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Referral pathways

Procedures not routinely provided by NHSScotland

  • Surgery to change the shape/volume of the male breast.
  • Other non-surgical treatments may be appropriate.
  • Patients undergoing surgery for breast cancer or breast cancer risk reduction should not be considered under this pathway.

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.

Gynaecomastia - evidence summary

Treatment for these conditions is not routinely offered by NHSScotland and can only be considered when all criteria are met.