PMS on Cosmetic Surgery dd281108

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					                 Product Market Study

                Cosmetic Surgery in UK


          Cosmetic surgery is surgery that revises or changes
           appearance, colour, texture, structural position of body
           features to achieve what patients perceive to be more
           desirable. It is also known as elective surgery, meaning that
           the patient chooses to have it although it is not essential.

          Cosmetic surgery is different from plastic surgery, which is
           surgery to reconstruct or improve the appearance after injury
           or illness.

          It is important to distinguish the terms "plastic surgery" and
           "cosmetic surgery": Plastic Surgery is a recognized surgical
           specialty and is defined as the subspecialty dedicated to the
           surgical repair of defects of form or function -- this includes
           cosmetic (or aesthetic) surgery, as well as reconstructive
           surgery. The term "cosmetic surgery" however, refers to
           surgery that is designed to improve cosmetics alone. Many
           other surgical specialists are also required to learn certain
           cosmetic procedures during their training programs.
           Contributing disciplines include dermatology, general
           surgery, plastic surgery, otolaryngology, maxillofacial
           surgery, and autoplastic surgery.


          Around 65,000 cosmetic surgery procedures are carried out
           every year in the UK, an increase of over 50% in the past five
           years. The most common operation is breast enlargement,
           followed by nose reshaping (rhinoplasty), liposuction and

          Cosmetic surgery is divided into five sectors: procedures on
           the face/neck area; those on the breast area; procedures on
           the lower-abdomen area; other surgical procedures; and
           non-surgical procedures.

          Around 30,000 patients are believed to undergo cosmetic
           surgery each year in England. But experts believe a further
           20,000 providers carry out cosmetic procedures such as
           laser treatments and Botox (botulinum toxins) injections and
           fillers, which are used to alter the shape of a person's face.

   A further, unknown number of procedures are carried out in
    informal settings such as "Botox parties" and beauty

   Not everyone is a suitable candidate for cosmetic surgery.
    Many surgeons believe that other factors in the patient's life
    could be influencing their decision to have surgery, and will
    delay the procedure until the patient has received
    psychological counselling.

   The popularity of cosmetic surgery is continuing to soar in
    the UK, latest figures show. Market analyst Mintel predicts
    that in 2008 Britons will spend more than £1bn on cosmetic

   The latest survey reported that 577,000 cosmetic treatments
    were carried out in the UK.

   The number of non-surgical procedures rose from 230,000 to
    472,000, with a particular surge in demand for botox and
    collagen wrinkle fillers.

   Mintel said these non-invasive procedures have become
    much more popular because they are seen as less risky. But
    the analyst warned that the fact that these delicate
    procedures do not have to be carried out by medically
    qualified personnel, and that this part of the industry is still
    self-regulated should be a cause for concern.

   Other non-invasive procedures include laser hair removal,
    chemical peels and teeth whitening.

   Mintel said nowadays, the British perception of beauty is
    based on airbrushed images of models and photos of
    surgically enhanced celebrities, both young and old.

   Surgical procedures still make up the bulk of spending on
    cosmetic treatments.

   Facial enhancements, such as facelifts, and breast surgery
    are the two most popular surgical procedures. One in five
    facial surgery operations carried out in the past year were
    nose jobs.

   Nose jobs were the most popular surgical procedure with
    men, with breast enlargement most popular with women.

   Breast uplifts are increasingly carried out to redress the
    effects  of breast-feeding and pregnancy on women's

      In terms of value, face/neck area procedures accounted for
       the largest share of the market in 2007, although it is
       estimated that non-surgical procedures experienced the
       largest growth, closely followed by those on the breast area.
       In volume terms, non-surgical procedures were dominant.


      The cosmetic surgery market is being driven by the
       astonishing speed of technological advancements,
       particularly   in   non-surgical    procedures.   Increased
       sophistication in laser technology is a strong trend and
       combined treatments involving the use of a number of
       different types of non-surgical treatment — injectables and
       peels, as well as the use of cosmeceuticals — is an
       increasing feature of the market.

      In terms of surgical procedures, demand in facial surgery, in
       particular, is being boosted by advancements in minimally
       invasive techniques, which are encouraging more women to
       opt for the so-called `lunch-time lifts'. Recovery times are
       shorter and consumers can often be back at work shortly
       after fairly major procedures.

