hello, it's tuesday, it's 10 o'clock. i'm victoria derbyshire. good morning. boobjobs, butt lifts, lipfillers, botox. we ask our audience, is having a cosmetic procedure the norm for young women — and men? they'll also give us their reaction to our exclusive poll today, which suggests almost half of women aged 18 to 30 say having something done is a lot like getting your hair cut. you might recognise me from last's love island. i am pro surgery, but it should not be taken lightly.” love island. i am pro surgery, but it should not be taken lightly. i am an a—level student, i have never had anything jenner and would never consider it, that i think there is an increase in pressure on social

media. i'm tv personality holly hagan, i have had a positive experience with surgery but i don't think people are doing enough research. ianda research. i and a cosmetic doctor and have seen a big increase in mums bringing 16—year—old daughters to me for lip filler. 16-year-old girls being brought to surgery by their mums... according to our survey, 66% of women aged 18 to 30 have either had or would consider a cosmetic procedure — botox and lip fillers are the most popular, and 20% of those who've had a procedure have had a boobjob. plus, one young man tells us exclusively he injects filler and botox into his own face — without any training according to our survey, 66% of women aged 18 to 30 have or qualifications. i started to have a problem with my lips, just used a normal injection. they were uneven, one side was bigger than the other. i had blisters and it was incredibly, incredibly painful. i was not sure what to do, to be honest. ijust

assumed it was a filler and i did not look into the ingredients or anything like that. and i had had a reaction to what i had injected into my lips. that as the department of health tells us exclusively it will soon launch a campaign to tackle botched cosmetic procedures, after a rise in people seeking them. and the doctor who pioneered botox for anti—ageing tells us it should be banned for anyone under 25. hello, welcome to the programme. we're live until 11 this morning with our audience of around a0 people, asking is it the norm now for young women and men to get cosmetic procedures? wherever you are in the uk, do let us know your own experience — particulary if you've had botox orfillers or a boobjob or nosejob.

what age are you and why did you do it? 0n instagram use the hashtag #victoriaderbyshire, on twitter use the hashtag #victorialive and send us an email victoria@bbc.co.uk. first a summary of the news with annita mcveigh. thank you and good morning. cctv pictures have emerged which are thought to show one of the alleged bombers involved in the horrific sri lanka attacks in which at least 310 people died. the bbc has not been able to verify these pictures which are being widely shared and broadcast — this man carrying a backpack, and who's been highlighted by another media organisation, is outside st sebastian's church in negombo. the images show him entering the church with the full pack. at least 110 people are thought to have been killed in the st sebastian church attack. meanwhile the first funerals are being held for the victims of easter sunday's attacks at churches and hotels. at least eight british citizens were

killed in the bombings. among them was anita nicholson, who died along with her son son alex and daughter annabel. her husband ben, who survived the blast at the shangri—la hotel, said his children shared with their mother the ability to light up any room. former firefighter bill harrop and his wife sally bradley, a gp from manchester, died in the bombing at the cinnamon grand hotel. friends said they would be greatly missed. police have arrested a 57—year—old woman in connection with the killing ofjournalist lyra mckee in londonderry. the 29—year—old was shot as she watched rioting on thursday night. the dissident republican group, the so—called new ira, has admitted responsibility. two teenagers arrested in connection with her murder were released without charge on sunday night. brexit talks between the government and labour will resume this afternoon, as mps return to westminster after the easter break.

cabinet ministers will meet senior opposition figures to try to break the deadlock over the prime minister's withdrawal agreement. but a number of tory mps are angry that labour is involved, and senior conservative backbenchers will meet later today to discuss their next moves. and finally, these new photos of prince louis have been released to mark his first birthday. the youngest child of the duke and duchess of cambridge is seen playing in the garden of the family's home, on the sandringham estate in norfolk. catherine took the pictures herself, earlier this month. that is a summary of the news. back to you, victoria. good morning welcome to our programme, we're live today in the bbc‘s media cafe in central london. cheering here with us, an audience of a0 mostly young women and men, who are here to talk about whether cosmestic procedures are now the norm for young people. many here have had botox and lip

fillers, some have had boobjobs, nose jobs and a bum lift. we'll ask if it's made them happier. in the next hour we'll also introduce you to one man who's become so addicted to cosmetic procedures, he injects himself with fillers and botox. he has no training or qualifications. why? why do people have anything done? is it for them, for someone else? how much pressure is there from social media, or is thatjust an excuse? everything can't be kim kardashian and kyliejenner‘s fault can it? and what's wrong with changing your face or body if you're not happy with it and can afford it? also later, we'll reveal more about a campaign the government is launching in the coming weeks, to try and prevent so many people ending up with botched procedures. first we've got some really interesting results from an exclusive poll we commisioned jointly with bbc radio 1's newsbeat — have at look at this. in an online poll of 1000 women aged between 18 and 30 carried out by deltapoll,

almost half of those questioned said having a cosmetic procedure is now a lot like having your hair cut. a similar percentage — 47% — believe britain is obsessed with cosmetic procedures, and 45% say it is too easy to get cosmetic procedures in britain. iam reading i am reading this slowly because there are lots of figures to observe —— absorb. 0ver eight out of ten of the young women questioned said they would change something about their body if money and health weren't a concern. of those, six out of ten would change their stomach, over half their breasts and four out of ten their bum. by the way, 15% of women said they would change their vagina. laughter . yes. two thirds of the women

