Rebecca Hoare, 38, was discovered in July last year by her father David Hoare, co-director of Parkwood Off-Road Centre in Tong

Mum-of-two Rebecca Hoare, 38, was discovered in July last year by her father David Hoare, co-director of Parkwood Off-Road Centre in Tong, who desperately tried to revive her. But she was declared dead by paramedics. Near her, she left 17 pages of handwritten notes indicating her intentions.

Miss Hoare went ahead with private surgery on her breasts at a clinic in Manchester after a relationship broke down with a partner, who made negative comments about her body. During two in-depth pre-surgery consultations, surgeon Olympia Hadden told Miss Hoare there should be a 60 per cent improvement, but add that there were risks and there could be no guarantees, the inquest heard.

Miss Hoare was not happy with the results. In a statement read out at yesterday’s Bradford inquest, her mother Helen Gallagher said her daughter had been left feeling ugly and disfigured by the surgery. She also said Miss Hadden “could not understand the problem” when the issue was discussed at a review meeting. She added: “Miss Hadden should be accountable.”

Although Transform in Manchester did agree to carry out revision surgery for free as a gesture of goodwill, Miss Hoare never received a date for it, the inquest was told. Transform co-director Jeremy Rouch, in a statement, said the initial surgery had been uneventful and was satisfactory. He said Miss Hoare had been given information about it from the outset. Surgeon Miss Hadden, also in a statement, said she was surprised by Miss Hoare’s anxiety after surgery, which appeared to outweigh the physical concern.

Miss Hoare had been diagnosed with depression in 2008, but had responded well to treatment. Mr Rouch said she told them she had no psychiatric issues.

The inquest heard how, after the operation, Miss Hoare had become depressed about how she looked and was referred by her GP to Bradford District Care Trust for mental health care. She was diagnosed with body dysmorphia, an anxiety disorder that causes a person to have a distorted view of how they look. Dr Sayeed Ashraf, from the Trust’s First Response team, said she did not accept the diagnosis. She was later admitted to Lynfield Mount mental health hospital where, the inquest was told, she picked up an anxiety releasing habit from other patients of tying things round her neck. Dr Ashraf said: “Rebecca said it was silly but she could not stop doing it.”

The inquest also heard Miss Hoare, who blamed herself for having the surgery in the first place, was getting help to be distracted after her discharge from Lynfield Mount and had told those looking after her that she wanted to play more of an active role as a mother, sister, daughter and friend.

She had denied suicidal thoughts and told her hypnotherapist Sally Benson how much she loved her boys. Miss Hoare had been waiting to see a psychotherapist on the NHS.

After her death, a serious untoward incident investigation carried out by Bradford District Care Trust found Miss Hoare did get all the help and support she needed.

Summing up that Miss Hoare took her own life, Mr Fleming stressed her anxiety releasing habit had not been supported or encouraged in any way by clinicians. He said: “Without question she was a much loved mother, daughter, sister and friend. Rebecca was very much struggling to come to terms with the surgery which appeared to have triggered her to harbour dark thoughts of self-harm. She was supported by a loving family and did get care from hospital and in the community.

“Given the means she adopted and the notes she left behind, I’m satisfied in this case that she intended to take her own life,” he said.