In June 2016 the Private Health Facilities Regulation 2010
was changed to add a cosmetic surgery class to the prescribed classes of health services. As a result all facilities undertaking certain cosmetic surgical procedures (except dental procedures) must now be licensed.
Facilities that obtain a license to carry out the cosmetic surgical procedures are subject to the same licensing standards that currently apply to all licensed private health facilities. The general licensing standards are set out in Schedule 1 of the Private Health Facilities Regulation 2010 and the associated licensing standards that apply to the cosmetic surgery class are detailed in Schedule 2 of the Regulation.
Operators were given until March 2017 to make any necessary changes, including building works, in order to comply with the licensing standards or alternatively to make other arrangements. That transitional period has now expired so all facilities carrying out the prescribed cosmetic surgery procedures listed below must be licensed.
Cosmetic Surgery means:
- any cosmetic surgical procedure that is intended to alter or modify a person's appearance or body and that involves anaesthesia (including a Biers Block), or
- any of the following surgical procedures (however described):
- abdominoplasty (tummy tuck)
- belt lipectomy
- brachioplasty (arm lift)
- breast augmentation or reduction
- buttock augmentation, reduction or lift
- calf implants
- facial implants that involve inserting an implant on the bone or surgical exposure to deep tissue
- fat transfer that involves the transfer of more than 2.5 litres of lipoaspirate
- liposuction that involves the removal of more than 2.5 litres of lipoaspirate
- mastoplexy or mastoplexy augmentation
- pectoral implants
- penis augmentation
- superficial musculoaponeurotic system facelift (SMAS facelift)
- vaginoplasty or labiaplasty.
the administration of general, epidural or major regional anaesthetic or sedation resulting in more than conscious sedation, other than sedation provided in connection with dental procedures.
The specific procedures listed in (b) above are included in the definition of cosmetic surgery because those procedures are required to be carried out in a licensed facility regardless of the level of anaesthesia used. It is not relevant whether a patient is admitted to the facility or not.