      The future looks strong for the cosmetic surgery industry.
       Major players have plans to expand, particularly in the area
       of non-surgical procedures, and, with the backing of strong
       regulation, the industry looks set to continue strong levels of

      Cosmetic surgery has also become an increasingly
       acceptable lifestyle decision to a growing range of people in
       the UK. Advances in technology, increasing competition and
       the introduction of fixed-price and loan schemes have made
       it an accessible option for many people of average income, in
       spite of the fact that it is not covered by private medical
       insurance. Plastic surgery is only available on the National
       Health Service (NHS) for those with a clear functional or
       psychological need, but even this can be sensitive to budget
       restrictions and funding cuts.

      Consumer research carried out for Key Note by The Gallup
       Organization Ltd indicated that the procedures most popular
       with respondents were breast surgery - including
       augmentation, reduction and improvement - (9% of female
       respondents), followed by body tucks and fat removal (8%).
       The well-publicised controversy over silicone implants does
       not appear to have deterred women from having breast

   Growth in the market has been fuelled by the development of
    new techniques and procedures, many of which are giving
    superior results and are also less invasive, with fewer side-
    effects and more rapid recovery times. The market is also
    becoming increasingly competitive, with a number of larger
    players in the private acute care market such as Bupa
    Hospitals, Nuffield and even the NHS competing with
    specialist cosmetic surgery groups such as Transform
    Cosmetic Surgery Diet.

   There was still potential for further growth in the numbers of
    people having procedures. The current figures suggest that
    as little as 0.03% of the population has undergone a
    procedure, so there is scope for more.

   The number of people undergoing cosmetic surgery
    procedures has increased by 32% since 2007 according The
    Harley Medical Group. The continued boom is, in part, put
    down to increasing social acceptance.

   The UK cosmetic surgery market has expanded rapidly over
    the past 5 years (2003 to 2007). Estimate that the market
    which includes both surgical and non-surgical procedures
    was worth £493m at the end of 2007, with annual growth
    rates of between 21.7% and 69% from 2003. Although there
    is no national auditing for the industry in terms of revenue,
    The British Association of Aesthetic Plastic Surgeons
    (BAAPS) records detailed procedure numbers for its 200-
    plus members every year; therefore, very accurate trends
    can be surmised from these figures.

   While the consumer base for surgery is still small (less than
    0.05% of the population, according to BAAPS) and
    procedures are still relatively expensive compared with those
    in the US, a growing number of younger women and men are
    opting to undertake procedures such as breast augmentation
    and liposuction. This has driven the cosmetic surgery market
    to no small extent.

   Another major driver has been the advancement in less-
    invasive techniques, particularly in facial surgery, which have
    encouraged older consumers to undergo face lifts and eyelid
    surgery in far higher numbers. The other major feature of the
    cosmetic surgery market has been the dramatic expansion in
    provision for non-surgical procedures, again propelled by
    advancements in techniques and technology. For example,
    newer, more effective dermal filler treatments are
    encouraging many more women to undergo non-surgical
    facial treatments.

   In addition, advancements in laser technology are set to
    potentially revolutionise this form of treatment. Lasers can
    also now be used for lipolysis, for which there is growing
    demand in the UK. In this way, the distinction between
    surgical and non-surgical techniques is starting to become
    more blurred, and is likely to become increasingly more so
    over time.

   Although growth of the cosmetic surgery has slowed in 2007,
    forecasts for next year that this trend will continue which the
    market is expected to retain demand and further expansion.
    It is anticipated that increasing popularity of non-surgical
    procedures will underpin market developments and the
    consumer base will continue to expand.

   UK consumers are likely to remain modest in terms of their
    aims, opting mainly for subtly enhancing treatments, which
    allow them to age gracefully or to participate in social
    situations with more confidence. The industry needs to be
    fully and visibly regulated, however, and there may be even
    further pressure over the next few years to bring those areas
    of the market that are still not fully subject to strict legislation
    to better accountability.