we spoke to have either had a cosmetic procedure, or would consider one. only 7% of 18—30—year—old women have already had something done. of those, 27% had botox to smooth out wrinkles, 28% had lip fillers and 20% a boob job. when thinking about any work they'd had done, over three quarters were happy with how it went. nearly seven out of ten felt more confident after. but only half felt more attractive. let's get reaction to the poll results and also find out what kind of procedures people have had done and why. good morning. introduce yourself. i'm megan barton—hanson, and a tv personality and i was under a lot of scrutiny when i came out of this reality show. i had my procedures before and did it solely for me, at 17i

before and did it solely for me, at 17 i had my ears pinned back, at 19 i had 17 i had my ears pinned back, at 19 ihada 17 i had my ears pinned back, at 19 i had a boobjob and rhinoplasty, that was all funny. rhinoplasty is a nosejob? that was all funny. rhinoplasty is a nose job? yes. -- that was all for me. the face when i was on the television show everybody was like, she is so fake. it did not fix all my problems, i had to work on myself and do therapy, with age you love yourself and become more co mforta ble. yourself and become more comfortable. you were on love island last summer? yes, and i was not aware of how much hate and trolling i had about the fact i had had cosmetic surgery. it is sad, that attitude makes people not want to do research and they rush into it because they are scared to tell family and friends they might want a procedure for fear of being judged. soon after you came out of love island, somebody gave a picture to the media of you before you had surgery, the media of you before you had surgery, you at school, it is just

behind you. you are smiling about, why? nobody likes looking back at pictures of them when they are young. the scarf on the headstone was not cute. i did not think i was hideous. i could have had a narrow nose and bigger lips but i did not think, my glove, i am nose and bigger lips but i did not think, my glove, iam hideous, and thatis think, my glove, iam hideous, and that is what i had been faced with, oh, my glove, look at you before. people were like, wait until people see what she looks like. it is horrible to shame people and that is why people do it and don't want to tell people, there is the negativity of being judged all the time for making the choice. provides good morning, hello. my name is amanda, i ama morning, hello. my name is amanda, i am a sociology student at kingston university and one month ago i had little is done. for me personally it comes down to curiosity, i and mixed comes down to curiosity, land mixed race, my mother is indonesian, 1

comes down to curiosity, i and mixed race, my mother is indonesian, i did not inherit her luscious, full lips, so not inherit her luscious, full lips, so it was always curiosity, maybe jealousy. i always wondered what i would look like if i had inherited her lips. the base so you did it? that was your first cosmetic procedure? yes. what you think? the blood it is a slippery slope, definitely, i only had 0.5 ml done, but i could see myself wanting to get more done in the future. what does 0.5 ml mean? i believe the standard amount to get when you get your first procedure done is boob. is that right? -- i believe the standard amount to get when you get your first procedure is one ml.|j have only ever had not paid five done. the bait would you have more?

yes. you do not need it, you are perfect. it was curiosity, but i am happy that my top does not disappear when i smile anymore. my when i smile anymore. my name is sarah, i and a business owner. between the ages of 16 to 18 i battled with anorexia really badly, i weighed about five stone and was treated as an outpatient, i was at such a critical place in my life. they treated me to psych apparent —— psychotherapy and dietitians‘ appointments. 0nce apparent —— psychotherapy and dietitians‘ appointments. once i was ata dietitians‘ appointments. once i was at a good enough bmi there were not the facilities in the community to keep me in treatment. i had my first range of cosmetic, noninvasive treatment at the age of 21. things like a boobjob, nosejob, botox,

filler. it was intense and it was addictive, so addictive. about how many procedures have you had done? accomplice. more than ten? not plastic surgery but botox and everything, 100%. iwas plastic surgery but botox and everything, 100%. i was not at a place in my life all my own sense of self where i was ready to healthily make those decisions, and i question whether anyone is making that from a healthy place of knowing who they are and where their identity lies. megan, how many procedures have you had? ears, nose, breasts, lip fillers, botox and veneers. are you happy? yes. happy? yes, but notjust because of plastic surgery. jo says i provide these treatments and i

have had lip fillers age 27. i give them to women between 18 and in their 60s, i have had 14—year—old girls message me about lip fillers. there is a huge increase in body dysmorphia and people who will provide huge amounts of lip fillers tend not to be medically qualified. liv says my mother and i both went for lip fillers, i and 18, no issue. we will soon be getting ourjaws done to match the lips.|j we will soon be getting ourjaws done to match the lips. i had my jaw filler done, i thought it looked amazing on the picture, then i started filming myself, i was turning my head a lot and it looked like i had an artificial lump in my face, not even myjawline. i had it dissolved and my face looks so much better, you really had to be careful. helen says grow old gracefully, i despair about these beautiful kids pushing botox into

their already perfect faces. what will they look like in their 50s? abby says they should be psychological assessments before major cosmetic surgery to make sure it is not feeding an underlying image of self confidence issue. please get in touch, particularly if you have had something done. details are on screen. hi. i and daniel mason and i am a reality star. i have had botox and some cheap filler and lip filler but i think the lip filler has won. my reasons for doing it were because literally ageing, because after i have had children and things like that, the moisture had dropped from my face, it was literally to fill out. personally i do not really agree with people having all this stuff done before the age of 30, i think everybody is starting to look

