Cosmetic Procedures including Breast Surgery procedures

Not routinely commissioned procedures

Policy

Last Updated Date Review Date 
Botulinum Toxin - when used to improve cosmetic appearance    
Cheek implants (unless part of the treatment of post trauma cases or part of planned reconstruction surgery (e.g. for cancer)    
Chin implants (genioplasty,mentoplasty) (unless part of the treatment of post trauma cases or part of planned reconstruction surgery (e.g. for cancer)    
Collagen implant (unless part of the treatment of post trauma cases or part of planned reconstruction surgery (e.g. for cancer)    
Cranial banding (helmet therapy) - for positional pagiocephaly    
Earlobe repair    
Electrolysis treatment for any condition    
Facelifts (rhytidectomy) (unless part of the treatment of facial nerve palsy, congenital facial abnormalities, cutis laxa or pseudoxanthoma elasticum)    
Fat grafts (unless as management of post trauma cases or part of planned reconstruction surgery e.g. for cancer)    
Hair depilation (removal) for excessive hair growth (hirsutism)    
Hair transplantation    
Labiaplasty, vaginoplasty and hymen reconstruction    
Laser treatment - Facial hyperpigmentation    
Lipectomy/ liposuction (unless as management of reconstruction surgery for cancer or a congenital syndrome)    
Nipple inversion (unless part of planned breast reconstruction in the management of breast cancer)    
Phalloplasty    
Procedures related to gender reassignment not included in the original package of care    
Resurfacing by laser for skin conditions causing scarring - including post-acne and post-traumatic scarring    
Skin removal e.g. excess skin on thigh, leg, hip, buttock, forearm or other areas (with the exception of apronectomy where criteria are met)    

 

Procedures commissioned with restrictions

Policy

Last Updated Date

Review Date

Sept 2018

Dec 2020

Mar 2020

not applicable

Apr 2019

Mar 2022

Sept 2018

Nov 2020

Mar 2020

Feb 2023

Mar 2020

Feb 2023

Mar 2020

Feb 2023

Sept 2018

Dec 2020

May 2019

Apr 2022

Sept 2018

Jan 2021

Mar 2020

Feb 2023

Sept 2018

Oct 2020

Sept 2018

May 2021

Sept 2018

Mar 2021

Sept 2018

Apr 2021

Sept 2018

Feb 2021

July 2020

June 2023

Jan 2020

Dec 2022

Aug 2020

May 2023

Derby and Derbyshire CCG

Derby and Derbyshire CCG