   Last year, research found that 73 per cent of Brits were
    considering undergoing some form of cosmetic surgery.
    In the UK, reputable surgeons are registered with the
    General Medical Council and industry bodies such as
    BAAPS or the British Association of Plastic and
    Reconstructive Surgeons, while practitioners abroad may not
    have regulation requirements.

   The Skiers, so-called because they are Spending the Kids'
    Inheritance, have already inspired booms in the retail, travel
    and online industries and could now be responsible for an
    upsurge in cosmetic surgery.

   Envious of celebrities who have hung on to their youthful
    good looks such as Felicity Kendal, Twiggy Lawson,
    Madonna and Jane Fonda, older women are reportedly
    turning to surgery to eradicate eye bags and smooth over
    laughter lines.

   Recent poll suggested that following are popular techniques
    such as:
    - “silver surgery" has revealed that a quarter of women
       over 50 would have plastic surgery to become youthful
    - women as old as 82 are opting for a nip and tuck
    - botox injections

    -   cosmetic surgery for men.

   More Brits are seeing the cost benefits of undergoing
    cosmetic surgery in the UK rather than opting for treatment
    abroad, according to the British Association of Aesthetic and
    Plastic Surgeons (BAAPS).

   The most prevalent aesthetic/cosmetic procedures are listed
    below. Most of these types of surgery are more commonly
    known by their "common names." such as :
     - Abdominoplasty (or "tummy tuck"): reshaping and
        firming of the abdomen.
     - Blepharoplasty (or "eyelid surgery"): Reshaping of the
        eyelids or the application of permanent eyeliner,
        including Asian blepharoplasty.
     - Breast augmentation (or "breast enlargement" or "boob
        job"): Augmentation of the breasts. This can involve
        either fat grafting, saline or silicone gel prosthetics.
        Initially performed to women with micromastia.
     - Breast reduction: Removal of skin and glandular tissue.
        Indicated to reduce back and shoulder pain in women
        with gigantomastia and/or for psychological benefit in
        women with gigantomastia/macromastia and men with
     - Breast lift (Mastopexy): Lifting or reshaping of breasts to
        make them less saggy, often after weight loss (after a
        pregnancy, for example). It involves removal of breast
        skin as opposed to glandular tissue.
     - Buttock Augmentation (or "butt augmentation" or "butt
        implants"): Enhancement of the buttocks. This
        procedure can be performed by using silicone implants
        or fat grafting and transfer from other areas of the body.
     - Chemical peel: Minimizing the appearance of acne,
        pock, and other scars as well as wrinkles (depending on
        concentration and type of agent used, except for deep
        furrows), solar lentigines (age spots, freckles), and
        photodamage in general. Chemical peels commonly
        involve carbolic acid (Phenol), trichloroacetic acid
        (TCA), glycolic acid (AHA), or salicylic acid (BHA) as
        the active agent.
     - Labiaplasty: Surgical reduction and reshaping of the
     - Rhinoplasty (or "nose job"): Reshaping of the nose
     - Otoplasty (or ear surgery): Reshaping of the ear
     - Rhytidectomy (or "face lift"): Removal of wrinkles and
        signs of aging from the face.
     - Suction-Assisted Lipectomy (or liposuction): Removal of
        fat from the body.
     - Chin augmentation: Augmentation of the chin with an
        implant (e.g. silicone) or by sliding genioplasty of the
     -   Cheek augmentation.
     -   Collagen, fat, and other tissue filler injections (e.g.
         hyaluronic acid).
     -   Laser skin resurfacing
     -   Male Pectoral Implant : It is a procedure used to
         enhance chest size in men by inserting silicone implants
         under the chest muscle.

   There is an illegal surgeon agent who involved in advertised
    cosmetic surgery in unreliable source such as women’s

   The surgeons involved in these schemes are not linked to
    the UK in any way, meaning if further surgery is needed,
    patients either have to make a second trip to the country
    where they had their operation, or approach private or NHS
    surgeons in the UK.

   Britain's second largest cosmetic surgery provider, Harley
    Medical Group, says 40% of its patients are male. 82% of
    male patients are under 30, compared to 70% of women.

   The most popular operation among men was rhinoplasty, or
    nose job, with more than 700 men taking this option, a rise of
    more than a third.

