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  MEET THE TEENS WHO BOTOX

MORE than 11,000 teenagers in the US had Botox last year, according to the American Society Of Plastic Surgeons - and youngsters here are following suit.

Most responsible practitioners will not treat under-18s but kids instead go to Botox parties or buy it abroad, risking facial paralysis if injected incorrectly.

Here two teenage girls and their mums talk about undergoing Botox 

HANNAH BURGE had her first Botox at just 15 while on holiday in Spain - with her mum's CONSENT.

Hannah, now 16 and studying for her GCSEs, has since had two more rounds of Botox - ADMINISTERED by mum Sarah.

Hannah says: "I wanted to have Botox for two reasons - it prevents wrinkles and everyone at my school was talking about having 'B'.

"It's a really exciting thing to do, and having B will keep me looking young for years."

"I had a couple of lines on my forehead and around my mouth, which I was unhappy about.

"Some of my friends told me that the earlier you start to have B, the fewer wrinkles you'll have as an adult.

"I'm sure I am the youngest teen in the UK to have Botox, as most girls I hear about are 16 when they have it done, and I was 15.

"Appearance is important to me and I don't want to look haggard and ugly by the time I'm 25.

"Last year, I went online and visited teen websites. Loads of young girls on forums were saying they had used Botox and it made them less worried about their looks.

"I also wanted to be beautiful like my mum and I was concerned about some wrinkles developing." Mum Sarah, 49, has herself spent more than £500,000 on plastic surgery and became known as the UK's Human Barbie.

Amazingly, she happily supports her daughter's decision to have Botox at such a young age.

Sarah, a single mum of three from Cambridge, says: "I was thrilled Hannah was open and honest with me about having Botox. I'd much rather know about it than have her do it behind my back.

"I talked her through the procedure and feel I did the responsible thing."

Hannah had her first dose of Botox - about half the amount most adults have - in Marbella, Spain, while on a break there with her mum.

She recalls: "It did hurt a little but I could immediately notice the difference when I looked in the mirror. I felt so much more confident."

Since returning from the holiday nine months ago, Hannah has twice been administered Botox by her mum, who is trained as an aesthetic practitioner.

Sarah says: "I get my Botox and fillers direct from the manufacturer in the UK, since I am a qualified practitioner. I use exactly the same Botox on Hannah as I use on myself and I feel I am an expert in this field.

"I'm fully trained so would rather inject Hannah than let someone else do it. That way I know she is getting a safe amount, by someone who knows what they are doing. I know some parents will be horrified but this is my way of protecting my daughter from back-street rip-off merchants.

"Also, considering I have had so much surgery, I'd be a hypocrite to tell my daughter she couldn't have Botox.

"My opinion is that parents should be much more involved in their children's lives from an early age and I know that Hannah doesn't mind me knowing about her love of B."

Hannah adds: "It's cool I have such a great relationship with my mum and she's an expert in cosmetic procedures.

"I want to look after my appearance and I don't think I'm too young to start having small doses of Botox.

"I'm planning lip-fillers next, which my mum will do for me.

"I feel my upper lip is a little too small and I would like a bigger pout.

"I've met plenty of girls my age who are having these procedures behind their parents' backs, which I think is pretty dangerous.

"Teen Toxing is just part of life these days, which is why I share it with my mum.

"With her help, I won't get that frozen-face look when I'm older and will never have a line or wrinkle on my face."

The clinic in Marbella refused to comment on an individual client, saying only that teenage clients always need parental consent.

I lied about my age to get jabs at pal's party


SCHOOLGIRL Christie Urch, 16, had her first treatment at a friend's house during a Botox and champagne party.

While the older girls sipped champers, Christie drank orange juice and waited for her Botox injections.

Christie, from Chippenham, Wiltshire, says: "There's huge pressure to fit in and look good at my age.

"Girls my age and younger are in internet chatrooms talking about how great 'Teen Toxing' is.

"And I'd heard a few mates had bought kits online.

"I really wanted some because I had a line on my forehead and a wrinkle on the top of my lip.

"So when I heard about a friend who is 18 having a Botox party, I invited myself along."

Without her mother's knowledge, Christie took £100 from her savings account and went to the party.

Shots She says: "I told the clinician I was 18 and that I wanted to do some modelling. She made me sign a waiver then put three shots of Botox into my forehead and three around my lips.

"They felt just like pinpricks and afterwards I could see my lines had totally disappeared.

"I felt confident enough to wear my fringe up for the first time in months."

A week after the procedure, Christie told her mum.

