Showing posts with label Breast Augmentation with Silicone Implants. Show all posts
Showing posts with label Breast Augmentation with Silicone Implants. Show all posts

Saturday 20 December 2014

Victims of a craze for cosmetic surgery


Woman recovering from plastic surgery, from the series Beauty Recovery Room
You can't avoid the adverts. Everywhere you go in Seoul, you are urged to change your shape through plastic surgery. In affluent Gangnam, every wall seems to have a sign pointing to a surgery.
On the train and in the street, you're told you can "bring your face to life". "Facial contouring" is on offer - "breast surgery", "anti-ageing", "eyeplasty", "body contouring". There is "square jaw reduction" (mainly, the adverts imply, for men). Or transforming your face "from saggy and loose to elastic and dimensional", targeted mostly at women.
One acquaintance of mine complains that her chin becomes painful when it rains. And then it emerges that she went into the surgery for a nose job but got persuaded - or persuaded herself - that it was her chin that really needed its contours changing. The result: a more shapely chin that is also a more painful chin. Despite that, she is now intent on breast enlargement.

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This is not a human face - it is more revolting than monsters or aliens”
In this country, parents tell me that they give their teenage daughters a present of what's called "double eyelid surgery" which makes eyes more pronounced - "less Asian" is the truth of it. Why, I wonder, when Korean eyes seem so beautiful the way they are?
The retort that blares from the adverts on the train is that "confidence in appearance brings positive energy which can be the foundation of happiness". Happiness - so easily found at the cut of a knife!
Except that, of course, it's not. There is now a backlash, a slew of court cases where patients - or victims as they might be known - are suing doctors who re-arranged their faces, but not in a good way. One victim said when the bandages came off: "This is not a human face. It is more revolting than monsters or aliens."
Kim Bok-soon spent 30 million won (£17,320) for 15 surgeries on her face over the course of a day and only afterwards found out her doctor was not a plastic surgery specialistKim Bok-Soon was persuaded to spend 30m Won (£17,320) for 15 surgeries on her face
Part of the problem is that plastic surgery is so lucrative that unqualified doctors have been drawn in - or rather doctors qualified in other areas of quite different medicine. It's alleged that procedures have been done by what are called "ghost doctors". In one court case, it's claimed that the advertised doctor slipped out of the operating room once the patient was under the anaesthetic and the job was then botched by the replacement surgeon.
On top of that, it's emerged that some before-and-after photos have had a bit of surgery themselves - surgery of the Photoshop variety.
The upshot is that the Korean Association of Plastic Surgeons has called for tighter rules for doctors and for advertisers. They fear that the bad publicity is damaging the reputation of an industry which is largely well-run.
But they're fighting against the tide. Plastic surgery is very profitable, even with prices that undercut the US and Europe. One of the big businesses in Gangnam, here in Seoul, prices "eye-shape correction" at 1.7m Korean Won. That's about £1,000 ($1,500) for a 30-minute, simple procedure. It rises to 12m Won for a "full-incision face lift" - that's about £7,000 ($11,000).
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South Korea plastic surgery
Picture of woman's back
In response to a survey of 1,000 patients, run by the Korea Consumer Agency (KCA):
  • 70% of those questioned said they had a surgical procedure to improve their looks, and 14.5% said they believed it boosted their prospects for employment or promotion
  • The most popular procedure was the "double-eyelid surgery" - 67.8% of respondents said they undergone the procedure
  • 32.3% of those asked responded that the results of their procedures were "unsatisfactory"
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Plastic surgery is like an addiction - if you do the eyes, you want the nose”
Translation is increasingly needed. There's a big market with a similar sense of vanity right on Korea's doorstep: China. According to the reputable Joongang Daily here, two-thirds of the foreigners who came for plastic surgery to South Korea last year were from China, more than 16,000 customers. The press here says that some of the procedures have been so radical - so successful - that passport officials have not believed it's the same person holding the passport.
But maybe Chinese people who aspire to film-star beauty or, for that matter, South Korean parents who think they can improve their daughters through the surgeon's knife should reflect on one horror story going through the courts.
A former beauty queen here had breast enhancement which went horribly wrong. After a series of infections, she ended up with one breast much bigger than the other.
She blames doctors for the medical failure but also for never saying to her: "Look, you don't need this." "Plastic surgery is like an addiction," she said. "If you do the eyes, you want the nose.
"And doctors don't say, 'You're beautiful enough as you are.'"
Ji Yeo's photographs were first published as part of a series called Beauty Recovery Room
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More from the Magazine
Surgeon holding breast implant
In 1962, Timmie Jean Lindsey became the first woman to receive silicone breast implants in a groundbreaking operation in Houston, Texas. Today, breast augmentation is one of the most popular procedures worldwide,write Claire Bowes and Cordelia Hebblethwaite.

