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Media captionTracey, Catherine and Kirsty had complications following their surgeries

Cosmetic surgery is a booming industry in the UK, with 65,000 business carried out last year. But BBC Disclosure has discovered some firms use surgeons from abroad who fly in and out of the country, leaving cases disclosed if complications develop.

‘My nose had to be reconstructed from my ribs’

Image copyright Catherine Roan Image caption Catherine Roan was left looking like she had been in a “bad car accident” after cosmetic surgery

Catherine Roan went for an operation to reduce the size of her nose after being announced Pinocchio by a stranger.

The original procedure and three further activities to redress it left her looking like someone who had been in a bad gondola disintegrate, key experts later said.

The 41 -year-old, from Thornton in Fife, had the op through Transform, one of the UK’s guiding high-pitched street cosmetic surgery providers.

Transform’s Edinburgh clinic recommended Antonio Ottaviani, a surgeon who fly in from Italy to perform the rhinoplasty.

Over the next four years, the Italian physician returned to Scotland to perform three revision procedures in an attempt to give Catherine the snout he had promised.

Each one wreak frustration and suffering, she told Disclosure.

Image copyright Rebecca MacPhail Image caption Catherine Roan’s nose had to be fixed by a surgeon in England

When the cast was removed after the fourth surgery, she found “an absolute mess” underneath.

“My nose was worse than ever, ” she said. “There was a big skin tag, a skin bend hanging down one side, it was squint, there was something wrong with the tip.”

Mr Ottaviani was back in Italy for a month so nurses emailed him portrait. He promised to fix her snout but she had lost her confidence in him and insisted on a new surgeon.

Several doctors refused to help, saying they didn’t want to get involved, but eventually, five years after her first surgery, a surgeon in England concurred.

Transform paid for her surgery and expenses.

The surgeon who secured her snout use one of the purposes of her rib and liquid from her scalp.

Catherine says she gets a “funny feeling” in her rib and can’t sleep on her front but it is “a small price to pay” for having her snout rectified.

The surgeon ordered to pay PS200, 000 in compensation

Image copyright Antonio Ottaviani Image caption Antonio Ottaviani lost a medical negligence case

Catherine’s ordeal motivated her to take action at law against Mr Ottaviani.

An expert report into her attend said the doctor failed to adequately explain the risks of the three revise surgeries.

Despite winning a medical negligence activity in courtroom, Catherine has only received 1% of the PS100, 000 she was awarded.

Mr Ottaviani did not show up to court but Catherine got an order to go after his assets in Italy. She has so far been unsuccessful.

The BBC knows of at least six other women who have complained about Mr Ottaviani’s traditions.

He was also ordered by the courts to pay another patient PS100, 000. They have received nothing.

The surgeon told the BBC he did not want to be interviewed. He said he had always been available when Transform requested and that he had punctually respected his agreement with Catherine Roan.

Mr Ottaviani said he could not comment on specific cases because of patient confidentiality and that five or six miserable cases out of 6,000 represented a very small percentage and was far below average.

Disclosure tracked Mr Ottaviani down and obtained he was still flying into the UK to work at a private clinic in London. He refused to comment on the money he owes.

Why is this allowed to happen?

Image copyright Getty Images

The Disclosure investigation found that Transform, which provides thousands of operations each year, is using doctors from abroad who fly in to do surgery and fly out.

As a outcome, when complications exist, surgeons are sometimes no longer in the country to treat their patients, do not provide continuity of care and it is difficult to secure compensation.

The Royal College of Surgeon told the BBC the regulation of cosmetic surgery was too weak and that sometimes patients were left unprotected. It said that in many cases the NHS was left to pick up the pieces.

To perform cosmetic surgery in the UK, you simply have to be registered with the GMC( General Medical Council) as a medical doctor. You do not have to pass specialist training.

Experts told the BBC that cases are not ever protected because the UK and Scottish governments have failed to act on the key recommendations of two major reviews – despite the fact the first was published six years ago.

The 2013 Keogh Review noticed the regulation of cosmetic surgery was poor and advised vulnerable patients “re not” protected.

It said there should be a compulsory register of cosmetic surgeons. That has not happened. Instead, a voluntary certification scheme has been introduced. Nonetheless, fewer than 30 surgeons have signed up.

