I fully support the message conveyed by the article of Sophie Arie. The extent of and magnitude of when things go wrong as a result of the vast array of cosmetic procedures carried out by a diverse group of professionals are not fully captured in quantity and nature . These procedures must be governed by the same rigour of clinical governance as other invasive surgical procedures. This entails the following:
• Professional regulation of the practitioners who carry out such procedures by the relevant regulatory body.
• Oversight including regular inspections by the CQC of such procedures, and where they are undertaken, similar to any other form of care provided to patients and the public.
• Implementing the principles of clinical governance at local level where this form of procedure is provided i.e. addressing rigorously the concepts of patient safety, clinical effectiveness and patient experience.
Competing interests: No competing interests