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General plastic surgery


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Facial palsy with a threat to vision from lack of corneal protection
    • Acute facial palsy as a result of traumatic or surgical division of facial nerve
  • Category 2
    (appointment within 90 calendar days)
    • Ulcers with acute deterioration (e.g. sacral, ischial or lower limb)
    • Dermatochalasis of the eyelid
  • Category 3
    (appointment within 365 calendar days)
    • Abdominal wall defects e.g. gross divarication or hygiene issues where medical treatment has failed to resolve skin conditions arising under redundant skin (photograph required)
    • Chronic facial palsy without threat to vision
    • Symptomatic ptosis not involving visual axis
    • Blepharochalasia which obstructs the visual axis and > 55 years age

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • History of anticoagulant therapy
  • Ptosis - BCVA (vision with most recent distance spectacles)
  • Blepharochalasia – Ophthalmologist or optometrist report including measure and impact of symptoms
  • Height, weight and BMI
  • Smoking status

3. Additional referral information Useful for processing the referral

  • Ptosis - Ophthalmologist or optometrist report including VA, refraction and impact of symptoms
  • Photograph – with patient's consent, where secure image transfer, identification and storage is possible

4. Request

Last updated: 13 June 2023