1 00:00:00,520 --> 00:00:05,120 Speaker 1: Already and this is the Daily This is the Daily OS. 2 00:00:05,120 --> 00:00:06,840 Speaker 2: Oh, now it makes sense. 3 00:00:14,720 --> 00:00:17,759 Speaker 3: Good morning and welcome to the Daily OS. It's Wednesday, 4 00:00:17,800 --> 00:00:20,000 Speaker 3: the fourth of June. I'm Emma Gillespie. 5 00:00:20,040 --> 00:00:20,960 Speaker 1: I'm Sam Kazlowski. 6 00:00:21,320 --> 00:00:25,880 Speaker 3: The growing popularity of cosmetic procedures like injectables and fillers 7 00:00:26,040 --> 00:00:30,600 Speaker 3: has sparked growing concerns about patient safety, regulation and. 8 00:00:30,560 --> 00:00:32,720 Speaker 2: The responsibilities of practitioners. 9 00:00:33,280 --> 00:00:36,800 Speaker 3: This week, health regulators have actually released a sweeping set 10 00:00:36,880 --> 00:00:40,320 Speaker 3: of reforms aimed at tightening the rules around these procedures. 11 00:00:40,680 --> 00:00:43,239 Speaker 3: So in today's deep dive, we're going to explore what 12 00:00:43,280 --> 00:00:46,279 Speaker 3: these new guidelines say, who they'll affect, and what they 13 00:00:46,360 --> 00:00:49,760 Speaker 3: mean for anyone considering a cosmetic procedure as well as 14 00:00:49,800 --> 00:00:52,320 Speaker 3: anyone administering one. 15 00:00:54,760 --> 00:00:58,240 Speaker 1: M Cosmetic procedures are huge business in Australia right now, 16 00:00:58,240 --> 00:01:00,560 Speaker 1: It's nothing new. I feel like they've been around for 17 00:01:00,720 --> 00:01:03,600 Speaker 1: decades in its current form. But give me a sense 18 00:01:03,840 --> 00:01:06,240 Speaker 1: of the backdrop that we're talking about today. 19 00:01:06,480 --> 00:01:09,720 Speaker 3: Yeah, you're right that these kinds of procedures have existed 20 00:01:09,720 --> 00:01:13,319 Speaker 3: for decades, but the industry as a whole has really 21 00:01:13,440 --> 00:01:16,959 Speaker 3: grown quite rapidly in popularity over recent years, to the 22 00:01:17,000 --> 00:01:21,080 Speaker 3: point that we are now talking about a billion dollar industry. 23 00:01:21,160 --> 00:01:24,759 Speaker 3: Now that's according to estimates by the Australian Health Practitioner 24 00:01:24,800 --> 00:01:28,720 Speaker 3: Regulation Agency APRA, So they put the dollar value of 25 00:01:28,760 --> 00:01:31,360 Speaker 3: this industry at a billion dollars. 26 00:01:31,560 --> 00:01:33,680 Speaker 1: And let's be really clear on what exactly we're talking 27 00:01:33,720 --> 00:01:36,520 Speaker 1: about when we're talking about cosmetic procedures. We're not talking 28 00:01:36,560 --> 00:01:39,680 Speaker 1: about getting your nails done right exactly. Sorry, I know, 29 00:01:39,880 --> 00:01:43,920 Speaker 1: I know that's silly, but question here, question, I'm kind 30 00:01:43,920 --> 00:01:45,640 Speaker 1: of new to this industry, so I'm kin to understand 31 00:01:45,720 --> 00:01:47,560 Speaker 1: exactly what you mean here exactly. Well. 32 00:01:47,600 --> 00:01:52,520 Speaker 3: APRA's definition of cosmetic procedures is pretty broad. It defines 33 00:01:52,600 --> 00:01:57,000 Speaker 3: cosmetic procedures as ones that quote revise or change the appearance, color, 34 00:01:57,120 --> 00:02:00,880 Speaker 3: textra structure, or position of normal bodily features to achieve 35 00:02:00,880 --> 00:02:04,320 Speaker 3: what a patient perceives to be a more desirable appearance. 36 00:02:04,800 --> 00:02:07,480 Speaker 3: But narrowing down on that a little bit, this broad 37 00:02:07,520 --> 00:02:11,440 Speaker 3: term can include everything from surgical to non surgical options. 38 00:02:11,840 --> 00:02:14,520 Speaker 3: But specifically today we're going to talk more about non 39 00:02:14,680 --> 00:02:20,320 Speaker 3: surgical procedures, so things like filler anti wrinkle injections Botox. 