Gynecomastia Support Forum

International Forum => U.K. => Topic started by: bloodygyno on May 20, 2013, 10:40:22 PM

Title: experiences on nhs???
Post by: bloodygyno on May 20, 2013, 10:40:22 PM
im a 25 year old, ive had gyno for about ten years now.

After all these years, i finally plucked up the courage to visit my gp today, and to my suprise he didnt ask many questions at all after i took my top off, and said surgery can be done on the nhs and he will refer me to the local breast clinic. the reason i was surprised was because i thought you had to make a long hard case about how its affecting you psychologically, but my gp didnt seem overly bothered about this. He even asked me if i would be willing to have surgery. What an absurd question lol.

Now in peoples past experiences, what were the waiting times like to get surgery on the nhs? how were the experiences at the breast clinic? do they normally just try and fob you off, and ask to do blood tests, ultrasounds etc?  who do i really have to convince that it causes me huge problems in order for the nhs to feel its necessary to get funding for surgery? or is it a very good sign that my gp was so supportive?
Title: Re: experiences on nhs???
Post by: Ricardo7 on May 21, 2013, 03:56:33 AM
Hi there mate.

I too went to my GP and was referred quite easily. This can depend on the GP though, others might not be as understanding. I think it depends on your area, but for me it was a 16 month waiting list and that was only to see a psychologist who would deem whether or not I was (mentally) suitable for surgery.

I ended up saving up the money to go private with Dr Levick. The reason being that it was too long a wait to be told no at the end, it was ruining my life. I'm unsure what your waiting times will be for the breast clinic - hopefully not too long.

Another reason for my decision is that you can't choose your surgeon when getting it done on the NHS. This means there's a chance you may get someone inexperienced in this type of surgery which could potentially mean poor results. When th time comes, ask your surgeon every question you can think of. Keep a notepad and jot down any question that comes into your head. Don't go through with surgery unless you're 100% happy they're competent.

Good luck.

Title: Re: experiences on nhs???
Post by: saints1234 on May 21, 2013, 07:36:23 AM
Hi,
I too got sent by my G.P. to the breast clinic approximately 3 weeks ago, though when i got there i was told i shouldn't have really come to them and should have gone to see the plastic surgeon.
However they did do a scan " took 2 minutes " and confirmed i had gyno, though i knew that because i have suffered for the last 20 years.

Though to be fair they stated they would write to the plastic surgeon and true to their word i got a letter last Friday for an appointment in July. I have no idea what happens next so any information would be really appreciated.

Thanks      
Title: Re: experiences on nhs???
Post by: Nips on June 22, 2013, 10:48:49 AM
From my experience I would say avoid the NHS. Although it's kind of your GP to refer you, ultimately it's up to the NHS to decide if they're willing to fund your case.

I had an op in 2009 for gyne puffy nipples. To cut a long story short the results were a bit of bulk was taken away (only a mild form of gyne but puffy nips the main issue) which seemed to make the puffy nipple situation enhanced!
After trying to get a revision for a year or so the NHS denied another op with the government cuts etc.

I was a bit of a novice back then I must admit and guess I didn't know my options. If I were you I'd forget the NHS as I doubt whoever does the op is a gyne specialist, probably just a general surgeon. If you go private you can be way more specific on who you choose and make sure they're well experienced with the procedure.

I ended up seeing 4 surgeons in Nottingham/London before deciding who to go with and am happy the NHS denied me the chance of a revision. It's early days post surgery, currently 11 days but one thing I'm sure of is this job is WAY better than the first on the NHS. 

If you decide to go with the NHS make sure you do your research, and as already mentioned above here, ask as many questions as you need to to make sure the surgeon is very gyne experienced.

