Cosmetic surgery isn't available on the NHS, which has a limited amount of money that must be spent wisely, ensuring those who need treatment don't lose out. If you've been scarred or disfigured through an accident or treatment (as a result of a mastectomy for breast cancer, for example), the NHS will offer reconstructive surgery. Teenagers who are suffering emotional distress because their ears stick out, for example, may also receive treatment. But if you want a different nose, bigger breasts or a flatter tummy because of fashion trends, or to improve your job prospects, you won't get them on the NHS. If you choose to go ahead with surgery with a private cosmetic surgeon, it's important that you're fully informed about the operation, its risks and possible side-effects. The Department of Health has information devoted to cosmetic surgery to help people make informed choices. It can be downloaded in PDF format. It's vital you make sure the surgeon performing your operation is trained to do so. Your GP can recommend an appropriate surgeon or contact the British Association of Aesthetic Plastic Surgeons.
This article was last medically reviewed by Dr Rob Hicks in February 2007.

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