40 00:02:20,360 --> 00:02:24,040 Speaker 3: Botox is a brand of anti renkal injections, some laser 41 00:02:24,120 --> 00:02:28,079 Speaker 3: skin treatments anything that falls under that umbrella. 42 00:02:28,360 --> 00:02:33,200 Speaker 1: It's interesting how that definition incorporates the why behind the treatment. 43 00:02:33,480 --> 00:02:37,200 Speaker 1: So somebody trying to achieve a more desirable appearance, because 44 00:02:37,240 --> 00:02:40,080 Speaker 1: I know people who get botox for injuries that they've 45 00:02:40,080 --> 00:02:43,160 Speaker 1: had or post surgical stuff for disability. 46 00:02:43,520 --> 00:02:47,160 Speaker 3: There are some medical reasons why people will access botox 47 00:02:47,200 --> 00:02:50,680 Speaker 3: for non esthetic purposes, I suppose, And those procedures are 48 00:02:50,720 --> 00:02:52,760 Speaker 3: subject to different regulations. 49 00:02:52,919 --> 00:02:55,520 Speaker 1: And this space, though, is cosmetic, So who's responsible then 50 00:02:55,560 --> 00:02:56,200 Speaker 1: for that space? 51 00:02:56,560 --> 00:02:59,760 Speaker 2: So this is regulated this space by. 52 00:02:59,600 --> 00:03:03,360 Speaker 3: That regulation agency OPRA I mentioned and the National Boards 53 00:03:03,760 --> 00:03:07,960 Speaker 3: APRA is tasked with ensuring registered health practitioners basically have 54 00:03:08,120 --> 00:03:12,919 Speaker 3: appropriate training, that they have the qualifications to practice, and 55 00:03:12,960 --> 00:03:16,360 Speaker 3: that all of that aligns with prioritizing patient safety. And 56 00:03:16,639 --> 00:03:19,960 Speaker 3: that is the body that's just released new national guidelines 57 00:03:20,000 --> 00:03:23,919 Speaker 3: that will apply to all registered health practitioners performing as 58 00:03:23,960 --> 00:03:28,120 Speaker 3: well as advertising these non surgical cosmetic procedures. 59 00:03:28,240 --> 00:03:30,160 Speaker 1: And do you think there's been a trigger for these 60 00:03:30,200 --> 00:03:32,800 Speaker 1: new guidelines to be released or is it more of 61 00:03:32,800 --> 00:03:35,880 Speaker 1: an accumulation of bad behavior in the industry. 62 00:03:36,080 --> 00:03:36,840 Speaker 2: Yeah, it's been. 63 00:03:36,920 --> 00:03:39,280 Speaker 3: A movement that's been kind of a few years in 64 00:03:39,360 --> 00:03:41,800 Speaker 3: the making. There was an independent review a couple of 65 00:03:41,880 --> 00:03:46,560 Speaker 3: years ago which brought some concerning practices to light, and 66 00:03:46,640 --> 00:03:50,360 Speaker 3: I think there is concern overall from the regulator that 67 00:03:50,720 --> 00:03:55,440 Speaker 3: non surgical cosmetic procedures are still risky procedures, but that 68 00:03:55,560 --> 00:03:59,400 Speaker 3: maybe they're being minimized or downplayed by some providers. 69 00:04:00,000 --> 00:04:01,800 Speaker 2: Over the past few years, more. 70 00:04:01,600 --> 00:04:06,280 Speaker 3: Complaints have been lodged with concerns around unqualified or undertrained 71 00:04:06,320 --> 00:04:11,120 Speaker 3: people offering these services. And until now, some professions have 72 00:04:11,200 --> 00:04:15,200 Speaker 3: had more specific rules than others, like doctors under the 73 00:04:15,200 --> 00:04:19,279 Speaker 3: Medical Board are subject to different frameworks and regulations than 74 00:04:19,600 --> 00:04:23,200 Speaker 3: nurse practitioners, for example, But now APRA is saying that 75 00:04:23,320 --> 00:04:27,160 Speaker 3: it wants to standardize these processes to avoid confusion, so 76 00:04:27,320 --> 00:04:29,800 Speaker 3: the same rules apply right across the board when we're 77 00:04:29,839 --> 00:04:32,680 Speaker 3: talking about non surgical cosmetic procedures. 