LLR Policy for Male Breast Reduction

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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

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