title: Cosmetic websites Scotland: legal or lurid.
abstract: BACKGROUND
  The provision of cosmetic interventions and their advertising have recently come under intense scrutiny in the wake of the PIP scandal and Keogh report.
  
  
  OBJECTIVE
  A study of Scottish websites offering esthetic procedures was conducted to determine adherence to the advertising standards and regulations currently in place.
  
  
  METHODS
  Regulations are provided by the Advertising Standards Authority, Committee on Advertising Practice, Independent Healthcare Advisory Services and General Medical Council. An Internet search was then conducted to search for providers of non-surgical and surgical cosmetic procedures.
  
  
  RESULTS
  Overall 125 websites were reviewed. 109 local and 16 national with 17 websites associated with cosmetic surgeons. 26 websites failed to adhere to regulations. Failure was related to advertising of POM on the homepage or dropdown menu (20), offering enticements inappropriately (6). 26.6% of websites did not display qualifications of the practitioners. Only 16.6% of websites described the specific and the non-specific side effects of "anti-wrinkle injections" and only 12.5% mentioned alternative treatments.
  
  
  CONCLUSIONS
  The majority of websites reviewed adhered to current advertising standards. Plastic surgeons provide a small percentage of cosmetic procedures. Greater regulation at the point of product entry and of all esthetic practitioners is required.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ninewells Hospital, Dundee DD1 9SY, UK. Electronic address: egmgunn@gmail.com.
authors.forename: Eilidh G M
authors.initials: EG
authors.lastname: Gunn
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ninewells Hospital, Dundee DD1 9SY, UK.
authors.forename: Charles Yuen Yung
authors.initials: CY
authors.lastname: Loh
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ninewells Hospital, Dundee DD1 9SY, UK.
authors.forename: Thanassi
authors.initials: T
authors.lastname: Athanassopoulos
mesh_terms: D003257:Consumer Product Safety / Q000331:legislation & jurisprudence; D003357:Cosmetic Techniques; D006282:Health Personnel / Q000706:statistics & numerical data; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D008389:Marketing of Health Services / Q000331:legislation & jurisprudence* / Q000592:standards*; D012606:Scotland
keywords: Advertising; Botox; Cosmetic surgery; Keogh report; Non-surgical cosmetic interventions