Cosmetic surgery 

Introduction 

Cosmetic surgery facts

Over recent years, the number of people having cosmetic surgery has increased considerably. For example, in 2010 a total of 38,274 cosmetic procedures were carried out in the UK, compared with 10,700 in 2003.

During 2010, 90% of all cosmetic surgery procedures were carried out in women. The top five most popular procedures for women were:

For men in 2010, the five most popular cosmetic procedures were:

Read more about the types of cosmetic surgery available.

Non-surgical cosmetic procedures

Find out about non-surgical procedures, such as Botox injections, and who can perform them safely

Cosmetic surgery is often carried out to change a person’s appearance in order to achieve what they perceive to be a more desirable look.

However, in certain situations cosmetic surgery may be needed for functional reasons. For example, breast reduction is sometimes used to alleviate back or neck pain.

Cosmetic surgery is different to plastic surgery. Plastic surgery repairs damaged skin and tissue following injury or illness. It also provides reconstructive surgery after major injuries or cancer removal operations.

During cosmetic surgery, a number of different bodily features may be changed, including:

  • skin colour
  • skin texture
  • the structure or position of a body part, such as the nose

Can I get cosmetic surgery on the NHS?

Cosmetic surgery is rarely available through the NHS. There must be major physical or psychological reasons for considering cosmetic surgery.

In rare cases, a primary care trust (PCT) may decide that cosmetic surgery is required to protect a person’s health, although NHS resources are limited and waiting times are usually long. For this reason, most people pay to have cosmetic surgery privately.

Read more about the availability of cosmetic surgery.

Making a decision

Deciding to have cosmetic surgery isn't a decision that should be taken lightly. Cosmetic surgery can be expensive and time consuming. The results are often variable and can't be guaranteed.

Therefore it's important that you give careful thought and consideration when deciding to have cosmetic surgery. It's a good idea to discuss your plans with your GP before going ahead with private treatment. If you decide to have surgery, be absolutely sure about your reasons for wanting to have it.

Read more about considering cosmetic surgery.

Choosing a surgeon

If you decide to have cosmetic surgery, it's very important that the surgeon and other healthcare professionals who will be carrying out the procedure are fully qualified and experienced in the type of procedure you're having.

You should discuss the procedure in detail with your surgeon. Ask as many questions as you need to so that you're fully aware of what the procedure involves, how it will be carried out, what the results will be and whether there will be any after effects.

See recommendations for cosmetic surgery for advice about how to ensure a cosmetic surgeon is fully qualified.

When things go wrong

As with all types of surgery, cosmetic surgery can sometimes go wrong and the results may not be what you expected. To reduce the chances of this happening you should:

  • make sure that your expectations of what surgery can achieve are realistic
  • make sure that the surgeon understands what you want
  • follow the advice that your surgeon gives you about aftercare

Read more on how to make a complaint about cosmetic surgery.

Non-surgical cosmetic treatments and plastic surgery

Non-surgical cosmetic treatments are procedures that change a person’s appearance without using surgery. They include:

  • muscle paralysis – such as injections of botulinum toxin (Botox) to help relax facial muscles and make lines and wrinkles less obvious
  • dermal fillers – injected into wrinkles or creases to fill them out
  • chemical peels – which use chemicals to remove the outer layer of skin cells
  • microdermabrasion – which uses fine crystals and a vacuum to remove dead skin cells
  • non-surgical laser and intense light treatments – such as hair removal

Read more about non-surgical cosmetic procedures.