Anne, 55, says: "I was stunned and had no idea girls her age were so worried about their looks.

"But I have to accept what she has done and I was pleased she told me.

"It's difficult to monitor what your teen daughter is doing all the time.

"She doesn't need Botox but she and her pals are convinced they do so I have to make sure she is doing it safely."

The clinician who performed Christie's Botox says she never comments on individual cases but that all clients sign waivers.

 

 

The dangers of DIY Botox - Exclusive
Getting the look: managing the risks of cosmetic surgery

 

At the start to the New Year, many head down to the gym with the good intentions of getting their bodies back into shape. But increasingly people are also turning to cosmetic surgery to get the look they want.

From Harley Street professionals to high street beauticians, there are a range of procedures to smooth away wrinkles, remove unsightly hairs, or make us less rotund. But like all medical procedures, these come with risks.

Looking up

The cosmetic surgery industry has grown considerably in recent years, as more and more of us want to change the way we look. And for thousands of people in the United Kingdom, 2010 will bring a slimmer tummy, a new nose, or a more curvaceous figure.

According to the British Association of Aesthetic Plastic Surgeons (BAAPS) there were over 34,000 cosmetic surgical procedures in 2008, more than triple the number in 2003.

Women are far more likely than men to opt for cosmetic surgery - 90% of all cosmetic surgery is carried out on women - but procedures such as “tummy tucks” and eyebrow lifts are all proving increasingly popular with men.

According to Robert Wendin, head of the European Healthcare practice for broker Marsh in London, the cosmetic healthcare sector is increasingly diverse - with a range of procedures available from professional surgeons to high street beauticians.

Surgery - such as breast enhancements and tummy tucks - is regulated, although cowboy operators do exist, said Wendin. Laser treatments, and in particular injectables, are however causing more concern because they are unregulated and can be carried out by anyone, he explained.

And it is the popularity of these unregulated procedures that has grown the most in recent years, according to Nigel Mercer, BAAPS president-elect and consultant plastic surgeon.

More oversight needed

BAAPS would like to see a dedicated regulator put in place for cosmetic procedures, and would like to see a requirement for cosmetic products like dermal fillers to obtain Food and Drug Administration-like approval, said Mercer.

There is a lack of regulation across the sector, and some procedures that are available from beauticians-including increasingly popular laser treatments and facial fillers (injections or creams which can reduce the appearance of wrinkles and lines)-are completely unregulated he explained.

High street practitioners are unlikely to carry malpractice insurance, leaving consumers potentially uncompensated when things go wrong, he added.

In December, The Telegraph newspaper reported a tightening of cosmetic surgery rules in Italy, including a ban for girls under 18 from having breast enhancement or other plastic surgery.

However, anyone over the age of 16 can walk into a private clinic in the United Kingdom and request cosmetic surgery, as long as they are deemed competent, said Claire Petts, Associate Director at law firm Barlow Lyde & Gilbert. But a ban on cosmetic surgery for the under-18s in Britain is unlikely because of Human Rights legislation, she said.

Raising standards

Insurers can also help raise standards by insisting on accreditation to bodies like IHAS and BAAP, and by offering risk management, training and advice, said Wendin.

The cosmetic surgery sector has been working to remove bad practices, and the Independent Healthcare Advisory Services (IHAS) has been proactively promoting standards, particularly in the field of injectables, he said.

Insurance also has an important role in consumer protection, said Wendin. For example medical malpractice insurance can compensate patients when things go wrong.

Some surgeons will be better than others, but the sector’s poor reputation in the media is probably not deserved, Petts said. Alongside other surgeons, cosmetic surgeons in the private sector must be registered and are regulated by the General Medical Council, and most carry appropriate liability insurance, she added.

Managing expectations

The recent growth in aesthetic procedures requires careful underwriting, said Alex Wakeley underwriter and director with Marketform, a leading Lloyd’s medical malpractice insurer. Some people undergoing cosmetic surgery are going to be hard to please as they have unrealistic expectations, he said.

“Most claims today are about failed expectations,” said Wakely. “When it comes to ‘looks’ individuals often have higher expectations than are justified concerning the outcomes of a treatment.”

Insurers need to be aware of, and underwrite for, adverse outcomes of what at face value may be regarded as routine treatments. For example, in 2007 one of the largest reported compensation awards for routine liposuction of £300,000 was paid as a result of a serious blood infection, he said.

Insurers must build up and maintain detailed specialist knowledge, preferably in-house, of such adverse outcomes and causations in order to underwrite effectively and profitably, Wakeley said.

