Cost of Breast Tissue Removal: Surgery vs. Liposuction Explained - Plastic Surgery

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What is the cost of excising accessory breast tissue?


Dear Doctor: I have been hesitant to wear sleeveless clothing due to my accessory breast tissue.
I recently visited the surgical department at Chi Mei Medical Center, and the doctor mentioned that I could undergo a surgical excision.
I would like to inquire about the approximate costs of both the excision surgery and ultrasound-assisted liposuction.
Should I consult a general surgeon or a plastic surgeon for this procedure? If I choose a general surgeon, will there be any coverage under health insurance or the possibility of filing an insurance claim? I have heard that there are significant risks associated with the lymph nodes in the armpit.
After the surgery, will I need to carry a drainage bag to remove any bodily fluids? How long is the recovery period expected to be? Thank you very much for your response...
from someone who has been troubled by accessory breast tissue for a long time.

Xiao Ke, 20~29 year old female. Ask Date: 2005/12/08

Dr. Lu Daokuan reply Plastic Surgery


If accessory breast tissue is large enough to affect daily life, health insurance may cover the procedure.
Smaller accessory breasts that do not impact daily life may be classified under cosmetic procedures.
Ultrasound-assisted liposuction is also an option, which may cost between $8,000 and $20,000.
Surgical removal of accessory breast tissue through the axilla poses no significant risks and will not involve the lymph nodes.
The postoperative drainage bag should be removed within 1 to 2 days, and careful wound care is essential for proper healing.

Reply Date: 2005/12/08

More Info


When considering the removal of accessory breast tissue (also known as supernumerary breast tissue), it's essential to understand the differences between surgical excision and liposuction, including their costs, risks, and the type of medical professionals involved.


Cost Comparison
1. Surgical Excision: The cost of surgical excision can vary significantly based on the complexity of the procedure, the surgeon's experience, and the facility where the surgery is performed. Generally, the cost for this type of surgery can range from $3,000 to $10,000 or more, depending on the region and the specifics of the case. If the accessory breast tissue is large enough to cause discomfort or psychological distress, it may be covered by health insurance, especially if deemed medically necessary.

2. Liposuction: Ultrasound-assisted liposuction is another option for removing excess breast tissue. This method is often less invasive than surgical excision and may cost between $2,000 and $5,000. However, it's important to note that liposuction is typically considered a cosmetic procedure, and insurance may not cover it unless there are significant medical indications.


Choosing the Right Specialist
For the removal of accessory breast tissue, you can consult either a general surgeon or a plastic surgeon. General surgeons are trained to perform excisional surgeries, while plastic surgeons specialize in cosmetic procedures and may offer both excision and liposuction options. If you are considering insurance coverage, it is advisable to consult a general surgeon, as they may be more familiar with the insurance processes for medically necessary procedures.


Insurance Coverage
If the procedure is deemed medically necessary, you may be able to have it covered by health insurance. In many cases, if the accessory breast tissue causes physical discomfort or affects your quality of life, you can file a claim for coverage. It’s crucial to check with your insurance provider beforehand to understand what documentation is needed and whether a referral from a primary care physician is required.


Risks and Complications
Regarding the risks associated with surgery, the removal of accessory breast tissue is generally safe, but like any surgical procedure, it carries potential risks. These include:
- Infection: As with any surgery, there is a risk of infection at the incision site.

- Scarring: Surgical excision will leave a scar, the extent of which depends on the surgical technique and individual healing.

- Lymphatic Damage: Concerns about lymph node damage are valid, particularly if the tissue is located near the axillary (armpit) region. However, if performed correctly, the risk of damaging lymph nodes is minimal.

- Seroma: This is a collection of fluid that can occur post-surgery, which may require drainage.


Post-Operative Care
After surgery, you may need to wear a compression garment to minimize swelling and support the healing process. In some cases, a drain may be placed to prevent fluid accumulation, which is often referred to as a "blood bag." This drain is typically removed within a few days post-surgery.


Recovery Time
The recovery time can vary based on the individual and the extent of the procedure. Generally, patients can expect to return to normal activities within one to two weeks, although full recovery may take longer. It's important to follow your surgeon's post-operative care instructions to ensure optimal healing.


Conclusion
In summary, both surgical excision and liposuction are viable options for removing accessory breast tissue, each with its own cost, risks, and recovery considerations. Consulting with a qualified surgeon will help you determine the best approach for your specific situation. Always ensure that you discuss your concerns, the potential for insurance coverage, and the risks involved with your healthcare provider to make an informed decision.

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