First Steps

Ask, think, investigate

If you have had a breast removed—or are about to—you will want to have a discussion with your physician about the possibility of breast reconstruction. If you had a breast lump removed that resulted in significant deformity, you might also want to consider reconstruction.

Even if you can't bear the thought of further surgery, don't dismiss the idea of reconstruction until you've given it careful thought.

Find out exactly what your plastic surgeon thinks needs to be done, both immediately and later, as you make decisions and research your options. For example, a possible sequence is to have right breast reconstruction, with left breast reduction, followed some time later by right nipple reconstruction.

Next, do a little investigation, a "reality check." Find out what your medical insurance company will pay for. One insurance company may pay for the entire procedure, even if it's performed years after the mastectomy. Another insurance company may pay only for actually reconstructing the removed breast. "Non-essential" procedures, such as reducing the other breast to achieve symmetry, are on you.

If you meet resistance from your insurance company, prepare a strong case in advance of your surgery, with your doctor's support. Persistence pays off. If need be, contact your state legislator, senator, or representative, who can apply additional pressure on your insurance company for you.