As an aesthetic doctor and long-time campaigner for regulation in the aesthetics industry, I have unfortunately seen too many cases where poorly trained individuals put people’s lives at risk. The tragic death of a mother in the UK after a non-surgical Brazilian Butt Lift (BBL) procedure is a devastating reminder of the urgent need for tighter regulation in our speciality. This heartbreaking incident is one that should never have occurred, and it highlights the very real dangers of allowing unqualified individuals to perform complex and risky procedures without proper oversight.
The risks of non-surgical BBL procedures
The non-surgical BBL, or liquid BBL, involves injecting large amounts of filler into the buttocks to achieve a fuller appearance. While it may seem like a quick and easy alternative to surgical procedures, it carries significant risks, even when performed by experienced medical professionals. The risk of complications, including embolism, infection, and tissue necrosis, is alarmingly high when the procedure is performed by individuals without adequate medical training.
In the tragic case in question, the lay injector administered a shocking 1,400 ml of filler into the patient’s buttocks—a procedure any reputable medical practitioner would consider far too dangerous. This practice, carried out by someone without the necessary medical background or knowledge of the human body’s anatomy, led to the patient’s death. The outcome was as preventable as it was tragic, and it forces us to confront the glaring deficiencies in the current regulatory framework.
The dangers of unregulated practitioners
At present, the lack of regulation in the UK allows anyone to attend a short course—sometimes as brief as a single day—and then pick up a needle and syringe to start injecting. No medical background is required, and these individuals often work outside the oversight of any professional body or regulatory authority. In a field where safety and expertise are paramount, this is simply unacceptable.
Imagine trusting your body and your life to someone who has little more than a few hours of training. When things go wrong, there is no governing body to hold them accountable, and patients are left with little recourse. This is not only dangerous but entirely avoidable. It is time we made changes that ensure only medically qualified practitioners are allowed to perform aesthetic procedures, particularly those as risky as a liquid BBL.
What we need to learn from this incident
This incident should serve as a sobering reminder that aesthetics is not just about enhancing appearance—it is about safety and professionalism. Patients must understand that aesthetic procedures are medical treatments, and they come with risks. As a community, we need to take these risks seriously and ensure that those performing them act with the patients wellbeing in mind and are equipped with the right medical knowledge and training to handle complications if they arise.
Medical providers, such as doctors, nurses, and dentists, are trained in human anatomy, understand the intricacies of tissue structures, and are equipped to deal with adverse events. This level of understanding cannot be taught in a short course or gained through hands-on experience alone. The risks of vascular occlusion, embolism, and even death, as in this case, are too great to leave in the hands of inadequately trained individuals.
Keeping yourself safe: What patients should know
Patients seeking aesthetic procedures must be empowered to make informed decisions. First and foremost, always seek treatment from a medically qualified provider. It’s important to ask about their qualifications, experience, and whether they are regulated by a professional body, such as the General Medical Council (GMC), the Nursing and Midwifery Council (NMC), or the General Dental Council (GDC). Additionally, for complex procedures like the liquid BBL, ensure that the practitioner uses advanced tools such as ultrasound guidance to minimise risk.
Patients should also avoid opting for cheaper alternatives or practitioners who are not transparent about their training and qualifications. If a procedure seems too good to be true, it probably is. No one’s life or safety is worth compromising for a lower price or a quick fix.
The changes we need in the industry
To make aesthetics safer in the UK, we need regulatory reform that enforces stricter qualifications for those performing injectable procedures. Only medically qualified individuals—those who have undergone years of training in healthcare—should be allowed to administer these treatments. Additionally, aesthetic practitioners should be required to undergo continuous professional development and be held accountable by regulatory bodies.
Furthermore, we need public awareness campaigns that educate people about the risks of unregulated aesthetic treatments and empower them to choose qualified professionals. In the tragic case of the liquid BBL, the victim may not have fully understood the dangers she faced by entrusting her body to an unregulated injector. We must ensure that such tragic outcomes never happen again by equipping the public with the knowledge to make safer choices.
As an aesthetic doctor and trustee of the British College of Aesthetic Medicine, I am committed to fighting for the tighter regulations and greater accountability that are so desperately needed. We owe it to our patients to create a speciality where safety and professionalism come first, and where only qualified, regulated medical providers are allowed to perform these potentially life-altering procedures. Now is the time for change, and we cannot afford to wait any longer.
I was deeply saddened to learn of the tragic death of Alice Webb, a beauty therapist and mother of five, who has become the first person in the UK to die following a liquid Brazilian Butt Lift (BBL) procedure. This heartbreaking loss highlights the urgent need for change in a dangerously under-regulated speciality.
For years, I have campaigned tirelessly for stricter regulations within the aesthetics industry and have frequently warned about the dangers of filler BBL procedures like this. Sadly, it was only a matter of time before we saw a fatality.
I sincerely hope this tragedy will serve as a wake-up call, prompting stronger safeguards to prevent further loss of life. It’s critical that we protect the public from unqualified and unregulated practitioners who put lives at risk. In this week’s blog post, I discuss the risks of the liquid BBL procedure, the dangers of unregulated practitioners and the changes we need to see now, to avoid another fatality in the future.