Wednesday 24 April 2013

'Cosmetic crisis' waiting to happen


'Cosmetic crisis' waiting to happen

Woman's lips being injected

Related Stories

Injections to plump up the skin are a "crisis waiting to happen" and should be available only on prescription, a UK review of cosmetic procedures has said.
It warned that dermal fillers, covered by only the same level of regulation as toothbrushes, could cause lasting harm.
The independent review added cosmetic surgery had been "trivialised". It also attacked "distasteful" companies for putting profit ahead of care.
The review has recommended a series of measures to better protect patients.
It was commissioned by the Department of Health in England, but the findings will be passed to health ministers throughout the UK.
From fillers to breast implants - the cosmetic procedures industry is booming. It was worth £750m in the UK in 2005, £2.3bn in 2010 and is forecast to reach £3.6bn by 2015.
But there is considerable concern that regulations have failed to keep pace - leaving patients vulnerable.

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Anybody, anywhere, anytime can give a filler to anybody else, and that is bizarre”
Sir Bruce KeoghNHS Medical Director
The biggest growth is in non-surgical procedures such as fillers to tackle wrinkles, Botox and laser hair removal - the area the report describes as "almost entirely unregulated".
The advisory panel said the procedures, which could go horribly wrong, were being treated as casually as having highlights done at a lunchtime hairdresser's appointment and had become commonplace at "beauty parties".
Former beauty clinic manager Sarah Payne recalls how a dermal filler treatment went badly wrong
Sir Bruce Keogh, the NHS medical director for England who led the review, said: "The most striking thing is that anybody, anywhere, anytime can give a filler to anybody else, and that is bizarre."
At a European level, both medical devices such as breast implants and Botox, which is classed as a medicine, are regulated.
Fillers are deemed to have no medical purpose so are regulated in the same way as toothbrushes and ball-point pens. There are 190 different fillers available in Europe compared with just 14 in the US.
Bad practice

Analysis

Woman getting Botox injection
When you go for cosmetic surgery, you expect the same standard of care as for any other operation. The review makes it clear that this is not the case.
There have been widespread calls for reform since a health scare caused by faulty breast implants, made by the French firm Poly Implant Prothese (PIP).
Data on which women had been given PIP implants, let alone what had happened to them, was not kept. It was described as a "data-free zone".
And the problems are wider. Botox should be available only on prescription, but is far more readily available.
Calf and buttock implants are barely regulated at all. The same goes for dermal fillers.
The European Union is making moves to tighten the rules. However, changes are not expected for five more years.
Sir Bruce Keogh says: "I don't think we can wait, keeping our citizens at risk."
Sir Bruce also said cosmetic surgery deals, such as buy-one-get-one-free offers and handing out free breast surgery as prizes in raffles, were a "particularly distasteful" way of incentivising people to go under the knife.
There were also questions of safety. The review said there were no checks on surgeons' qualifications in some parts of the private sector, an issue made worse by more than half of cosmetic surgery being performed by "fly in, fly out" doctors - surgeons based abroad who fly into the UK to perform operations and then fly back out again.
The review recommends:
  • Legislation to classify fillers as prescription only
  • Formal qualifications for anyone who injects fillers or Botox
  • Register of everyone who performs surgical or non-surgical cosmetic interventions
  • Ban on special financial offers for surgery
  • Formal certificate of competence for cosmetic surgeons
  • A breast implant register to monitor patients
  • Patients' procedures must be approved by a surgeon not a salesperson
  • Compulsory insurance in case things go wrong
  • A pooled fund to help patients when companies go bust - similar to the travel industry
Dan Poulter, Health Minister for England, said he agreed "entirely" with the principles of the recommendations and there would be a full response in the summer.
"There is a significant risk of people falling into the hands of cowboy firms or individuals whose only aim is to make a quick profit. These people simply don't care about the welfare of the people they are taking money from.
"It is clear that it is time for the government to step in to ensure the public are properly protected."
Common sense
The review was started after a global health scare caused by breast implants made by the French firm Poly Implant Prothese (PIP).
Breast implantA breast implant made by Poly Implant Prothese
The implants were filled with industrial grade silicone and had double the rupture rate of other implants.

