A coroner is to write to the health secretary over concerns people are unaware of the risks of having cosmetic surgery overseas, after a British woman died following a ‘Brazilian butt lift’ procedure in Turkey.
Melissa Kerr travelled to the private Medicana Kadikoy hospital in Istanbul for the operation, during which fat is harvested from other parts of the body and injected into the buttocks.
The 31-year-old died on the day she had the procedure – 19 November last year.
Ms Kerr, who was “conscious about her appearance”, had breast enlargement surgery a decade earlier without complications.
But she was only given “limited information regarding the risks and mortality rate” associated with the Brazilian butt lift, an inquest heard.
Ms Kerr, from Denton, Norfolk, died after injected fat entered a vein before moving and blocking her pulmonary artery.
Her cause of death has been recorded as a pulmonary thromboembolism, Norfolk’s senior coroner, Jacqueline Lake, said.
More on Norfolk
Related Topics:
Ms Lake now intends to write a report to Health Secretary Steve Barclay to outline concerns after telling the inquest there have been a “high number of patient deaths in similar circumstances”.
‘Future deaths can be prevented by better information’
Advertisement
“I am concerned patients are not being made aware of the risks or the mortality rate associated with such surgery,” she said.
“I do have concerns there will be future deaths and I’m of the view future deaths can be prevented by way of better information.”
Ms Kerr’s death happened four years after mother-of-three Leah Cambridge died due to a fat clot caused by a Brazilian butt lift in Turkey in 2018.
The 29-year-old from Leeds travelled to a private clinic in the coastal city of Izmir for the operation after becoming paranoid about excess stomach weight gain, an inquest heard – despite being told by her partner she did not need surgery.
Image: Leah Cambridge and her partner Scott Franks. Pic: Facebook
Patient underwent ‘limited assessment’ and did not see surgeon in advance
Ms Kerr arranged to pay £3,200 in cash for the procedure in a conversation with a hospital worker via WhatsApp.
She said she was “a bit nervous” before the operation and asked to see photographs of previous patients four times – but there is no evidence she was given them, the inquest heard.
Ms Kerr, a psychological wellbeing practitioner for the charity Mind, did not see a surgeon or clinician in advance and underwent a “limited assessment” prior to the procedure, Ms Lake said.
Consultant plastic surgeon, Simon Withey, who was asked to view evidence in the case and prepare a report as an expert witness during the inquest, said the death rate associated with Brazilian butt lifts is “likely to be in excess of one in 4,000”.
He said it is “quite possible” that, if the risks had been explained “before she was financially committed to proceed, she would not have done”.
Recording a narrative conclusion, Ms Lake said Ms Kerr died after cosmetic surgery.
“There has been the release of an international alert to surgeons regarding the high mortality rate associated with this procedure,” the coroner added.
“There has also been the introduction of a voluntary moratorium (suspension of activity) on this type of procedure in the UK.
“These are clearly not being followed in Turkey.
“I don’t have any authority over hospitals in Turkey and I also appreciate the UK government has no control (over) what happens in other countries.
“However the danger our citizens will continue to travel abroad for such procedures continues, though citizens are unaware of the risks involved.”
Spreaker
This content is provided by Spreaker, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable Spreaker cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to Spreaker cookies.
To view this content you can use the button below to allow Spreaker cookies for this session only.
Ms Lake offered her sympathies to Ms Kerr’s family, who listened to the inquest via videolink.
On a JustGiving fundraising page set up after the tragedy, Ms Kerr was described as a “pure and beautiful soul” who was “passionate about helping others”.
The scientist who first raised the alarm over microplastics in the world’s oceans has warned of a “David vs Goliath” battle between scientists and the plastics industry – as delegates begin to negotiate a global deal to reduce plastic pollution.
As United Nations talks begin this week, Professor Richard Thompson, head of the International Marine Litter unit at Plymouth University, said: “We’re seeing some coercion and some pressure being put by some of those that have got conflicts of interest that fear they stand to lose from the treaty progress.”
Representatives of 175 countries will meet in Switzerland today, for what should be a final round of negotiations over a legally binding treaty to reduce plastic pollution.
The United Nations says while some countries are taking action on plastic, pollution is a global problem that needs a global agreement – but there is no official scientific presence at the talks.
Professor Thompson, who is attending the negotiations, said: “We’re only there as observers with a limited capacity to speak, whereas those from the industry have got a massive vested interest. They’re funded to be there. And it’s a bit of a David and Goliath battle.”
Image: Professor Richard Thompson
He continued: “It concerns me that I see some nations that are taking an increasingly short-sighted view, a view that’s perhaps driven by political cycles or short-run profits.
“You know, we need those leaders of countries, those negotiators, to take the long-term view to protect our planet for future generations.”
More than 430 million tonnes of plastic is produced each year.
But according to environmental charity WWF, around 11 million tonnes end up in the ocean each year as pollution.