78 00:04:32,160 --> 00:04:34,680 Speaker 1: And as with any industry, I think it's probably important 79 00:04:34,720 --> 00:04:36,680 Speaker 1: to say that most people who would work in this 80 00:04:36,760 --> 00:04:40,200 Speaker 1: space are well meaning people who follow the rules and 81 00:04:40,279 --> 00:04:43,239 Speaker 1: have patient care at the heart of their practice. But also, 82 00:04:43,320 --> 00:04:45,880 Speaker 1: as with most industries, there's people who don't do that. 83 00:04:46,160 --> 00:04:48,640 Speaker 1: Do we have a sense of the scale of the 84 00:04:48,680 --> 00:04:50,680 Speaker 1: complaints that are being issued from that sector or the 85 00:04:50,720 --> 00:04:51,919 Speaker 1: damage that's being done. 86 00:04:52,120 --> 00:04:55,839 Speaker 3: So between late twenty twenty two and early twenty twenty five, 87 00:04:56,080 --> 00:04:59,680 Speaker 3: APRA looked into about three hundred and sixty complaints related 88 00:04:59,760 --> 00:05:03,480 Speaker 3: to these types of cosmetic procedures. Most of those complaints 89 00:05:03,520 --> 00:05:07,600 Speaker 3: are now closed, but the concerns raised ranged from a 90 00:05:07,720 --> 00:05:12,680 Speaker 3: lack of training from providers to poor patient outcomes. And 91 00:05:12,800 --> 00:05:19,720 Speaker 3: these complaints didn't discriminate across professions. We had complaints about doctors, nurses, dentists, 92 00:05:19,800 --> 00:05:25,520 Speaker 3: even psychologists, Chinese medicine practitioners. So the narrative from those 93 00:05:25,520 --> 00:05:29,799 Speaker 3: complaints speaks to broader gaps in care across the board. 94 00:05:30,040 --> 00:05:32,880 Speaker 1: So there's this gap and care in the non surgical 95 00:05:33,080 --> 00:05:36,640 Speaker 1: cosmetic industry. Some new guidelines come into play. What exactly 96 00:05:36,720 --> 00:05:39,560 Speaker 1: are those guidelines aiming to change. 97 00:05:39,160 --> 00:05:42,000 Speaker 3: Well, there are a few new rules that are really 98 00:05:42,080 --> 00:05:44,520 Speaker 3: interesting that I wanted to talk through today. But one 99 00:05:44,560 --> 00:05:47,839 Speaker 3: of the first ones that stands out is changes around 100 00:05:47,920 --> 00:05:52,200 Speaker 3: the training of staff and minimum requirements so approcalls this 101 00:05:52,480 --> 00:05:56,520 Speaker 3: practitioner's scope of practice and basically in the past or 102 00:05:56,640 --> 00:06:00,400 Speaker 3: up until now, just because someone has a general health qualification, 103 00:06:00,760 --> 00:06:03,240 Speaker 3: so for example, as a nurse or as a dentist, 104 00:06:03,920 --> 00:06:08,279 Speaker 3: that can no longer automatically mean that they are qualified 105 00:06:08,320 --> 00:06:12,200 Speaker 3: to perform cosmetic procedures. So from the second of September, 106 00:06:12,520 --> 00:06:16,520 Speaker 3: in just under three months time, practitioners will need additional 107 00:06:16,560 --> 00:06:20,200 Speaker 3: training or education if they want to safely expand into 108 00:06:20,240 --> 00:06:22,800 Speaker 3: the cosmetic procedure space. So it can no longer just 109 00:06:22,880 --> 00:06:26,599 Speaker 3: be that you are a qualified nurse who decides you 110 00:06:26,640 --> 00:06:29,440 Speaker 3: want to expand your business and dabble in injectibles. You 111 00:06:29,440 --> 00:06:33,040 Speaker 3: will have to undertake more training. On that example of nurses, 112 00:06:33,080 --> 00:06:37,040 Speaker 3: there'll be a certain period of clinical experience required before 113 00:06:37,040 --> 00:06:41,159 Speaker 3: they can begin offering non surgical cosmetic procedures. The regulator 114 00:06:41,200 --> 00:06:44,960 Speaker 3: says this reform is also about future proofing the industry, 115 00:06:45,080 --> 00:06:48,520 Speaker 3: so it warns that maybe some practitioners have been drawn 116 00:06:48,760 --> 00:06:53,359 Speaker 3: to non cosmetic procedures because it's a very lucrative industry. Interesting, 117 00:06:53,560 --> 00:06:57,200 Speaker 3: so these new protections, it said, highlight that many practitioners 118 00:06:57,400 --> 00:07:00,440 Speaker 3: need more than just the foundational qualifications in included in 119 00:07:00,480 --> 00:07:04,279 Speaker 3: their initial training before they can safely perform these procedures 120 00:07:04,400 --> 00:07:08,119 Speaker 3: like cosmetic injections, and trying to get people away from 121 00:07:08,200 --> 00:07:10,760 Speaker 3: that financial motivation to work in this space. 