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In recent years, the demand for ‘appearance medicine’ has increased substantially, largely in response to unrealistic media images of ‘perfect’ faces and bodies. In Aotearoa New Zealand, doctors who are not qualified as surgeons may perform cosmetic procedures, including invasive surgery.As with any form of major surgery, there are risksand side effects associated with cosmetic surgery and variations between the providers and clinicians involved in this industry. Significant health risks have also been associated with breast implants used in both cosmetic and breast reconstruction surgeries.