SRP 087 Scar Revision

Policy Number: SRP 087
Policy Name: Scar Revision
Status: Individual Prior Approval/Not Funded
Effective Date: 1 April 2024
Next Review Date: 1 April 2026

Mid and South Essex ICB commissions scar revision surgery/treatment on a restricted basis only in patients where ALL the following criteria apply:

The scarring is a consequence of previous surgery, burns or trauma-
The scarring is causing adverse clinical consequences (due to contraction, tethering or recurrent breakdown); significant functional impairment (for example obstruction of orifice or vision); bleeding or suspicion of malignancy.
Where clinically appropriate, proactive conservative/’over the counter’ therapies (e.g. almond oil, silicone therapy, pressure garments, massage or medication (including prescribed medicines such as steroid injections) aimed at arresting the development of adverse, keloid or hypertrophic scarring have been tried but have not been effective;
At least 2 years of the natural healing process has passed.

GPs should not refer unless the above criteria apply, and referrals must include objective information to demonstrate this.

Not Funded

MSE ICB does not commission scar revision surgery/treatment, including skin resurfacing, for any of the categories listed below:

Hypertrophic or keloid scars that are not causing adverse consequences or functional impairments (e.g. keloid scarring after ear piercing)
Scarring/ulceration from chronic tattoo breakdowns
Post-acne scarring
Scars resulting from self-harm.
Scar treatment for skin rejuvenation or other cosmetic purposes

Photographs will be required to support any application for funding.

Individual funding requests should only be made where the patient demonstrates clinical exceptionality.

Find out more information on applying for funding in exceptional clinical circumstances.