122 00:07:11,200 --> 00:07:13,800 Speaker 1: We'll be right back after a quick message from our sponsor. 123 00:07:16,880 --> 00:07:19,040 Speaker 1: Now one thing that really stood out to me in 124 00:07:19,080 --> 00:07:23,880 Speaker 1: these guidelines was how specific the protections were for young people. 125 00:07:24,320 --> 00:07:25,160 Speaker 1: What's changing there? 126 00:07:25,360 --> 00:07:27,040 Speaker 2: Yeah, this is really interesting. 127 00:07:27,080 --> 00:07:30,960 Speaker 3: There are two big things to talk about. Firstly, any 128 00:07:31,080 --> 00:07:34,360 Speaker 3: advertising of these procedures aimed at under eighteen year olds 129 00:07:34,400 --> 00:07:36,120 Speaker 3: will be completely banned. 130 00:07:36,200 --> 00:07:40,080 Speaker 1: So right now you can advertise cosmetic procedures to under eighteens. 131 00:07:40,160 --> 00:07:43,440 Speaker 3: Well, it's a gray area I suppose about who an 132 00:07:43,480 --> 00:07:46,960 Speaker 3: AD is targeted towards, but there are stronger protections that 133 00:07:47,040 --> 00:07:50,800 Speaker 3: say a vague AD could be seen by under eighteen 134 00:07:50,880 --> 00:07:54,640 Speaker 3: year olds and that that's therefore inappropriate, so clamping down 135 00:07:54,680 --> 00:07:58,040 Speaker 3: on that. And secondly, if a child or teen does 136 00:07:58,200 --> 00:08:01,920 Speaker 3: want an underage cosmetic procedure, there'll now be a mandatory 137 00:08:02,000 --> 00:08:05,680 Speaker 3: seven day cooling off period between their first consultation and 138 00:08:05,840 --> 00:08:09,200 Speaker 3: actually getting the treatment, and so this is aimed at 139 00:08:09,280 --> 00:08:13,480 Speaker 3: preventing impulsive decision making. Regulators say they want to reduce 140 00:08:13,560 --> 00:08:17,400 Speaker 3: pressure on young people to rush into cosmetic work, particularly 141 00:08:17,480 --> 00:08:19,520 Speaker 3: considering the added pressures of social media. 142 00:08:19,560 --> 00:08:22,040 Speaker 1: But just to clarify there, we're still saying that under 143 00:08:22,080 --> 00:08:24,720 Speaker 1: eighteens can access cosmetic procedures. 144 00:08:25,280 --> 00:08:27,920 Speaker 3: Well, the jury is kind of out on that one, 145 00:08:27,920 --> 00:08:30,040 Speaker 3: because I took a closer look at the copy of 146 00:08:30,080 --> 00:08:34,000 Speaker 3: these new guidelines for registered health practitioners. They come into 147 00:08:34,000 --> 00:08:38,000 Speaker 3: effect in September, and there's a dedicated section to additional 148 00:08:38,040 --> 00:08:43,800 Speaker 3: responsibilities around providing these nonsurgical procedures for under eighteen year olds, 149 00:08:43,800 --> 00:08:47,559 Speaker 3: which says practitioners have a responsibility to assess a patient's 150 00:08:47,600 --> 00:08:51,520 Speaker 3: capacity to consent to a procedure, so there has to 151 00:08:51,520 --> 00:08:55,760 Speaker 3: be an evaluation there. It also says registered health practitioners 152 00:08:55,800 --> 00:08:58,040 Speaker 3: should have regard for the views of a parent or 153 00:08:58,120 --> 00:09:01,360 Speaker 3: guardian of a person under eighteen, including whether or not 154 00:09:01,559 --> 00:09:05,520 Speaker 3: they support the procedure being performed. But the regulator does 155 00:09:05,559 --> 00:09:10,680 Speaker 3: not endorse prescribing botox or similar injections, dermal fillers things 156 00:09:10,720 --> 00:09:14,360 Speaker 3: like that for cosmetic purposes for any under eighteen year olds, 157 00:09:14,679 --> 00:09:18,920 Speaker 3: and eligibility can only be assessed by registered nurses or 158 00:09:19,000 --> 00:09:22,600 Speaker 3: nurse practitioners. Now they must quote, know and comply with 159 00:09:22,760 --> 00:09:26,400 Speaker 3: relevant legislation of the jurisdiction in which they're practicing in 160 00:09:26,400 --> 00:09:29,920 Speaker 3: in terms of any restrictions on cosmetic procedures for under 161 00:09:29,960 --> 00:09:30,679 Speaker 3: eighteen year olds. 162 00:09:31,080 --> 00:09:33,120 Speaker 1: So I'm kind of guessing here, but I assume then 163 00:09:33,280 --> 00:09:38,280 Speaker 1: that an update on those guidelines and those jurisdictional rules 164 00:09:38,280 --> 00:09:42,040 Speaker 1: would be part of this added qualification that medical professionals 165 00:09:42,040 --> 00:09:44,240 Speaker 1: would need to be able to perform the procedures. But 166 00:09:44,720 --> 00:09:48,240 Speaker 1: there's many jurisdictions in Australia and that would also be confusing. 167 00:09:48,440 --> 00:09:50,760 Speaker 3: Yeah, it is a gray area and it really depends 168 00:09:50,800 --> 00:09:54,360 Speaker 3: on what the procedure is and where the procedure would 169 00:09:54,400 --> 00:09:57,439 Speaker 3: be taking place. There's actually an interesting report by the 170 00:09:57,520 --> 00:10:01,320 Speaker 3: Royal Australian College of General Practition on this that points 171 00:10:01,360 --> 00:10:04,240 Speaker 3: to concerns about the ethics and the practice of children 172 00:10:04,360 --> 00:10:09,280 Speaker 3: undergoing cosmetic procedures. It says that Australia blacks reliable data 173 00:10:09,320 --> 00:10:12,880 Speaker 3: on this issue and the prevalence of these procedures on children, 174 00:10:13,200 --> 00:10:15,559 Speaker 3: but it points to concerns around kind of these high 175 00:10:15,679 --> 00:10:19,040 Speaker 3: rates that we are hearing about of body image dissatisfaction 176 00:10:19,360 --> 00:10:21,640 Speaker 3: and how that could be driving more young people to 177 00:10:21,720 --> 00:10:26,840 Speaker 3: these procedures. But nationally, the Australian Medical Association's position is 178 00:10:26,880 --> 00:10:30,359 Speaker 3: that patients under eighteen years old should not have procedures 179 00:10:30,400 --> 00:10:34,000 Speaker 3: to modify or enhance physical appearance unless it is in 180 00:10:34,040 --> 00:10:38,800 Speaker 3: their medical and or psychological interests. New South Wales guidelines 181 00:10:38,920 --> 00:10:42,600 Speaker 3: advise a longer cooling off period, so they advise a 182 00:10:42,679 --> 00:10:46,280 Speaker 3: three month cooling off period between the initial consult and 183 00:10:46,360 --> 00:10:49,200 Speaker 3: a procedure on an under eighteen year old, and that 184 00:10:49,280 --> 00:10:53,720 Speaker 3: goes well beyond APRA's new mandatory seven day cooling off period. 185 00:10:54,200 --> 00:10:57,720 Speaker 3: But Queensland is the only state that's actually legislated a 186 00:10:57,760 --> 00:11:01,400 Speaker 3: ban on performing a cosmetic procedure child that was introduced 187 00:11:01,480 --> 00:11:04,760 Speaker 3: in two thousand and eight. Everywhere else, it's kind of 188 00:11:04,840 --> 00:11:08,079 Speaker 3: up to the practitioner. There are steps that they have 189 00:11:08,160 --> 00:11:11,640 Speaker 3: to take, but actually enforcing any of these kind of 190 00:11:11,720 --> 00:11:13,240 Speaker 3: rules is a little bit murky. 191 00:11:13,720 --> 00:11:15,880 Speaker 1: And I'm really interested in this advertising band that you 192 00:11:15,880 --> 00:11:19,000 Speaker 1: spoke about because it brings in the whole other discussion 193 00:11:19,320 --> 00:11:21,560 Speaker 1: that I know you've been very involved with for most 194 00:11:21,600 --> 00:11:23,640 Speaker 1: of this year around the way that social media is 195 00:11:23,760 --> 00:11:26,679 Speaker 1: used to influence the way that young people especially think 196 00:11:26,679 --> 00:11:28,800 Speaker 1: about their bodies. Yeah, can you tell me a little 197 00:11:28,840 --> 00:11:31,760 Speaker 1: bit about how this framework changes what's happening there. 