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29
Jan
2013

Royal College of Surgeons’ Guidelines for Consideration

Lorna was Editor of Consulting Room (), the UK's largest aesthetic information website, from 2003 to 2021.

The ; an organisation committed to enabling surgeons to achieve and OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow's Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling maintain the highest standards of surgical practice and patient care has published what it calls ‘landmark’ professional standards for cosmetic practice, and not just for surgeons either.

Ahead of the well-anticipated of Health (government) cosmetic intervention review being undertaken by Sir Bruce Keogh, which is due to publish its findings in March, the RCS has chosen to publish a 44-page document entitled Professional Standards for Cosmetic Practice aimed at all doctors, dentists and nurses involved in cosmetic practice. The comprehensive report focuses on the behaviour and competencies professionals should be expected to when providing cosmetic procedures; it maintains that all procedures, surgical or non, should be performed by those with medical training only. Various standards, as summarised below, were developed by the Cosmetic Surgical Practice Working Group made up of key professionals including surgeons, psychiatrists, psychologists and dermatologists. 

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. We hope these standards will feed into the ongoing review of the industry led by the NHS Medical Director, Sir Bruce Keogh, and improve quality of care for patients going forward."

The working group cites 2010’s National Confidential Enquiry into Outcome and Death (NCEPOD) report On the face of it, which revealed a lack of consistent professional standards in cosmetic surgical practice, as the impetus for these standards.

Mr Ian Martin, NCEPOD Clinical Co-ordinator, said:

"In 2008 we identified poor regulation, low volume practice, and deficiencies in training. We also identified poor standards of consent and unrealistic advertisements which had tended to stress the benefits of surgery without dealing sufficiently with potential side effects. The lack of standards and systematic audit was also highlighted. We are very pleased to note that the Department of Health and Royal College of Surgeons are now taking steps to address these deficiencies in cosmetic surgical practice and support the report published today."

In the main, the standards or guidelines amount to a recommendation that only surgeons should provide cosmetic surgery, i.e. only those who have qualified as a medical doctors and undertaken post-graduate surgical training should carry out invasive procedures such as breast surgery or liposuction; and only licensed doctors, registered dentists and registered nurses who have undertaken training should provide non-surgical cosmetic treatments such as lasers and cosmetic injectables (‘’ and ). Currently, certain cosmetic can be administered by anyone, anywhere with no medical training. They also highlight that all cosmetic procedures should be carried out on licensed premises with resuscitation equipment readily available in the event of an emergency. The concept of ‘Botox parties’ or