Is breast reduction covered by Medicare in Australia?

Many patients get coverage for breast reduction through Medicare in Australia using the popular Medicare item number 45523. The procedure must be seen as a medical necessity by your surgeon and Medicare. It essentially means that you are getting the surgery due to an underlying medical condition.

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How much does breast reduction surgery cost in Australia?

Mid Range Breast Reduction Prices in Melbourne from $12,000 TO $16,000. we highly recommend getting your quote broken down. At any rate, you should ask if your post-operative care, recovery aids and scar management are included, or if they incur an additional cost.

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What size breasts qualify for reduction?

Most surgeons do not dictate or require a particular size to qualify you as a candidate for breast reduction. The most vital factor they consider is if the breast size causes you mental and physical health problems.

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How much weight do I need to lose to have a breast reduction?

While it is possible to have a breast reduction at your current weight, it is certainly safer for you to lose weight to at least under 200 lb. , and preferably more. If you lose weight prior to surgery, your breast shape will be better and more stable than if you lose it after.

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What is the Medicare code for breast reduction?

The Medicare item number to check with your health fund is 45523. Not all policies will cover this item, so you may consider a change to your cover or even fund. It is important to demonstrate clinical need, including pain in the neck and/or shoulder region.

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Are Breast Reductions Covered by Medicare?

33 related questions found

Can you get a breast lift on Medicare?

Can you get a breast lift through Medicare? Yes, you can get a breast lift covered by Medicare if it is deemed as a medical necessity by your doctor and you meet the strict criteria. Medically necessary situations include reconstruction after a mastectomy or reduction to help with the pain.

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Is breast augmentation covered by Medicare?

A valid medical reason for Medicare to help cover the cost of your surgery can include things like: Breast reconstruction following a mastectomy for breast cancer or developmental breast asymmetry like tuberous breast anomaly and can include insertion, removal and replacement of breast implant.

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Will I look thinner after breast reduction?

While you won't lose much weight from a breast reduction surgery, your appearance will change, and you will look slimmer. Large breasts tend to change the proportion of your figure and make you appear bigger. When the breast size is altered, it has a slimming effect.

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Does your stomach look bigger after breast reduction?

For a couple of weeks after breast reduction surgery, you may notice that your abdomen looks larger than usual. This is mostly because of constipation or swelling of the upper body. Once the early complications of the surgery go away, your stomach will look much smaller.

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Do breasts get bigger after reduction?

Unfortunately, the answer is yes. There is a possibility that your breasts will return to their previous size even after they've been reduced. The good news is that this is a rare occurrence among patients and can be prevented in most cases.

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What age is OK for breast reduction?

Breast reduction can be performed at any age, as long as you are healthy and your weight is stable. If you are overweight, and would like to lose weight, it is better to do that before you have a breast reduction.

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What is the age limit for breast reduction?

In general, breast reduction is advised for patients above 18 years of age. However, some adolescent girls feel overburdened by overly large breasts and seek the surgery, due to several reasons, including: Neck and shoulder pain. Irritation under the breast fold.

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How painful is breast reduction surgery?

Is the breast reduction procedure painful? Anesthesia will be given during the procedure, but you should expect to feel sore for two to three days after surgery. You will be prescribed pain medication, and your surgeon may advise placing wrapped ice packs gently over sore areas to help with pain and swelling.

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How long does it take to recover from breast reduction surgery Australia?

Breast Reduction Post-Op Instructions

You will need at least 1 to 2 weeks to recover after surgery. Do not lift anything heavy during this time. You can resume light exercise 5 to 6 weeks after surgery. Avoid strenuous exercise for 6 – 8 weeks after surgery.

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How old do you have to be to get a breast reduction in Australia?

Most plastic surgeons require the patient to be at least 18 years old.

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Should I lose weight before a breast reduction?

Being at or near your ideal weight is crucial before undergoing breast reduction. Losing weight will give you a better chance of loving your results and make matching your ideal bust size to your new body shape easier.

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How long do breasts stay perky after reduction?

Your breasts will be a little swollen for the first several weeks. While you definitely shouldn't expect the size to drop from one cup to another cup, most women notice a definite size change over the initial several weeks. Your final breast shape will take around six months to settle.

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Will my nipples look different after breast reduction?

Breast reduction surgery removes some of the breast tissue and skin from the breasts. This reshapes and lifts the breasts and reduces their size. It can also make the dark area around the nipple smaller.

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Do you feel your nipples after breast reduction?

For sensation to gradually increase after the cosmetic surgery, the damaged nerves need time to regenerate. For some patients, nipple sensation has been reported to return within 2-3 months, but this can vary. Although surgeons will try to preserve the nerves, 20-30% of patients lose some sensation.

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Does fat come back after breast reduction?

Breast reduction surgery is a permanent way to make your breasts smaller. The fat and other breast tissue removed during breast reduction can't grow back. However, if you gain weight after your procedure, new fat can accumulate in your breasts and make them grow in size.

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Do you wear a bra after breast reduction surgery?

What do I wear after breast reduction surgery? Patients usually receive a surgical bra to wear for two weeks after surgery, 24 hours a day. At your follow-up visit, we will let you know if you should continue to wear the surgical bra or if you can wear a similar support garment of your choice.

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Will clothes fit better after breast reduction?

After surgery, your wardrobe options expand substantially. However, we recommend that you wait a few months before going on a shopping spree for new clothes. Because it can take some time to get used to your new breasts, it's best to live in them for a while before going all out on new clothes.

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How many bras will Medicare pay for?

Medicare will cover as many mastectomy bras as determined to be medically necessary by your doctor. Medicare will cover one silicone breast form (or two for a bilateral surgery) every two years or one foam form (two for bilateral surgery) every six months.

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Can you claim tummy tuck on Medicare?

Medicare only covers tummy tuck surgery if it is deemed as a medical necessity. Medicare does not cover elective cosmetic tummy tucks. Patients can get coverage under Medicare if it is deemed as a medical necessity by their GP. You need to have a valid medical referral and meet the strict criteria.

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How can I lift my breasts naturally?

What can help lift breasts naturally?
  1. Exercising. Breasts do not have muscles, however beneath the breasts is fibrous connective tissue and muscles that can be improved to increase the appearance of the chest. ...
  2. Posture. ...
  3. Nutrition and diet. ...
  4. Avoid tobacco products. ...
  5. Bra support.

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