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 or IFR@lcr.nhs.uk – 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. 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 69 Review Date: 2027 |
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