the same. who agrees that everybody is starting to look the same?” the same. who agrees that everybody is starting to look the same? i am aisleyne horgan—wallace, some of you might remember me 13 years ago on big brother, i might remember me 13 years ago on big brother, lam might remember me 13 years ago on big brother, i am a ex—reality tv star. provides that series is etched in my memory. i am star. provides that series is etched in my memory. lam now an entrepreneur and have a very large property portfolio. and also fake boobs changed my life, they certainly put me on the market to be a glamour model, from there i need huge amounts of money and change my life from a very negative, fine wine has nothing on me, girl! look at that. but the thing that danielle was racing, do you look like eve ryo ne was racing, do you look like everyone else? why did i shave off my eyebrows? i might look a bit like everybody else but i am 40 and fabulous and i know either good for my age. i worry about the younger girls who are beautiful and perfect,

dealing stuff. i am so glad that none of these facial fillers and botox and stuff was available when i was your age, because everybody is starting to look a bit uniform, they really are. i agree. starting to look a bit uniform, they really are. iagree. but it is starting to look a bit uniform, they really are. i agree. but it is ok for you to have a because you are over 30? if you have scarring and things like that it is a cosmetic thing. the doctor can treat it. if you have a scar, sometimes in botox can smooth it out. so if there is a medical reason it is all right, as opposed to vanity? when you are older, if you sleep on one side of your face it started older, if you sleep on one side of yourface it started uk older, if you sleep on one side of your face it started uk then a little better. it does not! for goodness‘ sake! little better. it does not! for goodness' sake! doesn't it? these

youngsters do not need it.|j goodness' sake! doesn't it? these youngsters do not need it. i am dr nick lowe. you pioneered botox three decades ago. i did lots of retakes cell research 30 years ago and if you start botox when you start getting lines, usually at about 25, thereon, it will be preventative for further skin ageing. there is good evidence for that. lots of people spaces are asymmetric. there is a loss of volume on some sites, a loss of volume on the lower face... loss of volume on some sites, a loss of volume on the lower face. .. let's come back to the ages that people are having fillers and botox, for example. what kinds of women and young women come to your surgery? all ages, but the most important thing is if you have some needful facial treatment like fillers, if you have hollows, if you have scars

and you think it is personally appropriate to have treatments in your 20s, may late teens, appropriate to have treatments in your20s, may late teens, if appropriate to have treatments in your 20s, may late teens, if they had scars and deformity. for purely cosmetic reasons, 25 onwards is appropriate unless they have medical reasons. would you like a ban on botox for people under 25?|j reasons. would you like a ban on botox for people under 25? i would like restrictions on cosmetic procedures for under 25s unless there is a good medical reason. tell us about the mums who ask permission of you to give botox and fillers to their teenage daughters?” of you to give botox and fillers to their teenage daughters? i had a mum and daughter the other day, the reason the daughter was brought in by mum, she was already a patient having botox, she brought in her daughter because she was insisting to her mum that she wanted botox at 16.16?! to her mum that she wanted botox at 16. 16?! 16. the reason her mum brought her to see me what she hoped, and i think i did, talked her

out of needing to have it. surrealistic ages and being sensible and ethical about the age we treat people is important. —— so realistic ages. i think it was very sensible that the mum brought the child in, the teenager in, to ask me to, if you will, try to convince her she did not need it. let‘s hear from more did not need it. let‘s hearfrom more of did not need it. let‘s hear from more of you, did not need it. let‘s hearfrom more of you, reasons why you had whatever you had done?|j guess to be on reality tv. funny, i think it is everything in moderation. —— i used to be on reality tv. i had my boobs done at 23. it was something i wanted from about 15, 16, girls at school had bigger breasts, i was jealous. about 15, 16, girls at school had bigger breasts, i wasjealous. i spoke to my mum. it was research, research for me, make sure you get a good surgeon and see a few consultations. i know they charge

for consultations —— and it can be expensive but it is not buying a bag or shoes for me, you need to be seriously aware of it and make sure you are putting yourself in good hands. there is my picture. before and after. i was quite bottom heavy. it is great now because everybody is living the big bums, i will thank him her —— and for that, but i felt like i had nothing on the bottom, i was like a a/b. i went to a d, i like the fact you do not have to wear a like the fact you do not have to weara bra, i like the fact you do not have to wear a bra, ifelt confident, like the fact you do not have to weara bra, ifelt confident, it like the fact you do not have to wear a bra, ifelt confident, it was not full attention, it was something i wanted from 15 or 16, i would say. how old were you when you had it? where you already into happy? no, it was a year before i went on the show. -- where you already in towie?

killer people look at the photos and think that is what they are going to look like, we have a responsibility, people like us in the public eye, to people like us in the public eye, to people who follow us and i would a lwa ys people who follow us and i would always say i have my lips done once always say i have my lips done once a year, i have 0.5 ml, i have had botox. so long as people understand you will not look like kyliejenner, holly or megan. everybody has individual natural features. you holly or megan. everybody has individual naturalfeatures. you can do things to enhance things and make them better, but as long as you know their limit them better, but as long as you know theirlimiti them better, but as long as you know theirlimit i do them better, but as long as you know their limit i do not think there‘s anything wrong. i am charlotte, i and a fashion and beauty blogger. i think there is a lot of social dysmorphia going on. i think you look at reality tv stars and social media stores online and you compare yourself, comparison is the devil. i have done it myself. are you blaming

holly, danielle, megan? i know that sounds brutal, but they are here, you can talk to them. awkward! yes. i think it is comparison. if you have a lack of self—esteem —— i am 27, ican have a lack of self—esteem —— i am 27, i can only imagine growing up with apps and facetune annual these ways to make yourself look a certain way. you can smooth your skin, make your breasts bigger and your bum biggerjust by doing this on the screen biggerjust by doing this on the screen and you biggerjust by doing this on the screen and you can see biggerjust by doing this on the screen and you can see what you could look like. i tried the lip plumper is, i have never had any cosmetic surgery, it brought all the blood to my lips and i had bruising all on my lips. i am interested, danielle just talked about the responsibility she feels with over 1 million instagram followers, i am