198 00:11:31,960 --> 00:11:34,840 Speaker 3: Yes, So social media has become such a big part 199 00:11:34,880 --> 00:11:38,080 Speaker 3: of how these procedures are marketed. We know that young 200 00:11:38,120 --> 00:11:41,160 Speaker 3: people are on social media, so they're the people seeing 201 00:11:41,200 --> 00:11:45,240 Speaker 3: these messages. As I flagged, any advertising targeting under eighteen 202 00:11:45,280 --> 00:11:47,959 Speaker 3: year olds will be banned in the non surgical cosmetic 203 00:11:48,040 --> 00:11:50,920 Speaker 3: procedure space. But there are some other pretty comprehensive reforms 204 00:11:50,920 --> 00:11:54,640 Speaker 3: that will change how advertising works for high risk procedures. 205 00:11:54,840 --> 00:11:59,600 Speaker 3: Now most injectibles are included under that category. So, for example, 206 00:11:59,679 --> 00:12:03,480 Speaker 3: ads will have to contain information about the practitioner performing 207 00:12:03,480 --> 00:12:06,200 Speaker 3: the procedure so patients know who they're engaging with. And 208 00:12:06,240 --> 00:12:08,360 Speaker 3: there are measures to strengthen a ban on the use 209 00:12:08,400 --> 00:12:12,880 Speaker 3: of testimonials from social media influences. And there's also a 210 00:12:12,880 --> 00:12:17,199 Speaker 3: ban on ads that sexualize or trivialize cosmetic procedures. 211 00:12:17,440 --> 00:12:18,520 Speaker 1: What exactly does that mean. 212 00:12:18,920 --> 00:12:23,920 Speaker 3: It means anything that minimizes the invasiveness of cosmetic procedures 213 00:12:24,040 --> 00:12:27,400 Speaker 3: or misleads patients about how complex a procedure might be. 214 00:12:27,840 --> 00:12:30,360 Speaker 3: It is worth pointing out when I say advertising here, 215 00:12:30,800 --> 00:12:34,200 Speaker 3: this can include any kind of social media post. So 216 00:12:34,360 --> 00:12:37,360 Speaker 3: a practice could post about a procedure that they offer 217 00:12:37,880 --> 00:12:41,479 Speaker 3: that is, under these guidelines considered a form of advertising. 218 00:12:41,600 --> 00:12:43,120 Speaker 1: I feel like the thing that comes to mind is 219 00:12:43,120 --> 00:12:44,240 Speaker 1: the classic kind of before and. 220 00:12:44,200 --> 00:12:48,120 Speaker 3: After exactly, and they will be changing under these regulations, 221 00:12:48,200 --> 00:12:51,120 Speaker 3: So any advertising, all those kinds of posts that include 222 00:12:51,120 --> 00:12:57,640 Speaker 3: things like emojis won't be allowed. Words like transformation, artistry, perfect, 223 00:12:57,840 --> 00:13:03,600 Speaker 3: silhouette sculpting. They're all inappropriate for advertising, and other terms 224 00:13:03,600 --> 00:13:08,560 Speaker 3: that minimize procedures like gentle, simple, safe, quick, easy. They 225 00:13:08,800 --> 00:13:11,880 Speaker 3: appro say detract from the seriousness of a procedure, so 226 00:13:12,000 --> 00:13:13,440 Speaker 3: they will also be banned. 227 00:13:13,760 --> 00:13:16,120 Speaker 1: So there's some pretty sweeping reforms that we've talked about, 228 00:13:16,120 --> 00:13:19,160 Speaker 1: but this isn't the first time that this space has 229 00:13:19,200 --> 00:13:21,880 Speaker 1: had regulation. Give me a sense of what those other 230 00:13:21,920 --> 00:13:23,680 Speaker 1: regulations are, yees. 231 00:13:23,640 --> 00:13:24,679 Speaker 2: So I mentioned earlier. 