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Profits before patients, that's what happens. Surgery is sold like double glazing and it's totally wrong”
Michael SaulTJL solicitors
Catherine Kydd, 40, from Dartford in Kent, had ruptured PIP breast implants.
She said: "Why is it acceptable that I have to live with industrial silicone in my lymph nodes for the rest of my life due to this industry that is not properly regulated?"
Her story is far from unusual. Michael Saul, from TJL solicitors, represents the victims of botched cosmetic procedures, including one patient who went blind in one eye immediately after being injected with a dermal filler.
"Profits before patients, that's what happens. Surgery is sold like double glazing and it's totally wrong.
"I think it is very difficult for there to be any rational and reasonable opposition to [the recommendations], they're really sensible common sense suggestions."
Sally Taber, director of the Independent Healthcare Advisory Services, which represents the cosmetic surgery industry, praised the review.
"There has been so much bad practice out there, it's very welcome," she said. But she remained "concerned" at a lack of extra protection for people having laser procedures.
Ms Taber added: "Surgeons being on a specialist register will be an issue because we have got a lot of surgeons who fly in, fly out, as such, so that will be an issue that will be controversial."
The British Association of Aesthetic Plastic Surgeons welcomed the report saying it was "thoroughly relieved" with the findings and that there was an "urgent need" for dermal fillers to be classed as prescription medicines.
The British Association of Plastic, Reconstructive and Aesthetic Surgeons said there had been an exponential increase in the number of cosmetic interventions and that it hoped "they achieve parliamentary approval and support quickly".

More on This Story

Monday 2 January 2012

faulty breast implants



One in 12 of the 40,000 British women who have received faulty breast implants containing industrial silicone is at risk of developing serious medical complications, The Independent on Sunday has learned.
Andrew Lansley, the Health Secretary, ordered an urgent review yesterday into the quality of data about the proportion of women who have had problems with the French-made Poly Implants Prothèses (PIP) implants at the centre of the scandal.
The IoS can exclusively reveal the investigation was triggered by a leading cosmetic surgery firm, which privately warned ministers that the proportion of women at risk is as high as 8 per cent, rather than the 1 per cent previously claimed in the UK.
The company is responsible for about 4,000 of the UK's PIP implants, but if an 8 per cent rupture rate proves accurate and is widely replicated, it could mean a total of 3,200 women are affected. In France, where authorities shut down PIP last year, the risk of rupture is said to be about 5 per cent, and women have been advised to have the implants removed – a move backed by British surgeons but not, so far, by ministers.
But if the risk rate is confirmed as being substantially higher in the UK than in France, pressure will grow for the Department of Health to follow the French Health Minister, Xavier Bertrand, in urging women to have them removed. Abnormal rupture rates of the implants, which contain industrial-strength silicone commonly used in mattresses, emerged in 2009. Symptoms can include lumps around the implant or in the under-arm, inflammation in the breast tissue and a hardening of the breast.
"Our priority is making sure that women get the correct advice so that they are kept safe," Mr Lansley said, as he announced that the NHS medical director, Professor Sir Bruce Keogh, will review the data given to the UK's Medicines and Healthcare products Regulatory Agency (MHRA).
An emergency report is expected on Mr Lansley's desk early this week. The MHRA will audit all data held on the quality of the implants, including information from private clinics, which are responsible for about 95 per cent of implant procedures.
More than 250 British women are said to be suing the clinics that treated them. Mr Lansley said: "I want to reassure women that if any new data calls into question the safety of these implants, we will act swiftly to help them." He highlighted concerns about the "content and quality of the data that cosmetic surgery providers are sharing with the regulator".
Last night, surgeons accused the MHRA of downplaying the true extent of the problem and called for an implant register to track when things go wrong. The MHRA is now considering such a move. If British women are advised to have the PIP implants removed, the NHS could be left to pick up the bill as many of the clinics responsible are no longer in business.
Fazel Fatah, president of the British Association of Aesthetic Plastic Surgeons, said: "[It could be] better to take them out now rather than wait for them to rupture, which makes the procedure more complicated. We think the French decision is not unreasonable at all."
Andy Burnham, the shadow Health Secretary, said: "The Government should provide more advice and support to women who may be affected by this announcement. I have heard reports that some women are experiencing delays or difficulty in accessing records from private cosmetic surgery companies, or in some cases large fees. That is unacceptable."
Dr Susanne Ludgate, clinical director of the MHRA, said concerns had been raised by "conflicting data" coming from the cosmetic surgery industry. "It raises doubts about the surveillance and reporting of incidents by these companies. We will urgently work to identify where problems may be," she added.
Paul Balen, of Freeth Cartwright solicitors, has spent years representing British women who have been fitted with PIP implants. The implant company came to the attention of the MHRA more than a decade ago, when concerns over its Trilucent implants led to them being recalled in 2000; the MHRA advised removing them, according to Mr Balen.
Peter Walsh, from the patient safety charity Action against Medical Accidents (AvMA), said there can be "no doubt that the systems of regulation which are supposed to protect patients have already been shown to be wanting". The AvMA is now calling for the Commons Health Select Committee to investigate.

Breast Augmentation with Silicone Implants


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