Melissa Kerr
13 Sept 2023 · Coroner Jacqueline Lake · Norfolk
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. autologous fat transfer to gluteal area
“Expert evidence was heard that the findings in this case are consistent with findings in other cases where patients have died following autologous fat transfer to the gluteal area during an operation colloquially known as Brazilian Buttock Lift. I understand from the evidence heard that due to the high mortality associated with this procedure a voluntary moratorium on the practice of this procedure has been introduced in the UK. Recommendations for safer practices have emerged that recommend significant”
2. lack of risk awareness for patients traveling to Turkey
“I am concerned that patients travelling to Turkey for this procedure are not being made aware of the risks and the high mortality rate associated with this surgery”
3. limited pre-procedure assessment abroad
“I am also concerned that patients are travelling abroad where there are no or limited controls with regard to such surgery taking place. Evidence was heard there Ms [name redacted] was not seen by a surgeon before the date of the procedure. There was limited psychological and physical assessment prior to the procedure proceeding”
4. unsafe practices abroad
“I appreciate the UK Government has no control over what happens abroad. However I am concerned that citizens are travelling abroad for such procedures unaware of the risks involved and that practices are used which are regarded as unsafe in the UK”
Linked reports
Identical hazardConfidence 0.90 · high
This report
“I am concerned that patients travelling to Turkey for this procedure are not being made aware of the risks and the high mortality rate associated with this surgery”
Later report
“I am concerned about the fact that we have no evidence to confirm whether Mrs [name redacted] was made aware of the risks and mortality rates associated with any of the surgical procedures she underwent in Turkey.”
Responses
2023-0330-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care
Stated action · shortly
“My officials will also be visiting Türkiye shortly to meet with their counterparts. The intention is to discuss the regulatory framework, and the protections that are in place for UK nationals, and to identify concrete areas where the UK and Turkish authorities should work together to reduce the risks to patients in the future.”