interested if you feel it is because of people like megan, holly, danielle and many others around the world who are putting pressure on people like yourself, and that it‘s leading to an increase in body dysmorphia although self—esteem, or individuals have low self—esteem to begin with, and what we see on social media exacerbates it? which one? the social media exacerbates it? which one ? the latter. social media exacerbates it? which one? the latter. they have low self esteem and it heightens it by looking and comparing. thank you. we will talk more in a moment but i wa nt to will talk more in a moment but i want to bring a description of the various procedures that there are around. so, invasive or non—invasive, botox or fillers — what exactly are they and how are they done? here‘s a short film to help your understanding. cosmetic procedure is different to cosmetic surgery, or plastic surgery. cosmetic procedures are usually non—surgical, which means they don‘t involve incisions on the body or the removal of tissue. cosmetic surgery, or plastic surgery, like breast augmentation

or brazilian but lifts, are usually done in an operating theatre. neither cosmetic procedures nor surgery are available on the nhs. usually, a cosmetic procedure like botox, should only be done once it‘s been prescribed by a medical professional, which means a doctor or nurse. but it doesn‘t matter who administers the botox, which is why increasing numbers of beauticians are offering it. botox is probably the most well known because of the effects it can have on a patient‘s face, sometimes making them look frozen or without expression. botox is a type of protein, and when it‘s injected into muscle it causes the tissue to relax. so it‘s used to remove fine lines and wrinkles. botox usually takes a few weeks to work, and the results aren‘t permanent. botox can also be used for people who want to stop underarm sweat. because botox only affects certain muscles, it doesn‘t stop the aging process, so it can‘t help drooping

eyelids or a sagging neck. where botox can‘t help, there are fillers. dermal fillers are injections used to plump out wrinkles and creases in the skin. they can increase the volume and definition of the lips and cheeks, as well as smooth acne scars. fillers are made from a variety of materials, both natural or in a lab, and the effects can either be temporary or permanent. fillers, like collagen, which is a type of protein your body naturally produces, are temporary and last no longer than six months. but permanent fillers aren‘t absorbed by the body, which is why they can sometimes go wrong, making someone‘s face look puffy or billowy. they can also result in a so—called fish mouth, when too much filler is injected into the lip. we‘ve touched a little bit on some of the reasons why people have cosmetic procedures — self—esteem, because you want to, pressure from social media.

let‘s hear from more let‘s hearfrom more of let‘s hear from more of you. let's hear from more of you. and tyne lexy, and best known from the reality tv show love island. when i was 18 i had a breast enlargement, my only cosmetic procedure. the first reason was because i had lost quite a little bit of weight and i found that the fatty tissue had gone from my boobs when i lost weight, the second was kind of a medical reason, i had always suffered from a condition called tubular boobs, meaning the underneath of the breast is not form as much as the top, giving them more of a pointy shape rather than the normally desired round shape, so i had a breast enlargement at the age of 18 and it is one of the best things i have ever done. i was confident before but i have even more confidence today, which i think i need when you come off reality tv. after you were on love island, how many messages did you get from

cosmetic practitioners offering you further surgery? it was a daily influx of e—mails from doctors and also chest salons saying we want to offer you this, i was offered plastic filler for my nose, for my jaw, i would even have it to the extent where they had already analysed my face from a photo and tell me where i needed it giving. how did that make you feel? wow, somebody thinks i need something doing to my face. it is a really good job that i had such a strong mum and family and i was like, do i need this? were they offering it for free? then your role would have been to promote it? hand on heart i will never do that, i know i have a young following, i am always honest about my breast procedure but i would never promote having fillers, i know that people are so young and it can be so impressionable to get it done and it is so accessible.”

be so impressionable to get it done and it is so accessible. i can ask you all, do you think it is the norm for young women, mostly young women, to have a cosmetic procedure? unfortunately, yes. unfortunately. it is so accessible, a young girl can go some places and they will not even ask her how old she is. especially how old young girls look nowadays, when i was 16 i looked about 12, they look older than me navigate so it is easy. do you think it is the norm? introduce yourself? lam susan, it is the norm? introduce yourself? i am susan, an a—level student. it is interesting that the common opinion here is that it is very easy to get cosmetic surgery, that make me because of your environment and the people you surround yourself in, but i would not know the first thing about cosmetic surgery or procedures personally, because of the environment i live in and the people i surround myself with. environment has a lot to do with the pressures placed on people to get certain

surgeries. going from what danielle said about being 15 or 16 and wanting a boob job, said about being 15 or 16 and wanting a boobjob, it is natural to be envious of certain tracheal friends might have all others might have, then you got one instagram on the explore page and there is a certain image of women that you think you need to look like in order to be beautiful, there is a lot of pressure on social media because you see this one type of woman, this one ideal version of what it is to be beautiful, so it can have a very negative effect on younger people, especially because they are developing. you are nodding in agreement? please just developing. you are nodding in agreement? pleasejust pass developing. you are nodding in agreement? please just pass the microphone and we will hand it back. ianda microphone and we will hand it back. i and a cosmetic doctor, i coined the chase —— michael frey snapchat dysmorphia which takes into account what you talk about. two people can be the same age, one person looks at the images on social media and is not affected, the other one is. usually it is multifactorial, it is

