Does Insurance Cover Breast Lift?

Breast lift, also known as mastopexy, is a cosmetic surgical procedure that aims to raise and firm sagging breasts. According to the American Society of Plastic Surgeons, breast lift surgery has been increasing in popularity, with over 100,000 procedures performed in the United States in 2019.

One question that patients often ask is whether insurance covers breast lift surgery. The answer is typically no, as breast lift is considered a cosmetic procedure and is not medically necessary. However, there are some cases where insurance may cover part or all of the cost of breast lift surgery.

When Insurance May Cover Breast Lift Surgery

While breast lift surgery is generally considered a cosmetic procedure, there are specific situations where insurance may provide coverage. These include:

Medical Necessity

If a breast lift is deemed medically necessary, insurance may provide coverage for the procedure. This typically occurs when a patient has had breast cancer surgery, such as a mastectomy or lumpectomy, and requires breast lift surgery to restore the shape and position of the breast.

Insurance may also cover breast lift surgery if a patient has experienced significant weight loss, which has resulted in excess sagging skin and breast tissue. In these cases, breast lift surgery may be necessary to improve the patient’s quality of life and alleviate physical discomfort.

Asymmetry

Another situation where insurance may provide coverage for breast lift surgery is when a patient has significant breast asymmetry. This can occur naturally or as a result of previous breast surgery or trauma.

In these cases, breast lift surgery may be necessary to correct the asymmetry and provide a more balanced and symmetrical appearance to the breasts. Insurance may provide coverage to correct this condition, but it is important to check with your insurance provider for specific coverage details.

Excessive Sagging

If the breasts are excessively sagging and causing physical discomfort or pain, insurance may provide coverage for breast lift surgery. Women with large breasts may experience back pain, neck pain, and skin irritation due to the weight and sagging of their breasts.

In these cases, breast lift surgery may be necessary to alleviate the physical discomfort and improve the patient’s quality of life. Insurance may provide coverage for the procedure, but it is important to check with your insurance provider for specific coverage details.

Frequently Asked Questions

1. How much does breast lift surgery cost?

The cost of breast lift surgery varies depending on several factors, including the surgeon’s experience, geographic location, and the extent of the surgery. On average, breast lift surgery can cost anywhere from $5,000 to $10,000 or more.

2. Is breast lift surgery painful?

Patients can expect some discomfort and soreness after breast lift surgery, but pain is typically manageable with pain medication. Patients are advised to rest and limit physical activity for several weeks after surgery to facilitate healing and reduce discomfort.

3. How long is the recovery period after breast lift surgery?

The recovery period after breast lift surgery varies depending on the extent of the surgery and the patient’s overall health. Patients can typically return to work and normal activities within two to four weeks after surgery, but it may take several months for the full results of the surgery to become apparent.

4. Will insurance cover breast lift surgery if it is deemed medically necessary?

If a breast lift is deemed medically necessary due to breast cancer surgery or other medical conditions, insurance may provide coverage. However, coverage may vary depending on the patient’s insurance provider and policy.

5. Is it possible to combine breast lift surgery with other procedures?

Yes, it is possible to combine breast lift surgery with other procedures, such as breast augmentation or reduction. Combining procedures can reduce overall cost and recovery time, but it is important to discuss the risks and benefits of each procedure with your surgeon before making a decision.

Conclusion

Insurance typically does not cover breast lift surgery, as it is considered a cosmetic procedure. However, there are specific cases where insurance may provide coverage for breast lift surgery, particularly if it is deemed medically necessary or if the patient has significant asymmetry or excessive sagging of the breasts.

If you are considering breast lift surgery, it is important to consult with a board-certified plastic surgeon to discuss your goals, expectations, and potential risks and benefits of the procedure. Additionally, it is important to check with your insurance provider for specific coverage details and requirements.