Hiya i'm a newbie (heeeeeeeeeelllpp!!!!)

ok I try and keep this short, (cant believe im putting how i feel into words!) i'm 28 and have never been bigger than a 34a have always had hangups about my boobies but always considered them small but perfectly formed (twas my way of not freaking out about it too much) since having my 3 kids and breast feeding for a total of about 6 years altogether my boobs are gone its just skin with a nipple attached no bra fits they just kinda sit in the bottom of my 34a's nipple peering up at me i get upset everytime i have to get dressed ending up in tears and taking it out on every one around me, my husband who i've been with for 7 years has never seen my boobs he is supportive and says he loves me the way i am but can see im upset, my children miss out on going to the beach or swimming because there is nooo way im parading around looking like a 10 year old boy. its not so bad in the winter i can just out big jumpers and coats to hide it, but summers apon us once again and i dont think i can handle another year of looking like a freak wearing triple layers on those hot days when every one around is wearing little vest tops an tee's. think I have finally got the courage to see my g.p about it, not that i think i'll get any help tho, I'll never be able to save to afford it myself and wouldnt get a loan because of bad credit. i live in essex, is there anyone from the area whos had luck with the nhs or am i a lost cause,
thanks in advance for any replies

Hello and welcome,

The first thing you need to do is go to your GP and he/she will advise you on whether their is funding for a BA in your area. Or you can google it just type in PCT POLICY ON BREAST AUGMENTATION IN ESSEX. Ive found it n copied n pasted it 4u hope this helps

Mid Essex PCT Clinical Prioritisation Policies – Version 5

Table. List of procedures which are designated low priority for Mid Essex based on evidence of effectiveness
(Includes those treatments where a referral threshold can be set)

This list has been derived from:
1. Policy statements from other PCTs which have been based on evidence of effectiveness.
2. Restatements of policies currently in effect across Essex.
3. This version incorporates comments received from clinicians and has PCT Board approval

This list includes two categories of procedure:
• Those which, as routine are not provided by the PCT and where provision is only possible on an individual patient basis, via the referral of the case by the relevant clinician to the PCT Exceptional Cases Panel. These are listed as “PARTIALLY EXCLUDED PROCEDURE (PE)” In this case the criteria list form guidance to referring clinicians and the Exceptional Cases Panel on what may be considered exception but the final decision rest with the Exceptional Cases Panel.
• Those which may be offered on a routine basis but only for patients who meet defined criteria. These are listed as “THRESHOLD APPLIES (TA)”. The responsibility for adherence to these policies lies with the referring and accepting clinicians and prior approval should be sought where this is part of the contracting arrangements.


Sources:
TVPC = Thames Valley Priorities Committees
Suffolk Low Priority Procedure List
Cambridgeshire Clinical Priorities Policies
Norfolk policies
Bedfordshire and Hertfordshire policies
Essex policies

This list is subject to change in year

Procedure and type of restriction Criteria which may be considered suitable for funding
COSMETIC AND LIFESTYLE
Cosmetic surgery (general principles) Referrals for plastic surgery from both primary and tertiary sources will be assessed in line with the Service Restriction Policy and the clinical evidence provided.

For an authorised first appointment, the Plastic Surgery Specialist to whom the referral is subsequently passed should decide whether the patient would benefit from plastic surgical intervention, and if so, establish that the patient fully understands the risks and benefits of surgery.

All referrals should be assessed for both first OPD appointments and subsequent procedure appointments, in line with the policy and clinical evidence.

Cosmetic surgery undertaken exclusively to improve appearance should not be funded in adults, in the absence of previous trauma, disease or congenital deformity.

Assessment of patients being considered for referral who have an underlying genetic, endocrine or psychosocial condition should have had this fully investigated by a relevant specialist prior to the referral to plastic surgery being made.

Referrals within the NHS for the revision of treatments originally performed outside the NHS will not usually be permitted. Referrers should be encouraged to re-refer to the practitioner who carried out the original treatment.

Surgery should be supported where a patient has been accepted onto an NHS waiting list prior to taking up residence in Mid Essex, providing the existing clinical evidence has remained the same.

Where a patient has previously had NHS funded treatment, procedures necessary for dealing with complications or an outcome that, because of complications or technical difficulties, has resulted in cosmetic or physical problems that, from a professional point of view, are severe enough to oblige the NHS to fund corrective treatment should be supported.

An undesirable outcome from an aesthetic perspective and the questions of whether revision should be funded is an issue that the referrer should discuss with the patient prior to referring on to plastic surgery.

The National Service Framework for Children (National Service Framework for Children, Young People and Maternity Services. DH October 2004), defines childhood as ending at 19 years. Funding for this age group should only be considered if there is a problem likely to impair normal emotional development. Children under the age of five rarely experience teasing and referrals may reflect concerns expressed by the parents rather than the child, which should be taken into consideration prior to referral. Some patients are only able to seek correction surgery once they are in control of their own healthcare decisions and again should be taken into consideration prior to referral.
:cheerlead: xxx

My pct says that if you dont meet their strict criteria, then you can go through clinical priorities committie who decide wheter your case is an exceptional case & if so then they refer you to go see a psycologist & then a surgeon who both have to support your case & agree that you would benefit from the surgery. But innitially your GP has to refer you to the pct (primary care trust) who either approve your case or not, if not then you are then referred to the clinical priorities committie. In my case my GP referred me to the pct who approved my case and sent me to Nottingham for a top half body scan and when the pct recieved the results of the scan, I actually failed the measurement criteria so I was then referred to the clinical priorities committie who are now sending me to see a pyscologist, to determin how it effects me etc etc. If the psycologist agrees that it is effecting me, then its gunna be plain sailing to see a surgeon yipeeee cant wait. But if this is effecting you hun, then do go to see your GP. I think you should be fine, judging by what you have said, just stress this to the GP n break down if you have to , hope all goes wel 4u & keep us posted. Good luck xxxxx :flowers:

wow thanks to both of you for you quick reply i search sw essex pct and here is what i found
Breast Reconstruction/Augmentation
At present breast reconstruction competes with breast augmentation, which prevents the Plastic Surgeon Consultants being able to offer an appropriate, timely appointment for these patients. Therefore, augmentation will only be performed for reconstructive purposes following malignancy and will not be carried out for small but normal breasts or for breast tissue involution, including post partum changes.
doesnt look very hopeful does it, although the last thing i'd call em is "normal"

very good luck to you Chrissy. :good:

Hi and welcome

Oh I know from reading tha zloey83 things might look bleak,
but you will also have a clinical priorities committie in your area & if it is effecting your mental health, then tell your GP. If u dont ask, you dont get. :))))))

Welcome to BJSF hunni

hi ladies and thanks for the very warm welcome. and yes Chrissy just have to build up the courage to speak face to face with someone about it, the thought of "gettin em out" in front of anyone totaly freaks me out! lol