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NMC issues advisory on aesthetic surgery harms from unqualified people

New Delhi: National Medical Commission (NMC) issued an advisory informing about harms of getting aesthetic surgery including hair transplant from unqualified people.

“Aesthetic procedures including hair transplant are not an emergency surgery and hence there is no case for allowing any untrained person to do it under the pretext of ‘exceptional circumstances’.
It may be noted that watching in workshops or on YouTube, or any other similar platform, is not adequate training to start aesthetic surgeries,” stated NMC.

For patients, the Commission advised to be aware of the doctor, his qualifications and experience, the place where the procedure is going to be performed and about the procedure itself.

It said that aesthetic surgery including hair transplant, as with any other surgical procedure, may sometimes have serious complications. Every registered medical practitioner (RMP) should be aware of these complications and be trained with skills for their prevention and management as most of the complications are avoidable and can be minimised by proper surgical technique and wound care.

Stating these procedures cannot be performed by anyone, anywhere, NMC added that anyone who wishes to perform should be adequately knowledgeable and trained and should ensure that they have adequate infrastructure and manpower to manage such issues. Assistants or technicians should be from a medical background, such as nurses, operation theatre (OT) technicians, pharmacists. However, they need to be provided structured, systematic and proper training in all aspects of aesthetic surgery, as well as the techniques for disinfection, sterilisation, patient communication etc. Surgical assistants/technicians should perform their tasks only under the direct supervision of the treating physician, the Commission said.

It is required for the centre where aesthetic procedures including hair transplant are performed, should be registered as a day care centre or hospital with the local or state authorities. It should have a well­ equipped postoperative recovery room with facilities for monitoring of vitals including blood pressure, electrocardiogram, oxygen saturation etc.

Informing on unethical practices, the Commission said ghost surgery, substitution of surgeons without the patient's knowledge and permission, would constitute as malpractice. Further, practices such as fee cutting and advertising with false or exaggerated claims should not be indulged in.

Lastly, like any other surgical procedure, the record keeping for all aesthetic surgeries, including hair transplant is mandatory.

“Any violation of the above guidelines will be seen as a misconduct/offence as per existing law,” the Commission concluded.

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