never straightforward because a celebrity did it all you saw it on social media. i am a cosmetic doctor, as you quite rightly said a big part is the biomed. what are the pressures surrounding you ? big part is the biomed. what are the pressures surrounding you? do you have people coming into you with a photograph of someone they want to look like? it usually changes in decades, ten years ago it was angelina jolie, everyone wanted to look like her, now it is michelle keegan. it changes, it goes around, but that is a reference point, that is ok sometimes, because people sometimes cannot articulate what they want to see or look like but if they want to see or look like but if they say they want to look exactly like that person, that is a problem. what do you say? i say, no, it is not possible! it is an important discussion: why would they want to change themselves? sitting down, having a conversation to convince them why. if you say no, u nfortu nately, them why. if you say no, unfortunately, there will be someone else who says, yes. want to come back to that. i have never actually

had any work done before because, not going to lie, i'm quite terrified, i don't think i could ever get any filler but people think i have had filler in my lips, i think that is the problem in today's society. we are following this trend of what is fashionable at this time. when i was at school, it was not cool to have big lips, i would come home crying my eyes out. people would take the mick dot blue i would ta ke would take the mick dot blue i would take my lips in foundation, do you remember! i used to hate it, and now, you even thought i had had them done. it is such a shame. get it done. it is such a shame. get it done for you, not because it is cool or trendy at the time. it is your body and it is precious. how old are you? 21. can you imagine a time when you? 21. can you imagine a time when you would have some botox or fillers? i don't know where i will be in my life, i don't want to say that i will never have anything done but we are meant to age, have wrinkles, look a bit old, we are not meant to look 21 for the rest of our

lives, it is ok to age and have a bit of cellulite and it is all right, just embrace it. looking around you, social media, tv, you think, it is not ok to age, you do not see that many older people. hello, iam not see that many older people. hello, i am charlotte, 19, not see that many older people. hello, iam charlotte, 19, i‘m politics student. i think, like, instagram is such a big part of it, i don‘t think it is online influencers and personalities, most of them admit to having it, that is what is good compared to supermodels, supermodels will not admit. interesting that you use the word admit, like it is something to be ashamed of. i don't know what it is but some people are like, it is the fact that people, if you are in the fact that people, if you are in the spotlight, if you don‘t admit to it, you might have people think you look like that naturally. who do you admire on social media? megan. when

megan came out of love island should be straight up, she said, i have had all this and i don‘t care, it is fine, she preaches that on social media, it is fine to do all this, thatis media, it is fine to do all this, that is what is good about it. but certain apps, if i am scrolling through instagram, so many people face tuned their photos and it does not look real, i go on it, i drag it all out to the side. —— facetune. but it is something... it is body dysmorphia but... who uses it here, who uses facetune? i squeeze in my knees! teeth whitening, smooth knees. i have never changed my body shape, one, because, i have seen people do that, and then they have seen people do that, and then they have seena line, people do that, and then they have seen a line, and its gets... one of the results from the poll, when

people know, it is about a minority of those polled, if they find out you have had a cosmetic procedure, if you have been fake about something, they think less of you. which is actually the opposite of what you were saying, you want people to be straightforward and open and honest. they don't want to credit you for anything else if they know you have had surgery.” credit you for anything else if they know you have had surgery. i agree, one of the key things about these procedures, a lot of people want the natural look... they don't want the over injected look, it is interesting, because i also work in california and over there, there was definitely the trend towards over injections, puffed up faces, no wrinkles, no movement, it is actually going the other way now, people are seeking a much more natural appearance and i think that is the key, because if it is done naturally, you are going to evolve, and it looks great, but if it —— if you do it too much, it is too much.

lama you do it too much, it is too much. i am a drag queen, i had surgery done three weeks ago, second nose job done, i find it interesting we use the words natural, unfortunate that people are experimenting with surgery. that people are experimenting with surgery. you said really matter—of—factly, i‘ve had my second nosejob. matter—of—factly, i‘ve had my second nose job. surgery comes with risks, things go wrong, and the reason we see it so much now on social media is because it is more common, so the same risks that have always been there with surgeries, no matter how famous you are, how much money you throw out a doctor, there are risks, because it is so, now, we are showing the worst case scenario. i used surgery to achieve my idea of beauty, we use words like a natural, i don't think it is being attractive to what is a natural, it is your own idea of beauty. people say i look botched, people say these things, i did a project recently where i convince the world i had extensive

plastic surgery... it was an interesting project, iworked plastic surgery... it was an interesting project, i worked with an oscar award—winning interesting project, i worked with an 0scaraward—winning make—up artist and three months hid behind prosthetics, and seeing the reaction, that i said i had to achieve my idea of beauty, which was shocking to look at, inspired by people like jocelyn wilden steyn, i am lucky enough to call her a friend, and... she is the woman who had so much surgery... she looks very feline. it change the look of herface, and very feline. it change the look of her face, and her very feline. it change the look of herface, and her nickname, cruelly, was bride of wildenstein. herface, and her nickname, cruelly, was bride of wildensteinm herface, and her nickname, cruelly, was bride of wildenstein. it was never surgery was bride of wildenstein. it was never surgery that went wrong, people say the surgery has gone wrong, no, i have achieved my own idea of beauty. —— jocelyn wildenstein. things have gone wrong, certain things went wrong, that is why i needed a second nose job.” have had a large chest since i was a

