HIV/AIDS Lipoatrophy (Facial Wasting) is a direct result
of the medications to treat HIV infection.
Together with our sponsors
and the treatment physicians,
we recognize how important
this treatment is
and we work to ensure
its accessibility to people
living with HIV
who are
afflicted with facial lipoatrophy.
To-date 305 Canadians and 15 Americans
living with HIV/AIDS have received facial aesthetic restoration treatment for Lipoatrophy through the
Face Forward Foundation
Subsidy Program
*The Subsidy Program is OPEN.
Face Forward is honoured to facilitate
a treatment subsidy program to those individuals who
are in need of facial aesthetic restoration and cannot
afford it. We recognize how important this restorative
treatment is and together with our sponsors (Polymekon,
Pur Medical, Medicard) and the treating physicians,
we work to ensure its accessibility to those living
with HIV and afflicted with facial lipoatrophy.
In order to be eligible for a Face Forward subsidized treatment, you will require the following:
- Completed submission of the Face
Forward Subsidy Application Form
- A signed statement from your primary HIV healthcare professional affirming that you are in need of this treatment
- A copy of your most recent T4 or
equivalent showing an income of no more than $30,000
- A brief (100 words) description of how facial lipoatrophy has affected your life and how you believe aesthetic restoration will change it
- Submission of the Quality of Life
Survey and agreement to complete subsequent follow up
surveys
Physicians donate their time, they offer reduced costs in order that we may provide patients with treatment subsidies.
Everyone who meets the eligibility
criteria will be contacted and placed on a waiting list.
Each month, participating surgeons from across Canada
will provide a limited number of treatments at a subsidized
rate as determined by their schedules and availability.
When your name is chosen, you will be notified.
During your consultation, your physician
will discuss with you the amount of product required
for optimal correction of your facial lipoatrophy. The
below prices are to be used as a guideline** only:
Volume (ml)
10ml
15ml
20ml
25ml
30ml
35ml
40ml
|
Approx. Patient Cost
with Subsidy
$900
$1,100
$1,300
$1,500
$1,700
$1,900
$2,100
|
** Individual treating physicians
will determine cost**
** Prices may vary and are subject to applicable taxes.**
To submit an application, please download the PDF version of the application form.
Bio-Alcamid Treatment Subsidy Program Application PDF
E-mail completed Application to: info@faceforward.ca.