Body Dysmorphic Disorder: Contraindication or Ethical Justification for Female Genital Cosmetic Surgery in Adolescents

Bioethics. doi:10.1111/bioe.12278
Authors: Spriggs, M, Gillam, L.
“Is Female Genital Cosmetic Surgery for an adolescent with Body Dysmorphic Disorder ever ethically justified? Cosmetic genital surgery (specifically labioplasty) for adolescent girls is one of the most ethically controversial forms of cosmetic surgery and Body Dysmorphic Disorder is typically seen as a contraindication for cosmetic surgery. Two key ethical concerns are (1) that Body Dysmorphic Disorder undermines whatever capacity for autonomy the adolescent has; and (2) even if there is valid parental consent, the presence of Body Dysmorphic Disorder means that cosmetic surgery will fail in its aims. In this article, we challenge, in an evidence-based way, the standard view that Body Dysmorphic Disorder is a contraindication for genital cosmetic surgery in adolescents.”
Find article here.

‘Hallmarks of quack medicine’ in fatal stem cell treatment, coroner finds

ABC, 15 July 2016
Author: Ann Arnold
“An inquest finds a cosmetic surgeon’s performance led to the death of 75-year-old woman with Alzheimer’s, amid calls to tighten the medical regulations that cover stem cell treatment. The NSW deputy coroner has found that a 75-year-old woman died from uncontrolled blood loss caused by a mini-liposuction stem cell procedure. It is understood to be the first reported death as a result of this experimental procedure.”
Find article here.

CDC Warns About ‘Medical Tourism’ Dangers

WebMD, 14 July 2016
Author: Randy Dotinga
“U.S. health officials are warning about the dangers of “medical tourism” after at least 18 women from the East Coast became infected with a disfiguring bacteria following plastic surgery procedures they had in the Dominican Republic. At least several of the women had to be hospitalized, undergo surgery to treat the infection and take antibiotics for months, according to the report from the U.S. Centers for Disease Control and Prevention.”
Find article here.

GMC urges cosmetic procedure patients to question doctors

GMC, statement 1 June 2016
“People thinking of having a cosmetic procedure are being urged to question their doctors before going ahead with treatment, in new advice issued today (Wednesday 01 June) by the General Medical Council (GMC). As tough standards for doctors carrying out cosmetic practice come into force – covering everything from fillers to face lifts – the GMC has published a guide to help potential patients research and receive safe, high quality cosmetic care.”
Find full statement and link to new guidance here.

Cosmetic surgery crackdown in NSW to focus on breast implants, liposuction

ABC News, 3 June 2016
Author: Sophie Scott and Rebecca Armitage
“Health authorities in NSW have announced a major crackdown on cosmetic surgery providers after several women suffered life threatening complications while having procedures. New South Wales Health Minister says from next year, procedures such as breast implants, tummy tucks and liposuction will need to be carried out in facilities that have the same licensing standards as private hospitals. Cosmetic surgeons will be subject to the same licensing rules that apply to private health hospitals.”
Find article here.

Cosmetic surgery crackdown: Cooling off period for patients among tough new industry guidelines

ABC News, online 9 May 2016
Authors: Sophie Scott and Rebecca Armitage
“Australia’s booming cosmetic surgery industry will undergo a major crackdown, with the Medical Board introducing tough new guidelines for doctors.  The industry overhaul will also include mandatory cooling off periods for patients who choose to go under the knife. Chair of the Medical Board Dr Joanna Flynn said all doctors performing cosmetic surgery would have to follow the new rules to protect the public.”
Find article here. See also SMH article ‘Children must wait three months before major cosmetic surgery: new guidelines‘.

Why do girls want labiaplasty? They’re told to hate every inch of themselves

The Guardian, online 28 April 2016
Author: Jessica Valenti
“As labiaplasty – surgery to change your vulva’s appearance – has become increasingly popular among women, it’s also become the surgery of choice for an ever-growing number of girls. So much so, in fact, that the American College of Obstetricians and Gynecologists has issued a set of recommendations for doctors on how to talk to adolescent patients seeking the procedure.”
Find article here and find ACOG May 2016 Committee Opinion here.

Breast implant patients at The Cosmetic Institute knocked out without consent, report reveals

ABC News, online 19 April 2016
Reporters: Sophie Scott and Rebecca Armitage
“Patients at one of Australia’s most popular cosmetic surgery clinics are being knocked out without their consent, an explosive leaked report has revealed. The ABC can reveal women getting breast implants at The Cosmetic Institute (TCI) were given dangerously high doses of drugs that can cause cardiac arrests.”
Find article here.

Tough new standards for doctors carrying out cosmetic procedures

GMC, press release 12 Apr 2016
“Doctors who carry out cosmetic procedures anywhere in the UK are being issued with new guidance by the General Medical Council (GMC) to make sure they provide the best possible care for patients. The guidance makes clear the ethical obligations doctors have towards patients and the standards of care they need to provide.”
Find statement and link to new guidance here.

Cosmetic treatment industry given strict rules to protect vulnerable

The Guardian, 12 April 2016
Author: Haroon Siddique
“General Medical Council (GMC) directions published on Tuesday say doctors must avoid irresponsible advertising and aggressive inducements. The rules make it the responsibility of doctors to personally manage the consent process and ensure patients know who to contact in the event of complications. They cover all cosmetic procedures, from breast augmentation to Botox, amid concerns that a boom in the number of people getting treatment to improve their appearance is being fuelled by dubious practices.”
Find article here.