LLR Policy for Treatment for Facial Hyper Pigmentation

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Category

Threshold Criteria

Hyperpigmentation results in flat, darkened patches of skin that can vary in size and colour. Pigment spots such as age spots are caused by sun exposure. For this reason, they appear mainly on body parts that are frequently exposed, such as the face, hands and arms

Eligibility

LLR ICB will support referral to secondary care for Facial Hyperpigmentation, as further investigations as may be necessary,  if the following criteria is met

·       The patient is over 18 years old AND one or more of the following apply
·       The patient is symptomatic
– Burning
– Itching
– Soreness
·       Progressive Disease
·       Atypical/ asymmetric distribution

If there is uncertainty about the diagnosis, please seek further advice via Advice and Guidance (using eRS or the PRISM Advice and Guidance pathway)

Guidance

http://www.pcds.org.uk/clinical-guidance/melasma-syn.-chloasma-and-other-causes-of-facial-hyperpigmentation

ARP 43 Review Date: 2026

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