teenager, i have had no idea why anyone would want to suffer like i have, i can‘t wear strappy dresses, i need to spend money on good bras, i would love a reduction. this tweet, i have one air that noticeably sticks out more than the other, a couple of years ago i realised when sitting behind my grandad it is an inherited trait and now i would not dream of getting it fixed. ear ——. —— ear. cosmetic surgery is not a lwa ys —— ear. cosmetic surgery is not always for vanity reasons, i had breast reduction and augmentation following sexual assault in my early 20s and it changed my life for the better. keep those coming in. we are going to exclusively reveal that the government is planning a campaign to tackle botched cosmetic procedures in the coming weeks. it‘s in part due to the growing number of people going overseas

for operations like bbls — brazilian bum or butt lifts. 29—year—old leah cambridge from leeds as well as another british woman 49—year—old tryce harry from birmingham, died after going abroad to have bum lift operations. and yet still, as our poll found, many young women would still consider having one. the government‘s campaign will try to tackle the number of problematic procedures, and the impact they have on people‘s mental and physical health as well as the cost to the nhs of fixing it. the department of health told us: "anyone considering a cosmetic procedure should take the time to find a reputable, safe, and qualified practitioner, and make sure they understand the impact of any treatment on their physical and mental health.we‘re working to improve the safety of cosmetic procedures, through better training and clear information so that people can make informed decisions about their care." how do you react to a campaign like that? good morning, my name is holly ruben, iam that? good morning, my name is holly ruben, i am a psychotherapist specialising in body image, i want to thank you for being on the show and being able to have the conversation in such an open way, it has been a long time since we have

been able to have this. i work in mental health and i am very much a believer in terms of understanding the basis for these procedures. and why we do them and why we are having them. and trying to understand the underlying reasoning behind it. iam a lwa ys underlying reasoning behind it. iam always looking at self esteem, a lwa ys always looking at self esteem, always looking at self esteem, always looking at, as you said before, multifactorial reasoning behind these things. and to take the time to be able to understand that and work these things through before we embark on something such as surgery we embark on something such as surgery which is permanent, really, we can talk about botched surgeries and go and get that help, but really we are taking time to make a drastic change. i don‘t say not to do that, i say to think first and be informed.

and the influences that we get them from. the pressure we feel about our appearance and how we are supposed to look, luckily that definition of beauty is widening and we are seeing much more diversity, we still have a way to go. thank you. hello, i am a social media personality, i recently had a brazilian butt lift, a fat transfer from my stomach, where i did not want fat, injected to the side of my hips. i did ask if it would be all right... are you co mforta ble would be all right... are you comfortable with that? it is something that i want to...

how has it made you feel?” it is something that i want to... how has it made you feel? i had the lift, that is what it is called, it was mainly for hips, something i had wanted for quite a while, it has made me feel so confident, it has made me feel so confident, it has made me feel like the person i believed i could have been with that procedure. but you are still the same person, you just have wider hips... yes, but i feel like, without a doubt, but because of... i agree with what you are saying about self—esteem but i don't agree about what you are saying completely about it being down to reality television stars and social media, because i was not watching reality television at seven years old, i was in school, being bullied for the way i looked. i feel that is definitely something we have to look into. i would also say, with people who follow me, definitely look into getting counselling and things like that before you go to do these procedures. before the operation, did you know it was one of the most dangerous? i did. the trade body...

baaps say an estimated 1 in 3,000 people die worldwide as a result of complications, and yet of the 8 out of ten young women who told us in that survey they would change something about their body if money and health weren‘t a concern. four out of 10 said they would change the shape of their bum. it isa it is a major risk, i was worried when i first started looking into it but as you do your research as you are supposed to, the more you know, the less the risk worries you, because you know... i am a religious person, i believe god had me regardless. it has the highest death rate of all procedures due to the risk of injecting fat into large veins in the butt which can then

travel to the brain and the heart. you have to do your research, i went abroad because i thought that was the best surgeon for me, i had consultations here... how much was it? in total it was £5,000. did you pay for that? yes. from earlier, usa not to say anything, but, yes, i did it with my clinic, they did it for me. “— it with my clinic, they did it for me. —— you said... it with my clinic, they did it for me. -- you said... you got it for free? the deal is that i am honest about what i did. and i take my followers on a journey. are you co mforta ble followers on a journey. are you comfortable with that? 1000%, i comfortable with that? 100096, i would rather be the person to say, this is the safe way of doing it, the research i have done... how would you feel if someone, like that lady, if... that lady passed away, how would you feel being... would you feel responsible if someone went to that place you went to that you

are promoting and ended up...?” would not say i'm promoting it, i would not say i'm promoting it, i would say i let them know that is the place i went to because i did my extensive research on it, there is the risk that if someone were to go there, and if something happened to them, i would feel like, oh god... however, i cannot take everybody's woes on my shoulders. can i ask you, is there any stigma for you as a black woman, having this surgery? 1000%, as a black woman, we are seen as obviously curvaceous, we have the butt and the hips and the shape. and... butt and the hips and the shape. and. . . that butt and the hips and the shape. and... that was probably some of the pressure. 100096. my mother is going to watch this and say, it is not my fault! but, all the to watch this and say, it is not my fault! but, allthe women to watch this and say, it is not my fault! but, all the women in my family are gorgeous, curvaceous women, idid family are gorgeous, curvaceous women, i did not have the hips, i got to 18 and thought, these hips are going to come in, they did not and my mum said, when you have kids,

