The answer is really simple, yes. There are not only profound physical issues surrounding massive breast development, but perhaps even more significant at her age are the psychological and social ramifications of anxiety and depression and decreased self-esteem. It is obviously important that she not be morbidly obese, has completed the majority of her bone growth, and does not have any other medical conditions that would make the elective surgery more risky. The overwhelming majority of young women who undergo a breast reduction report physical and psychological improvement. The next steps would be to schedule a consultation with a board certified plastic surgeon who specializes in breast surgery. Finally, whether or not you will be able to obtain insurance coverage for your daughter's surgery depends on many changing factors related to your specific health insurance plan.

Tuberous breasts while not normal in shape and appearance should not be painful. Certainly it is normal to feel tenderness around your period each month, but painful breasts should be examined by your gynecologist to make sure that there are no other causes for your discomfort. As far as your cosmetic options, your next step would be to have your Mom help you locate a board certified plastic surgeon who specializes in breast surgery. You stated that you are under 18 and therefore cannot legally be seen or treated without the informed consent of a parent or legally authorized representative. A face-to-face or virtual consultation (Covid-19 world) would help you get an accurate diagnosis and learn about all of your future options. Although I have been performing surgery on tuberous breasts for almost 30 years, I can count the number of cases that I have performed on patients under 18 years of age. As far as insurance reimbursement, it is very, very unlikely that you will be able to get insurance coverage for a cosmetic deformity of the breast. You should not be discouraged though, and take this opportunity to get educated on all of your options. The first surgery you will undergo will effect every other surgical choice for the rest of your life, so do not rush, and take your time to get the best possible procedure.

If the peeled skin is very superficial, meaning that you did not pull off a full thickness piece of skin, the color should come back with time. It would have obviously been better to avoid this type of injury, so I suggest to my patients that they ask me before they wear something like a nipple pastie, or certain bras or even go into hot tubs, the first months after breast surgery. Please call your surgeon and ask if they would like to see you. Most qualified plastic surgeons care as much about their results as you do, and would want to know if you were having a wound problem, even weeks or months after the procedure.

If you underwent a breast augmentation with a board certified surgeon, I am assuming that you developed a significant doctor-patient relationship before you underwent a surgical procedure. I am also assuming that you had time to discuss your concerns and were well informed about what was or was not possible with respect to your individual anatomy and desires. That being said....it is really unfortunate that you are asking these questions AFTER your surgical procedure. My advice is always to go back to your surgeon. He or she is best equiped to help you through the post-operative period, not surgeons on an online forum.