BAAPS President Rajiv Grover has spoken out over his concern that recommendations made to government months ago are not being implemented – a view that is echoed by much of the aesthetic medical industry.

In April of this year the final Keogh Review report was published and presented to government. In it, recommendations were made that the administration of non-invasive cosmetic procedures such as Botox and fillers should be carried out by qualified medical practitioners alone. At the time the review found the current deregulation of dermal fillers a “crisis waiting to happen.”

Now, six months after the recommendations were made, there has still been no action to tighten regulation within the industry which Grover deems to be “shameful”, adding:

“I like to hope that something will improve (however) there have been reviews before and none of them were taken up.”

The British Association of Dermatologists reaffirms his view and has responded in kind to the so-far lack of parliamentary response on the matter. In a statement spokesperson Deborah Mason said:

“When things go wrong with dermal fillers clients do not go back to their beauty therapist but seek help from dermatologists. This may give the false impression that these procedures are safe to those not medically skilled to deal with or understand the risks.

“We would like to see specific training in these procedures for medical and non-medical practitioners.”

The Department of Health has responded to the criticisms in a statement, stating:

“The government agrees with the principles of Sir Bruce Keogh’s recommendations and we are considering the report carefully and will put our detailed response to parliament shortly.”

Cosmetic Courses offers aesthetic training to qualified medical professionals from centres in Buckinghamshire and Manchester. Call us on 01844 390110 for details.


Cosmetic treatment technologies continue to evolve, making beauty easier and cheaper for women to attain. This is good news for women seeking to appear younger, particularly because research has shown a correlation between attractiveness and career success. And since today’s non invasive treatments are less costly and require less recovery time than surgical procedures, more and more women are climbing on the cosmetic treatment bandwagon. But these newer treatments are temporary compared to traditional cosmetic surgery, requiring recurring visits to cosmetic treatment providers, and costs and time invested can add up. Also, experts worry that the growing fad may have societal repercussions in which younger and younger women are turning to cosmetic treatments in order to feel acceptable. And finally, little studies have been conducted to determine the long-term effects of non invasive treatments.

It’s true that cosmetic treatments are getting easier. Where cow-sourced collagen formerly required skin testing, human collagen and Botox now require no skin test. The treatments are quick and easy, with virtually no recovery time. When compared with traditional cosmetic surgery, fillers and injections are much more affordable, costing hundreds of dollars instead of thousands of dollars. But since these treatments are not permanent, women must routinely have the treatments repeated. And experts say that the non invasive treatments are simply postponing the traditional plastic surgeries, such as eyebrow lifts and face lifts. In the end, women may pay more than if they had opted for the traditional surgery in the first place. Also, traditional surgery has a longer history, so side-effects and long-term effects are well known by doctors.

But many argue against the growing fad altogether. Younger women are undergoing non invasive cosmetic treatments than ever before. Books such as “Bodylove: Learning to Like Our Looks and Ourselves, A Practical Guide for Women” by Rita Freedman and “Midlife Crisis at 30: How the Stakes Have Changed for a New Generation – And What to Do About It” by Lia Macko and Kerry Rubin address the negative repercussions that this fad has on society. Women see celebrities and even their peers undergoing treatments, and they feel like they don’t measure up. Indeed, studies have shown a correlation between career success and attractiveness, so it may be that the trend is already irreversible. Cosmetic enhancements may be no different than any other technology taking over the globe. Once we go there, it’s hard to turn back.