your hips will widen, but then i will not be able to enjoy it, i will be running after two—year—olds. will not be able to enjoy it, i will be running after two-year-olds. let me bring in the lady next to you.” am sandra, i am... me bring in the lady next to you.” am sandra, iam... move me bring in the lady next to you.” am sandra, i am... move the microphone closer. i am a founder of a podcast for teenage girls, it is very interesting to listen to the conversation here, because, there is very much of a concern about young girls growing up too fast and a lot of pressures. but i do think the pressures a re of pressures. but i do think the pressures are coming from different angles. notjust pressures are coming from different angles. not just from pressures are coming from different angles. notjust from social media, one of the things i am hearing that is amazing, is the acknowledgement of the pressures and the acknowledgements of really explaining what you are doing and talking about the risk as well. from research we did, we have seen an increase, we have 8% of teenage girls, 13 to 16—year—old girls,

having cosmetic surgery for non—medical reasons. macro procedures or surgery? micro and cosmetic surgery. invasive? it is procedures because it is more like fillers, and really wanting to do that... and i think because of the pressures , that... and i think because of the pressures, the pressure has come from different angles.” pressures, the pressure has come from different angles. i have got to ask you, who is giving fillers to come at what age was it? 13 to 16—year—olds. . . ?! come at what age was it? 13 to 16—year—olds...?! you are going to say it is not you, it is not you, so, who is doing it? a 13-year-old, iam so, who is doing it? a 13-year-old, i am horrified someone at that age can geta i am horrified someone at that age can get a procedure done, and actually, as a doctor, i have a responsibility to my patients, what you will find is that the people willing to do these treatments tend to be non—medical and in the uk, we are quite unique, anyone can do fillers. i'm going to come back to

that, we need to talk about unregulated practitioners but first, this is one of the things the trade body, the british association of aesthetic plastic surgeons is talking about. products online like fillers. together with videos attempting to show how to use them. greg did not want to ship bet us to reveal his identity. is most worried about, is the increasing availability and affordabiliy of products online, together with videos attempting to show people how to use them. we‘re going to introduce you to one 27 year old man, who we‘re calling greg because he didn‘t want to reveal his identity, three years ago he started buying derma fillers online and self—injecting. and he‘s also injected himself with botox. have a look at this. i‘d say it‘s an addiction. i think you can often lose sight of, you know, reality of what your face looks like.

the product was so easy to get hold of, there was no issues with... you know, they didn‘t check your credentials, check who you were. and i... itjust made it easy for me, really. i started injecting, i was getting the look i wanted and i thought if i can do dermalfillers, then i can easily do botox. you know, i‘ve often been shaky when i‘ve been doing it, but i‘ve thought of the end result, you know? put a bit of music on in the background, keep watching the videos. it‘s quite a bit of a traumatising process, to be honest. and then once it‘s done, you‘re like, "ok, it‘s done." this has been a secret for greg for the past three yea rs. greg‘s not his real name as he doesn‘t want his identity known. he‘s been buying dermalfillers and botox online and self—injecting it into his face at home. it‘s risky, and every injection is a game of russian roulette on a maze of blood vessels and veins. i started to have a problem with my lips, just did a normal injection. woke up the next morning, they were uneven. one side was bigger than the other. i had blisters, and it was incredibly, incredibly painful. soi... i wasn‘t sure what to do, to be honest. i live on my own, i was quite

embarrassed to seek help. and what had happened? had you injected it in the wrong place? i just assumed it was a filler and wasn‘t... didn‘t look into the ingredients or anything like that, and i‘d had a reaction to what i‘d injected into my lips. you don‘t know what was in it? no, i don‘t know what was in it. i know what the packaging said it was, but i‘m not 100% certain what it was. getting hold of dermalfiller is as easy as shopping for food online. greg‘s been buying them from websites like these. plastic surgeons and dermatologists have been calling for the regulation of dermal fillers in the uk. they want it reclassified as a medicine, and a change in law so that only trained and medical professionals can carry it out. that would make it harder to get hold of, like botox, which is available on prescription. but greg, who‘s bought it online, says you can

find it if you know where to look. aside from self—injecting is the so—called cowboy injectors. if you don‘t know what you‘re doing, there‘s risk of necrosis, blindness, infection, long—term scarring, even facial disfigurement. and especially around the eyes, if you get the project into a vein or an artery then you can go blind. it‘s notjust self—injecting that‘s a worry. we can reveal that save face, a national accreditor of nonsurgical professionals, have had 413 complaints about unregistered practitioners since december. more than 300 were about dermalfillers alone. and they‘ve had more than 1000 complaints in 2018. i do think it should be regulated. there was a point where i was doing it quite a lot and my mum was noticing that my face was very distorted and i was losing all my characteristics. at the time i used to come home

and visit and, you know, my face would change every time. i can‘t be hypocritical and say don‘t do it. i‘d advise against it because it‘s a slippery slope. i mean, i had something go wrong and i still kept doing it, but i wasn‘t aware, definitely wasn‘t aware of the risks. what you think of that, as a cosmetic doctor? it is risky, i can't believe people would want to do it people go to unregistered practitioners because it is cheaper and they are more likely to get something that a medical practitioner would say no to.” understand you need a prescription for botox. fillers, you do not have to have a prescription. botox is a prescription medicine that is injected, there are still ways of non—medics getting it, with regards

