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Cosmetic Surgery Decisions

May 3rd, 2016

Dr. Mahsa Moghaddam at BCSC

In the current issue of Southwest Metro Magazine, our own Dr. Mahsa Moghaddam and her patient are interviewed about the importance of feeling confident in understanding surgical options when approaching the notion of cosmetic surgery. However, even as plastic surgery is more commonly discussed in media today and marketing hype is in over-drive, women can still sometimes feel uncomfortable about seeking information, perhaps feeling it is too vain to want a cosmetic change.

In an excerpt from the article she explains, “Is there something about your physical appearance bothering you enough that you want to change it? Is it hurting your quality of life?” Moghaddam says if you answer yes, you should consider speaking with a plastic surgeon. It’s most important to find the right doctor for you and she offers a few suggestions to follow.

According to the American Society for Aesthetic Plastic Surgery almost 2 million cosmetic procedures were performed last year, so you are not alone in considering surgery. Do your homework, schedule consulations and be sure to have all your questions answered. Feel confident in your decision, because as Dr. Moghaddam sees it, “Ultimately, an informed patient is more likely to be a happy patient because he or she has chosen that procedure understanding all the facts, and will be more likely to be invested in it in their recovery.”



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Is Weight a Factor in Breast Reduction Insurance Coverage?

March 26th, 2015

 scale w braIt is common for insurance companies to require a certain amount of breast tissue be removed from each breast in order for  the breast reduction  to be considered a medically necessary procedure covered by insurance. The proposed amount or weight of breast tissue to be removed is determined based on your height and weight. Often this weight requirement is in conflict with a woman’s aesthetic goals. Insurance companies are less concerned with the way you look. Yet physical appearance after breast reduction surgery can have an impact on quality of life regardless of the weight of breast tissue removed. Breast reduction procedures are often performed as an elective procedure without insurance coverage. Patients choosing elective cosmetic breast reduction have control of the volume of breast tissue removed. They report a high degree of satisfaction as a result.

Dr. Paul Schnur, a Mayo Clinic affiliated plastic surgeon, in 1991 developed the sliding scale from a survey that asked plastic surgeons. Years later, he challenged insurance carriers’ use of the scale and indicated that the scale may no longer be useful criteria for insurance coverage.

Each person responds differently to the physical symptoms of having large breasts. Breast reduction should be considered within the context of each individual woman’s quality of life. If you disagree with your insurance carrier’s decision, you are entitled to multiple levels of appeal of which you should take advantage. Letters from a family doctor, physical therapist, chiropractor, or massage therapist can help support an appeal. You should write your own letter describing your physical symptoms and how they have limited your quality of life. Ask your plastic surgeon to submit your personal letter, supporting letters and a list of medical literature references with the appeal.  

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