Ever since the introduction of the concept of Procedures of Limited Clinical Value (PoLCV), procedures such as functional septorhinoplasty have been subject to additional funding restrictions within the British National Health Service. Recent publications have suggested that 10% of Clinical Commissioning Groups in the United Kingdom no longer fund septorhinoplasty surgery irrespective of the indications, including congenital malformations or post-trauma, and despite the strong evidence available in the literature in treating a range of health conditions. Thus, inequity exists across the country. At present functional septorhinoplasty surgery is frequently but incorrectly grouped together with aesthetic rhinoplasty, both of which are deemed to be cosmetic interventions. Moreover, as we exit the peak of the current coronavirus disease 2019 (COVID-19) pandemic, procedures deemed to be of lower clinical priority will potentially be at risk throughout Europe. The purpose of this review is twofold; the first is to put forward the evidence to commissioners in favor of functional septorhinoplasty surgery on patient well-being and mental health; the second is to demonstrate why functional septorhinoplasty surgery is a distinct procedure from aesthetic rhinoplasty and why it ought not to be classified as a procedure of limited clinical value.
There are many patients requesting cosmetic procedures who also struggle with mental health issues. These can include body dysmorphia, eating disorders, depression and anxiety. If aesthetic practitioners are able to recognise mental health, it will go some way to protect those for whom cosmetic procedures may not be the most appropriate course of treatment. This article will discuss the factors that contribute to the development of body image. The hope is that it will help practitioners question their own knowledge and understanding of mental health and how it can be connected with requests for cosmetic procedures. Practitioners may also identify areas where they need additional training and or understanding.
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