Pressure is mounting for new laws that ban non- medics from giving injectable treatments, and Keogh is working with experts from the fields of cosmetic and plastic surgery to ensure optimum safety for patients. Existing legislation for things like heart valves and replacement joints is being held up as an example of the kinds of regulations the industry needs. Key areas for consideration include Botox® and dermal fillers, which currently can be executed by high street beauty salons.
As it stands now, beauticians with no formal medical training can legally administer Botox®. The lax legislation on the neurotoxin has seen a rise in its unrestricted use at “Botox® parties”, and in turn a spate of negative press because of the ensuing undesired results and improper aftercare that working with an unregistered technician can result in.
The Royal College of Surgeons has called the ethics of companies who offer these parties “wholly incompatible” with professional standards. With beauty salons, at-home parties and rough discount traders, often there is no on-site medical practitioner who patients can return to or contact should questions or problems arise. The procedures, when done in questionable circumstances like these, don’t ensure the levels of safety patients deserve.Nowhere else in Europe tolerates this and the RCS recognises the urgency for change. President of the organisation, Prof Norma Williams, said: “We have serious concerns that not all who offer cosmetic procedures are adequately qualified, or that patients are getting accurate information prior to treatment.”
It is being encouraged that all patients for any kind of cosmetic treatment must undergo a psychological assessment before surgery, as well as be taught how to select the best clinic, treatment and doctor for themselves, irrespective of price. With cosmetic surgery it is absolutely an issue of quality.
Efforts are in an attempt to quash the perceived value of surgery. The BBC last month published figures that reveal only half of those considering surgery take into consideration the qualifications of their doctor. The BBC also report that of the 1,762 people ComRes interviewed, many considered the cost of the surgery to be more important than qualification or aftercare. It’s staggering, really.
Consensus amongst professionals is that only those with recognised qualifications and training should carry out procedures, in a registered clinic, with correct equipment and resources to deal with emergencies or unplanned circumstance. Measures must also be taken to limit “discount surgery”, with schemes like social vouchers, or time-limited discounts that encourage impulsive buying over considered decisions.
Steve Cannon, chairman of the working party and RCS council member concludes: “With the demand for cosmetic surgery and non-surgical treatments rising year on year, it is crucial that the highest level of professionalism is maintained amongst practitioners.” The entire cosmetic surgery community is awaiting the verdict on the future of our industry- and patient welfare- with breath that is baited.
Dr Patrick Bowler MS.BS LRCP MRCS DRCOG