Sky News interviews Dr. Julian De Silva about Cosmetic Surgery, Social Media & Patient Safety

Sky News interviews Dr. Julian De Silva about Cosmetic Surgery, Social Media & Patient Safety


Okay, young women resulting to
plastic surgery for social media perfection
have driven down the average age of those going
under the knife to below 40. Apparently, the pressure to look
good on Facebook, Instagram, and other sites, is
fueling this demand. Not just women, the average age
for male cosmetic surgery has also gone down in the last
5 years from 47, to 45. Controversial to discuss this,
I’m joined from Central London by the highly, straight facial
cosmetic surgeon Dr. Julian De Silva and the bestselling
author and broadcaster, Kathy Lette.
Thank you both for coming on. Doctor if I can start with you,
how often does someone walk into your office and say,
“I want something done, because I want to
improve my social media looks.” I think that is a very good
question, I really looked at like my patients
over a period of time, I specialize only in the facial
cosmetic and plastic surgery. So, all the patients who have to
see me over the past few years are only looking for
really facial features. and when I looked at my patients
over a five year period I found year on year there is a
steady dramatic increase in the number of patients
who are really coming to see me regarding photographs
and images that they put on social media, and certainly
the growth of Facebook, the growth of Instagram, many
young people are taking lots more photographs of
themselves and seeing a much greater detail
and imperfections in their face than ever before. I think this is a trend that
is only set to continue. Okay, Kathy what do you think
of that listening to that? Well, I think it is something
that really affects women much more than men, the research
has 28,000 women have cosmetic surgery on their face a year,
whereas there’s only 2000 men. So, women suffer from
facial prejudice. we get judged on our looks
in a way men don’t. I mean for men, word
play is fore-play. Hence, would Rihanna still
be doing the horizontal tango I just wish men would learn
to read between our lines. It’s all there the books
the babies,the laughter the love why do you want to wipe out
whole personalities slate clean? But what we’ve realized is that
beauty’ s one of the most lovely natural things that money can
buy and our mothers told us that beauty comes from within but
obviously within a jar marked Botox or Collagen, but
I’m against cosmetic surgery my mother told me never to pick my
nose especially from a catalogue So,I just think we should be
allowed to age gracefully or disgracefully and stop being
judged on how we look. Very good Dr. Kathy is against
cosmetic surgery I’m sure it’s a question you’re asked a lot and
how do you feel about people coming in
and the only motivation being to look better
in photographs? It is tough one for people who
maybe aren’t going into the office and seeing you to
accept as a reason to do it. I think it is always very easy
to be judgmental on what other people think but there can
actually be many reasons why different patients could
come and seek to have cosmetic
or plastic surgery. Just to give one example, there
is some patients who say may have a large nose, or a
nose that is unsightly. Well, often these patients may
have been teased, they may have been bullied, there may be
breathing issues, and so they could be many
multiple reasons why patients may look to improve themselves. We all live in a modern world
and undoubtfully your appearance is important, and if there is
something that affects you, and it affects your confidence
in this day and age isn’t it reasonable to do
something about that? Yes, just to throw that back
to K athy though, you know everyone’s body is their own
and it could be for whatever reason and some of them
may as the doctor said be due to bullying or self-esteem
issues and things like that. What’s the problem? It’s our
own body, it is our own face. Well, the two problems first of
all if we start to look the same It’ll be a case of sending the
clones cosmetic surgeons aren’t well regulated there’s a lot
of cowboy clinicians out there some of them couldn’t even
put a dressing on a salad. I think the reason they wear
those little green masks they won’t be recognized after
it all goes hideously wrong. So, it can be very dangerous, people die during
cosmetic surgery. Olivia Goldsmith who wrote The
First Wife’s Club, died during
a liposuction operation. Nobody ever talks about this
terrible down side. I just think we need to learn
to celebrate our idiocracies and our eccentricities, and
our difference, I think people will be much more beautiful if
they read a book now and then. The only cosmetic surgery I
think women should’ve is cutting up their credit cards
that they were going to pay for this ridiculous
you know beautification. Dr. De Silva let’s throw that
back to you, the regulation in the work that you do,
your right to defend obviously. I think when it comes to
cosmetic and plastic surgery of course there is difference in
standards, and difference in results. Certainly most patients who come
to see me are not looking to look different,they are looking
to look like themselves only better and so there
isn’t like a standard cookie card approach to good
cosmetic and plastic surgery. It’s about tailoring surgery to
every individual patient, making every individual patient look
better look like themselves that’s what the definition
of natural looking result is. In terms of regulations, well
the UK has one of the stringent most stringent regulation
system in the world. Patients fly to the UK because
of its well, rounded reputation, and safety. Absolutely there has been some
tragic cases where patients have
had bad results or injuries. But actually when it comes
to those terrible incidents regarding death, most of those
have been incidents that have actually occurred
outside the UK. We have very tight regulations,
the GMC looks after all doctors and surgeons performing
cosmetic and plastic surgery. We also have an incredible
regulation in terms of our hospitals and facilities, the
care quality commission that regulates all hospitals
and private providers. So, we have a very in
depth regulatory system. Now, its true that there are
areas of cosmetics surgery the more non-surgical treatment where the regulation
is less stringent. There have been calls in this
area that the regulation should be tightened, certainly in terms
of giving Botox and fillers you don’t have to be a doctor
you don’t have to be a nurse you don’t necessarily
to have medical understanding, and the knowledge of the
underlying anatomy of the face in order to give those
treatments and surely there is a need for that, however
when we talk about cosmetic and plastic surgery, we already
have good amount of regulation. We already have good practice
and really it is a question of making sure that every patient
has the best possible care. Just quickly want to ask you
both, I know you’re desperate to jump in Kathy but just
for the interest of time. Just want to quickly ask about
men doctor, just very quickly what are the most common things
men men come to see you for? Well, men coming to see me to
have cosmetic or plastic surgery in some ways it’s difficult to
generalize and say, all men are looking to have this kind of
particular treatment ’cause most patients who come to see me
well they’ re really coming to see me about something that has
bothered them for a long time. It’s usually patients who’ve
been in the back of their mind they’ve had something that
maybe 8 to 10 years they’ve been thinking about it’s not usually
something that they’ve suddenly thought about in a few weeks. A common thing for men might be
rhinoplasty, where a patient may have a large nose or a nose
that is imbalance out of their face and
will be looking to improve that. Another common request
will be a chin implant because the chin and the
lower part of your face is very much
male part of the face. So, certainly most patients
who come to see me well they’re very specific in
what they’re looking to achieve. They are certainly not looking
for something like looking generalized approach. Okay Kathy must
thrown back to you. Yeah. Social media, is it
making all this worse? It’s making it so much worse but
it’s also television industry because 85% of people on
British television over 50 are men, so we never seen
women who look normal. It becomes abnormal which’s
why women are heading off for all the Botox I’ve a friend
who’s paediatrician in LA he was saying none of the
babies are hiting developmental milestones, I thought I know why
when you got a little baby, you’re going, “I love you baby,”
baby’s looking, you’re smiling Your Botox should go I love you
the baby’s going, I love you There’s no personality So, its a bad thing for society
that we can’t express ourselves and be ourselves and
be accepted for who we are. So I just think dimmer switch
dimmer switch greatest beauty known to womankind
keep the lights low girls. why would you want a man who
wants you ’cause you’re silicon from tonsils to toe nail you
wouldn’t want a man like that dimmer switch also works for
men I’m sure that’s true as well Doctor and Cathy thank you very
much indeed for your time appreciated.

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