232 00:13:24,760 --> 00:13:27,520 Speaker 3: There was a review in twenty twenty three, and this 233 00:13:27,640 --> 00:13:31,240 Speaker 3: crackdown is really building on that. APRA shared at the 234 00:13:31,280 --> 00:13:34,400 Speaker 3: time some pretty serious case studies, including the story of 235 00:13:34,400 --> 00:13:37,880 Speaker 3: a patient who suffered severe burns from a light based treatment, 236 00:13:38,280 --> 00:13:41,840 Speaker 3: another who developed an abscess after a threading procedure gone wrong, 237 00:13:42,160 --> 00:13:45,079 Speaker 3: and in one case, a practitioner ignored a patient's skin 238 00:13:45,160 --> 00:13:48,440 Speaker 3: condition and went ahead with filler and that injectable led 239 00:13:48,440 --> 00:13:51,640 Speaker 3: to a serious reaction. The regulator said at the time 240 00:13:51,720 --> 00:13:55,640 Speaker 3: these are not isolated events. They really represent a broader 241 00:13:55,679 --> 00:14:00,120 Speaker 3: pattern of shortcomings within the industry. So that review found 242 00:14:00,200 --> 00:14:04,040 Speaker 3: there was no universal minimum standard of education or training, 243 00:14:04,200 --> 00:14:07,080 Speaker 3: and experts warn that was leaving patients at risk, and 244 00:14:07,200 --> 00:14:10,840 Speaker 3: in response, the Medical Board and OPERA accepted sixteen major 245 00:14:10,880 --> 00:14:13,240 Speaker 3: recommendations to improve patient. 246 00:14:12,960 --> 00:14:15,520 Speaker 1: Safety and those are in place now yep. 247 00:14:15,400 --> 00:14:20,160 Speaker 3: So essentially in the area of injectibles, those regulations have 248 00:14:20,240 --> 00:14:22,560 Speaker 3: been rolled out, but clearly there is more to be done, 249 00:14:22,600 --> 00:14:25,080 Speaker 3: which is why we've seen these new rules. But back 250 00:14:25,120 --> 00:14:29,600 Speaker 3: in twenty twenty three, there were new rules about consent consultations. 251 00:14:29,680 --> 00:14:32,960 Speaker 3: You might remember headlines at the time about psychological evaluations, 252 00:14:33,400 --> 00:14:37,440 Speaker 3: tightening who can prescribe and administer procedures, and that was 253 00:14:37,480 --> 00:14:40,600 Speaker 3: the start of a ban on testimonials from influencers, a 254 00:14:40,640 --> 00:14:43,960 Speaker 3: clamp down on influencer marketing, and these reforms are really 255 00:14:43,960 --> 00:14:46,160 Speaker 3: an evolution of those changes. 256 00:14:46,520 --> 00:14:48,800 Speaker 1: So we have a reaction from industry bodies here. 257 00:14:49,200 --> 00:14:52,800 Speaker 3: Yeah, we've heard from the Australasian Society of Esthetic Plastic 258 00:14:52,880 --> 00:14:56,920 Speaker 3: Surgeons ASAPS. That's a peak industry body and it's welcomed 259 00:14:56,920 --> 00:15:00,680 Speaker 3: the call by OPRA to require better education, training and 260 00:15:00,760 --> 00:15:06,280 Speaker 3: ongoing education for non surgical cosmetic practice. It says regulations 261 00:15:06,320 --> 00:15:09,840 Speaker 3: haven't kept pace with the popularity of the procedures. But 262 00:15:10,120 --> 00:15:12,720 Speaker 3: in addition to clinical safety, the body says there should 263 00:15:12,720 --> 00:15:16,040 Speaker 3: also be greater attention on ethical practice, with a focus 264 00:15:16,080 --> 00:15:18,720 Speaker 3: on patient interest over commercial profits. 265 00:15:18,840 --> 00:15:20,960 Speaker 1: Interesting, there's a lot in that sentence exactly. 266 00:15:21,000 --> 00:15:22,360 Speaker 2: It's a big, big sentence. 267 00:15:22,480 --> 00:15:26,240 Speaker 3: These new guidelines now stipulate that additional training that we've 268 00:15:26,280 --> 00:15:29,560 Speaker 3: talked through. But ASAPS, this body says that there's no 269 00:15:29,680 --> 00:15:34,320 Speaker 3: minimum quality standard for providers ongoing professional development and education 270 00:15:35,000 --> 00:15:37,200 Speaker 3: and no plan for enforcement. 271 00:15:37,280 --> 00:15:40,040 Speaker 1: So it's all very well and good having an education requirement, 272 00:15:40,200 --> 00:15:43,480 Speaker 1: there's no guidelines that this body is saying as to 273 00:15:43,520 --> 00:15:46,800 Speaker 1: who's teaching that and how it's being enforced. 