   Liposuction was the next most popular, with 582 procedures
    (up 18%), then eyelid surgery, ear correction and neck or
    facelifts (230 - up 21%).

   A Bupa survey found the five most popular operations for
    men were nose jobs, face lifts, eyelid surgery, liposuction
    and ear pinning. It looks at the growing number of men who
    are prepared to go under the knife. 57 per cent more botox
    injections than a year ago and chin lifts are being carried out
    on 44 per cent more men. The medical group also found that
    breast reductions are 47 per cent more popular.

   The effects of ageing can be reversed and features that have
    bothered you for years can be changed and a new physique
    can be attained, which could not be achieved even with
    exercise and a healthy diet.

   The group says it's carrying out 57 per cent more botox
    injections than a year ago and chin lifts are being carried out
    on 44 per cent more men. The medical group also found that
    breast reductions are 47 per cent more popular.

   London cosmetic surgeon Dalia Nield has reported a rise in
    women having cosmetic surgery for their wedding day.

    Based at The London Clinic, she has noticed a 50 per cent
    increase in the run up to summer, with many women opting
    for cosmetic surgery to enable them to look great when
    walking down the aisle.

   According to the Consultant Plastic Surgeon, member of the
    British Association of Aesthetic Plastic Surgeons (BAAPS)
    and British Association of Plastic, Reconstructive and
    Aesthetic Surgeons (BAPRAS), they have an increase of
    around 50 per cent in cosmetic procedures in summer
    compared to the winter months, and more in the clinic
    women having cosmetic surgery in time for their wedding.
    Breast argumentation is the most popular procedure for
    wedding surgery, but liposuction is also popular.

   Vaginal tightening surgery also known as vaginoplast is a
    procedure performed to tighten vaginal muscles and
    supporting tissue. A leading urogynaecologist has spoken
    out against the growing popularity of cosmetic vaginal

   More and more women are seeking vaginal surgery. These
    include operations to make the external appearance more
    "attractive" and reshaping the vagina to counter laxity after

   The most established vaginal cosmetic procedure was
    reduction labioplasty - a procedure to make the labia smaller
     which is requested by women either for aesthetic reasons
    or to alleviate physical discomfort.

   Most of the procedures are done in the private sector and it's
    totally unregulated. The exact numbers of procedures carried
    out are unknown.

   In the past five years there has been a doubling of the
    number of labial reductions carried out on the NHS.

   The evidence from existing case studies shows that the
    procedure, which costs about £2,000 at a private clinic, does
    have positive aesthetic results but it is unclear whether it
    resolves feelings of   psychological distress or improves
    sexual functioning.

   And there was little evidence that "vaginal rejuvenation" - the
    surgical repair of vaginal laxity, with a price tag of about
    £3,000 - improved symptoms and was any better than doing
    simple pelvic floor muscle exercises.

     There are three types of cosmetic vaginal surgery such as
           -   Labioplasty - to make the labia smaller,
         -     Vaginal rejuvenation - to make the vagina tighter
         -     Hymenoplasty which is to restore the hymen and
               make the woman appear a virgin.

      Women are paying large sums of money for this type of
       surgery which may improve the appearance of their
       genitalia but there is no evidence that it improves function.

      A record number of women having facelifts fuelled a 12%
       rise in cosmetic operations in Britain last year, figures show.

      A total of 32,453 surgical procedures were carried out,
       compared with 28,921 in 2007, the British Association of
       Aesthetic Plastic Surgeons said.

      Some 91% of patients were women, but "tummy tucks" and
       breast reductions on men also increased to record levels.
       Association members reported a 37% rise in face or
       necklifts on women to 4,238.

      The most popular operation for women remained breast
       enlargement surgery, with 6,847 cases. This was followed
       by eyelid surgery (5,148 - up 13%), face or neck lifts,
       liposuction (3,990 - up 15%), and breast reduction (3,178).

      The association says it is the rise of non-surgical versions,
       involving fillers and Botox that is responsible for the
       increase in facelifts.

     The number of people opting for private cosmetic surgery to
      improve or alter their appearance, excluding botox
      injections, has risen sharply over 2007, according to a
      survey by industry advice group

     Excluding botox injections, the number of people opting for
      cosmetic procedures increased over 2007, with more and
      more choosing private surgeries and consultants to carry out
      their procedures without fully researching or reading up on
      their choice.

