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Tighter Regulations on Dermal Fillers

The Cadogan Clinic Calls for Tighter Regulations on Dermal Fillers

Authors: Dr. S C Mayou, BSc FRCP; Mr. O. Amar, MD Surg (Hons), Dr. A Mahto, MBBCh BSc MRCP (Derm), Dr. M Zamani, BA, MD

As the cosmetic surgery and aesthetic industry continues to grow, the Cadogan Clinic has seen an increase in patients requiring dermal filler correction, with numbers continuing to rise on an annual basis. Factors such as celebrity culture, social media influence and greater accessibility are driving the demand for injectables including dermal fillers and toxins, however many consumers are not educated on the risks associated with inferior products and unqualified or inexperienced practitioners.

Dr Susan Mayou, Consultant Dermatologist at the Cadogan Clinic leads the team at the clinic and is committed to taking every precaution to ensure the very best products and treatments are administered, she says;

"Our world-class team of aesthetic doctors, dermatologists, aestheticians and surgeons are handpicked for their industry authority, published research and innovative ideas. All procedures and products used at the Cadogan Clinic are evidence-based, undergoing clinical trials and the scrutiny of our team before being employed at the clinic. All products used are FDA approved and comply with the absolute highest standards. Whilst every safety provision is made in delivering the best possible procedures and patient experience at the Cadogan Clinic, the industry is fraught with practitioners who don't abide by the same standards, as we see more and more patients coming to the clinic for corrective procedures from dermal fillers."

Current legislation does not classify dermal fillers as prescription medicines, meaning that non-medical professionals can administer them. Dr Maryam Zamani, Oculoplastic Surgeon and Aesthetic Doctor at the Cadogan Clinic has seen a dramatic rise in patients needing revisions, corrections or dissolving of treatments carried out by inexperienced practitioners, seeing up to 5 patients per week;

"I strongly believe that fillers should be prescription only in order to regulate practitioners who can perform these injections. I urge anybody seeking injectable treatments to use a trusted doctor or surgeon who is highly trained and qualified to carry out aesthetic procedures."

Dr Anjali Mahto, Consultant Dermatologist agrees;

"The UK's lack of regulation around cosmetic procedures has caused much concern amongst healthcare professionals. It is vitally important that the general public learn to question their practitioner's credentials, and choose qualified doctors to perform the treatments. Cut price or discounted procedures are not worth the risk of serious complications, which can lead to blindness and tissue death."

Mr Olivier Amar, Aesthetic Plastic and Reconstructive Surgeon is passionate about maintaining natural beauty and advises individuals to choose both the practitioner and product carefully, even encouraging patients to see the serial number of the filler. He advises that patients receive a full consultation and sign a consent form prior to the treatment, in order to fully understand the risks and complications associated;

"You are putting something foreign inside your body that could have long term effects. Not all fillers are the same, with certain types having the ability to cause permanent damage, so it is imperative you truly understand the nature of the product in advance of the treatment."

The Cadogan Clinic is passionate about achieving natural results that enhance rather than change a person. Often dermal fillers are not the best treatment and it is important that patients are presented with various options, which are available at clinics that are Dermatologist and Plastic Surgeon led. Mr Amar feels a responsibility to protect his patients from heavy marketing and the overdone, unnatural look. Dr Zamani agrees;

"Aesthetic changes should be done to help tweak or improve the overall harmony of the face or body, not dramatically change it."

To help assist individuals seeking dermal filler treatments, the team at the Cadogan Clinic has compiled a checklist for patients to ask practitioners at the consultations, to help protect against botched treatments and unqualified practitioners:

  • What are your qualifications? 
  • How long have you been practicing? (Also do your background research to validate)
  • Are you insured?
  • What is the type of product being used?
  • What are the effects of the product? 
  • What are the risks associated with the product?
  • What are the possible side effects?
  • Is the product FDA approved?
  • How long will the effects of the treatment last?
  • What is the serial number of the product?
  • What happens if I react to the product?
  • Are there any other treatments that would better help solve my concern?