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She required a mastectomy, after chemotherapy to try to shrink her tumor, and desired reconstructive surgery to restore the breast. Upon contacting her insurance carrier, her reconstructive surgeon, Dr. Todd Wider, learned that her insurance plan, a self-funded plan, refused to cover the reconstructive surgery, and considered it cosmetic.
Breast reconstruction is the surgical process of rebuilding the shape and look of a breast, most commonly in women who have had surgery to treat breast cancer. It involves using autologous tissue, prosthetic implants, or a combination of both with the goal of reconstructing a natural-looking breast.
DIEP flap reconstruction is procedure that reconstructs breasts after a single or double mastectomy due to breast cancer. Length of surgery/hospital stay: A DIEP flap reconstruction surgery takes about six to eight hours on average. [1] If the mastectomy is performed during the same procedure, the length of time will be hours longer.
Media reports have covered patients' claims that their choices not to undergo reconstruction have been overridden by their surgeons. [ 10 ] [ 11 ] Recent research has characterized the "going flat" movement and patient experience going flat [ 12 ] [ 13 ] [ 14 ] and described aesthetic flat closure surgical technique.
Tissue expansion is a common technique used for breast reconstruction. [20] This essentially involves expansion of the breast skin and muscle using a temporary tissue expander. [21] Three to four weeks after the mastectomy, a saline solution will be injected into the expander to gradually fill it. This process is supported by a tiny valve ...
How to qualify for Medicare and Medicare Advantage coverage of breast reduction surgery. To get coverage for breast reduction surgery by Medicare or Medicare Advantage, it needs to be medically ...
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