     Whilst cosmetic surgery is widely used in treating accident
      victims, it is also becoming more popular for purely aesthetic
      purposes. It has given rise to an undercurrent of unqualified
      private practitioners, many of whom have very little
      experience across the range of operations they are asked to
      perform and some who are not adequately qualified to
      perform such significant surgical procedures.

   A new cosmetic surgery technique designed to improve the
    appearance of a person's facial features has a long-lasting
    effect compared with traditional procedures, it has been

   Previous fat grafting techniques to boost the soft tissue of
    the face have had limited effect as the grafted tissue is
    unable to gain its own blood supply, meaning that it is
    unable to survive in the long term.

   However, microfat grafting involves tiny injections of fat into
    discrete layers of the skin and the space between each
    injection allows for new blood vessels to grow and feed the
    grafted tissue.

   Microfat grafting can provide permanent improvements for a
    range of facial features, including eyelid hollows and sunken

   According to the Harley Medical Group, which recently
    reported a rise in cosmetic surgery procedures ahead of
    Wayne and Coleen Rooney's wedding, the most popular
    procedures among footballers' wives and girlfriends include
    botox, lip fillers and a facial polishing treatment called
    Aesthera PPx.

   Politicians and businessmen are leading the queue for
    cosmetic surgery and botox, according to the Harley
    Medical Group.

   The group, which is the UK's largest provider of cosmetic
    surgery, revealed that there has been an increase in the
    number of high flying men opting to go under the knife.

   Cosmetic surgeon at the Harley Medical Group, suggested
    that stressful careers place a strain on people's physical
    appearance and that some MPs are planning to undergo
    cosmetic surgery in August so that they have recovered in
    time for September.

   As for businessmen, the business world is such a youth-
    driven environment, particularly in the City where the
    average age of a trader is late 20s.

   According to the Harley Medical Group, there has been a 33
    per cent rise in the number of men having the skin under
    their eyes removed (blepharoplasty), and male facelift
    surgery has increased by 17 per cent.

                Blepharoplasty generally costs in the region of £2,600 to
                 £4,325 in a private hospital in the UK.

                The survey found that 69 per cent confessing that they have
                 already    succumbed      to    the    surgeon’s    scalpel.
                 The findings of the poll, conducted by two gay lifestyle
                 websites which asked more than 1,000 men for their views
                 on cosmetic surgery, reflect an upsurge in plastic surgery
                 among British men of all sexual orientations.



                   Malaysia    UK           Spain   South       Belgium
Breast             £2110       £4200        £2939   £2177       £2500
Breast             £2711       £4600        £4076   £2695       £2742
Breast uplift      £3400       £4375        £5267   £3039       £2709

Face lift          £4500       £4250        £5267   £3039       £2709


             There is no specific regulation on cosmetic surgery. It is done by
             own regulation. Regulations can be divided into four categories
             such as:

             Government efforts to increase standard

                The growth market in cosmetic surgery and procedures will
                 face tough regulatory controls outlined by the government.

                Much of the industry performing penis and breast
                 enlargements, facelifts, Botox fillers and laser treatment
                 remains unregulated, and patients submitting to such
                 procedures are ignorant of the risks. Moves to improve
                 doctors' training and ensure patients were better informed as
                 well as announcing a tougher regulatory structure for private
                 cosmetic surgery.

                The Healthcare Commission estimates that only about 15%
                 of premises carrying out such procedures are registered to

    do so, with small organisations the most likely to comply
    poorly with standards.
   The commission is to develop educational materials to warn
    patients of the risks involved and plans to have every outfit
    performing cosmetic surgery and procedures registered with
    it by the end of the year.

   Standards in the cosmetic treatment field must be as high as
    in other areas of health care. Patients can be protected
    safety by improving the training, regulation and information

   The government has acted on the full set of
    recommendations put forward in two reports published
    respectively by the Healthcare Commission and the expert
    group on the regulation of cosmetic surgery.

   The recommendations fall into three groups: achieving higher
    standards and tighter regulations for cosmetic treatments;
    providing patients with more and better information;
    developing education and training programmes for staff in
    this field.

