Cosmetic surgery and care

RECONSTRUCTIVE AND COSMETIC SURGERY: WHAT'S THE DIFFERENCE?

Reconstructive surgery is performed to restore the body's integrity. It is performed following accidents, birth defects or cancer.

The reimbursement of reconstructive surgery covers 100 % of expenses in public facilities. In private facilities, excess fees are partly covered by mutual insurance companies.

However, there is a clearly defined list of procedures that are covered, and reimbursement is subject to certain conditions.

Cosmetic surgery, The main aim of this treatment is to beautify the body. It is not covered.

RECONSTRUCTIVE SURGERY: HOW MUCH IS REIMBURSED BY SOCIAL SECURITY?

The plastic surgeon in Paris as everywhere else in France, must fill out the application form, known as the «Demande de prise en charge".« prior agreement ».

It should be addressed to medical consultant of the French health insurance system, before scheduling the’intervention. If the doctor has not replied within 3 weeks of receiving the request, the claim is considered accepted.

Please note, however, that excess fees are not reimbursed by the French health insurance system, but are partially covered by mutual insurance companies. You can send your surgery quotation to your mutual insurance company to estimate how much your insurance company will reimburse.

WHICH COSMETIC SURGERY PROCEDURES ARE ELIGIBLE FOR REIMBURSEMENT?

An intervention plastic may be necessary for a variety of reasons. The question of care for cosmetic surgery is therefore important.

The reimbursement for cosmetic surgery by the French Social Security system. Compensation is specific to each surgical procedures is based on medical criteria.

Only a limited number of cosmetic surgery operations are reimbursed.

In the case of «comfort» cosmetic surgery, the costs are borne by the patient.

Here is an overview of the surgical procedures covered by the Social Security :

Liposuction or liposuction

Isolated liposuction (or liposuction) is never covered by Social Security. This is purely cosmetic surgery. No reimbursement from the Social Security system or the mutual cannot take place.

The only exception is coverage is when liposuction is combined with abdominoplasty, brachioplasty (arm lift) or cruroplasty (thigh lift), These are covered by the French Social Security system. Only in these cases can liposuction be reimbursed.

Abdominoplasty (tummy tuck)

Under certain conditions, Social Security sometimes covers the cost of tummies damaged by pregnancy or weight loss.

The first and most important is the presence of a "abdominal apron completely covering the pubis.

The second is :

• major weight loss through weight-loss surgery (sleeve, bypass)
• weight loss through a major diet
• pregnancy sequelae

The presence of stretch marks or abdominal diastasis is not a criterion for treatment, nor is the number of pregnancies.

In order for’abdominoplasty is effective, a request for prior agreement is required.

A document will be given to you at your first consultation. You must send it to your local health insurance office. You will then be called in by a social security medical officer. He or she will check whether you meet the criteria for reimbursement by Social Security and your mutual insurance company.

Rhinoplasty

The only situation in which a rhinoplasty is covered by the French health insurance system is when the nasal trauma is severe and long-standing, and visible to the naked eye.

Here are some of the cases in which a refund is possible:

• A deviated nasal septum important ;
• Nose drooping;
• Respiratory function disorders related to nasal birth defects (such as harelip);
• Nasal valve problems.

The cost of rhinoplasty restorative requires a prior agreement.

Some patients simply have a deviation of the nasal septum. In this case, only the deviation of the nasal septum is covered by Social Security. Cosmetic rhinoplasty is billed separately, but is not covered.

Otoplasty

For otoplasty to be covered, the deformities must cause significant social discomfort.

No prior agreement is required.

An operation from the age of 8 is possible.

RECONSTRUCTIVE SURGERY: HOW IS IT MANAGED?

The aim of reconstructive surgery is to repair the body following an accident. accident, a disease or a malformation.

It is reimbursed at 100 % by the French health insurance system, provided it is carried out by a specialist. plastic surgeon in a public or contracted hospital.

Excess fees in private facilities are not covered. Some mutual insurance companies may be able to top up surgery reimbursement the’Insurance Illness.

Some procedures require prior agreement, others do not.

Breast surgery

The following cases are covered:

• a birth bonnet <A
• major breast asymmetry
• thoracic malformations
• from tuberous breasts
• breast reductions >300 grams per side

Breast reconstruction

Breast cancer surgery is covered.

Skin tumors

Removal of skin lesions, carcinoma, sebaceous cysts, nevi, lipomas are taken care of.

Breast ptosis and management

A treatment mammary ptosise is an operation that consists of lift a breast. Here too, there is no Social Security cover, except in the case of breast reduction.

Breast reduction and management

In the case of breast reduction more than 300 grams per breast, Social Security reimburses the cost. In this case, reimbursement is made automatically, with no need to request reimbursement from Social Security.

WHICH MUTUAL INSURER REIMBURSES COSMETIC SURGERY?

Breast surgery and social security coverage

Many of them type: « Cosmetic breast surgery reimbursement »on the Internet.

Social security covers reconstructive and reconstructive surgery. breast reduction important. To achieve this, a minimum of 300 grams must be removed from each breast, resulting in the loss of at least two cups.

There is an additional fee, the amount of which varies according to the size of the operation. This extra charge may be covered by your health insurance.

Interventions for breast ptosis (mastopexy), on the other hand, are never covered by the Social Security.

What are the conditions for social security coverage?

The cases covered are :

• The total absence of mammary glands (a chest like a man's, for example); ;
• Significant breast asymmetries (at least two cup sizes apart); ;
• Certain rare cases of breast malformation, such as tuberous breasts; ;
• Reconstructive surgery.

In all cases, prior agreement must be obtained before treatment can begin.

Breast augmentation surgery in Paris responds to a frequent request from women wishing to restore or harmonize the volume of their breasts. Although it is generally a matter for cosmetic surgery, it can, in certain cases, particularly in the case of clustering (absence of mammary gland, cup size below A), qualify for partial coverage. To find out more about To find out more about the cost of breast augmentation, please consult our dedicated article..