fillers, to problems, the people injecting, in the uk, there is over 300 available fillers and you don‘t have to test them. in the united states, eight fillers, the equivalent type, that is because they have to be tested. that is one of the things the government need to do. change the category of the dermalfillers. do. change the category of the dermal fillers. ok. the do. change the category of the dermalfillers. ok. the key thing is, registration fillers themselves, making the medical device, the other thing, a legal age group this has to be for, if it is a cosmetic enhancement, next thing, who provide these, these are medical procedures... could i set myself up asa procedures... could i set myself up as a beautician? you could. and buy them online... as a beautician? you could. and buy them online. .. you don't even need

to bea them online. .. you don't even need to be a beautician, just click online and buy the product yourself, just as that guy has. could i offer it to other people? you could, you could. go to a regulated professional, because if something goes wrong, i have my regulatory body, i have the insurance. if you go to someone off the street, who do you turn to? well, go to the nhs, they pick up the bill. there are travelling injectors who go to beauty salons, only there for half an hour, then they move on. travelling injectors, interesting. so, if there is a problem, there is no one to come back to to sort out the problem. a lot of the time, these therapists who are injecting, as soon as these therapists who are injecting, as soon as there is a problem, they will block you. can't get hold of them again. that is shocking. but wouldn‘t you say that, because you are medically qualified and in the end, you want the business. are medically qualified and in the end, you want the businessm are medically qualified and in the end, you want the business. it is not about business, it is about

patients first, patient safety, these are medical procedures. you can become blind, lose tissue on your nose and lips, you can have abscesses. when the mac about these things go wrong, it is not going to be him treating himself or a beautician, you will be waiting for an ambulance to come to help you and thatis an ambulance to come to help you and that is the reality, it is not about doing, it is the skills to correct the complication. one thing all of us will probably account too, we are seeing more and more complications that are done by unregulated professionals. i'm not sure that microphone is even working, but thankfully, you have a deep voice! microphone is even working, but thankfully, you have a deep voicell deep, booming voice(!) laughter. is that when working? yes, i was on love island, i had some slightjaw asymmetry on my right hand side, so i got some filler to balance it out, which has bothered me since i was 15. after coming off the show, i thought, photographed 24/7, i don‘t

wa nt to thought, photographed 24/7, i don‘t want to always turn to the left side where i feel comfortable. realistically for what my career is, a lot of being photographed, i thought, for me and myself, do not be difficult, just have a bit of filler, to balance it out. people who say, this is so vain and superficial, you say, it is my living. yes, a lot of us, our looks are our livelihoods now, and u nfortu nately, are our livelihoods now, and unfortunately, it is the way that the world is at the moment, it is really based on beauty and aesthetics. i don‘t think it is something we can necessarily change but it is something we should educate ourselves on.” but it is something we should educate ourselves on. i am a digital marketer... move the microphone closer. i have had my chest done, it took me over ten years and free consultations and then a further year to get my boobs done... why, because you were cautious? ten years, i had to convince my parents,

they were like, no! straight up, my mum said, no, not today. sol they were like, no! straight up, my mum said, no, not today. so i had to get my boobs done and i had to say, this is what i am doing, etc... and, first time, she still said no, you know, and second time, i convinced my dad, and said, please can you come with me, all of that. he was like, 0k, as long as you don't look like, 0k, as long as you don't look like those big bimbo girls, just be natural... and, for me, as you said previously, as a black individual, you are meant to be curvy, i am a size six, i have a small waist, little booty that i grew in the gym andl little booty that i grew in the gym and i did not have boobs and not only that, but they were symmetric asymmetrical, now i have had it done and they feel fantastic. i also mentor girls, and they feel fantastic. i also mentorgirls, i and they feel fantastic. i also mentor girls, i say, and they feel fantastic. i also mentor girls, isay, do and they feel fantastic. i also mentor girls, i say, do this if you wa nt mentor girls, i say, do this if you want it, if you have thought about it, get it done in the uk and not

abroad. i used to live abroad, and it was a whole different ball game. when they spoke to me it was different. but, also, nonsurgical stuff, i really wanted to get fillers... i got a lot of pressure. from a lot of people. that music, we can hear the music, it means we are at the end of the programme. thank you so much for giving up your time today. give yourself a round of applause, it has been a brilliant hour. we will be back tomorrow at 10am. have a good day. after they warm and sunny easter weekend, things are changing with the weather this week. today, we have some more cloud, high—level cloud, making the sunshine hazy, as we are seeing in structure at the

moment. you can see the extent of the cloud across england and east wales. that cloud will sing and break up to give some bright and sunny spells from time to time, especially across scotland and northern ireland. largely dry and warm for many of us, 20—23 degrees, but cooler along the north sea coast. tonight, we will see some more cloud into the south—west of england. some showers will push in and they could turn a bit thundery. elsewhere, some clear spells and overnight temperatures down to about 6-12. overnight temperatures down to about 6—12. for wednesday, the showers in the south—west of england will work their way north and they could turn quite heavy and boundaries for some of us throughout wednesday. dry weather across scotland. —— heavy and thundery. temperatures coming down to 19.

you‘re watching bbc newsroom live — it‘s 11 am and these are the main stories this morning: sri lanka observes a national day of mourning, as funerals take place for some of the hundreds of victims of the easter sunday bombings. under scrutiny about how much it knew ahead of the attacks, sri lanka‘s government has said they were carried out by two local islamist groups in response to the christchurch massacre. these cctv pictures show one of the alleged bombers walking up to saint sebastian‘s church where at least 110 people died. a 57—year—old woman is arrested in connection with the murder of the journalist, lyra mckee in londonderry. as mps return to westminster — talks are due to resume between the government and labour as they try to break the brexit deadlock.