Botulinum Toxin and Cosmetic Fillers (Children) Bill

Sally-Ann Hart Excerpts

2nd reading & 2nd reading: House of Commons
Friday 16th October 2020 Commons Chamber

[Claire Coutinho]

That is most generous.

[Sally-Ann Hart (Hastings and Rye) (Con)]

I have not seen those photos, but I am sure they are beautiful, because every child is gorgeous. Does my hon. Friend agree that for any child to think that they need to have botox or cosmetic procedures is so wrong and so sad, and it is an indictment of the society we find ourselves in today?

[Claire Coutinho]

I thank my hon. Friend for that point, because it is the crucial one. Growing up not having to contend with social media, I did not focus on these things—I did not think about them. I loved maths and reading, and I rarely thought about the way I looked, but that is not so for the children of the current generation.

--- Later in debate ---

[Dr Evans]

Absolutely, I could not endorse that message of body positivity more strongly. Each of us has a natural way for our body to be, and there is no problem with wanting to improve that. That is part of a healthy message on both eating and exercise.

[Sally-Ann Hart]

My hon. Friend is talking about positive body image. For young people, rhinoplasty and perhaps breast reduction can be to do with a lack of confidence, which may be hindering their ability to get on with their lives. Does my hon. Friend agree, as a medic yourself, that in some cases it is necessary for young people to have serious cosmetic surgery not because of aesthetic reasons but because of an impact on their mental health?

[Dr Evans]

rose—

--- Later in debate ---

[Laura Farris]

I could not agree more with my hon. Friend and I thank him for that point. I was talking about celebrities, reality TV shows and social media sites, but the fact is that they are completely blended as mediums. Someone who appears in one will also be present on the other.

[Sally-Ann Hart]

In reality TV shows such as “Love Island”, it is not just the women who are put on pedestals as perfect specimens, but the young men, too. We must not ignore that young men often feel lacking in confidence as well when they see programmes like that. It is important that we stress that.

--- Later in debate ---

[Sally-Ann Hart (Hastings and Rye) (Con)]

It is a pleasure to be able to speak in this debate. I congratulate my hon. Friend the Member for Sevenoaks (Laura Trott) on bringing this Bill to the House.

My hon. Friends have looked back to their childhoods. I grew up in a family of girls; I had three sisters growing up, and our parents were absolutely fantastic. My mother was amazing—I do not know quite how she managed four girls growing up, with all those hormones raging, but she did—and so was my father. I want to emphasise to all hon. Gentlemen in the House how important it is for girls to have fathers who are encouraging, who tell them they are gorgeous but do not focus only on their looks, who tell them how important education is, and who bring them up with confidence and substance. I thank my parents for the job they did with their four daughters.

The 2017 Conservative manifesto contained a commitment to ensure effective registration and regulation of those performing cosmetic interventions. At present, practitioners of botox or fillers do not need to be medically qualified to perform the procedures, and there is no mandatory competency or qualification frameworks related to their administration. The potential health risks of such procedures include blindness, tissue necrosis and all the things highlighted by other hon. Members.

In 2008, the British Association of Plastic, Reconstructive and Aesthetic Surgeons said that cosmetic surgery should always be conducted in the patient’s best interest. It said that the decision to perform plastic surgery on a teenager should be made only in exceptional circumstances and with parental consent. That type of scrutiny should also apply to beauty and cosmetic treatment practitioners. Although it is normal for teenagers to worry about their looks, it should never be a matter of course for young people to have or to consider cosmetic or aesthetic surgery unless it is for medical reasons. Surgeons work under strict guidelines, and it is their responsibility to weigh up the pros and cons for each person in a responsible and focused manner, in the best interests of their patient.

[Virginia Crosbie (Ynys Môn) (Con)]

As a teenager, I had a terrible car crash. We have all been looking back at our childhoods. I had a fantastic plastic surgeon—Brian Sommerlad—and I have had the opportunity to thank him and his team in this Chamber. Does my hon. Friend agree that, for medical reasons, we should have support for people at that very vulnerable time?

--- Later in debate ---

[Sally-Ann Hart]

I agree with my hon. Friend on that point.

Children who are still growing should not be considered candidates for appearance change unless it is for medical or mental health reasons. Cosmetic surgery procedures should be rarely performed on children who are still growing—for example, in cases of congenital deformity. There is a big difference between cosmetic procedures used for medical and mental health reasons, and those for purely aesthetic ones. Teenagers are physically immature, and may not develop the emotional strength to enable them to cope with a permanent change of appearance, the complications of botox, fillers or surgery, or their failure to meet their expectations

Botulinum toxin—botox—is a powerful chemical agent that paralyses muscle and is used to lessen the appearance of wrinkles. Its use and administration should be restricted and regulated, and it should be administered only ever after careful consideration of the individual client and their circumstances, no matter their age. Cosmetic surgeries or procedures are not always the right answer, and it is very unlikely that someone in their teens will receive any benefit from having botox injections for cosmetic reasons. Young people do not have wrinkles, and every young person should celebrate their youth. They are all individuals and are perfect. We are all a miracle of birth. My hon. Friend the Member for Stourbridge (Suzanne Webb) referred to ABBA, and my hon. Friend the Member for Wolverhampton North East (Jane Stevenson) referred to Bananarama, but I will draw on a more modern pop icon: Lady Gaga, who said that God made us perfectly.

Botox is used in the treatment of a range of medical conditions, which hon. Members have highlighted—I will not go through them again. Recent studies have described the use of botulinum toxin as an adjunct to the treatment of cleft lips. It can be used in medical treatments. It is important that under-18s are able to access medical treatment, and the Bill will not prevent that.

The Bill seeks to prevent under-18s from accessing botox or dermal filler procedures for aesthetic reasons, and I praise my hon. Friend the Member for Sevenoaks for bringing it to the House to highlight this serious issue for debate. The Bill seeks to achieve its admirable aims through making it an offence to administer botox and cosmetic fillers by injection to under-18s and establishing a regulatory framework through local authorities to ensure that businesses have appropriate safeguards in place to prevent under-18s from using their services. It is for those reasons that I am delighted to support the Bill.