Skip to Content

Will insurance cover removal of breast implants?

The answer to whether or not insurance will cover the removal of breast implants depends on a few factors. First and foremost, if the removal is being done for medical reasons, such as if the implants are causing pain or illness, there is a higher chance that insurance will cover the procedure. However, if the removal is being done for purely cosmetic reasons, it is unlikely that insurance will cover the cost.

If the reason for removing the breast implants is due to complications, such as capsular contracture or an implant rupture, insurance may cover the cost of the removal. Capsular contracture occurs when scar tissue forms around the implant, causing it to become hard and painful. Implant rupture occurs when the implant leaks or bursts.

In both of these cases, removal is often necessary for health reasons and may be covered by insurance.

On the other hand, if the reason for removing the implants is solely due to personal preference or dissatisfaction, it is unlikely that insurance will cover the cost of the procedure. Breast implant removal for cosmetic reasons is generally considered an elective procedure, which means insurance will not cover the cost.

The best way to determine whether insurance will cover the cost of breast implant removal is to consult with your insurance provider directly. They will be able to provide you with information about your specific plan and whether the procedure is covered or not. It is important to note that some insurance plans may cover only a portion of the cost or require prior authorization before the procedure can take place.

Whether or not insurance will cover the removal of breast implants depends on the reason for the removal. If it is being done for medical reasons, such as complications or health concerns, there is a higher chance that insurance will cover it. However, if it is being done for purely cosmetic reasons, it is unlikely that insurance will cover the cost.

We recommend consulting with your insurance provider to determine your individual coverage.

Can implant removal be covered by insurance?

The answer to whether implant removal can be covered by insurance depends on the type of insurance policy a person has. In general, many health insurance policies do cover implant removal if it is medically necessary.

If an implant causes complications such as infections, pain, or implant failure, and its removal is medically necessary to resolve the issue, then the procedure is typically covered by insurance. However, if a person wants to remove an implant for cosmetic reasons, the insurance may not cover the procedure as it is not considered medically necessary.

Additionally, the coverage of implant removal may also depend on the insurance plan’s specific terms and conditions. Some insurance plans may have specific exclusions or limitations in coverage for certain types of procedures.

So, it is always recommended to check with the insurance company and review the policy details to confirm whether a particular implant removal procedure will be covered by the insurance or not. If the procedure is not covered, the person may have to pay for the cost of the removal out of pocket or seek alternative financing options.

What is the average cost to have breast implants removed?

The cost of removing breast implants varies significantly depending on several factors such as the surgeon’s fees, type of procedure, geographical location, hospital or outpatient surgery center fees, and anesthesia costs. On average, the cost of breast implant removal can range from $2,000 to $10,000.

In some cases, the cost can be even higher or lower than this range depending on the specific circumstances.

The type of procedure also affects the cost. There are two types of breast implant removal: simple explantation and explantation with a breast lift. A simple explantation costs less than an explantation with a breast lift. During a simple explantation, the surgeon removes the implants and stitches up the incision site.

An explantation with a breast lift involves removing the implants and excess tissue and elevating the breast tissue to create a more youthful and natural look. Depending on the extent of the procedure, the cost for a breast lift and implant removal can range from four to six thousand dollars.

Geographical location is another significant factor that affects the cost of breast implant removal. The same procedure may cost more in a larger city with a higher cost of living than in a small town. Hospitals or medical centers located in affluent areas may charge more than facilities located in less expensive areas.

Therefore, the patient’s location determines how much they will pay for breast implant removal.

Moreover, the reputation and experience of the surgeon also affect the cost of breast implant removal. Surgeons who have performed several surgeries in the past and have gained a reputation of excellence may charge more than less experienced surgeons. Also, the facilities where the surgery takes place affect the cost.

A hospital may charge more than an outpatient surgical center as hospitals require more staff and resources to perform surgeries.

Lastly, the anesthesia fees will also be included in the total cost of the breast implant removal procedure. The cost of anesthesia is determined based on the amount of anesthesia the patient needs to undergo the surgery. The more anesthesia needed, the more expensive the cost of the procedure.

