Cadogan Clinic founder Mr Bryan Mayou on the DOH Interim Report on the regulatory framework governing cosmetic surgery

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The beginning of 2013 has seen the release of the DOH interim report on a new regulatory framework to govern the plastic surgery industry which has been met with a mixed reaction by leading figures within the industry with certain aspects welcomed and others considered potentially harmful to the business. Cadogan Clinic’s Bryan Mayou has commented on the potential pitfalls of the preliminary recommendations.

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Patients coming for smaller procedures, such as mole removal do not want to take time off on 2 separate occasions; one for consultation and one for treatment.

The beginning of the year has seen the release of the DOH interim report designed to lead to a new regulatory framework governing plastic surgery. The report, commissioned by the government in the wake of last year’s PIP implants scandal, where thousands of breast-augmentation patients were given cheap implants later deemed to be a safety concern, has highlighted a number of main issues in the industry that new regulations must tackle.

At the heart of the DOH’s report is the call for more stringent regulation controlling the sales techniques employed by providers of cosmetic surgery. The PIP scandal raised awareness of a growing presence of more unscrupulous elements within the industry placing profits before medical concerns and the subsequent need for tighter regulation.

The other major topic addressed by the report concerns the rules governing the qualification levels experts must comply with to be allowed to carry out various cosmetic procedures. Concerns have been raised that stricter regulation is required to categorise clearly which procedures medical professionals who are not qualified surgeons are and are not able to perform.

Widely welcomed by the industry as a whole, Mr Bryan Mayou, Founder of the Cadogan Clinic (London’s leading day case cosmetic surgery clinic) and Plastic & Aesthetic Surgeon, today reacted to Sir Bruce Keogh’s Interim report. In keeping with sentiment amongst the more reputable clinics and surgeries specialising in cosmetic and medical plastic surgery, Mr Mayou welcomed the report with the caveat that there are some concerns with certain elements of it.

Of particular concern to Mr Mayou is the need for the new legislative framework the DOH report is designed to pave the way for to clearly define who should be permitted to perform both surgical and non-surgical procedures.

Mr Mayou’s position is that “surgical procedures should only be performed by fully trained and accredited surgeons. This is not something that can be left to the new and untried ‘revalidation’ of doctors. These accredited doctors should also supervise the delivery of all non-surgical procedures. Thus appropriately trained nurses and dentists might use some lasers and dermal fillers, but under strict medical control. Unfortunately the worst cosmetic care currently takes place in establishments, which have the least regulation. The CQC should take over this responsibility. This would reduce the involvement of beauticians.

One aspect of the interim report that industry insiders are concerned about as potentially harmful to business is how the ‘cooling off period’ proposed will be implemented. While generally holding merit the practical execution holds some important issues that leading surgeons such as Mr Mayou feel need to be carefully considered to avoid doing more harm than good.

Mr Mayou states that “The suggestion that there should be a statuary cooling off period of reflection between consultation and surgery is sensible, but should take into account the wishes of fully briefed and knowledgeable patients, who plan ahead for surgery at particular times. This applies to many patients coming from abroad. Two weeks waiting in a hotel will obliterate this trade. Patients coming for smaller procedures, such as mole removal do not want to take time off on 2 separate occasions; one for consultation and one for treatment.”

Despite raising caveats of concern regarding the recommendations signalled by the DOH interim report, the Cadogan Clinic is amongst a group of reputable clinics specialised in plastic surgery that feel strongly about the need to crack down hard on less scrupulous facilities indulging in aggressive marketing techniques and casting the industry as a whole in a poor light.

Mr Mayou states specifically that the Cadogan Clinic, an exclusive day surgery centre in Chelsea, works strictly to the principles addressed by the DOH report. “I appreciate the difficulties of other clinics in achieving this level of care, but it has been shown that cutting corners is not worthwhile and can be dangerous”. He goes on to conclude that “the Cadogan Clinic looks forward to the publication of the full review in March 2013,” a sentiment which is echoed by the industry as a whole.

To learn more about the cosmetic surgery procedures offered at the Cadogan Clinic, or to book a consultation, please visit

About the Cadogan Clinic

The Cadogan Clinic provides world class private healthcare in the heart of London. All healthcare professionals working at the clinic are leading experts in their respective fields and have been handpicked by the clinic’s Medical Advisory Committee. The Cadogan Clinic prides itself in using the most innovative methods and technologies so as to deliver optimal results for its patients. The clinic has simplified procedures for admission and discharge enabling patients to leave the facility as soon as they are ready to continue their recovery in the comfort of their own home.

For Media please contact James Cook 07710 560305

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