The new guide, titled Professional Standards for Cosmetic Practice, also suggests non-surgical cosmetic treatments such as Botox should only be carried out by trained doctors, dentists and nurses. Currently people with no medical training can carry out a number of cosmetic procedures, leading to doubts over the quality of care provided.
The college’s publication comes in the wake of 2010’sPoly Implant Prosthèse (PIP) breast implant scandal and ahead of a report from NHS Medical Director Sir Bruce Keogh, expected in March this year, on the results of a majorgovernment review into cosmetic procedures.
According to an RCSpress release, the document calls for practitioners to discuss “relevant psychological issues (including any psychiatric history) with the patient to establish the nature of their body image concerns and their reasons for seeking treatment.” It calls for financial deals, including time limited discounts, to be banned and for practitioners to ensure patients understand the risks of treatments, as well as proper aftercare procedure.
Professor Norman Williams, President of the Royal College of Surgeons, said:
“While the Colleges and professional organisations involved in cosmetic practice are neither regulators nor legislators, the profession has a responsibility to provide standards to which we would expect our members to work. We have serious concerns that not all those who offer cosmetic procedures are adequately qualified, or that patients are getting accurate information prior to treatment.”
Figures fromthe British Association of Aesthetic Plastic Surgeons (BAAPS) show 43,172 surgical cosmetic procedures were carried out in 2012 – 39,070 on women, 4,102 on men – a small increase of 0.2% on 2011. There was a 1.6% drop in the number of breast augmentations performed, although this still remains the most popular procedures. However, anti-ageing treatments, including face and neck lifts and eyelid surgery, saw double digit increases.
Rajiv Grover, consultant plastic surgeon and President of the BAAPS said: “Whilst there is an undeniable rise in demand for non-surgical treatments of the face; for example Botox and fillers; once there is actual loose skin in the neck or jowling, only surgery is likely to make a significant improvement and the public seem to be increasingly aware of this.”