The cost of breast implant removal varies based on several factors such as the type of procedure, geographical location, surgery facility, surgeon’s fees, and anesthesia costs. On average, breast implant removal can range from $2,000 to $10,000, and it’s essential to consider all these factors when seeking such cosmetic surgeries.

What makes breast implant removal medically necessary?

Breast implant removal may become medically necessary for several reasons. One of the most common reasons is the development of complications associated with the breast implants. Complications may include capsular contracture, implant rupture, and infection. In some cases, these complications may result in severe pain, discomfort, and asymmetry of the breasts.

In such cases, removal of the implants may be the only way to alleviate the symptoms and restore the natural shape and appearance of the breasts.

Another medical reason for breast implant removal is the development of breast cancer. Studies have shown that women with breast implants have a slightly higher risk of developing breast cancer. Additionally, breast implants may interfere with the detection and treatment of breast cancer if it occurs.

Thus, in such cases, removal of the implants may be necessary to facilitate the detection and treatment of breast cancer.

Breast implant removal may also be necessary in cases of implant-associated lymphoma. This is a rare form of cancer that affects the immune system and has been linked to breast implants. In such cases, removing the implants may be critical to halt the progression of the lymphoma.

Other medical reasons for breast implant removal may include issues such as chronic breast pain, discomfort, swelling, or rash. These symptoms may indicate an adverse reaction to the implants or an allergic reaction. If left untreated, these symptoms may lead to more severe complications, such as tissue damage.

Hence, removal of the implants may become necessary to prevent further complications and alleviate the symptoms.

Breast implant removal may become medically necessary due to several reasons, such as implant-related complications or complications associated with the development of breast cancer, implant-associated lymphoma, or other health issues. It is essential to seek professional advice from a plastic surgeon or healthcare provider if you experience any symptoms or complications associated with your breast implants.

What happens when breast implants are removed and not replaced?

The decision to remove breast implants is a personal one and may be due to various reasons, such as medical complications, dissatisfaction with the appearance, or a desire for a more natural look. When breast implants are removed and not replaced, the body goes through a natural healing process.

Initially, right after breast implant removal, patients may experience swelling, bruising, and mild to moderate pain. Pain can be managed with over-the-counter ibuprofen or prescription pain medication if needed. The duration of swelling and discomfort varies depending on the reason for the surgery and the individual’s healing capacity.

It is important to follow the post-operative instructions given by the surgeon to ensure proper healing.

Over time, as the incisions heal, the breasts will begin to take on a more natural shape. The skin may begin to loosen, and the nipple and areola might appear to be in a lower position as compared to its pre-implant placement. This is a result of loosened skin adapting to a reduced volume of the breast where the implant once was.

Factors like the size of the implants and the length of time they were present may impact the extent of the changes in the breasts’ appearance.

Patients who have had breast implants for an extended period may experience ptosis or sagging of the breasts after implant removal. This happens because the skin and connective tissues have stretched to hold the implants over time, but the volume reduction following implant removal may cause breast sagging or drooping.

It is important to note that full recovery from this procedure may take several weeks or months, and the appearance of the breasts will continue to change during this time. After the healing process is complete, the breasts may have a different shape and size than before the augmentation. While the new appearance may not be exactly the same as in the previous natural state, the resultant look after implant removal largely depends on factors like the amount of time the implants were in place, the implant placement location, and the elasticity of the patient’s skin.

Removing breast implants without replacement is a safe procedure that can give patients peace of mind and renewed confidence in their bodies. It is essential to speak to a licensed and qualified surgeon to ensure that expectations accurately align with the results achievable through the surgery.

Should old breast implants be removed?

There are varying opinions regarding the removal of old breast implants. Some argue that there are certain risks associated with older implants, such as leakage, rupture, or the possibility of developing immunity to the material of the implant over time. Additionally, some individuals may experience changes in their bodies over time that can impact the appearance of their implants or cause discomfort.

On the other hand, there are many women who have had breast implants for decades with no issues or complications. If there are no issues or concerns, there may be no reason to remove the implants.

the decision to remove old breast implants is a personal one that should be made in consultation with a qualified medical professional. Factors that need to be taken into consideration include the age of the implants, the individual’s overall health, any existing medical conditions, and the individual’s personal preferences.

