A Manchester clinic has undertaken research in to consumer opinion, on where and by whom people would undergo non-invasive cosmetic procedures. The results are quite startling – with a sizable minority happy to undergo work by those who are not specifically trained for the task at hand.

On the heels of the Keogh review, whose recommendations are yet to be implemented, many practitioners and clinics are keen to make their credentials clear and to advise those who are looking for treatment that it is always preferable to have it carried out by those uniquely qualified for a specific treatment. What is clear from this group of surveyed participants however is that the general public themselves are worryingly blasé about who treats them.

In the survey 16% admitted they would undertake non-invasive body-sculpting by someone who was not qualified to carry it out. 17% said that they would be happy to have Botox administered or dentist work carried out by someone who was not qualified to do so.

A minority were also unfussy as to where they had the treatments carried out, with a quarter happy to visit a beauty salon for non-invasive treatments and 5% who would be willing to do it at a friend’s house. A similar number would be willing to have their treatment carried out in their own home.

The problem with having procedures carried out by those who are unqualified, and with not being in a clinical environment whilst doing so is not just that the likelihood of things going wrong is greater. If something requires urgent medical assistance then there is no immediate back up for that and the customer will have to seek medical help elsewhere. There is also no accountability if something does go wrong.

The IAPS (Irish Association of Plastic Surgeons) is calling for tighter regulation for the sector, specifically, demanding that doctors have to undergo specialist training before practising in plastic surgery. At the moment any qualified doctor can offer plastic surgery, and critics of this system argue that this does little to protect the patient.

At the time that British Association of Aesthetic Surgeons held their annual meeting in Dublin, outside London for the first time, the IAPS used the opportunity as a springboard to discuss changes in Irish law.

IAPS Secretary, Dr Peter Meagher commented that British law goes further than Irish law currently, and yet there are still issues surrounding training and regulation within British cosmetic surgery practice, as evidenced in the case of non-invasive treatments looked at in the Keogh Review. The view of the IAPS is that more often than not plastic surgeons in Ireland have not received specialist training and are “seldom or ever are on the specialist register” Dr Meagher said.

His concern is that patients who use unregulated clinics have no fall back if things go wrong. Often these are not even open round the clock, so patients have to rely on medical emergency care if they run in to problems following surgery.

Because of the lack of registration, Dr Meagher added that it was “hard to tell” how many patients may have suffered because of this, but that anecdotal evidence indicated that it was happening.

A Scarborough-based beautician has been charged for fraudulent Botox whilst showing fake certificates as evidence of her training.

Jamie Winter, 35, has been prosecuted for 5 fraud offences and as a result will have to serve 150 hours unpaid community service – no prison sentence was imposed.

The case came light to light as one of her female patients suffered an adverse reaction and went to the police to report Winter for maltreatment.

No prosecution could be brought for the alleged assault as there was no evidence that the swelling the woman had suffered was a direct result of the Botox. It did lead to the fraud charges however.

The 5 accounts were for treatments given to 10 female and 2 male patients over a period of 18 months, within the Scarborough area. Winter pleaded guilty to these charges. She offered the Botox at a cut rate, having bought it cheaply online from the US and reportedly undergoing minimal online training. After practising on herself and her friends Winter then started to charge for the service and word quickly spread about her discounted rates.

As there is no regulation surrounding Botox treatments it was not her lack of proper training that was the cause for the conviction but rather the simple fact of producing a false certificate, thereby offering the injections on a fraudulent basis.

What the case highlights is the need for regulation of Botox treatments – in particular, regulation surrounding the Botox training carried out by the practitioner – in order to protect the patient.