Category
Threshold Criteria
Eligibility
| LLR ICB will fund this procedure is all of the following criteria is met – Sexual maturation has been reached and is aged 18 years of age or older OR – In cases of idiopathic gynaecomastia in men under the age of 25 then a period of at least 2 years has been allowed for natural resolution AND – Screening has been undertaken, prior to referral, for endocrinological and drug related causes AND – Non-surgical treatments have been tried and have been unsuccessful 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 – Photographic evidence |
| 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 Male Gynaecomastia 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. Request of Medical Photographs The patient should be given the Request for Medical Photographs form and asked to attend Medical Illustration at Leicester Royal Infirmary. Medical Illustration will notify the Cosmetic Surgery Request Officer as soon as the patient has attended for photographs 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 69 Review Date: 2027 |
English 
Polish 
Romanian 
Arabic 
Gujarati 
Panjabi 
Urdu 