Best of luck mate
Title: Re: experiences on nhs???
Post by: bloodygyno on June 22, 2013, 12:00:23 PM
thanks for the response mate. I've been looking around online and of course along with many unhappy nhs patients, some people are happy. I didnt even end up going to my breast clinic appointment, as i convinced myself that i have the money and will just do it privately in poland. it was with a surgeon who specialises in :

Breast and General Surgery

One stop breast care service at both sites,
Dedicated breast diagnostic and management service,
Combined Oncology clinics;
Oncoplastic and surgical breast reconstruction,
General surgery including minor ops and hernia surgery

I think i may have missed a trick as i have already paid my deposit to go private as i would have been meeting a surgeon who specialises in breasts. Im feeling that i really should have gone to see him and find out what he says, he may have been able to do a good job.

Title: Re: experiences on nhs???
Post by: Nips on June 23, 2013, 05:14:19 AM
how much was your deposit if you don't mind me asking?
Also, how much would the procedure cost in Poland? Once you include travel etc it may not work out all that much cheaper with the downside of not having the clinic close to where you live in case you need post op care.

You could always see the guy on the NHS. Definitely ask to see some before and after photos (which you should ask anywhere you go) for reference and have confirmation he will be doing the procedure himself.

Choice is yours my friend
Title: Re: experiences on nhs???
Post by: bloodygyno on June 23, 2013, 09:07:28 AM
hi,

the deposit i paid was 300 pounds. the procedure will cost about 1430 pounds in poland. Including all other costs it will be about 1700 pounds.

How long did u find the waiting times with the nhs? also because this guy is a breast surgeon, that doesnt necessarily mean he is an expert with gynecomastia does it?

i have just had an email that there is an available slot in poland on the 4th july. im unsure whether to book that now lol

thanks
Title: Re: experiences on nhs???
Post by: Nips on June 23, 2013, 11:24:50 AM
Don't rush into anything mate. £300 is a good chunk of cash but if you learnt that the surgeon isn't quite right it's not much to lose when comparing to getting it done somewhere else you are confident with. Saying that it could be the right place to go!

That is cheap I must admit. I've heard of some guys on here getting surgery in Poland too. Have you had a consultation with the clinic in Poland? Met the surgeon and seen pics of his work? Is he very gyne experienced?

The reason I ask is first time round I didn't make sure I knew everything I could about the procedure and differing skills and experience each surgeon can give. It's vital and wouldn't want you to need revision surgery in future; which trust me is a right pain in the arse due to wasted time, recovery process and the amount of head space it'll take up.

First time on the NHS was a few months. Second attempt took forever just to get the final denial answer, hence why I ditched them, although I was considering private anyway.

Not sure about the general breast surgeon, he could/could not be skilled with gyne. In my opinion you really need to meet whoever it is to get a good idea of what they can do. Don't mean to sound pushy but for your sake you need to do everything you can to make sure you did all you could to get the best possible outcome not leaving any boxes unticked!




Title: Re: experiences on nhs???
Post by: thetodd on June 23, 2013, 02:04:53 PM
Im not a massive advocate of the polish surgery myself, despite what the the europe board looks currently there has been in some pretty poor post op results.

You get what you pay for at the end of the day, and that is poor post op care wherein patients are told to drain fluid themselves which is a pretty careless practice that wouldnt fly in the UK. There have been some good results, and the members of the Europe board are a nice group of lads. Just make sure you get all of there opinions jakeyboy is a good candidate and has had lots of lads ask him questions so he's always clued up.

Good luck with whatever you chose to do, you probably would of got turned away on the NHS anyway.
Title: Re: experiences on nhs???
Post by: Donut on June 23, 2013, 02:51:13 PM
I know I'm obviously not going to get surgery in time for this summer, possibly even for next... But I've waited this long and for me, personally, having researched this for years, there are only 2 surgeons I would consider...

I speak of Levick and Karidis of course. Neither are cheap, but I have complete faith they are equally the best of the best and have done literally hundreds, if not thousands of these ops and their results are consistently good. The accounts of nursing staff and hospital care seems to be impeccable for both too.

There is no substitute for experience - and I don't want to be chopped about by someone who had only done a few of these procedures, when for the sake of a bit more time and money I can go under the most experienced surgeons who have countless provable and consistent results.