Furthermore, while there are risks associated with the removal of breast implants, it is important to acknowledge that there are also risks associated with keeping them in place. For example, as implants age, there is an increased risk of rupture and leaks, which can lead to complications that require follow-up surgeries.

Therefore, it is essential to weigh the pros and cons before making a decision.

There are pros and cons to removing old breast implants, and the decision to do so is ultimately a personal one that should be made in consultation with a qualified medical professional. The most important thing is to carefully consider all the options and make an informed decision that is right for you.

What will my breast look like if I have my implants removed?

If you decide to have your breast implants removed, the appearance of your breasts will depend on various factors such as the size of your implants, the length of time you’ve had them, and your body’s natural response to implants. Generally, the outcome of the breast implant removal procedure can vary from patient to patient.

One of the most significant changes that you’ll notice after having your implants removed is a loss of volume in your breasts. Depending on the size of your implants, your breasts may appear deflated, and the skin may appear loose or saggy. This is because the implants stretch the breast tissue, and after removal, the skin may not immediately retract to its former shape.

The degree of breast sagging will depend on the size and weight of your implants, as well as the elasticity of your skin. If your skin has good elasticity, it may be capable of shrinking back to its previous position. However, if you’ve had large breast implants for a long time, you may experience significant sagging after the removal procedure.

Additionally, your breasts may look distorted after the removal of your implants. If you had saline implants, the upper portion of your breasts may appear flat, and the lower portion may look more full. This is because the saline implants are filled with a liquid solution that moves around in the breast pocket, causing an uneven distribution of the fluid.

With silicone implants, the breasts may look lumpy because the implants can rupture or leak, leading to an uneven appearance.

The way your breasts will look after the implant removal will depend on the individual case. Your surgeon will work with you to create a personalized treatment plan that takes into consideration your aesthetic goals, medical history, and current breast anatomy. They may also recommend additional procedures such as a breast lift to address any sagging or drooping skin.

It’s essential to have realistic expectations and to fully understand the potential changes that may occur after the implant removal procedure.

Will United Healthcare pay for breast implant removal?

United Healthcare offers a variety of health care plans to its members, so the specific answer to whether or not they will pay for breast implant removal depends on the details of their plan.

In general, breast implant removal falls under the category of cosmetic surgery, which is usually not covered by insurance unless it is deemed medically necessary. If the breast implants are causing complications or health issues, such as implant rupture or an infection, this could potentially be considered medically necessary and may be covered by insurance.

It’s important to note that United Healthcare may require pre-authorization and documentation to support the medical necessity of the surgery before approving coverage. Additionally, coverage could vary based on the specific plan and the extent of the procedure.

It’s recommended to carefully review the terms and conditions of the specific plan to determine whether breast implant removal is covered and to consult with a doctor to determine if it is medically necessary. In some cases, the cost of the procedure may be paid out of pocket by the patient.

Can I use my HSA for breast implant removal?

Breast implant removal is considered a medical expense and is typically eligible for reimbursement from a Health Savings Account (HSA). However, in order for the expense to be eligible, it must be considered medically necessary. Cosmetic procedures are not generally covered by an HSA, so breast implant removal purely for cosmetic purposes may not be eligible for reimbursement.

If a medical professional determines that breast implant removal is necessary due to a health or medical issue, such as ruptured or leaking implants, capsular contracture, or breast pain, then it may be eligible for reimbursement from your HSA. Additionally, if the removal is necessary in order to treat a preventative health issue, such as breast cancer, it may also be eligible for reimbursement.

It is important to note that each HSA plan may have its own guidelines and restrictions, so it is important to review your plan documents or speak with your HSA provider to determine whether breast implant removal is eligible for reimbursement under your plan. Additionally, you will need to provide documentation such as medical bills and receipts to your HSA provider in order to request reimbursement for eligible expenses.

Is breast reconstruction medically necessary?

Breast reconstruction can be medically necessary for some women who have undergone a mastectomy or lumpectomy due to breast cancer or other medical reasons. Losing a breast can have significant physical and emotional impacts, including loss of self-esteem, body image issues, and psychological distress.

