Category
Threshold Criteria
Eligibility
| LLR ICB will only fund this treatment if all the below criteria is met – Developmental failure has resulted in unilateral or bilateral absence of breast/ tissue e.g. Poland Syndrome, Tuberous Breast Deformity OR – To correct breast asymmetry due to trauma or as the result of surgery e.g. mastectomy or lumpectomy, that results in a significant deformity OR – Sexual maturation has been reached AND – BMI is between 18 and 25 and has been within this range for 1 year AND – Confirmed non-smoker and documented abstinence prior to procedure AND – Asymmetry equal to, or greater than 30% difference in volume between breasts measured by 3D body scan to assess breast volume |
| This procedure requires PRIOR APPROVAL refer to “The Commissioner – Cosmetic Procedures/ Plastic Surgery CAS” on ERS. And sent to Cosmetic Surgery Request Officer – lcr.ifr@nhs.net – Details of condition – BMI and period maintained – Smoking status Referral should be made on the Female Breast Surgery Request Application form. The Cosmetic Surgery Request Officer will acknowledge receipt of the application to the GP and patient as well as the outcome. The patient will be asked to attend Body Aspects for a scan where the GP confirms the patient meets the BMI criterion. If the BMI is outside of the criterion she will not be scanned. Once patient has been scanned a report will be sent to the Cosmetic Surgery Request Officer If approved the information will be forwarded to the Plastic Surgery department and an assessment appointment made. If not approved, the GP should discuss the outcome with the patient and alternative options |
| The approval for an assessment is not a guarantee of surgery. There may be other factors that would decide whether surgery is the appropriate option for a patient. This will be discussed with the patient at the assessment stage by the Plastic Surgeon. |
| ARP 11 Review Date: 2027 |
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