23rd September 2021

A 36-year-old female presents to her GP requesting whether she may be offered breast reduction surgery

A 36-year-old female presents to her GP requesting whether she may be offered breast reduction surgery on the National Health Service (NHS). Her main concern is that despite professional bra fitting services and physiotherapy, her breast size makes it impossible for her to find appropriate clothes and perform daily exercises due to persistent neck and back pain. She also reports developing a rash in the skin crease under her breasts. There is no significant past medical or family history. She is overweight, with a body-mass index (BMI) of 26.5. She has smoked 5 cigarettes a day for the past 10 years but does not drink alcohol.

Which of the following is the most appropriate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.