Breast reconstruction can help to restore a woman’s sense of self and improve her overall quality of life.

In addition to addressing the emotional and psychological impacts of breast loss, breast reconstruction can also have important physical benefits. Reconstruction can help to restore body symmetry and balance, reduce the risk of posture-related problems and chronic pain, and improve mobility and flexibility.

Some women may also find that breast reconstruction makes it easier to find clothing that fits properly and feels comfortable.

It is important to note that breast reconstruction is not always medically necessary, and it is ultimately a personal choice. Some women may choose not to undergo reconstruction and instead opt for prosthetics or other forms of support. It is crucial that women have access to comprehensive information and support so that they can make the best decision for themselves and their unique situation.

Breast reconstruction can be an important part of a woman’s healing and recovery journey. By restoring a sense of normalcy and helping to improve physical and emotional well-being, reconstruction can help women to move forward and regain their sense of self.

What happens if you don’t get breast implants replaced?

Breast implants are not lifetime devices and at some point, they may need to be replaced. If a person does not get their breast implants replaced, then there could be a variety of consequences.

One of the main concerns is the increased risk of rupture or leakage of the implant. Breast implants are filled with either saline or silicone gel, both of which can leak out of the implant shell over time. A ruptured implant can lead to physical discomfort, visible changes in the breast’s size, shape, and texture, and potential health risks.

If silicone implants rupture, it can lead to the formation of scar tissue around the implant known as a silicone granuloma, which can be painful and can further impair breast tissue.

Another potential complication if the implants are not replaced is capsular contracture. Capsular contracture is the body’s natural response to the presence of a foreign object such as a breast implant. The body forms a layer of scar tissue around the implant, which can tighten and squeeze the implant.

This can lead to breast pain, distortion, and can even cause the breast implant to rupture.

Additionally, over time, the implant may shift or move causing asymmetry in the breasts which can lead to self-image and confidence issues. Aging can also result in changes in skin elasticity and breast tissue density, which can result in breast sagging or the feeling of deflation.

If a person doesn’t get their breast implants replaced, they run the risk of developing complications that can cause pain, unnecessary stress, and can potentially alter the appearance of the breast. It is essential to follow up with a plastic surgeon regularly to ensure the implants are still in good condition and to address any issues promptly.

How long can you go without replacing breast implants?

The longevity of breast implants can vary greatly depending on several factors, including the type of implant, the quality of the implant, and the patient’s individual body characteristics. Generally speaking, both saline and silicone breast implants are designed to last for many years, with most manufacturers providing a warranty for up to 10 years.

However, some women may keep their implants for even longer without experiencing any issues.

It is important to note that breast implants are not designed to last a lifetime, and it is generally recommended that women have them replaced or removed after 10 to 15 years. This is largely because the risk of complications and implant failure increases with age, which can result in discomfort, pain, and even health problems.

Additionally, it is important to monitor your implants regularly to ensure that they have not ruptured or leaked, as this can cause serious health problems and may require emergency treatment.

The decision to replace breast implants should be based on individual factors, such as the patient’s age, lifestyle, and personal preferences. It is important to discuss your options with a qualified plastic surgeon, who can help you determine the best approach for your specific needs and goals. With the right care and attention, breast implants can provide many years of beautiful, natural-looking results.

What do breasts look like after explant?

Breasts can look different after explantation depending on several factors such as the size and shape of the implant removed, the amount of breast tissue present, and the individual’s body type. Some women may experience some sagging or drooping of the breast tissue, while others may not notice any significant change in overall appearance.

In general, breasts may appear smaller and flatter after explantation, as the implant is no longer providing additional fullness and projection. The skin may also appear looser, and areas that were previously stretched by the implant may have some residual wrinkling or dimpling.

Other factors that can influence breast appearance after explantation include the method of implant removal and whether any additional procedures such as a breast lift were performed. If the implant was removed through a small incision in the breast fold or armpit, there may be minimal scarring or visible changes to the breast.

However, if a larger incision was needed to remove the implant or if a breast lift was performed, there may be more noticeable scarring or changes in breast shape.