   The commission fell short of creating a specialist register for
    practitioners of cosmetic surgery and procedures due to
    "existing EU arrangements". The European Commission
    (EC), the European Medicines Agency (EMEA) and the U.S.
    Food and Drug Administration (FDA) have extended their
    confidentiality arrangements related to medicinal products
    for human and veterinary use for five more years, following
    the positive experience gained since the initial arrangements
    were signed in September 2003.

   The confidentiality arrangements allow the EC/EMEA and the
    FDA to exchange information as part of their regulatory
    processes. The types of information covered by the
    arrangements include legal and regulatory issues, scientific
    advice, orphan drug designation, inspection reports,
    marketing authorization procedures and post-marketing
    surveillance. However, the only staff equipped to carry out
    cosmetic procedures are doctors and nurses, who are
    already registered with their respective regulatory bodies, the
    General Medical Council and the Nursing and Midwifery

   The new regulations will be of "premises not people". The
    doctors and nurses are already registered by their
    professional bodies, but by regulating premises the
    Healthcare Commission has the opportunity to set standards.

   The government also announced a further review of
    aesthetic fillers, which may be synthetic or derive from
    animals or human bodies (including corpses) raising
    concerns about infection from variant CJD or HIV.

Cosmetic Treatments Self Regulation

   Independent Healthcare Advisory Services (IHAS) has been
    asked by the Government to work on a self regulatory model
    for cosmetic treatments which will include botulinum toxin
    and dermal fillers.

   The self regulatory model will be finalised in 2008 and will
      - A set of Standards and a Code of Practice
      - High level training course requirements
      - Registration and inspection procedures
      - Complaints procedures

Current regulations for cosmetic surgery

   Invasive cosmetic surgery is currently regulated by the Care
    Standards Act 2000. Responsibility of the Healthcare
    Commission since April 2004.

   Laser treatment Practitioners are required to register with the
    Healthcare Commission. Regulated using Independent
    Healthcare Standards P1-P3 of the Care Standards Act

   Botulinum toxins injections. The prescription of botulinum
    toxins is regulated and they should only be prescribed by a
    doctor for a named patient. However, botulinum toxins are
    not licensed for cosmetic use and are therefore only used for
    this purpose on an off-licence basis.

   Aesthetic fillers the injection of cosmetic fillers is not currently
    regulated. The regulation of filler products is very unclear.
    Some fillers are classified as drugs or medical devices and
    therefore are regulated by the Medical Healthcare Products
    Regulatory Agency (MHRA). Those which contain human
    tissue are not classified as a medical device and are covered
    under the General Product Safety Regulations 1994.

   The Healthcare Commission's 'Provision of cosmetic surgery
    in     England'    report    can      be     found      at

   Facilities should be properly regulated and patients properly
    informed before cosmetic procedures can be performed.

   Cosmetic procedures are a rapidly growing area of private
    healthcare. Many people spend their hard-earned money on
    these services. Some are disappointed with the outcome but
    a minority can suffer serious harm or disfigurement.
    Standards in the cosmetic treatment field must be as high as
    other areas of health care. Patients’ safety should be
    properly protected by improving the training, regulation and
    information provided.

   The relevant professional bodies have to develop specialist
    training programmes as a matter of urgency for surgeons
    undertaking cosmetic surgery. Detailed, accredited advice
    and education materials will be made available for patients
    and the public by the summer and we will also be working
    with the Healthcare Commission (the main health regulator)
    to bring additional cosmetic procedures such as aesthetic
    fillers and Botox facitlities within their regulatory remit by the
    end of the year.

   The Department has also committed to ensure the facilities
    where botulinum toxins are injected be licensed with the
    Healthcare Commission and therefore subject to its
    regulations. Ensure that all cosmetic surgeons and nurses
    provide to potential and actual patients details of their
    qualifications, registration, membership of professional
    organisations and other medical training and education.

   Ensure current legislation and regulation governing the use
    of lasers - that every facility defined in the legislation should
    be registered with the Healthcare Commission - is more
    consistently enforced. That laser       procedures            are
    overseen by a doctor and conducted by appropriately trained
    and qualified     practitioners.

