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Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Act 2026

The Act

Overview

Part 1: Non-surgical Procedures
Section 1: Meaning of “non-surgical procedure”
Non-surgical procedures specified in schedule 1

16.Subsection (1)(a)(ii) introduces schedule 1 of the Act which specifies descriptions of procedures that fall within the definition of a non-surgical procedure for the purposes of the Act.

17.Ablative laser treatment is specified in paragraph 1. In addition to procedures which remove one or more layers of skin, lights and lasers can be used in a variety of other procedures. Other procedures involving lasers which do not have an ablative effect (that is, procedures which do not involve the removal of layers of skin) are designated as an activity for which a licence is required under Part 2 of the Civic Government (Scotland) Act 1982 by the Civic Government (Scotland) Act 1982 (Licensing of Non-surgical Procedures) Order 2026 (S.S.I. 2026/87).

18.Chemical peels are specified in paragraph 2. Chemical peels may remove skin at a variety of depths depending on the strength and composition of substance used in connection with the peel and/or the duration of the application of the substance. Chemical peels which penetrate the skin but not beyond the epidermis (the skin’s outer layer) are designated as an activity for which a licence is required under Part 2 of the Civic Government (Scotland) Act 1982 by the Civic Government (Scotland) Act 1982 (Licensing of Non-surgical Procedures) Order 2026 (S.S.I. 2026/87).

19.Dermal microcoring is specified in paragraph 3. The small cores of skin tissue that are removed by this procedure are typically less than half a millimetre in diameter.

20.Injectable procedures are specified in paragraph 4. These procedures must be for a cosmetic or wellbeing purpose (as defined in paragraph 14 of schedule 1). The procedures include:

(a)

the administration of dermal fillers in smaller quantities such as to change the shape of the face or lips, or to reduce the appearance of wrinkles,

(b)

the administration of dermal fillers in larger quantities to, for example, augment the shape of the breast or buttocks, such as a non-surgical Brazilian butt lift (or BBL),

(c)

botulinum toxin (Botox) injections.

21.Licensed procedures carried out with prescribed anaesthetic or on an intimate area are specified in paragraphs 6 and 7. These are procedures that are specified in schedule 1 of the Civic Government (Scotland) Act 1982 (Licensing of Non-surgical Procedures) Order 2026 but for which a prescribed anaesthetic is used or which are carried out on an intimate area (except for non-ablative laser treatment for hair removal).

22.Microneedling is specified in paragraph 8. This procedure may be carried out at a range of depths. Microneedling that delivers radio frequency electromagnetic radiation meets the definition of a non-surgical procedure for the purposes of the Act regardless of the depth at which it is carried out. Otherwise, microneedling must be carried out at a depth of 1.5 millimetres or more to meet the definition of a non-surgical procedure for the purposes of the Act. Microneedling that is carried out at a depth of less than 1.5 millimetres (not involving the use of radio frequency electromagnetic radiation) is designated as an activity for which a licence is required under Part 2 of the Civic Government (Scotland) Act 1982 by the Civic Government (Scotland) Act 1982 (Licensing of Non-surgical Procedures) Order 2026 (S.S.I. 2026/87). Paragraph 9 sets out exceptions to paragraph 8 for acupuncture, cosmetic body piercing, electrolysis, tattooing and use of a microneedle to inject or administer a substance. (Acupuncture, cosmetic body piercing, electrolysis and tattooing are excluded from the meaning of “non-surgical procedure” for the purpose of the Act by section 1(1)(b)(iv) as they are licensed procedures under the Civic Government (Scotland) Act 1982 (Licensing of Skin Piercing and Tattooing) Order 2006 (S.S.I. 2006/43) but only where those procedures are provided in the course of a business.)

23.Thread lift is specified as being a non-surgical procedure in paragraph 11. It is also referred to as a thread and cog lift, particularly where the thread used is textured.

24.Section 1(5) of the Act provides that the Scottish Ministers may by regulations amend the list of non-surgical procedures specified in schedule 1. Section 22(4) of the Act provides that this power is subject to the affirmative procedure (see section 29 of the Interpretation and Legislative Reform (Scotland) Act 2010 for the meaning of “the affirmative procedure”).

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Text created by the Scottish Government to explain what the Act sets out to achieve and to make the Act accessible to readers who are not legally qualified. Explanatory Notes were introduced in 1999 and accompany all Acts of the Scottish Parliament except those which result from Budget Bills.

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