It’s important to note that every woman’s body and breast tissue is unique, and the appearance of the breasts after explantation can vary widely. Some women may feel self-conscious or unhappy with the changes in their breasts, while others may be satisfied with the natural look and feel of their post-explant breasts.

It’s important to speak openly and honestly with your surgeon about your expectations and concerns regarding breast appearance after explantation. Your surgeon can help you understand the potential outcomes and develop a personalized treatment plan that is tailored to your unique needs and goals. the decision to undergo implant removal is a personal one, and each woman must weigh the benefits and risks based on her individual situation.

What are signs of breast implant illness?

Breast implant illness is a condition that refers to a group of symptoms that some women experience after getting breast implants. Some of the common signs and symptoms of breast implant illness include chronic fatigue, joint pain, brain fog, memory loss, anxiety, depression, rashes, hair loss, and autoimmune disorders.

Chronic fatigue is one of the most common symptoms of breast implant illness. Women suffering from this may feel constantly exhausted even after getting enough rest. Joint pain is also a frequent symptom which manifests as pain in the joints that can be accompanied by inflammation and stiffness.

Brain fog and memory loss are common symptoms of breast implant illness, and women may experience difficulty concentrating, trouble remembering things, or confusion. Anxiety and depression are possible symptoms too, and women may feel anxious, nervous, or frequently sad.

Rashes and skin irritations are other possible signs of breast implant illness, and women may experience redness, swelling, or itching around their breasts or other parts of their body. Hair loss is another red flag; women may notice thinning or shedding of their hair due to the implants.

Finally, autoimmune disorders are significant concerns arising from breast implant illness. Symptoms of autoimmune disorders include joint and muscle pain, fatigue, fever, and skin rashes. Women with breast implant illness may experience a wide range of additional symptoms specific to different autoimmune conditions.

Breast implant illness is a condition that commonly affects women with breast implants. The symptoms of this condition are varied and may include chronic fatigue, joint pain, brain fog, memory loss, anxiety, depression, rashes, hair loss, and autoimmune disorders. Women who suspect that they are experiencing symptoms of breast implant illness should seek medical attention and contact their plastic surgeon for further examination.

Can old breast implants cause sickness?

Old breast implants may cause sickness in some cases. Breast implants are artificial devices that are implanted into the breast tissue for aesthetic or reconstructive purposes. The older the implants are, the more chances they have of rupturing, leaking or causing other complications. If an old implant ruptures or leaks, the silicone or saline that is inside them can leak into the surrounding breast tissue or lymph nodes, causing inflammation, pain and other symptoms.

In some cases, the body may form scar tissue around the implants, causing a condition called capsular contracture, which can cause pain, stiffness, and an altered appearance of the breast.

Another potential complication of old breast implants is breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This is a rare type of non-Hodgkin’s lymphoma that has been associated with textured breast implants. While the exact cause of BIA-ALCL is not known, research suggests that it may be related to chronic inflammation caused by the textured surface of the implant, which can lead to the accumulation of immune cells in the surrounding tissue.

Apart from these complications, some people may develop autoimmune symptoms or other health problems that have been linked to implant use. A small number of people with breast implants have reported experiencing symptoms such as fatigue, joint pain, muscle weakness, hair loss, and brain fog, which have been associated with an inflammatory immune response.

While there is no conclusive evidence linking these symptoms to breast implants, some people believe that their symptoms are related to their implants and choose to have them removed.

Old breast implants can cause sickness in some cases. While the risk of complications is typically low, it is important to be aware that complications can occur and to monitor the breast implants for any signs of rupture or other problems. If you experience any unusual symptoms after having breast implants, such as pain or swelling in the breast, fever, or flu-like symptoms, it is important to seek medical attention promptly.

Resources

  1. Insurance Coverage for Breast Explantation/Implant Removal
  2. Tips for Getting Your Insurance Company to Cover Breast …
  3. Will Insurance Cover Removal of Breast Implants? – Dr. Nir
  4. Insurance Coverage Information for Breast Implant Removal
  5. Insurance Coverage for En Bloc Breast Implant Removal