And that’s expected to rise to 29 million tonnes a year by 2040.
There is wide consensus among countries that plastic pollution is a problem, but they are split over what to do about it.
The UK and more than 70 other nations that are part of a “High Ambition Coalition” want production and consumption of plastic reduced to sustainable levels.
But major oil producing nations and the chemical industry oppose any cuts.
The previous round of talks, in South Korea last year, collapsed in disagreement.
Professor Thompson is a founding member of the Scientists’ Coalition for an Effective Plastics Treaty.
‘Strong treaty’ still possible
He said previous negotiations have been swamped by lobbyists from the chemicals industry putting pressure on delegates – and that if a good agreement cannot be achieved, leading countries should look to work outside the United Nations framework.
Professor Thompson said: “Given that there are more than 100 nations that are already backing the level of ambition that’s required, I think it could be possible to take this out of the UN process, to have a strong treaty that will function to end plastic pollution, to start with those 100 or 120 or so countries and to add others over time.
“I think there’ll be a realisation for those that aren’t on board initially, that if they don’t join forces with that coalition of the willing, they’re going to suffer in terms of their own international trade and that it’s better to be part of that strong treaty than not to be.”
Plastic is so widely used because it’s cheap, durable and can take many forms. So production of new plastic will only fall if better use can be made of the material that already exists.
The company Project Plan B is working with the charity The Salvation Army to recycle polyester textiles.
They’ve installed the first machine of its kind to turn the material into plastic pellets that can be used to make yarn for new clothes.
Just a handful of the pellets is enough to make a T-shirt.
Tim Cross, the director of Project Plan B, said the aim is to make the recycling process a closed loop, so as little as possible escapes as waste or pollution.
“This makes much better use of that plastic,” he said.
Image: Thomas Moore and Tim Cross
“If we’re wasting it and losing it into the environment, that’s a terrible waste, and we mustn’t allow that to happen.”
The UK produces around 700,000 tonnes of textile waste each year. Almost all is landfilled or incinerated.
A major problem is that most clothes are made of mixed materials, which makes it uneconomical to recycle them.
A polyester shirt may have nylon buttons and cotton thread.
But Project Plan B has been working with school uniform maker David Luke on a blazer made completely out of polyester and 100% recyclable.
Image: The Project Plan B recycling plant
“These garments normally last on children’s backs for a couple of years and used as goalposts a few times. And then what?” said Mr Cross.
“We wanted to make sure that we can fully recycle the blazer through the system that we’ve got here, so we had to completely redesign it.
“This is groundbreaking, changing the way that clothing can be made.
“When you’ve got something that is recycled and recyclable, you’ve got an instant solution.”
Benjamin Netanyahu has said he will convene his security cabinet to discuss how to instruct Israel’s military to proceed in Gaza to meet all of his war goals.
“We must continue to stand together and fight together to achieve all our war objectives: the defeat of the enemy, the release of our hostages, and the assurance that Gaza will no longer pose a threat to Israel,” the Israeli prime minister told his cabinet.
It came after indirect ceasefire talks with Hamas, which had aimed to agree on a US-backed proposal for a 60-day truce, during which aid would be flown into Gaza and half of the hostages Hamas is holding would be freed in exchange for Palestinian prisoners jailed in Israel, fell apart.
Mr Netanyahu is believed to be leaning towards expanding the offensive in Gaza and seizing the entire enclave, according to Israel’s Channel 12, which cited an official from his office.
He will convene his cabinet on Tuesday to make a decision, Israeli media reported.
Image: Palestinians carry aid supplies. Pic: Reuters
Former Israeli prime minister Ehud Barak told Sky News chief presenter Mark Austin the war in the last several months has been “a war of deception”.
“It’s nothing to do with the security in Israel, and it has nothing to do with the future of the hostages. It’s basically a war to hold together the coalition and to save Netanyahu from the day of reckoning that will come inevitably when the war stops, when these criminal court cases of corruption will be accelerated. Basically, it’s totally unjustified.”
A group of around 600 retired Israeli security officials have written to Donald Trump to urge the US president to pressure Israel to bring the war to an immediate end.
“It is our professional judgement that Hamas no longer poses a strategic threat to Israel,” the letter said. “Your credibility with the vast majority of Israelis augments your ability to steer Prime Minister [Benjamin] Netanyahu and his government in the right direction: End the war, return the hostages, stop the suffering.”
Please use Chrome browser for a more accessible video player
9:06
Gaza: A war of ‘deception’
Meanwhile, at least 40 Palestinians were killed by Israeli gunfire and airstrikes in Gaza on Monday, including 10 seeking aid, local medics said. Another five died of starvation, they added.
Aid groups say Israel’s latest measures to allow aid into the besieged enclave are not enough.
