Betsi Cadwaladr University Local Health Board ... - Health in Wales

OPCS Condition Criteria Source of Advice Remarks
B31.1
B27.5
B31.2
B30.1
Breast - Male Reduction for
Gynaecomastia
Breast - Enlargement
(Augmentation Mammoplasty)
Should NOT be used EXCEPT if the
patient is post pubertal and of normal
BMI i.e. 18 - 25Kg/m2.
Should NOT be used EXCEPT for
women with an absence of breast tissue
unilaterally or bilaterally, or in women
with a significant degree of asymmetry of
breast shape and / or volume (one cup
size difference). Such situations may
arise as a result of:
• Previous mastectomy or excisional
breast surgery.
• Trauma to the breast during or after
development.
• Congenital amastia (total failure of
breast development).
• Endocrine abnormalities.
Health Service
http://wales.gov.uk/dhss/p
ublications/healthcommis
sion/policies/plasticsurger
y/plasticsurgerye.pdf
Health Commission
Wales. Commissioning
Criteria – Plastic Surgery.
Procedures of Low
Clinical Priority/
Procedures not usually
available on the National
Health Service.
http://wales.gov.uk/dhss/p
ublications/healthcommis
sion/policies/plasticsurger
y/plasticsurgerye.pdf
Health Commission
Wales. Commissioning
Criteria – Plastic Surgery.
Procedures of Low
Clinical Priority/
Procedures not usually
available on the National
Health Service.
http://wales.gov.uk/dhss/p
ublications/healthcommis
sion/policies/plasticsurger
y/plasticsurgerye.pdf
There should be a pathway established to
ensure that appropriate screening for
endocrinological and drug related causes
and to exclude testicular cancer through
examination in Primary Care prior to
consultation with a Plastic Surgeon.
Liposuction may form part of the
treatment plan for this condition.
Patients who are offered breast
augmentation in the NHS should be
encouraged to participate in the U.K.
national breast implant registration
system and be fully counselled regarding
the risks and natural history of breast
implants. Patients should be provided with
a copy of the DoH guidance booklet
“Breast implants information for women
considering breast implants”. (See
website: www.doh.uk/bimplants). It is
important that patients understand that
they may not automatically be entitled to
replacement of the implants in the future if
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