Back to:
Acute & critical care medicine

Procedures not routinely provided by NHSScotland

  • Upper and Lower blepharoplasty - surgery for removal of excess skin and/or ‘eye-bags.’

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 this type of surgery.

Considerations for treatment

Indications for referral

  • Surgery may be considered where there is restriction of the visual field by the excess skin. Visual field tests to be carried out prior to referral.
  • Lower Eyelid Blepharoplasty may be considered as a part of treatment of associated ectropion if appropriate.

Contraindications for referral

  • Surgery will not be considered where a perception of tiredness or ageing is the primary concern.
  • Treatment for xanthelasma is not provided.

Waiting Times

  • Blepharoplasty for restricted visual fields affecting primary gaze is subject to 18 Weeks Referral to Treatment Standard.

Blepharoplasty - evidence summary

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