New range of beauty products

Cosmetic surgery is not risk free, and educating the profession, potential patients and the wider public of this fact is paramount, said Nigel Mercer, BAAPS President and consultant plastic surgeon.

Concerned over the relatively high cost of liability insurance, BAAPS has been working with insurers to provide policies that better reflect a practitioner’s claims record and risk profile, Mercer said. BAAPS is soon to offer its members a new medical malpractice policy backed by insurer WR Berkley, he added. 

BAAPS also advised in the development of an innovative product launched by Lloyd’s insurer Marketform last year. Beautysure, which covers seven of the most popular cosmetic operations, including breast augmentation, liposuction and tummy tucks, can be purchased by surgeons to cover against possible medical complications.
 

Last updated on 15 Jan 2010
 
 
Cosmetic surgery: a perfect storm

Clinical Risk Publishes Special Edition on Cosmetic Surgery with Articles by Top Names

London – 16 November – Prestigious journal from the Royal Society of Medicine ‘Clinical Risk’ today publishes a special edition entirely dedicated to the current and most relevant issues in cosmetic surgery today. With articles written by some of the top names in the industry including aesthetic plastic surgeons and spokespeople for the British Association of Aesthetic Plastic Surgeons (BAAPS) Nigel Mercer, Chris Khoo and Rajiv Grover, as well as psychologist Eileen Bradbury and former President of the American Society of Aesthetic Plastic Surgeons (ASAPS) Foad Nahai, the issues raised offer clarification and could raise fresh alarm about this dangerously under-regulated market, its overwhelming media hype and unique brand of professional greed in a theme best defined by BAAPS President Nigel Mercer as ‘a perfect storm’.

The articles, which despite appearing in a medical journal are written in layman terms, cover a wide variety of themes ranging from the current regulatory framework in the UK and the US (comparing it with France, where aesthetic plastic surgery cannot be advertised or promoted to the public), a 14-year analysis of lawsuits pertaining to cosmetic surgery cases, the risks to surgeons’ reputations through media exposure and recommendations for minimizing risks for patient and practitioner alike.

According to Nigel Mercer, consultant plastic surgeon and President of the BAAPS (www.baaps.org.uk);

“We have reached a stage where public expectation, driven by media hype and, dare one say, professional greed, has brought us to a ‘perfect storm’ in the cosmetic surgical market. It is against this backdrop that these articles should be read.”

According to Dr Harvey Markovitch, Editor of ‘Clinical Risk’ (http://cr.rsmjournals.com/);

“Patient safety is this journal’s main aim and there can be no area of medicine where patients in the UK are more in need of protection. We need tight control of advertising of cosmetic surgery – including internet advertising. We need proper regulation of the industry and we need both surgeons and GPs to manage patient expectation.”

Highlights:

Clinical Risk in Aesthetic Surgery, by Nigel Mercer: This article discusses the role of the media and calls for tighter regulations in the UK, comparing with the Food and Drug Administration’s role in the US. Key quotes:

  • If we have to sell anything, we should sell our advice, not procedures. If we cannot self-regulate, then, like the financial institutions, regulation will eventually be imposed.

  • Perhaps, like tobacco, there should be a Europe-wide ban on advertising all cosmetic ‘surgical’ procedures, including on search engines.
  • All cosmetic treatments are medical interventions, and every medical intervention has a complication and failure rate. Consequently, there are no ‘consumers’ or ‘clients’ but only ‘patients’

France Sets Standards for Practice of Aesthetic Surgery, by French consultant plastic surgeon Alain Fogli, reveals strictly defined guidelines for cosmetic surgery in France which include, for example:

  • Surgical procedures can only be undertaken by surgeons who are registered specialists and deemed competent. Possession of a general medical degree, and the fact that the practitioner is ‘experienced’ are not sufficient qualifications
  • All forms and methods of publicity and advertising, direct or indirect, in whatever form, including the Internet, are forbidden.

Minimizing Risk in Aesthetic Surgery, by Foad Nahai, President of the International Society of Aesthetic Plastic Surgeons (ISAPS) and former President of ASAPS – this article reveals an innovative approach to minimizing risk in each facet of ‘the safety diamond’: patient, facility, procedure and surgeon. Additional points he makes:

  • Regulations governing the training of all cosmetic surgeons are sorely needed. Governments are reluctant to become involved, as they see this issue as a ‘turf battle’ between various physician groups and not a public safety or patient safety issue. However, there is no question that this is a patient safety issue of paramount importance and I take our governments to task for not addressing it.
  • Since by law any physician is allowed to practise cosmetic surgery, attempts by individual physicians or plastic surgery organizations to restrict those who are not qualified is viewed as a restraint of trade.

