Aesthetic Enhancement


Aesthetic enhancement
Excluded Allowable
Face Surgery for wrinkles (rhytides, ‘crows feet’ and ‘marionette’ lines)
Face lift
Neck lift
Brow lift and brow ptosis
Other purely aesthetic surgery
Corrective surgery for structural or soft tissue anatomical anomaly resulting from congenital or acquired pathological condition.
Correction of facial nerve palsy.
Nose Rhinoplasty for aesthetic purposes.
Minor nasal lumps, humps and deviation, particularly when blamed upon childhood knocks.
Correction of congenital abnormalities including cleft lip and palate.
Septorhinoplasty after nasal trauma where there is gross distortion of anatomy and sustained, interference with airway.
Eyes and eyelids Upper and lower blepharoplasty. (correction of excess skin ‘tired eyes’, ‘eyebags’ or malar bags) Post traumatic or post tumour reconstruction.
As part of a procedure for ectropion or entropion.
Where redundancy of the upper lids overhangs the pupil and genuinely interferes with the field of vision (this must be distinguished from congenital or acquired ptosis of the levator mechanism).
During the correction of facial nerve dysfunction.
Gross asymmetry.
Ears Prominent ears (pinnaplasty) under the age of five and over the age of 18.
Below the lower age limit surgery is being requested by the parents, the patients are not compliant with the post operative regime and the surgical results are unpredictable.
The upper age limit is debatable since some patients with genuine concerns only present when parental opinion and thus control is no longer a factor.
Congenital abnormalities of the external ear (other than prominence).
Prominent ears in patients over the age of five and under the age of 18 only.
The degree of prominence is largely unmeasurable, but it would be reasonable to refer all children who are being teased or perceive there to be a problem themselves (as opposed to their parents).
Gross asymmetry.
Cranium and scalp Male pattern baldness.
Hair transplantation.
Congenital anomalies (cranio-facial and cutaneous).
Correction of post traumatic bony and soft tissue deformity.
Post burn alopecia.
Localised bony masses.