Only trained doctors, nurses and dentists should provide non-surgical cosmetic treatments such as Botox, say surgeons.
Currently people such as beauticians with no medical training can administer anti-wrinkle Botox injections, even though it is a potent neurotoxin.
The Royal College of Surgeons (RCS) wants to put an end to “Botox parties” and rogue traders.
The government has been assessing whether tougher laws are needed.
NHS medical director, Sir Bruce Keogh, has been conducting a review into the cosmetic industry and will report back to government in March.
The RCS in England wants a clampdown, and has set out a list of standards for the industry.
RCS president Prof Norman Williams said: “While the colleges and professional organisations involved in cosmetic practice are neither regulators nor legislators, the profession has a responsibility to provide standards to which we would expect our members to work.
“We have serious concerns that not all those who offer cosmetic procedures are adequately qualified, or that patients are getting accurate information prior to treatment. We hope these standards will feed into the ongoing review of the industry led by the NHS medical director, Sir Bruce Keogh, and improve quality of care for patients going forward.”
The RCS makes several recommendations, including a proviso that anyone planning to have a cosmetic procedure should have a thorough psychological assessment beforehand.
Only those who have medically recognised qualifications and training and should carry out cosmetic procedures, such as breast surgery, liposuction and Botox treatment, and in a registered clinic with resuscitation equipment on hand in the event of an emergency, it recommends.
Practitioners have a duty to manage a patient’s expectations of how they will feel after treatment, the RCS says.
They should not imply that patients will feel “better” or “look nicer”, for example, and should instead use unambiguous language like “bigger” or “smaller” to describe what that patient is trying to change, it says.