Tattoo removal and other acquired body ornamentation
National Referral Protocol
Procedures not routinely provided by NHSScotland
- Any treatment for the purpose of removing or reducing a tattoo.
- Professional tattoo removal is not usually supported.
- Chronically torn earlobes will not be considered for treatment as there is no functional loss.
- Repair of ear spacer defects.
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
- Treatment for post traumatic or iatrogenic tattooing or hypersensitivity reactions will be supported.
- Tattoo removal is not usually supported unless the tattoo was gained in the absence of consent.
- Tattoo removal other than of face, neck or hands is most unlikely to be supported.
- Piercings – acutely torn earlobes may be referred for repair to A&E.
- Chronically torn earlobes will not be considered for treatment as there is no functional loss.
- Stretched piercings and ear spacer defects will not be considered for treatment.
Waiting Times
- These patients are not subject to the 18 Weeks Referral to Treatment Standard.
Tattoo removal - evidence summary
Treatment for these conditions is not routinely offered by NHSScotland and can only be considered when all criteria are met.