one day this entire year that I've walked without pain. I have applied for SSI, because I am disabled and cannot work. I have been denied breast reduction twice by my HMO based insurance, because they said it was for cosmetic reasons. I believe that this surgery would help the pain in my shoulders and my upper back. They are size 36DD and I only weigh 115. I sent an appeal out with my medical documents and a letter about my condition. I would like to know what it is I can do to get this surgery approved. I've tried everything, and I'm stuck! How do I get them to approve of this surgery!?