   Ensure that the General Medical Council improves the
    recording and classification of data about complaints so that
    comparisons can be made between different medical
    specialties and procedures.

   Review the need and scope for additional regulation of
    aesthetic fillers and in particular any that contain human
    tissue. The Medicines and Healthcare products Regulatory
    Agency will work with interested parties, including DTI, and
    will take into account the likely emergence this year of
    proposals from the European Commission for the regulation.

      Policy guidelines for cosmetic surgery

         A cosmetic surgeon must registered members of the General
          Medical Council (GMC) and the British Association of
          Aesthetic Plastic Surgeons (BAAPS).

         BAAPS members have six years of training in plastic and
          reconstructive surgery as well as basic surgical training.
          Surgeons must have a specialism or experience in the type
          of procedure required.

         NHS cosmetic surgeons often also work in private clinics. All
          companies who provide cosmetic surgery must be registered
          with the Healthcare Commission, and you should ask to
          check the details of their annual registration and inspection


      There are good opportunities for Malaysian private cosmetic
      industry in the UK due to following factors:
      a) The opportunity of Malaysia as a destination of choice.
      b) Favourable exchange rates contributing further to the price
         competitiveness. For example, a normal cardiac bypass
         surgery (CABG) would cost in the region of USD6,000 -
      c) Medical expertise in Malaysia ranks amongst the best in the
      d) Internationally recognised quality standards. These include
         the MS ISO9002 and/or accreditation by the Malaysian
         Medical Society for Quality of Heath (MSQH). All private
         medical centres must be approved and licensed by the
         Ministry of Health.
      e) Malaysia has an availability as one stop centre catering for
         the foreign customer need which covers flights, transfers,
         accommodation, consultations, surgery, aftercare, post-
         surgery checkups, surgical garments and medication.
      f) English is widely spoken and understood that encourage
         more people coming to Malaysia.
      g) Medical specialists from Malaysia are highly qualified
         professional, many with qualifications from overseas and
         supported by well-trained para-medical staff
      h) Malaysia has been at the forefront of this growth in medical
         tourism since there are an increasing number of UK patients
         choose Malaysia as a destination throughout Asia for their
         cosmetic surgery.
      i) Tour operating companies in Malaysia are offering holiday
         packages for tourists to undergo cosmetic surgery.

      j) Launching of Air Asia may also helps encourage people
         coming to Malaysia to undergo cosmetic surgery.
      k) Although the economic slowdown, NHS still in mess, poor
         performance and long delay, the number of UK customers
         undergo plastic surgery have increased dramatically thus
         Malaysian private cosmetic service providers have huge

However, some of the weaknesses highlighted regarding treatment
abroad in UK involved:

a) As a result of the credit crunch and current economic slowdown in
   the UK, travelling overseas for cosmetic surgery is no longer
   financially viable, when compared to the cost of having the
   procedures performed at home.

b) In recent years, a growing number of patients seeking cosmetic
   surgery have visited other countries to find doctors with lower costs.
   These medical tourists seek to get their procedures done for a cost
   savings in countries including Cuba, Thailand, Argentina, India,
   Malaysia and some areas of Eastern Europe.

c) Patients are being warned of the dangers of taking "cosmetic
   surgery holidays" by UK doctors. The British Association of
   Aesthetic Plastic Surgeons says increasing numbers are choosing
   to travel to East Europe or Africa for cheap.

d) Procedures can often be hundreds of pounds cheaper than in the
   UK. But UK experts warn patients usually know very little about the
   surgeons or clinics - and can need corrective surgery when they
   come home.


(a)   BUPA House,
      2nd floor,
      Bury Place
      15 - 19 Bloomsbury Way
      WC1A 2BA

      Telephone : 020 7656 2474 Fax: 070 9230 6588

(b)   British Association of Aesthetic Plastic Surgeon
      The Royal College of Surgeons of England
      35-43 Lincoln's Inn Fields
      London WC2A 3PE
      Advice Line Tel: 020 7405 2234
      Fax: 020 7242 4922


(c)   The British Association of Aesthetic Plastic Surgery
      The Royal College of Surgeons 35-43 Lincoln's Inn Fields
      London WC2A 3PE
      Tel: 020 7405 2234

