What is the criteria to get a breast enlargement on NHS

(kings lynn, norfolk, uk)

I am 23 years old and only just plucked up the courage to speak to my GP after years of angst. I am very depressed in the way my body has or in fact hasn’t developed. It is starting to make a major impact on my life and relationship. I hate the way I look and it’s causing problems with me and my fiancé as I won’t get fully undressed in front of him. This has been going on for years and people just told me to wait and my breasts will grow. I am 23 and all the people who surround me have adult bodies and I’m stuck looking like a little girl. So I finally plucked the courage to speak to my doctor and I broke down and told them exactly how I am feeling. I basically have been told I don’t meet the criteria to get an enlargement on the NHS. I don’t understand what this is. I’m stressed, very unhappy, life is difficult and hating my body isn’t good enough what is. I’m sorry I am just at my wits end and fed up with feeling so low about myself and just don’t know what avenues to take

Bilateral breast augmentation

Bilateral Breast Augmentation (BBA) is rarely funded in the NHS anywhere. The process for BBA and other cosmetic Breast procedures (including idiopathic gynaecomastia or breast enlargement) involves an application process that has to demonstrate "Exceptional Clinical Need" - i.e. if the procedure is not carried out there will be significant medical or psychological morbidity for the patient, or worsening of existing morbidity (and therefore an implied additional burden to the healthcare provider). Assessments need to be clinical and also usually psychological. Each case is normally dealt with on an individual basis. If passed, funding is normally from the local Primary Care Trust. However, as I suspected, there are regional variations on this. NICE or the National Institute For Clinical Excellence haven't given guidance on this as far as I can see.