...but each to their own I guess! - no denying that some guys have got very good results in Poland and half the price of the top UK clinics.

I'm going to carry on stuffing my piggy bank! :)
Title: Re: experiences on nhs???
Post by: mike93 on June 24, 2013, 03:10:34 PM
I couldn't agree more with Donut. I also considered poland with    
Katarzyna Ostrowska-Clark but everything seemed very dodgy. I'm sure she possibly is a very good surgeon but I'd rather stick with Levick/Karidis who are known surgeons with excellent experience. Much safer if anything goes wrong. You get what you pay for.
Title: Re: experiences on nhs???
Post by: bloodygyno on June 25, 2013, 10:00:14 AM
thanks for the replies guys but they have made me slightly nervous. is dr clark too good to be true?

i guess i'll just have to make a decision, i dont have 3-4grand spare for levick or karidis. its nhs or poland, i think poland is a better route, i can get it done on 4th july. in terms of post op- thats pretty scary knowing things can go wrong and i'll be back in the uk..

Title: Re: experiences on nhs???
Post by: bloodygyno on June 25, 2013, 04:57:03 PM
I am a little bit overweight, most fat is on my chest and on my stomach. reason being i have been very busy at work and stressed and unable to get to the gym. I need to get surgery asap as I have a break from work, possible date 4th july.

question is, if im a bit above the weight i am happy with and expect to be, as i hope to lose fat after surgery by doing more cardio, will this make it harder to get surgery results which i am happy with?
Title: Re: experiences on nhs???
Post by: Nips on June 25, 2013, 06:16:03 PM
mate, if you've not met the surgeon, seen any pics of the surgeons work, and feel worried about being in a different country for post op reasons, I think you're rushing into it. Try not to feel like you're on an egg timer here. You really need to be 100% confident with who you choose. This is the rest of your life you're dealing with here so please be careful.
Title: Re: experiences on nhs???
Post by: Nips on June 25, 2013, 06:20:44 PM
I'm with Mike and Donut here, it's worth saving rather than cutting corners. A few grand undoubtedly is a lot of money in the short time, however, over a life span it isn't that much when compared with the benefits you could get from high quality surgeons in the UK.
Title: Re: experiences on nhs???
Post by: mike93 on June 25, 2013, 06:33:25 PM
I think it's difficult for us to tell you not to go to dr clark in poland as none of us have any previous dealings with her. If you go on to the europe forums you'll see that she's extremely popular. I guess the advantage with Levick and Karidis is that you have that consultation beforehand to check them out. Just something has always sounded suspicious to me about her. I'm sure i'm being paranoid but I was also considering her at one point but it didn't feel right.
Title: Re: experiences on nhs???
Post by: Donut on June 25, 2013, 07:19:17 PM
Not wishing to sound over-dramatic here; fact is you only get one life and one body... You're entrusting a team of people to knock you out, cut you open, chop bits out, stick you back together again, and wake you up... You have to be 101% confident in your choice of who you get to do all that!

I couldn't possibly conceive of committing to any sort of surgery without meeting the actual surgeon his/herself first and checking out the consistency of their work over a long period of time...

This isn't an A&E job where you absolutely have to be operated on right now (even though we all know how desperate it gets to get rid of these damn things!)

Hey - to put things in perspective, I've lived with the problem for a couple more years than you've been alive!!

Take a deep breath and really weigh up the pros and cons of waiting a little bit longer - you're not going to be out of the vest to catch much of this summers t-shirt weather in any case, and perhaps you could save enough to get the job done in the UK early next year ready to get the full benefit of next summer in?