Image: Smoke rises after an explosion in Gaza. Pic: Reuters
Several hundred Palestinians have been killed by Israeli fire since May as they headed towards food distribution sites and aid convoys, according to witnesses, local health officials and the UN human rights office.
Israel’s military says it has only fired warning shots and disputes the number killed.
Image: Palestinians rush to collect humanitarian aid in Gaza. Pic: AP
Several countries have been airdropping aid to Gaza, though the UN and aid groups warn such drops are costly and dangerous for residents, and deliver less aid than trucks.
COGAT, the Israeli military agency that coordinates aid, said during the past week, more than 23,000 tons of humanitarian aid in 1,200 trucks had entered Gaza, but hundreds had yet to be driven to aid distribution hubs by UN and other international organisations.
Palestinian and UN officials said Gaza needs around 600 aid trucks to enter each day to meet its humanitarian requirements – the number Israel used to allow in before the war.
The war began when Hamas-led militants killed 1,200 people and took 251 hostage in an attack on southern Israel on 7 October 2023.
Israel’s offensive has since killed more than 60,000 Palestinians, according to the Hamas-backed health ministry, which does not differentiate between civilians and combatants in its count.
Israeli officials say 50 hostages remain in Gaza, with only 20 of those believed to still be alive.
The Kremlin has urged caution in nuclear rhetoric, responding for the first time to US President Donald Trump’s announcement that the US is repositioning nuclear submarines.
Kremlin spokesman Dmitry Peskov played down the significance of Mr Trump’s comments, saying on Monday that US submarines are already on combat duty and that Moscow does not want to comment further.
Mr Trump said last Friday that he had ordered two submarines to be moved to “the appropriate regions” in response to remarks from former Russian president Dmitry Medvedev about the risk of war between the nuclear-armed powers.
“In this case, it is obvious that American submarines are already on combat duty. This is an ongoing process, that’s the first thing,” Mr Peskov told reporters.
“But in general, of course, we would not want to get involved in such a controversy and would not want to comment on it in any way,” he said. “Of course, we believe that everyone should be very, very careful with nuclear rhetoric.”
Mr Peskov said Moscow did not view Mr Trump’s statement as an escalation in nuclear tension.
“We do not believe that we are talking about any escalation now. It is clear that very complex, very sensitive issues are being discussed, which, of course, are perceived very emotionally by many people,” he said.
More from World
He declined to answer directly whether Mr Medvedev, who currently serves as deputy chairman of the Security Council of Russia, was advised to tone down his online altercation with Mr Trump.
Image: The spat between former Russian president Dmitry Medvedev and Donald Trump intensified over nuclear rhetoric. Pic: Reuters
“Listen, in every country, members of the leadership… have different points of view on events that are taking place, different attitudes. There are people who are very, very tough-minded in the United States of America and in European countries, so this is always the case,” Mr Peskov said.
“But the main thing, of course, is the position of President (Vladimir) Putin. You know that in our country, foreign policy is formulated by the head of state, that is, President Putin.”
The spat between Mr Trump and Mr Medvedev flared up after the US president said he is reducing his 50-day deadline for Russia to end its war in Ukraine to less than two weeks.
Mr Medvedev posted on social media that Mr Trump was “playing the ultimatum game with Russia… Each new ultimatum is a threat and a step towards war”.
The US president responded: “Tell Medvedev, the failed former Russian president who thinks he is still in power, to be careful what he says. He is entering very dangerous territory.”
Image: A Russian air strike has set cars on fire and damaged buildings in Ukraine’s Kharkiv region. Pic: Sofiia Gatilova/Reuters
Medvedev’s following post mentioned “Dead Hand,” the automatic nuclear retaliation system created during the Soviet era.
Ukraine and Russia continue attacks amid stalled talks
Meanwhile, Russia and Ukraine continue exchanging strikes as peace talks to end the conflict remain stalled.
Ukraine’s security service said on Monday that its drones have attacked a Russian military airfield in Crimea, damaging several planes.
Image: US Special Envoy Steve Witkoff meets Vladimir Putin in the Kremlin.
The Ukrainian military also claimed it had attacked a Russian fuel depot at Sochi airport the previous day. Russian officials reported on Sunday that an overnight Ukrainian drone attack on an oil depot near the Black Sea resort of Sochi caused a large fire, which prompted authorities to halt flights from the airport.
Ukraine said on Monday its forces neutralised 161 out of 162 Russian drones launched overnight.
As the US deadline for the Russian president to agree to a ceasefire in Ukraine approaches, Mr Trump’s Special Envoy Steve Wikoff will be travelling to Moscow on Wednesday for talks.
Ukrainian President Volodymyr Zelensky said Sunday that Ukraine and Russia have agreed to exchange 1,200 prisoners following their latest round of negotiations in Istanbul in July.
Mr Zelensky also said that his office is in communication with US partners and that “pressure on Russia can truly work – in a way that makes them feel the consequences of prolonging the war”.