Improving the Safety of Aesthetic Surgery: Recommendations Following a 14-Year Review of Cases to the Medical Defence Union (1990-2004), by consultant plastic surgeon and BAAPS Secretary Rajiv Grover, discusses how aesthetic surgery has historically been a field with a significant rate of litigation. A 14-year audit of claims to the MDU allows a unique insight into the nature of events which lead patients to seek litigation. The article provides recommendations to avoid these situations such as careful pre-operative counselling. keeping thorough documentation and exploring with the patient what degree of correction and scarring is realistic - suggesting the use, for example, of conservative percentages.

Another article in this special one-off issue is ‘Managing Risk to Reputation’ by Magnus Boyd, Partner at Carter-Ruck Solicitors, which deals with how the press can influence the outcome of a professional investigation or the expression of anger from a disgruntled patient.

According to Nigel Mercer;

“Perhaps the single most important factor in reducing clinical risk in cosmetic surgery is the motive for performing any procedure must never be financial gain, so I suggest we get our act together as an industry as we are in grave danger of biting the hand that feeds us.”

 

 

Botched boob job hell: From bad... to burst

Botched-up budget boob ops up 30%

By Matthew Acton & Dan Evans, 01/11/2009

 

BEFORE: How Lisa's bust used to look | AFTER: Lisa's impants met in middle

BEFORE: How Lisa's bust used to look  AFTER: Lisa's impants met in middle

The number of women suffering dodgy boob jobs has gone up by an astonishing 30 per cent in a YEAR, we can reveal.

Health watchdogs are recording three complaints a WEEK about botched operations - the majority from women whose implants have BURST.

Surgeons received 173 complaints last year - up from 135 in 2007, new figures from the Medicines and Healthcare Products Regulatory Agency show.

And some of those were from frantic women who needed help after having budget ops abroad. Problems included implants leaking, bursting or hardening - which causes painful swelling.

The shocking pictures above show the disastrous results of mum-of-five Lisa Shaw's £2,500 cut-price foreign op.

Last night devastated Lisa, 35, said: "Bargain- basement surgery cost me my looks. My breasts met in the MIDDLE."

She travelled to a clinic in Tunisia to boost her bust from a 34A to a 34D - saving £1,500 on what the procedure would cost in Britain. But it went wrong and her boobs were left horribly misshapen.

Lisa Shaw had a £5k reconstruction

Op hell: Lisa had a £5k reconstruction

Office worker Lisa, from Morecambe, Lancs, had surgery in February to regain her figure after having children. She recalled: "My boobs looked like shrivelled balloons. A cheap deal overseas was too hard to resist.

 

"I thought I was making a massive saving but I wish I'd waited until the recession was over and saved up for an op here."

She has since paid £5,000 for reconstructive surgery in the UK and is battling for compensation from the foreign clinic - along with single mum Ali Chapman, 42, who suffered a burst boob after two botched ops at the SAME place.

Ali, from Southampton, went from a 38C to a 38DD after going under the knife in March. But her right breast and nipple ended up lower than her left.

She demanded corrective surgery - shelling out £2,800 in total for the two ops. But the second one went wrong too leaving unsightly scars on her nipples.

The stitching on her left breast then burst after the wound got infected and she was rushed to hospital as medics realised she was at risk of developing septicaemia.

Ali said: "I knew something was wrong because my left breast felt really uncomfortable. Then I felt a ping and my boob had exploded.

"I'm facing a long recovery before a surgeon can even contemplate operating on my ruined breasts."

She warned: "My advice is save up and have surgery in the UK. Don't end up like me and Lisa - butchered and broke."

Last night one surgeon, Adrian Richards, said the increase in complaints was partly down to more breast implant surgery being carried out - 30,000 women went under the knife last year.

A spokesman for the clinic in Tunisia said: "If the women wish to return we can see if any mistakes have been made, in which case we will treat them for free."

 

BOOBS CON GIRL TOLD TO PAY BY SELLING CAR
 

11th December 2009
By Jerry Lawton

 

A LAW student who used a false name to get a £3,000 boob job for free was ordered yesterday to sell her car to pay back some of the cash or face jail.

Nina Burmis, 19, conned cosmetic surgeons into boosting her bust to 32CC so she would stand out among her pals at Hull University.

Yesterday Judge Roger Thorn QC ordered her assets to be seized at Hull Crown Court.

He admitted it was “impractical” too.