... that's what I'm aiming for!
Title: Re: experiences on nhs???
Post by: bloodygyno on June 30, 2013, 05:19:08 PM
thanks for all the responses...

i have the surgery booked for 4th july.

however im feeling pretty uncomfortable with the person who i have been in contact with (the consultants husband). his tone has seemed very dodgy, ever since i paid the deposit. (somewhat rude emails).

as well as this, he has changed the exchange rate of polish zlotys to pounds 3 times ( from 4.95 to 1 pound, to 5.06 to 1 pound, to finally 5.0 to 1 pound) - all in the space of 1 day.  with each email he has sent me he has made mathematical errors. for example the surgery costs 7250 zlotys. when he said the exchange rate was 4.95, the conversion to pounds should have been 1432 pound, however he wrote this was 1445 pounds. he made errors each time with the costs of ultrasound/blood tests also,

each time i questioned him about it, he said i was correct, but then went ahead again in making inocrrect calculations.. i then recieved an email saying actually the rate should be different, and may change again on monday, so would i be willing to pay more if it increased. (in what seems to be a sarcastic tone).

he also stated the reason for the 'incorrect' exchange rate was because he took it from a few days earlier. however the website he gave me with the exchange rates that he uses has been above 5 zlotys to a pound for more than 2 weeks.

this is the same clinic that everyone seems to be raving about in the europe section.

am i right to be a little concerned by this?

obviously il lose my deposit but im tempted not to go, and just try the nhs route again.
Title: Re: experiences on nhs???
Post by: mike93 on June 30, 2013, 06:36:12 PM
thanks for all the responses...

i have the surgery booked for 4th july.

however im feeling pretty uncomfortable with the person who i have been in contact with (the consultants husband). his tone has seemed very dodgy, ever since i paid the deposit. (somewhat rude emails).

as well as this, he has changed the exchange rate of polish zlotys to pounds 3 times ( from 4.95 to 1 pound, to 5.06 to 1 pound, to finally 5.0 to 1 pound) - all in the space of 1 day.  with each email he has sent me he has made mathematical errors. for example the surgery costs 7250 zlotys. when he said the exchange rate was 4.95, the conversion to pounds should have been 1432 pound, however he wrote this was 1445 pounds. he made errors each time with the costs of ultrasound/blood tests also,

each time i questioned him about it, he said i was correct, but then went ahead again in making inocrrect calculations.. i then recieved an email saying actually the rate should be different, and may change again on monday, so would i be willing to pay more if it increased. (in what seems to be a sarcastic tone).

he also stated the reason for the 'incorrect' exchange rate was because he took it from a few days earlier. however the website he gave me with the exchange rates that he uses has been above 5 zlotys to a pound for more than 2 weeks.

this is the same clinic that everyone seems to be raving about in the europe section.

am i right to be a little concerned by this?

obviously il lose my deposit but im tempted not to go, and just try the nhs route again.

Hi,

I guess this is dr.clark? Don't get too worried, i've never seen any reviews saying that there's anything to worry about. Check her out with the polish GMC but I don't think you should panic. You're probably reading in to it too much.
Title: Re: experiences on nhs???
Post by: mike93 on July 01, 2013, 08:18:43 AM
yeah its dr clarks clinic

im not one to be sensitive but this guy jeremy seems like a proper dickhead

I guess that's why a lot of us go to levick and karidis. You've paid a lot of money for their service and they are very attentive. I've emailed levick 3 times since my surgery and every time he's got back to me pretty much immediately with a kind and helpful response. Don't get yourself work up about it though, I honestly think you'll be fine.
Title: Re: experiences on nhs???
Post by: bloodygyno on July 02, 2013, 12:49:11 AM
im pretty bloody nervous. flying out today.

cant help but thinking i should have at least tried the nhs route. my gp was very supportive (for some reason he made my appointment with the breast clinic as urgent - i had it in 2 weeks)... my gyno looks pretty bad compared to many others. as well as that, the breast surgeon i was meant to see on the nhs does private work with gyno and i found a quote from her about cosmetic/plastic surgery stating:

Consultant surgeon Senita Shrotria, who specialises in NHS breast enhancements and reductions at Ashford and St Peter's Hospital in Surrey, admitted it is difficult to turn down patients.
She said: "We tend not to disappoint patients. Often they are teenagers with one breast far bigger than the other. They stuff socks in their bras and are terribly self-conscious. It's absolutely right to operate. I don't think patients often pull the wool over our eyes."

