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National pathways

Procedures not routinely provided by NHSScotland

  • 76% of the population have atrophic acne scarring. Only patients considered to have severe facial scarring will be considered.
  • Keloid and hypertrophic scars will be considered under a separate scar management pathway.

Clinical psychology

  • All approved referrals will be seen by a specialist Clinical Psychologist.

BMI

  • There are no specific BMI restrictions.
  • If BMI is significantly raised, consider carefully whether patient is appropriate for surgery.

Considerations for treatment

  • Treatment will be based on severity which will be determined by a regional vetting panel.
  • Formal medical photography will be required.

Indications for referral

  • Severe facial scarring.

Contraindications for referral

  • Active acne.
  • Roaccutane within the last 12 months.
  • Non-facial acne.

Waiting Times

  • These patients are not subject to the 18 Weeks Referral to Treatment Standard.
Ice pick acne scarring on chin - note ice pick scarring often does not improve significantly with laser resurfacing, and significant undulating scarring of a cheek which may improve with laser resurfacing.

Laser surgery for acne scarring - evidence summary

Treatment for these conditions is not routinely offered by NHSScotland and can only be considered when all criteria are met.