The plastic surgery postcode lottery in England

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The plastic surgery postcode lottery in England James Henderson International Journal of Surgery Volume 7, Issue 6, Pages 550-558 (January 2009) DOI: 10.1016/j.ijsu.2009.09.004 Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 1 Pie charts showing the proportions of PCTs (n=122) that allow or exclude the cosmetic procedures shown for NHS patients. Each PCT sets its own eligibility criteria for every procedure that must be met by individuals seeking surgery. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 2 Chart showing body mass index (BMI) targets that must be reached by patients seeking abdominoplasty. The number of PCTs specifying each target BMI is shown on the Y-axis. NS=no BMI target was specified. The total number of PCTs that allow abdominoplasty was 69. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 3 Chart showing details of indications and contraindications specified by PCTs for patients requesting abdominoplasty. The number of PCTs stipulating each requirement is shown on the Y-axis. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 4 Chart showing the number of PCTs that apply different weight or body mass index (BMI) targets for patients requesting bilateral breast reduction surgery. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 5 Chart showing the number of PCTs that apply each of a variety of preoperative breast size criteria, which must be met by patients seeking bilateral breast reduction. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 6 Chart showing the number of PCTs that use each of a variety of criteria to assess patients seeking f bilateral breast augmentation. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 7 The number of PCTs that apply the policy shown regarding replacement of breast implants removed on the NHS, and also specific grades of capsular contracture that are required before explantation will be funded by some PCTs. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 8 Chart showing the number of PCTs that use each of a variety of different assessment criteria to determine eligibility for surgery of patients seeking treatment for breast asymmetry. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 9 Chart showing the number of PCTs funding mastopexy for each of the indications shown. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 10 Chart showing the number of PCTs offering funding for each of the indications shown for patients requesting facelifts. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 11 Chart showing the number of PCTs that will fund surgery on patients requesting liposuction for each of the indications shown. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 12 Chart showing the number of PCTs that will fund rhinoplasty for each of the indications shown. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 13 Chart showing the number of PCTs that apply each of the different age limits for patients seeking surgery for prominent ears (pinnaplasty). International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 14 Chart showing the number of PCTs that will fund buttock, thigh or arm lifts for each of the indications shown. The number of PCTs that applied BMI targets are also shown for the targets specified. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 15 Chart showing the number of PCTs that fund botulinun toxin type A (Botox®) treatment for each of the indications shown. Note that 26 PCTs will allow Botox® International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 16 Chart showing the number of PCTs that will fund tattoo removal for the indications shown. International Journal of Surgery 2009 7, 550-558DOI: (10.1016/j.ijsu.2009.09.004) Copyright © 2009 Surgical Associates Ltd Terms and Conditions