How safe is the cosmetic surgery boom?
By Melanie Abbott
BBC Radio 4
29 November 2016
Magazine“As soon as it was done I got in my car and cried my eyes out. I felt like I’d self-harmed.”
Tina, who does not want to use her real name, is one of the thousands of young women who have turned to facial (also known as dermal) fillers as a quick fix for their self-esteem.
It is one of the easiest cosmetic procedures to have done as it does not need to be performed by a medical professional in a registered clinic.
Tina, who is 24, paid £75 for the filler in her local hair salon.
“It was almost too easy,” she says.
“Before I knew it, the injection had gone in and I thought, ‘Oh my God, I am having a lip job’.”
Sarah, who also did not want to give her real name, had this operation when she was 21.
“I was really unhappy with how my body looked,” she says.
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“Around the age of 13 I developed an eating disorder. I started picking out bits of my body I really, really hated. I think the main aim of my hatred was my breasts. At 18, I decided the only way to sort myself out was cosmetic surgery.”
Sarah attended a free consultation at a clinic where she says she was met by a warm and welcoming staff member who did not appear to be a medical professional.
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BBC Radio 4’s You and Yours discussed cosmetic surgery on 15 November. You can listen again on iPlayer.
“She asked me a few questions about my personal health and then gave me a sports bra and some chicken fillets to fill it,” says Sarah.
“I was a [dress] size four to six at this point and had a very small frame. The fillers were a size D, so even though in my head it looked right, in hindsight I know there’s a reason I had no breasts. It was because I was so small.”
Sarah signed up to the procedure and paid a non-refundable deposit of £500. She went ahead with the operation which involved having the implants inserted under her pectoral muscles.
Afterwards she says the pain was so excruciating she couldn’t sit-up in bed without help for two weeks. She immediately felt self-conscious and completely fake. She says she has now grown to like her breasts, but is still embarrassed when she has a new sexual partner.
“I feel it is something I have to admit to. Yes I am that shallow that I went through all that and spent all that money,” she says.
“The implants only last 10 to 15 years if you are lucky, so after all that you still have to go through it again to have them replaced or removed.”The review highlighted facial injections or fillers, saying: “It is our view that dermal fillers are a crisis waiting to happen.” It recommended the procedure should only be available with a doctor’s prescription.
The former president of BAAPS, Rajiv Grover, says this would immediately make fillers safer.
“It would regulate who is able to perform these treatments – it would have to be a medical professional – and it would prevent advertising,” he says.
“A lot of marketing gives the impression that these treatments are a golden ticket to a glamorous lifestyle. We feel that’s completely wrong and they shouldn’t be marketed at all.”
The review also called for a mandatory register of cosmetic surgeons which would list their speciality, formal qualifications for those injecting fillers or Botox, and compulsory insurance if anything goes wrong. None of these has been fully implemented.
A filler in your face is no more regulated than a ballpoint pen
Dr Rosemary Leonard
Dr Rosemary Leonard, who sat on the review panel, feels she wasted her time.
“Frankly I wonder why I bothered, so little has been done,” she says.
“Even today, a filler in your face is no more regulated than a ballpoint pen. Anyone can put a filler in someone’s face. I am so sad and angry that the government has done so little about our recommendations.”
In her GP surgery, Leonard has seen the result of many badly performed cosmetic operations.
“I’ve seen some terrible scarring from breast surgery that has gone wrong,” she says.