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Do you recommend breast augmentation for Poland syndrome?

Q:

I'm a 21 year old female that has Poland syndrome. I have very little breast tissue and no muscle in my left breast. How would the procedure work, and will my insurance pay for the coverage?

A:

Breast implants are often used for Poland's syndrome but it is typically more complicated than routine augmentation. It is more like a reconstructive procedure. As for insurance coverage you should ask your carrier; they may deny it because it isn't a functional problem or because it is pre-existing.

Richard A. Baxter, M.D.
Mountlake Terrace, WA

A:

Lb,

Thank you for your question.  Breast implants are often used to treat Poland's syndrome.

However in many cases soft tissue expansion is required to expand and enlarge the breast before implants can be placed.  In addition if the asymmetry between the 2 breasts is great, following soft tissue expansion, the uninvolved breast may need to be revised to match the side that is being reconstructed.

Be sure to have your surgeon investigate the possibility of insurance coverage for this congenital condition.

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