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Procedures not routinely provided by NHSScotland

  • Surgery for lifting one or both sides of the neck, face, and brow.
  • All types of facelift, brow lift, neck lift.

Clinical psychology

  • Referral to a specialist Clinical Psychologist will be made at the discretion of the surgical team.

BMI

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

Considerations for treatment

Indications for referral

  • Where there is a specific, relevant underlying cause, please make this clear in any referral.
  • Referrals for brow lift may be considered where there is a demonstrable visual field defect. Visual field tests to be carried out prior to referral.
  • Indications may include patients with collagen diseases (e.g. cutis laxa) or facial palsy.

Contraindications for referral

  • Treatment simply to reverse the normal ageing process will not be supported.
  • All referrals for simple age-related changes with no underlying cause will be returned.

Waiting Times

  • These patients are not subject to the 18 Weeks Referral to Treatment however brow lift for restricted visual fields is subject to the 18 weeks Referral to Treatment Standard.

Aesthetic facial surgery - evidence summary

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