Some of the plastic surgery procedures are performed to correct medical conditions and would be covered by medical insurance. The following is a list of some of these conditions. This list is meant only to give you a general idea about what might be covered but for actual coverage, you will need to discuss your condition with your plastic surgeon and the insurance company.

ABDOMINOPLASTY / PANNICULECTOMY
A panniculectomy–often confused with a tummy tuck–reduces excess skin and fat, which hang below the abdomen like an apron. The degree of overhanging can be moderate, with a fold hanging down to just above the pubic region or in some cases much more severe. A tummy tuck is performed on people of relative normal weight but a panniculectomy can be performed in patients with weight ranges from normal to severely obese, and who have lost significant weight. Reduction of excess fat and skin through panniculectomy can greatly improve quality of life, reduce the stressed and back pain caused by the terribly disfiguring condition and enhance body hygiene. A cosmetic tummy-tuck is never covered by insurance, however, removal of only the overhanging skin can sometimes be covered after an initial exam, submission of a letter of medical necessity along with photographs to the insurance company.

BREAST ENLARGEMENT (AUGMENTATION)
To correct a congenital difference in the size of the breasts. To correct the size of a breast lost or affected by a disease or injury.

BREAST REDUCTION
To correct a congenital difference in the size of the breasts. To correct the size of a breast lost or affected by a disease or injury. To reduce the size of very large breasts that are causing back, neck or shoulder pain or causing shortness of breath or difficulty in keeping the right erect posture on walking or standing. Enlarged male breasts may be covered by insurance.

BREAST RECONSTRUCTION
To correct a congenital absence of breast. To construct a breast lost to disease, e.g. breast cancer, severe fibrocystic disease of the breasts, or after prophylactic removal of the breasts (patients with strong family history of breast cancer). To construct a breast lost to injury, e.g. burn or other traumas.

EXPLANT OF BREAST IMPLANTS
The removal of your breast implants might be covered by your insurance. This is never an easy task, but if your implants are causing you pain, most likely from a capsular contracture, a letter of medical neccesity may convince your insurance company that the procedure is needed for a medical reason. Rarely, if ever, do insurance companies pay for implant replacement or exchange, even if they cover the explantation.

OTOPLASTY (EAR SURGERY)
To correct congenital deformity of the ears,e.g. absence of the ears, large ears, protruding ears, asymmetry...etc. To reconstruct ears that are deformed or damaged by disease or injury.

EYELID SURGERY
To correct drooping of upper eyelids if they interfere with the person ability to see well. If the eyelids are turned inwards rubbing the lashes against the eye or outwards causing dryness and ulceration of the eyelids. To remove skin lesions located on the upper or lower eyelids, e.g moles or skin tags.

SURGERY OF THE FACE
To correct congenital deformities of the face, head and neck. To correct conditions resulting from diseases of the muscles or nerves of the face. To correct the asymmetry resulting from paralysis of the nerve of the face on one side or another. To correct any deformity caused by trauma or injury including burns, post operative and motor vehicle accidents.

SURGERY OF THE NOSE (RHINOPLASTY)
To correct congenital deformities of the nose. To correct deformities caused by disease, e.g. skin cancer, or trauma, e.g. boxing injuries, baseball injury, motor vehicle accidents...etc To correct deformities caused by any reason that may affect breathing or cause chronic respiratory problems

LIPOSUCTION
Liposuction for any reason is usually denied by all insurance companies.

It is our recommendation to you that you discuss the details of your condition and the coverage of your insurance with your plastic surgeon. Pre-approval by your insurance company will make it easy to find out all about any uncovered part of your procedure. You are welcome to call to find out which plans Dr. Mariotti is a participating provider. For those plans which Dr. Mariotti is not a participating provider, we can sometimes work out a case specific agreement with your insurance company.