Sky News interviews Dr. Julian De Silva about Patient Safety in Cosmetic Surgery

Sky News interviews Dr. Julian De Silva about Patient Safety in Cosmetic Surgery


In here at the Gherkin
is Dr. Julian De Silva a Cosmetic Surgeon with
2 practices in London. It’s great to have you with
us tonight Dr. De Silva. – Thank you.
– First of all give us an idea about the size of your business and the
kind of procedures which are very popular. So I specialize very
much in the face. So the 3 principle areas
that I help patients with are eyelids and
blepharoplasty, nose reshaping rhinoplasty and the face
and neck lifting, those techniques. I can tell you just specializing
in that one area in the body it requires a great deal
of skill and technique in order to keep up to date
with all the advances. There’s continual
evolution in medicine. Where we were 5, 10 years ago
is not where we are today. As your graphics illustrated
the cosmetic industry has changed dramatically
in the last 10 years. Non-surgical treatments, Botox and fillers,
were not nearly as accessible, and many didn’t even exist
10 years ago. This is a continual evolution. Do you think that regulation
therefore is the answer here? Well, I think the unfortunate woman
that you’ve shown in your story, and that’s definitely
a tragic story. The reality is that she’s really a minority,
and there’s a great deal of many many happy patients who’ve
had non-surgical treatments that are both safe,
have given a good result. Patients actually come back
for even more treatments. Because Botox and fillers
although they are treatments that are very effective, they often
have a relatively short duration. So after 6 to 12 months many of
those treatments need repeating. The proof is there. If patients were not genuinely
happy with their treatments, they wouldn’t keep coming
back for further treatments. But it’s more than
being happy, isn’t it? I mean we saw there the
extreme damage and distress that have been inflicted
upon that patient. And you know we all hear
about Botox parties, and less than qualified
practitioners, that we’d say, who set up on their own
and offer fillers. A lot of these fillers we’re not
entirely sure about their safety. I mean you only have to look at
breast implants scandal to see that. So surely there must be
a need for more here. I think you’re absolutely right. I think when we look at things
what this is really about, it’s about individual people. It’s about patients and safety
should always come first before anything else. It’s easy to get distracted about
that looking at market figures, looking at
glamorised TV shows. But actually it’s a very individual
decision to have any kind of treatment. I know that with every patient I treat
I spend more than 2 hours with every patient before
I contemplate doing surgery on them. That’s so I really know
exactly what they want, what that patient’s
expectations are, and also give them an idea
of what those risks are. If I was to give you
one example, eyelid surgery, or also known as blepharoplasty is the most common cosmetic
surgery in the world. – Yes.
– It’s regarded as a relatively safe procedure.
However, there is a tiny chance, a less than 1% chance
of blindness after blepharoplasty. I tell every individual patient
that there is a tiny risk of this happening. Of course there are steps you
can take to reduce this, to minimize it. However, at the end of the
day surgery is surgery, and occasionally
unexpected things occur. I think that’s when we’re
talking about regulation, we’re talking about training
staff whether they’re doctors, whether they’re nurses
or other individuals, so that they are aware of the potential
risk of doing some of these procedures. The chance of having
complications from a Botox or a filler
is relatively very small. However, if you don’t understand or
appreciate the anatomy of the face, or the potential risks
then there’s definitely a call for further regulation
to help with that. Okay, Dr. Julian De Silva great
to have you with us tonight. – Thanks for joining us.
– Thank you. Coming up next on
Jeff Randall Live.

Leave a Reply

Your email address will not be published. Required fields are marked *