Are surgeons solely to blame for Alicia Duvall’s predicament?

Image Botched plastic surgery always hits the headlines – and rightly so.  All of us should expect the highest standard of care when undergoing any kind of medical care – and plastic surgeons do need to be accountable for their actions.  It’s not possible to comment historically on Ms Duvall’s  journey, but sadly, for those of you seeking facial or body rejuvenation, it can be used to illustrate some pitfalls to avoid.

Putting your face (and body for that matter) into the hands of a surgeon takes a great deal of trust and should not be undertaken lightly.


I suppose the big questions in Ms Duvall’s case that need addressing are: 1. Was she pressurised into surgery over the years?  2.  Was she too young at 17 to decide to enlarge her breasts?  3.  Should she have been investigated for body dysmorphia syndrome?

Having spoken with Ms Duvall today on ITV’s This Morning, she is understandably angry and places a big emphasis on the financial gains certain surgeons made from her repeated surgeries. Although I am unable to comment on the specifics of her case, it would be naive to suggest that financial gains were not a big part of private practice – almost all private medical facilites are now profit making businesses.  However, the majority of bone fide plastic surgeons adhere to a strict code of conduct and guidelines outlined by their professional bodies, such as EBOPRAS, BAAPS and BAPRAS, and would never place financial gain above the wellbeing of patients.

We will always be presented with a small number of patients who have inappropriate expectations, and in these cases, we must always either decline to treat or refer to a reputable psychologist for assessment.

Was she pressurised into surgery over the years?  I can’t comment on this, as it’s all anecdotal…she feels she was. If this is the case then it certainly should not have happened.

Should a 17yr old have breast augmentation surgery? In my opinion yes, in some circumstances it is obvious that the breast glands are not maturing, and it is in these cases appropriate to enhance a woman’s breasts to fit her frame.  My professional ethos is ‘body proportion and not disproportion’ and often politely decline to operate on women who ask for caricature-like results.

3.  Should she have been investigated for body dysmorphia syndrome.  Most certainly I would have raised concerns mush earlier in her journey.

To offer some balance to her case, Ms Duvall does admit that she was not truthful about her age at the time of her initial breast enlargement.  Ultimately, yes, of course you must be able to trust your surgeon, but equally your surgoen needs to trust you – be honest when recording medical and surgical history and where possible allow access to your GP.  After all, it’s a two way street.


About Ms Angelica Kavouni FRCS EBOPRAS

Ms Angelica Kavouni MD FRCS EBOPRAS On the UK’s specialist register and member of EBOPRAS, Ms Angelica Kavouni is one of the UK's most requested female cosmetic surgeons. A regular TV and print media commentator, Angelica has become known for her minimal scarring facelift and breast surgery. An increasing number of women also seek her for female body contouring of all varieties from straight forward liposculpting to ‘Yummy Mummy’ combination surgery, involving any type of breast enhancement with tummy tuck and/or labiaplasty. Also passionate about non-invasive anti-ageing, Angelica has set up her own in-house medispa (the Kosmesis Skin Clinic) featuring several key aesthetic skincare devices, which compliment her surgical practice. Kosmesis Skin Clinic is a unique skincare destination. Not only a stand-alone non-surgical unit housing state-of-the-art solutions for all skin issues, the Kosmesis Skin Clinic acts as an invaluable adjunct to the surgical facility also based at 129 Harley Street. Our experienced aesthetic nurse practitioners work to Medical Director Ms Angelica Kavouni’s own exact standards, delivering high-end care to all patients. Def: Kos-me-sis…preservation, restoration, or enhancement of natural appearance
This entry was posted in Alicia Duvall, Angelica Kavouni, Botched plastic surgery, Breast reduction, Breast uplift, Cosmetic Plastic Surgery, Female plastic surgeon, Mastopexy, Rhinoplasty, Short Scar Facelift, This Morning, Upper blepharoplasty, Upper eyelid surgery and tagged , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s