I think maybe I didn't make it clear to you what I meant by "pragmatically". I didn't use that word accidentally — I deliberately chose to discuss what might be pragmatic rather than what might be compassionate or medically needed or deserved, because you're right that when it comes to compassion or medical need or deserving, there are many things which might feel more pressing but which aren't provided.
I was referring to what might be considered practical and cost-efficient by those running the country and deciding what gets funded. Assuming that availability of NHS facial tattoo removal wouldn't incentivise extra people to get tattoos, then it's likely that offering a limited facial tattoo removal service would result in a net gain for the country, possibly via reduced mental healthcare costs and more likely via reduced benefits payouts and increased tax revenue from the now more-employable patient. So funding facial tattoo removal could well be a pragmatic policy, though you might not consider it to be as principled or as compassionate a policy as providing breast reductions.
It's also possible that offering breast reductions would be a pragmatic policy, of course, as well as being principled and compassionate. Regardless, it's pretty much beside the point whether breast reductions are more necessary, more compassionate, or more pragmatic — my post was just about whether, on a purely practical national moneysaving/moneyraising economic basis, it could be a good idea to offer NHS facial tattoo removal in certain circumstances.
BTW my tits are massive and hurt my back, and I don't have a facial tattoo, so I'm not making any of these points for any personal reason.