Cosmetic Procedures in Ireland: An overview of being a savvy patient and consumer

Written by Dr. Kate McCann
1st June 2019
This morning for our Saturday Series, we will be talking about the aesthetic or cosmetic industry. I’m just going to leave some highlights from today’s discussion, starting with some industry facts that any savvy consumer should know:

1. This industry is almost completely unregulated. And this should frighten you. There is little consumer protection.

2. Potential consequences of incorrectly done procedures such as fillers and lasering including blindness, permanent scarring/disfigurement, and sepsis.

3. The name “clinic” does not necessarily mean anyone in that facility is actually medically trained. Even in fancy scrub tops.

4. The advertising in this industry is completely unregulated in practice, and is often extremely misleading.

5. The Irish Medical Council does not recognise the specialties of Aesthetic Surgeon or Cosmetic Surgeons. These doctors may have general registration on IMC, but these titles do not indicate any further recognised training. There is, unfortunately, no law against a doctor with no specialist training advertising himself or herself with these titles.

6. The safest and smartest choice for fillers, botox, dermabrasion, laser, etc. is always a Consultant Dermatologist or Consultant Plastic Surgeon, registered on the IMC on the specialist register.

Want to read more? I HIGHLY recommend: https://www.plasticsurgery.ie/patient-safety-requires-regulation-of-plastic-surgery-sector

Breaking down some of the more commonly offered treatments that are in that grey area between beauty and wellness:

Tooth whitening at a salon?

It is a much better option to go to your dentist, not a beautician.  Only dentists are qualified and allowed to use peroxide.  Find out more at:  https://www.dentist.ie/_fileupload/Tooth%20whitening%20-%20final.pdf

Anti-wrinkle injections

Fillers of all sorts should ideally be done by a qualified dermatologist or plastic surgeon. These are consultant doctors who are on the IMC specialist register. This is due to the real risk of permanent scarring and disfigurement with these procedures.

Colonic Irrigation

It has no actual health benefits. Full stop. It is not a treatment for constipation.   Constipation is unhealthy, and can lead to health problems. However, it is not recommended or necessary to wash it out with 60 litres of coffee or herbal water. If you are having chronic problems with constipation, your GP may recommend laxatives, a referral for a colonoscopy, or gastroenterology opinion.   Advertisers claim colonic irrigation “detoxes” It just can’t.  Your liver and kidney do a great job de-toxing you every day.  They really don’t need any assistance – colonic or otherwise.  Colonics may also be promoted as a cure for everything from depression to migraine to PMS to irritable bowel…. No. It it just isn’t.
It doesn’t. https://www.asai.ie/asai-code/health-and-beauty/ technically regulates this sort of advertising or promoting false treatments, but it just doesn’t seem to be enforced, really.  If you choose to have it, you should ask alot of questions about hygiene and all equipment should be disposable. They should inform you that you could have complications of abdominal pain, cramping, bloating, diarrhoea, dizziness, nausea/vomiting, anal irritation and soreness. More severe side effects include: dehydration, serious electrolyte imbalances, infection, hole in your bowel. Some herbal additives to the irrigation fluid can damage the kidney, liver, or bone marrow.  Any place offering colonic irrigation should also advise you when you should definitely NOT have colonic irrigation: Anyone who has severe anaemia (“low blood”), uncontrolled high blood pressure, any disease that causes bowel inflammation, such as diverticulitis, Crohn’s disease or ulcerative colitis, anyone who has bowel or rectal cancer, anyone with anal fissures, painful haemorrhoids, or any cause of rectal bleeding, anyone with heart problems, kidney disease, liver disease, or who is pregnant.

As for fat massage? Doesn’t really work, but aside from discomfort, no serious risks.

images of misleading ads for colonics

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