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REVIEW REQUEST FOR Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures Provider Data Collection Tool Based on Coverage Guideline SURE.00023Policy Last Review
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How to fill out breast procedures including reconstructive

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How to fill out breast procedures including reconstructive

01
Consult with a board-certified plastic surgeon who specializes in breast procedures and reconstructive surgery.
02
Provide your surgeon with your medical history, including any previous breast surgeries or treatments, as well as any existing medical conditions or medications you are taking.
03
Discuss your goals and expectations for the procedure, whether it is for breast augmentation, reduction, reconstruction, or correction of asymmetry.
04
Follow any pre-operative instructions provided by your surgeon, such as refraining from smoking or certain medications.
05
On the day of the procedure, arrive at the surgical facility as directed and prepare for the surgery by changing into a surgical gown.
06
Undergo anesthesia administered by a qualified anesthesiologist or nurse anesthetist.
07
The surgeon will make incisions as planned, and if the procedure involves reconstruction, they may use breast implants, autologous tissue transfer, or a combination of both.
08
The surgeon will reshape or reconstruct the breasts according to the desired outcome and close the incisions with sutures or surgical tape.
09
After the procedure, you will be moved to a recovery room where you will be monitored until the effects of anesthesia wear off.
10
Follow post-operative care instructions provided by your surgeon, which may include wearing a special surgical bra, avoiding strenuous activities, and taking prescribed medications.
11
Attend follow-up appointments with your surgeon to monitor your healing progress and address any concerns or complications.
12
Maintain a healthy lifestyle and schedule regular check-ups to ensure the long-term success and well-being of your breast procedures.

Who needs breast procedures including reconstructive?

01
Breast procedures including reconstructive surgery may be necessary or desired by individuals who:
02
- Have undergone mastectomy (breast removal) as part of breast cancer treatment and wish to restore their breasts' appearance.
03
- Are born with congenital breast abnormalities or asymmetry and desire a more balanced and symmetrical breast appearance.
04
- Experience physical discomfort or pain due to overly large or heavy breasts (breast reduction may be recommended).
05
- Desire breast augmentation to enhance breast size, shape, or fullness for cosmetic reasons.
06
- Have experienced breast trauma or injury that requires reconstructive surgery.
07
- Require breast revision surgery to correct complications or unsatisfactory results from a previous breast procedure.
08
- Seek gender-affirming chest reconstruction as part of gender transition.
09
- Wish to address changes in breast shape, size, or position caused by aging, weight loss, or pregnancy.

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Breast procedures including reconstructive refer to surgical procedures done on the breasts for medical or cosmetic reasons, such as breast augmentation, reduction, or reconstruction after mastectomy.
Surgeons, healthcare providers, or medical facilities performing breast procedures including reconstructive are required to file the necessary documentation.
To fill out breast procedures including reconstructive, detailed information about the procedure, patient demographics, medical history, and any complications must be recorded accurately in the required forms.
The purpose of breast procedures including reconstructive is to enhance the appearance of the breasts, address medical conditions, or help women regain confidence after mastectomy.
Information such as the type of procedure, date performed, patient information, surgeon details, post-operative care instructions, and any complications must be reported on breast procedures including reconstructive.
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