(d)   General Medical Centre
      Regent’s Place, 350 Euston Road, London NW1 3JN

(e)   The British Association of Plastic, Reconstructive and Aesthetic
      The Royal College of Surgeons
      35-43 Lincoln's Inn Fields
      London WC2A 3PE
      Telephone: 020 7831 5161
      Fax: 020 7831 4041

(f)   British Medical Association
      BMA House
      Tavistock Square
      London WC1H 9JP
      Telephone: 020 7387 4499
      Fax: 020 7383 6400

(g)   Harley Medical Group
      11 Queen Anne St
      London, W1G 9LJ
      Telephone: 020 76315494


      The International Spa Show
      Olympia, London
      20 – 22 March 2009

      Essential Beauty and Body Show
      The Brentwood Centre
      Brentwood Essex
      13-14 September 2009

      The Health Tourism Show
      Olympia, London
      25 – 26 October 2009


      Name Alexandra Private Hospital
      Address Basil Close
      City/Town Chesterfield
      County Derbyshire
      Postcode S41 7NF
      Tel 01246 558 387

      Wellington Hospital
      Wellington Place
      City/Town London
      NW8 9LE
      Tel:0 20 7483 5148
      Fax +44 (0)20 7586 1960

      King Edward VII's Hospital Sister Agnes
      Address Beaumont Street
      City/Town London
      Postcode W1G 6AA
      Tel +44 020 7486 4411
      Fax +44 020 7486 4312

Spire Thames Valley Hospital
Address Wexham Street
City/Town Slough
County Buckinghamshire
Postcode SL3 6NH
Tel: 01753 662 241

The Gilmore Groin & Hernia Clinic
Address 108 Harley St
London , W1G 7ET
Tel 020 7563 1234
Fax :020 7563 1212

City of London Medical Centre
The City of London Medical Centre
11-13 Crosswall
Tel 0800 028 2278
Fax 0207 702 2712

Euxton Hall Hospital
Wigan Road, Euxton
Tel 01257 276261
Fax 01257 261882

Parkside Hospital
53 Parkside, Wimbledon
SW19 5NX
Tel 020 8971 8000
Fax 020 8971 8001

      London Bridge Hospital
      Address 27 Tooley Street
      City/Town London
      Postcode SE1 2PR
      Tel 0845 602 7906
      Fax 020 7407 3162

      Nuffield Health The Manor Hospital, Oxford
      Address Beech Road, Headington
      City/Town Oxford
      County Oxfordshire
      Postcode OX3 7RP
      Tel 01865 307777
      Fax 01865 307788


      Anemone Travel & Holidays Ltd
      109,Myddleton Rd
      London N22 8NE
      Tel: 0208889 9207
      Fax: 020 8 889 1127

      Avian Travel International Ltd
      18 Business Units, Rudolf Place Miles St
      London SW8 1RP
      Tel: 020 7 793 8900
      Fax: 020 7 582 4804

      Europa Skylines Ltd
      63, Theberton St
      London N1 0QY
      Tel: 020 7 226 4460
      Fax: 020 7 2267906

      Gem Travel
      Office 3113,Skillion House,49 Greenwich
      High Rd
      London SE10 8JL
      Tel: 020 83110100
      Fax: 020 8 691 1717

JAQ Services
10, Sybil Phoenix Close
London SE8 5BA
Tel: 0207232 2602
Fax: 020 7 2322602

Excess Baggage Plc
168, Earls Court Rd
London SW5 9QQ
Tel: 020 7 373 4988
Fax: 020 7 373 1977

Excess International Movers
Unit 17, Commercial Way,Abbey Rd
London NW10 7XF
Tel: 0800 7831085
Fax: 020 8 961 2040

Coral Travel
50 High Rd East Finchley
London N2 9PJ
Tel: 020 8 444 7268
Fax: 020 8 444 2316

Corporate Wings Travel Club of Great Britain Ltd
2 14-15 Harbour Yard Chelsea Harbour
London SW10 0XD
Tel: 020 7 352 6728
Fax: 020 7 352 0886

Budget Shipping
9, Commercial Way Abbey Rd Industrial Park
London NW10 7XF
Tel: 0208838 1001
Fax: 020 8 961 2040


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