In Chile, the National Health Fund (Fonasa) offers coverage for a range of plastic surgeries in private clinics, as long as they are procedures necessary for medical reasons. This alternative has gained relevance in the country, especially among those who require plastic interventions that improve their quality of life. The list of available surgeries covers areas such as surgery body and facial, corrections of congenital malformations and treatments of scars or complicated wounds.
Fonasa It covers interventions of varying complexity on the face, such as blepharoplasties on the upper and lower eyelids, nose correction and the implantation of silicone facial prostheses. More complex treatments are also included to correct craniofacial anomalies, such as Apert or Crouzon syndrome, through advanced osteotomy techniques or fronto-orbito-maxillary advancements.
As to surgeries body, the system allows access to abdominoplasty procedures, gluteal and trochanteric lipectomy, gynecomastia and various types of mammoplasty. This includes augmentations, reductions and mastopexy, although in the latter case the coverage does not consider the value of the prostheses. For patients requiring breast reconstruction, whether complete or partial, the service is also available.
Coverage covers specific procedures to treat scars and wounds. Fonasa finances escharctomy at different levels of severity, in addition to the resection of scars anywhere on the body. In cases of facial wounds, whether small or large, the system also provides support. Other common interventions include skin grafts and flaps, both simple and complex, as well as pressure sore treatments, which require advanced reconstruction techniques.
For those born with congenital malformations, the system covers surgeries ear correctives, such as winged ear correction, and more complex ear or lip reconstructions, such as cheiloplasty. The intervention of conditions such as polydactyly and syndactyly is also contemplated, where the system offers options to repair and restore the functionality of extremities.
These are all the surgeries that Fonasa covers:
- Oral vestibulo mucosal closure or gingivoperiostioplasty
- Muscle or musculocutaneous flaps
- Escharctomy up to 1% of the body surface
- Grafts up to 10% of the recipient body surface area
- Telesinging correction
- Breast reconstruction
- Escharctomy up to 5% of the body surface
- Expansion or reconstruction of a micro-orbitism
- Orbital dystopias (unilateral or vertical facial time mobilization)
- Z-plasties (four or more)
- Escharctomy up to 10% of the body surface
- Bilateral alveolar ridge osteoplastic reconstruction in one time
- Escharctomy for each additional 10% or its fraction
- Polydactyly (unilateral removal and plasty)
- Grafts up to 5% of the recipient body surface area
- Taking bone grafts
- Frontal ridetomy
- Partial nasal correction (alar, columella lengthening or similar)
- Winged or looped ears (plastic correction)
- Unilateral macrostomy closure
- Secondary surgical correction of cheiloplasty
- Z-plasties (up to three)
- Escharctomy with bone resection (with or without rotation flap)
- Complicated wounds of the face of more than 5 cm that involve muscles, ducts or vessels
- Complex congenital malformation in ears
- Grafts from 10% to 50% of the recipient body surface area
- Abdominoplasty
- Syndactyly (surgical treatment of each space without graft)
- Areola and/or nipple reconstruction with or without plastic surgery
- Unilateral gluteal lipectomy
- Simple wounds of the face of up to 5 cm that only involve skin or mucosa
- Extracranial orbital mobilization
- Escharctomy up to 10% of the body surface
- Grafts up to 1% of the recipient body surface area
- Lower eyelid blepharoplasty (unilateral or bilateral)
- Single simple flap
- One-sided primary cheiloplasty
- Split earlobe
- Intracranial orbital mobilization
- Unilateral trochanteric lipectomy
- Taking cartilage grafts
- Breast augmentation (unilateral)
- Escharctomy up to 10% of the body surface
- Grafts of 51% or more of the recipient body surface area
- Total skin of any size. Includes treatment for donor and recipient area
- Cervical facial ridetomy (one side)
- Facial paralysis and muscle transplants
- Mastopexy with or without prosthesis implant (does not include value of the prosthesis)
- Closure of hard palate and/or closure of oronasal communication
- Escharctomy for each additional 10% or its fraction
- Simple flaps (two or more)
- Treatment of bedsores (with bone resection and muscle or musculocutaneous flaps)
- Grafts up to 5% of the recipient body surface area
- Free flaps with microanastomosis (includes flap harvesting and neurovascular sutures)
- Reduction mammoplasty
- Complex flaps
- Unilateral alveolar ridge osteoplastic reconstruction
- Bilateral alveolar ridge osteoplastic reconstruction in one time
- Syndactyly (surgical treatment of each space with graft)
- Upper eyelid blepharoplasty (unilateral or bilateral)
- Silicone facial implant in any area
- Escharctomy up to 1% of the body surface
