Facial hair reduction
Facial hair reduction is performed by private companies via NHS arrangements. Funding is available for each individual to receive 8 sessions of laser (or an equivalent of electrolysis) hair reduction on their face. Laser hair removal is best suited for contrasting hair and skin colour (e.g. dark hair on pale skin, or light hair on darker skin), and electrolysis for where there is less contrast between the skin and hair colour. Some people require a combination of both to achieve the best results.
If you want to have hair reduction then you will need to choose the most convenient provider for you to visit. The providers available to you depends on where you live. Your doctor will then send a form requesting that the funding is given to that provider and you can contact the company and arrange an initial visit. Two companies local to NRGDS have NHS contracts for this type of work and are used to working with people who use our service.
Masculinising chest surgery
People who choose to have chest surgery must meet the criteria for chest surgery set out here. As part of the process, their team doctor will usually ask another team member to meet with the person to assess whether they meet the criteria for the surgery. This team member then offers a ‘second opinion’ to the doctor. The second opinion is often in support of the surgery but sometimes it highlights needs for further reflection or extra support in order that the person can have a positive and safe surgery. When the person has two supportive opinions a referral is sent to the surgeon that they have chosen. There are Frequently Asked Questions about surgery here
It can save time in the referral process if people have taken time in advance of their second opinion appointment to investigate which is the best surgeon for them. Waiting times for surgery vary from one provider to the next and so it can be useful to check these directly with the surgical team as part of the decision making process.
Currently it is possible to refer to a variety of providers of chest surgery in England and we will endeavour to help individuals access the surgeon of their choice, although this may not always be possible. Below are examples of surgeons that we have referred to in recent times. This is not an endorsement by our service. They are listed in alphabetical order:
Miss Grit Dabritz
Miss Kate Williams
North Manchester General Hospital
(T) 0161 720 2849
(F) 0161 720 2228
Mr Peter Kneeshaw
NHS practice at Castle Hill Hospital
(T) 01482 622 638
(F) 01482 622 650
Mr David Ross and Mr Andrew Mellington
Nuffield Health Brighton Hospital
(T) 01273 627 007
Mr Philip Rubin
University Hospital Of North Durham
(T) 0191 333 2333
People who choose to have genital surgery must meet the criteria for genital surgery set out here. As part of this process, their team doctor must refer them to another doctor outside of the team to meet with the person to assess whether they meet the criteria for the surgery. This external doctor, who is usually based in Edinburgh, then offers a ‘second opinion’ to the NRGDS team. The second opinion is often in support of the surgery but sometimes it highlights needs for further reflection or extra support in order that the person can have a positive and safe surgery. Once two supportive opinions are available, a referral is sent to the surgeon that the person has chosen. There are Frequently Asked Questions about surgery here.
There are currently 3 providers of genital surgery in England to whom we can refer.
Transmasculine genital surgery
St Peter’s Andrology
145 Harley Street
(T) 0207 486 3805
There is more detail about the process of genital surgery here https://www.andrology.co.uk/phalloplasty
Transfeminine genital surgery
Brighton Gender Clinic
Nuffield Health Brighton Hospital
(T) 01273 761 121
(F) 01273 303 212
Aspen Healthcare Ltd.
(T) 020 8241 1637
(F) 0845 280 1853