Last reviewed: 19/08/2011

Next review due: 19/08/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

Babypinkdoll said on 21 May 2013

Hello im 17
I suffer from serve depression and anxiety
And go therapy every week
I have been bullied all my life about my nose and its got so bad i tried to end my life and i nearly did die im now left with a hand which doesnt work right
I was wondering if i would be able for a free nose job?
I cant afford to pay for one as i dont leave my house ;/
My nose really does trouble me that much its ruining my life
I cant love myself or even wanna be myself

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Paige345 said on 07 May 2013

I used to have one of my ears pierced to low by a practise lady in a shop and after about 2-3 years it got lower and lower and eventually split right down, it is about 0.8cm going down and it doesn't cause me pain but it does upset me when people seem to point it out as 'Ewww, that's disgusting' I was wondering if I would need cosmetic surgery and would it cost if so how much ?

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Ajit arora said on 18 March 2013

I want to change the colour of my whole body from slight black to white. What is the procedure i will have to undergo for it.? Please reply me soon.

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mamalila said on 02 July 2012

I had a breast uplift with enlargement. The results of 2 children and breast feeding. My breasts were a 34B and very empty with a bit of a droop, and I wanted to have back what I was like when I was breast feeding (a full C cup). The doctor advised me to have an uplift as well as the augmentation which was at the end the right decision! The results are fantastic, although because I needed an uplift too, I have scars around my nipples and down towards the breast crease (but they are fading all the time). The shape is really natural, and it has given me such a confidence boost, its untrue! Good luck with your decisions. You have to belief in your surgeon first and foremost.

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LittleIglu said on 09 January 2012

Would hairline lowering/ hair transplant be available on the nhs?

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gems25 said on 04 December 2010

please help, i recently had labiaplasty done on nhs by my gyno (1st dec) was not given a option of a surgeon...before the op he said he would examine me so we could talk about procedure he would be doing.i showed him a pic of what i wanted to look like as he told me to do this...all i needed was a trim and a hoodectomy. after 4 and a half hours of bein left in a cold room with just a chair freezing i was taking down to a room given anestetic and did not see my gyno...woke up in recovery room told by my gyno everything went well and to come back in 2 weeks....when i got home i was horrified to find he had done wedge method and cut my labia majora which was never discussed..the whole thing is a total mess i have flaps of skin everywhere and very poor stiching..which have all busted open today on one side...i am so gutted as this has been a problem for so long for me for many reasons...being accepted for this on nhs was a god send..i was looking forward to leading a normal life...now it is ruined...i can honestly say this is a botch job and i am devestated thought i could trust a gyno on nhs...obviously not!!!! im hoping the nhs will correct this can anybody tell me if this is now possible??????
or i am thinking of sueing my gyno for this...i will never be able to be intimate again and stand toloose everything....gutted!!!

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sm1234 said on 16 July 2010

Go and see your GP to be referred under the NHS for breat reduction plastic surgery. I have done this myself as like you I am unhappy with my breast size and they grew quickly over a couple of years giving me stretch marks and drooping. I am 40 now and wish I had looked into this years ago! I am waiting for surgery now on the NHS after having a consultation with a surgeon and also with a psychologist to see if I qualified. This could take up to another year and a half but as I can't afford to go private (£5,000 approx) I am happy to wait. If you do decide to go private make sure you research well to choose a surgeon. Good luck.

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nats83 said on 15 April 2010

hi im natalie and 27 years young, in 2001 i was a passenger in a serious car accident which broke and mis shaped my nose im still having trouble breathing and always bunged up and am pretty sure the reason for all my headaches very rarely i can feel abit of something i assume the bone coming away from my nose on the bridge please help me waht do you suggest please , being a single mummy money is tight and so cant afford to go private. would be very very grateful of some feedback its really affectin my life now.

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lauren1993 said on 24 March 2010

hi, i'm only sixteen and i don't know how else to go about this at all. So i thought visiting this website you be able to give me some advice and help. i started growing breats from a very early age- i was a C when i was 9 years old. i'm now an E but because i started so early my breats are very low down which causes me depression as their not like any other girls breats. i'm thinking about surgery deeply as its the only way i can have my confidence back. i look after them so well, i just cant help how saggy they have got. its horrible thing to go through and i'm not happy at all. please help and give me advice.

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