Image caption Ken Stewart said the certification scheme to be mandatory

The Scottish government’s adviser on plastic surgery, Ken Stewart, said the regulation was not “robust”. He claimed responsibility for the certification scheme to be mandatory.

Mr Stewart said the current regulation gave “inappropriate things in inappropriate environments, with inappropriately trained staff”.

The Scottish government told the BBC it would take additional steps to protect patients – including meeting with UK administrators.

Public Health minister Joe Fitzpatrick said: “Some of this is devolved. Some is reserved. I’d certainly be up for having that conversation to make sure patients are as safe as possible.”

The UK government did not respond to allegations it had failed to stimulate certification obligatory. It said all doctors practising in the UK must be registered and have the right insurance.

‘I can’t bring myself to look in the mirror’

Image caption Kirsty Adam had to have extensive revision surgery after a breast augmentation

The BBC observed other women who had been treated by “fly in, fly out” surgeons whose occupation was substandard.

Kirsty Adam, from Motherwell in North Lanarkshire, developed necrosis after breast augmentation surgery in 2015. The surgery and precede infections did irreparable damage to her areolas, the pigmented field around the nipple, and missing constituents “mustve been” tattooed in to conceal the damage.

Transform hoofed the legislation and her expenses for extended change work.

Kirsty said: “My confidence in myself is away. It doesn’t matter how well you covered under, you still know in yourself the damage that’s underneath.

“If I go for a shower, I don’t look in the reflect or anything.”

Image copyright Rebecca MacPhail Image caption Tracey Foley was left with open wounds that took six months to heal

Another patient, Tracey Foley, from Clydebank, was left with open weaves for six months after a procedure four years earlier. One teat was so high-pitched and to the side that it was “near enough” under her armpit, she said.

Worse still were the open weaves, caused by her embeds being too big, and worsened by illness. Tracey said one hole was “deep” and “the size of a penny”.

Like Kirsty, her procedure was arranged through the Transform clinic in Glasgow and performed at King’s Park BMI hospital in Stirling by Romanian surgeon Dr Dana Vasilescu, who worked across the UK for the provider in 2015.

Transform used to rent operating facilities at the hospital, but has never been part of it and no longer has a relationship with BMI.

In Tracey’s case, Transform paid for revision surgery and expenditures for her to travel to England every week for months for treatment.

The surgeon who returned to Romania

Image copyright Observator Image caption Dr Dana Vasilescu acted across the UK for Transform in 2015

Kirsty complained to the GMC about her surgeon and it suspended Dr Vasilescu from performing while they probed. The surgeon returned to Romania permanently and came off the GMC register. That represent the occasion against her was dropped.

If such investigations concludes that Dr Vasilescu’s task was not up to standard, she could have had conditions imposed on her registration or even been affect off.

The BBC tracked down Dr Vasilescu to the Bucharest infirmary where she works but she refused to speak.

Both dames tried to get compensation. Transform contended indebtednes sit exclusively with surgeons.

Tracey and Kirsty’s advocates detected Transform’s surgeons were self-employed and the provider would not passed away contact details for Dr Vasilescu or her insurers.

‘World-class international surgical expertise’

Image caption Catherine Roan visited Transform’s Edinburgh clinic

A Transform spokeswoman recognise Tracey, Kirsty and Catherine’s suffers were “not consistent” with its 98% happiness charge, and “did not meet[ their] high standards”

These actions reflected “individual error on the part of two specific surgeons” who no longer work there, the spokesman said.

She said Transform’s use of “world-class international surgical expertise” was “commonplace” across healthcare providers.

The spokeswoman said the company took “absolute responsibility” for patients and the women had “received extended support including free of charge consultations and revision surgeries”.

She said Transform had “industry-leading aftercare packages which are insurance backed”.

All surgeons at Transform must be GMC-registered, the spokeswoman said, and have UK-based insurance.

She added that if a patient wants to take legal action it must be undertaken immediately with the surgeon and their insurers, “as this is where any potential liability sits”.

The spokeswoman said this applied to the “vast majority” of healthcare professionals in the UK independent sector.

Disclosure is on BBC 1 Scotland at 20:30 on Monday 28 October and on the iPlayer .

Previous Disclosure investigations include 😛 TAGEND The Lost Boys The Great Equal Pay Scandal The Seduction Game

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