TNRF1: Cosmetic and plastic surgery

Overview

Apronectomy or Abdominoplasty, also known as a Tummy Tuck, is a surgical excision of redundant skin around the abdomen.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Body Contouring (shaping) is surgery to remove sagging skin and extra fat, and improve the shape and tone of underlying tissue.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Brachioplasty is a form of body contouring.  It is performed on patients with large amounts of loose or sagging skin on the upper arms.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

A Buttock lift is cosmetic surgery to improve the appearance of the buttocks.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Calf implants enhance the shape and look of your lower legs. Most people get calf implants as cosmetic surgery to make their legs shapelier.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Excision of redundant skin or fat is a procedure to remove loose and sagging skin often associated with loss of skin elasticity or weight loss.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Liposuction is a surgical procedure that uses a suction technique to remove fat from specific areas of the body, such as the abdomen, hips, thighs, buttocks, arms or neck. Liposuction also shapes (contours) these areas.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

A neck lift is a form of cosmetic plastic surgery involving tightening and removing skin from the human neck. The procedure addresses age-related wrinkling and creasing in this area, and provides a smoother, slimmer profile.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Plastic operations on the umbilicus are procedures that can be carried out to improve the appearance of the bellybutton.

Thresholds and eligibility 

These procedures are not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Refashioning of a scar can be carried out to alter its appearance.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

This is a procedure which can be carried out to remove loose and excess skin after weight loss.

Thresholds and eligibility 

This procedure is not routinely funded, in line with South East Coast Policy Recommendation Committee (PR 2009-09).

Bariatric Surgeons, GPs and other clinicians supporting patients in losing weight should document discussions with patients regarding the possibility of being left with excess skin after profound weight loss and inform patients that surgery to remove excess skin is not routinely available on the NHS. Where appropriate, this should be part of the consent process. 

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

A submental lipectomy removes fat and tightens the muscle sling under the chin.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Thigh lift is surgery reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

An upper arm reduction can be carried out for people who have loose skin or sagging tissues which can occur after significant weight loss or as the skin of the upper arm loses its elasticity.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Breast augmentation is a cosmetic surgery technique using breast-implants to increase the size, change the shape, and alter the texture of the breasts.

Thresholds and eligibility 

This procedure is not routinely funded.

This recommendation does not apply to patients undergoing breast reconstruction as part of treatment for breast cancer; South East Coast Policy Recommendation 2011-03. Patients requiring this procedure as part of a Gender Dysphoria care pathway approved by NHS England will be considered on an Individual Funding Request (IFR) basis. 

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Breast implant removal is surgery to take out breast implants. During the operation, a surgeon may also remove scar tissue or silicone from implant leaks.

Thresholds and eligibility 

NHS Surrey Heartlands will consider a funding application for the removal of breast implant(s) where it is clinically indicated.

NHS Surrey Heartlands will not fund replacement implants.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Correction of inverted nipple(s) is a surgical procedure that aims to allow the nipple to stick out from the areola (the dark skin around the nipple).

Thresholds and eligibility 

This procedure is not routinely funded.

Nipple eversion is not funded within the local NHS for any patient group. This recommendation does not apply to patients undergoing breast reconstruction as part of treatment for breast cancer; South East Coast Policy Recommendation 2011-07. 

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Mastopexy is the plastic surgery for raising sagging breasts upon the chest of the woman, by changing and modifying the size, contour, and elevation of the breasts.

Thresholds and eligibility 

This procedure is not routinely funded.

Mastopexy is not funded within the local NHS for any patient group. This recommendation does not apply to patients undergoing breast reconstruction as part of treatment for breast cancer; South East Coast Policy Recommendation 2011-06. 

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Surgical treatment for Male Gynaecomastia usually takes the form of liposuction or breast reduction surgery.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

A face lift is a cosmetic surgical procedures that can be carried out to remove unwanted wrinkles by tightening the skin on the face.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

There are various methods for managing abnormal hair loss such as Hair Transplant, Hair Graft, Hair Replacement and the Intralace Hair System.

A Hair Transplant is a surgical technique that removes hair follicles from one part of the body to a bald or balding part of the body.

A Hair Graft is a strip of skin containing hair that can be transplanted to another part of the body.

Hair Replacement is the general term used for any procedure carried out to replace hair loss.

The Intralace Hair System is designed for moderate to severe hair loss, or thinning.  It is constructed from a breathable mesh and integrated into existing hair.

Thresholds and eligibility 

Procedures for this are not routinely funded.

Hair pieces and wigs for patients experiencing total hair loss as a result of alopecia totalis, cancer treatment, previous surgery or trauma are available from local NHS Trusts.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

This captures all procedures that aim to improve aesthetic appearances rather than for functional reasons.

Thresholds and eligibility 

Procedures for this are not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Repair of chronic tear of the lobe of the external ear would involve earlobe repair surgery which is a reconstructive plastic surgery that is designed to restore the appearance of earlobes.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

The repair of chronic clefts due to avulsion of body piercing is a procedure carried out to repair skin where there has been a forcible tearing off of skin or another part of the body, such as an ear or a finger.

Any time layers of skin have been torn off to expose muscles, tendons and tissue, it is called an avulsion.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Skin grafts involve replacing or attaching skin to a part of the body that is missing skin. Skin grafts are performed by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area.

Thresholds and eligibility 

This procedure is not routinely funded.

NHS Surrey Heartlands will fund this treatment for burns and as part of reconstruction following major trauma.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.

Overview

Tattoo removal is the process of removing an unwanted tattoo.  The standard modern method is the non-invasive removal of tattoo pigment using Q-switched lasers.

Thresholds and eligibility 

This procedure is not routinely funded.

Resources

Treatments not routinely published policy (TNRF1)

Additional information

If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.

Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.