274 00:15:46,520 --> 00:15:50,680 Speaker 3: Exactly, So more to be done, according to ASAPS. Meanwhile, 275 00:15:50,720 --> 00:15:54,520 Speaker 3: the Medical Board of Australia chair doctor Susan O'Dwyer said, quote, 276 00:15:54,560 --> 00:15:58,040 Speaker 3: these guidelines make sure we're all working from similar playbooks 277 00:15:58,080 --> 00:15:59,520 Speaker 3: for the safety of our patients. 278 00:16:00,080 --> 00:16:03,600 Speaker 1: Said. These regulations come into force in early September. What 279 00:16:03,720 --> 00:16:04,680 Speaker 1: else happens next? 280 00:16:05,080 --> 00:16:09,360 Speaker 3: Practitioners have three months to get themselves sorted, be that 281 00:16:09,600 --> 00:16:14,520 Speaker 3: advertisers or healthcare providers. The guidelines are online now, so 282 00:16:14,800 --> 00:16:18,520 Speaker 3: stakeholders essentially have the three months to get ready, update processes, 283 00:16:18,640 --> 00:16:23,320 Speaker 3: get qualified or retrain their staff if needed. For consumers, 284 00:16:23,520 --> 00:16:28,480 Speaker 3: especially younger Australians, you know, nothing will really change dramatically, 285 00:16:28,960 --> 00:16:32,280 Speaker 3: but there is a stronger safety net in place. Essentially, 286 00:16:32,320 --> 00:16:35,800 Speaker 3: that is what the regulator says. These rules don't stop 287 00:16:35,840 --> 00:16:39,160 Speaker 3: cosmetic work from happening, but they shine a spotlight on 288 00:16:39,240 --> 00:16:42,840 Speaker 3: ethics and safety and informed decision making. And I'm sure 289 00:16:42,880 --> 00:16:45,680 Speaker 3: it's not the last we're going to hear about regulation 290 00:16:45,760 --> 00:16:46,320 Speaker 3: in this space. 291 00:16:46,480 --> 00:16:48,720 Speaker 1: It has been an interesting space to watch over the 292 00:16:48,800 --> 00:16:52,880 Speaker 1: years because there seems to be quite a steady flow 293 00:16:52,960 --> 00:16:55,560 Speaker 1: of regulation that has been rolled out. It hasn't been 294 00:16:55,600 --> 00:16:58,240 Speaker 1: this kind of sense of sweeping regulation that turns the 295 00:16:58,360 --> 00:17:01,200 Speaker 1: entire industry on its head, rather kind of tweaks along 296 00:17:01,200 --> 00:17:03,760 Speaker 1: the way to what is the livelihood for a lot 297 00:17:03,760 --> 00:17:05,639 Speaker 1: of people, but also putting a lot of people at 298 00:17:05,720 --> 00:17:07,159 Speaker 1: risk should it be done incorrectly. 299 00:17:07,240 --> 00:17:09,399 Speaker 3: And so often in medicine, I think we see the 300 00:17:09,440 --> 00:17:12,840 Speaker 3: popularity come first and the regulations come second. 301 00:17:13,119 --> 00:17:15,040 Speaker 1: And thank you so much for that, And thank you 302 00:17:15,080 --> 00:17:17,480 Speaker 1: for joining us on the Daily OS this morning. If 303 00:17:17,480 --> 00:17:19,560 Speaker 1: you're catching us on YouTube, it's so great to have 304 00:17:19,640 --> 00:17:21,440 Speaker 1: you here. It would mean a lot if you subscribed 305 00:17:21,520 --> 00:17:23,760 Speaker 1: to our channel. We'll be back in the afternoon with 306 00:17:23,800 --> 00:17:30,440 Speaker 1: your headlines. Until then, have a great date. My name 307 00:17:30,480 --> 00:17:33,720 Speaker 1: is Lily Maddon and I'm a proud Arunda Bunjelung Kalkutin 308 00:17:33,760 --> 00:17:37,800 Speaker 1: woman from Gadighl country. The Daily oz acknowledges that this 309 00:17:37,880 --> 00:17:40,439 Speaker 1: podcast is recorded on the lands of the Gadighl people 310 00:17:40,760 --> 00:17:43,800 Speaker 1: and pays respect to all Aboriginal and Torres Strait island 311 00:17:43,840 --> 00:17:44,400 Speaker 1: and nations. 312 00:17:44,720 --> 00:17:47,640 Speaker 2: We pay our respects to the first peoples of these countries, 313 00:17:47,760 --> 00:17:48,960 Speaker 2: both past and present.