with my bad gyno case, her experience, my gp's support, and my strange feelings about going to poland, i am feeling uneasy.

i could have got it done for free. but on the plus side, in 2 days time i could have a flat chest

just kicking myself for not even trying with the nhs

Title: Re: experiences on nhs???
Post by: Nips on July 06, 2013, 12:21:45 PM
how did it go?
Title: Re: experiences on nhs???
Post by: mike93 on July 06, 2013, 02:38:30 PM
I'm also keen to know how everything went, hope it went as you hoped.
Title: Re: experiences on nhs???
Post by: bloodygyno on July 09, 2013, 12:18:50 PM
hi guys,

well obviously i went ahead and had surgery done. im back now in england. luckily the week i was in poland went quite quick, i met another english lad who was having the op done on the same day so we hung out a bit which made things easier.

its crazy how many guys are travelling to poland for the surgery, every day there were new people who had arrived or were recovering that i would meet. the ultrasound showed that i had a fairly small amount of glandular tissue, and it was mostly fatty tissue. surgery i think went quite well but at the moment im unsure about the results. the left side seems very flat (which im happy with), but the right side seems like there is still a fair amount of fat there (dr clark said its just swollen though), which i am a little concerned about.if it is sqwollen, wouldnt it be a little bit hard, not flabby?

also i didnt really get any information about how to massage, whether to pull the nipple to stop it becoming indented? any advice from you guys would be helpful. should i start massaging now (5 days post op), or should i wait. do i massage the whole chest area, including the areola? also how hard?

thanks
Title: Re: experiences on nhs???
Post by: Nips on July 10, 2013, 01:57:55 PM
hi, and well done for going ahead with the surgery.

i wouldn't worry about the swelling issue on one side of your chest yet. It's very early days so I wouldn't pay too much attention to how it looks. I'm four weeks in and still needing to be patient. Supposedly, it's around the 6 month mark when everything is fully healed. Though, after 6 weeks you should have a good idea of how it'll end up, as I've been advised by my nurse. I guess it depends on how much work has been done so everyone will vary.

Regarding massaging, from what I've read you shouldn't massage this close to the op date. Think you need to give it a few weeks. Try in the search engine and you'll most likely see some advice from the docs on here. However, I haven't been advised to massage at all so I'm not. The nurse said don't do anything until I see the surgeon next which is in two weeks. So far everything is healing well.

Pulling on the nipple? I'm no expert but I would suggest not to do this. Never heard of that before. Again, it's way too early for you to be doing this. Your body is going through a traumatic healing process so just let it sort it self out for now.

Can you contact the clinic in Poland? Maybe they can give you the best advice if you're still unsure.

Title: Re: experiences on nhs???
Post by: mike93 on July 11, 2013, 02:41:00 PM
hi guys,

well obviously i went ahead and had surgery done. im back now in england. luckily the week i was in poland went quite quick, i met another english lad who was having the op done on the same day so we hung out a bit which made things easier.

its crazy how many guys are travelling to poland for the surgery, every day there were new people who had arrived or were recovering that i would meet. the ultrasound showed that i had a fairly small amount of glandular tissue, and it was mostly fatty tissue. surgery i think went quite well but at the moment im unsure about the results. the left side seems very flat (which im happy with), but the right side seems like there is still a fair amount of fat there (dr clark said its just swollen though), which i am a little concerned about.if it is sqwollen, wouldnt it be a little bit hard, not flabby?

also i didnt really get any information about how to massage, whether to pull the nipple to stop it becoming indented? any advice from you guys would be helpful. should i start massaging now (5 days post op), or should i wait. do i massage the whole chest area, including the areola? also how hard?

thanks

Hey, I'm glad to hear everything went well. It feels great to finally have a flat chest doesn't it? Also nice to hear there was another english person. It's best to start massaging 2-3 weeks after to let it settle a bit. Keep us updated to how the next few weeks go.
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