NCBI Bookshelf. Breast reduction surgery, also known as reduction mammoplasty, is a procedure to reduce overall breast volume, maintain nipple-areola viability, and achieve a shape that is aesthetically pleasing. Thorough preoperative assessment is essential, including physical examination of size, shape, elasticity, looseness, striae, rashes, bra strap grooving, any asymmetry, masses, and consistency. The position of the nipple-areola complex relative to the inframammary fold is assessed.
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. The condition not only must be unresponsive to dermatological treatments e. Aetna considers liposuction-only reduction mammaplasty experimental and investigational because of insufficient evidence of its effectiveness. The member has gigantomastia of pregnancy accompanied by any of the following complications, and delivery is not imminent:. Aetna considers breast reduction, surgical mastectomy or liposuction for gynecomastia, either unilateral or bilateral, a cosmetic surgical procedure.
Breast reduction (mammoplasty) - Series—Indications
Breast reduction surgery, also known as reduction mammaplasty, is a procedure used to remove excess fat, tissue and skin from the breasts. If you have large breasts, you might choose to have breast reduction surgery to ease discomfort or to achieve a breast size proportionate to your body. Breast reduction surgery might also help improve your self-image and your ability to participate in physical activities. If you're considering breast reduction surgery, consult a board-certified plastic surgeon. It's important to understand what breast reduction surgery entails — including possible risks and complications — as well as set realistic expectations.
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