Procedures not routinely provided by NHSScotland

Surgery to change the shape/volume of the male breast.
Other non-surgical treatments may be appropriate.

Clinical Psychology

All approved referrals will be seen by a specialist Clinical Psychologist.

BMI

Greater than or equal to 20 and less than or equal to 27.

Considerations for treatment

All correctable causes should be addressed prior to referral. Screening for underlying cause should be done prior to referral.
Where indicated referral to Endocrinology/other speciality should precede referral for surgery.

Indications for referral

Clinically significant breast prominence.
Significant breast asymmetry.
Significant psychological distress combined with one of the above.

Waiting Times

These patients are not subject to the 18 Weeks Referral to Treatment Standard.

Treatment for these conditions is not routinely offered by NHSScotland and can only be provided on an exceptional case basis in line with the guidelines contained in this protocol.