From DIEP Flap and TUG Flap procedures to lesser-known SHAEP and Stacked Flaps, we offer a range of natural tissue reconstruction and breast sensation restoration options. Whether you're interested in direct-to-implant or expander implant reconstruction, we are experienced in both prepectoral and subpectoral approaches. We perform a wide range of procedures, like conversion to prepectoral implants, flap revision, fat grafting, and surgery on the opposite breast, to improve your breast reconstruction. We offer surgical and non-surgical options, like 3-D tattoo, that allow our surgeons to create a natural appearing nipple as the final touch for your breast reconstruction. We help our patients understand the types of mastectomies available and how genetic information, like BRCA gene mutations, can factor into your decisions. We pioneered a unique and reliable abdominal wall reconstruction procedure to repair TRAM flap related hernias and contour deformities. We offer procedures to help prevent as well as ease lymphedema, a condition where limbs swell after lymph node removal. Radiation can be an important part of your breast cancer treatment. Learn how to coordinate it with your reconstructive timing and approach. For men facing mastectomy, we offer a variety of procedures including natural tissue flaps, fat grafting, and nipple reconstruction. Our team can help you navigate surgical options from facelift and browlift to necklift and eyelid rejuvenation. Non-surgical facial rejuvenation options include Botox, fillers, laser peels, and chemical peels. In addition to nose-reshaping, our surgeons perform procedures that can alleviate breathing difficulties associated with deviated septum and internal nasal blockages. We’re experts in cosmetic breast procedures, including augmentation with fat grafting, implant augmentation, reduction, and lift. Liposuction, abdominoplasty, or tummy tuck, and butt augmentation can all reshape the body to improve your appearance. We offer brachioplasty, or arm lift, and thigh lift to transform your extremities. Enjoy body sculpting and facial rejuvenation treatments like CoolSculpting, IPL, Microneedle Skin Tightening, and more administered by our Aesthetician. Oncoplastic procedures like oncoplastic closure, reduction and lift, and local tissue flaps for volume loss preserve breast shape after a lumpectomy. A systematic approach to post mastectomy pain. Specialized tattooing and micro-needling can help create or refine nipple reconstruction, manage scars, and more. Tattooing can create permanent makeup, improve the appearance of hair density, and more.

Breast Reduction Coverage

Home > Our Practice > Insurance Information > Breast Reduction Coverage

What insurance companies cover

Not all breast reductions are cosmetic. In some cases, insurance companies can be compelled to cover your breast reduction as a medical necessity. Each insurance company has a different set of criteria. Sample criteria include evidence of failed physical therapy or chiropractic interventions, or evidence that other conservative therapies have failed to treat your back, neck, or shoulder pain. We can help you determine your eligibility based on your age, medical history, and other supportive information.

Insurance companies evaluate eligible patients based on several scales that assess the relationship between a patient’s overall size and breast size. Our team has a very high success rate in getting breast reductions covered.

About the Schnur Sliding Scale

Insurance companies use a number of scales to determine the amount of tissue a patient needs to have removed from their breasts in order to merit coverage. The Schnur Sliding Scale, which uses a patient’s body surface area to scale the amount of tissue to be removed in the reduction, is one of the most common scales used by insurance.

Calculate your BSA

Body Surface Area

Average grams of tissue per breast to be removed

1.35

199

1.40

218

1.45

238

1.50

260

1.55

284

1.60

310

1.65

338

1.70

370

1.75

404

1.80

441

1.85

482

1.90

527

1.95

575

2.00

628

2.05

687

2.10

750

2.15

819

2.20

895

2.25

978

2.30

1068

2.35

1167

2.40

1275