Many studies showing the benefits of reduction mammaplasty have been reported; however, insurance companies have become more cost conscious and have made increasing efforts to deny this procedure. Spector and Karp [1] state that insurance companies often do not cover breast reductions that remove less than 1,000 g total (500 g of tissue from each side). However, their study shows that women who have less than 1,000 g of total weight removal, or even less than 750 g of totally removed, demonstrate substantial relief of macromastia associated symptoms and significant improvement in quality of life. Seitchik and Schnur [2, 3] have recommended that the insurance companies base the minimum gram resection requirement on the patients weight and height rather than on an arbitrary number applied to all patients. Seitchik [2] found there was a correlation between body weight and a specimen weight of 0.68. He concluded that three levels of minimal volume resection should replace the one volume minimum. He proposed the weight resection correlations as follows: (1) Body weight less than 60 kg, 400 g resection. (2) Body weight 61-79 kg, 700 g resection. (3) Body weight >80 kg, 1,000 g resection. Schnur [3] gives percentiles of weight removal based on body surface area. The patient's body surface area, obtained by a graph of height and weight, determines the volume of breast tissue that must be removed to be above certain percentiles for all women having reductions. Below the fif h percentile is considered cosmetic, and above the 22nd percentile is considered medically necessary. © 2009 Springer-Verlag Berlin Heidelberg.
CITATION STYLE
Sommer, N. Z., & Zook, E. G. (2009). Prediction of weight in breast reduction surgery. In Mastopexy and Breast Reduction: Principles and Practice (pp. 19–21). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-540-89873-3_4
Mendeley helps you to discover research relevant for your work.