Insurance Coverage & Criteria
Breast reduction surgery is generally considered a reconstructive procedure and may be covered by health insurance when performed to relieve medical symptoms. Many insurers define breast reduction surgery as reconstructive based on the amount of tissue that will be removed. The Hughes Center is one of the only plastic surgeons in the South Jersey area who accepts insurance for this procedure (to find out if we participate with your insurance please call our office) In order to be approved for breast reduction surgery, the insurance companies will require you to meet certain criteria for reimbursement or coverage. Each insurance policy varies greatly. Carefully review your policy to determine coverage.
Breast reduction, technically known as reduction mammoplasty, is designed for women who experience back, neck and shoulder pain as well as skeletal deformities, breathing problems, rashes and shoulder grooving due to large breasts. In these cases, unusually large breasts can make a female feel extremely self-conscious and may limit their physical activity and cause them physical discomfort.
The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques. The areola is also reduced in size. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body.
It is recommended that the breast be fully developed before the surgery is performed. However, if large breasts are causing serious problems, the procedure may be recommended for younger patients.
Where is the Procedure Performed?
The Hughes Center performs breast reduction surgery at accredited outpatient surgical centers or at a hospital. He works out of Centennial Surgery Center, Summit Surgical Center and Virtua and Kennedy Hospitals all located in the South Jersey area conveniently located 45 minutes from the Atlantic City area and 20 minutes from Philadelphia.
Will I be in Pain?
With any surgery you can expect discomfort. The Hughes Center will prescribe medication for pain as well as offer the On Q Pain Buster. This is a device filled with an anesthetic medicine for local pain relief. With the pain pump, you may need to take less pain medication which will help eliminate some of the side effects of oral pain medication.
Preparing for Surgery
It is best to be as physically healthy as possible. I f you are a smoker you will need to stop well in advance prior to your surgery. We also want you to avoid taking any aspirin products, anti-inflammatory, and herbal supplements 2 weeks prior to surgery as they can increase bleeding. We will also have you get a mammogram prior to surgery.
What to Expect Post Surgery
Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape. Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. The Hughes Center will give you specific instructions on post op care. One month following the surgery you will be wearing a support bra to reduce swelling and bruising. You may return to work in about two weeks but should avoid any heavy lifting and strenuous activity for the next four weeks. Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. You’ll be symptom free of the physical discomfort of large breasts, your body will look better proportioned, and clothes will fit better.
If you would like to learn more about breast reduction and live in Philadelphia or New Jersey, click here to request a consultation at the Hughes Center for Aesthetic Medicine. Or you can call us at to schedule your appointment.