ASA rules against Turkish cosmetic surgery clinic, for misleading advertising

Danielle Lowe
By Danielle Lowe

Danielle Lowe is the Marketing Manager for ConsultingRoom.com, (www.consultingroom.com) the UK’s largest aesthetic information website. 


The UK Advertising Standards Authority (ASA) has ruled against Egemed Hastaneleri, a Turkish cosmetic surgery clinic, for misleading advertising.

The Joint Council for Cosmetic Practitioners (JCCP) challenged whether:

  1. the ad, which encouraged consumers to travel abroad for cosmetic surgery and to treat it as a “vacation”, was irresponsible because it trivialised the decision to have cosmetic surgery;
  2. the reference to a “Summer sale” pressured consumers into purchasing surgery and was therefore irresponsible; and
  3. the ad breached the Code because it advertised Botox, a prescription-only medicine.
    The ASA challenged whether:
  4. the ad misleadingly omitted information regarding the need for a pre-consultation to assess the patient’s potential contraindications and suitability for the procedures, including where such a pre-consultation would take place; and
  5. the claim “TIME TO REFRESH YOURSELF! MOMMY MAKEOVER” was irresponsible because it exploited new mothers’ insecurities around body image.

The clinic was found to have made false claims, which led to the clinic being banned from advertising in the UK.

The ASA was concerned by Egemed’s lack of response and apparent disregard for the Code, which was a breach of CAP Code (Edition 12) rule 1.7 (Unreasonable delay). They reminded them of their responsibility to respond promptly to ASA enquiries and told them to do so in future.

1. Upheld

The CAP Code required marketing communications be prepared with a sense of responsibility to consumers and to society.

The ad made reference to a “vacation” and featured a series of relevant emojis. The ad also gave emphasis to items of the cosmetic surgery package which people would closely associate with holidays such as: “luxury hotel”, “VIP transfer” and “all-inclusive package”. We considered that the ad was not likely to be interpreted as promoting a holiday; rather, its purpose was clear that it was for cosmetic surgery abroad. However, because the overall emphasis of the ad, the wording and visuals, focused on the travel and the cosmetic intervention, it was likely to detract from the seriousness of the surgery offered. It was also relevant that the surgery would take place abroad which raised the potential for additional risks such as: whether the doctors and treatment providers would have the same standards of care and safety as in the UK and how any arrangements for follow-up care and dealing with any complications which arose would be managed. We considered that the ad could be interpreted as suggesting that surgery was a decision that could be undertaken lightly as part of a holiday, without serious consideration of the nature of the intervention. We therefore concluded that the overall presentation of the ad was likely to be seen as trivialising cosmetic surgery.

On that point the ad breached CAP Code (Edition 12) rule 1.3 (Social responsibility).

2. Upheld

We considered that although it would not necessarily be irresponsible to offer promotions for surgical procedures, marketers would need to take particular care when executing and administering them.

The ad referred to a “Summer Sale” accompanied by holiday themed emojis. We considered that consumers would, in the absence of a specific time frame in the ad, interpret the reference to “Summer Sale” to mean that there was a time-limited opportunity to take up the offer.

We considered that cosmetic surgery should be portrayed as something that required time and thought from consumers, because of the seriousness of a decision to undertake an invasive medical procedure. By advertising the “Summer Sale”, a promotion which offered “3 zone facial BOTOX” as a free gift, with no indication of a specific time frame, consumers could be rushed into making an important decision without having sufficient time to consider the consequences. Because it created a sense of undue urgency to respond quickly, we considered that the ad had not been prepared in a socially responsible manner, and therefore concluded that it breached the Code.

On that point the ad breached CAP Code (Edition 12) rule 1.3 (Social responsibility).

3. Upheld

The CAP Code stated that prescription-only medicines (POM) must not be advertised to the public.

We understood that Botox was a POM. The ad featured two separate references to a free gift of “3 zone facial BOTOX” as a part of Egemed’s “Summer Sale” promotion. We therefore considered that the ad promoted a POM to the general public in the UK and concluded that it breached the code.

On that point the ad breached CAP Code (Edition 12) rule 12.12 (Medicines).

4. Upheld

The CAP Guidance on Cosmetic interventions stated that marketers should not imply that invasive surgery was a “minor procedure” or similar if that claim was likely to mislead as to the complexity or duration of the operation, the pain experienced either during or after the operation, the length of the recovery time or the potential side-effects. Ads should not mislead as to the likely commitment required for pre-consultation, surgery, recovery and post-operative assessments.

The ad omitted information regarding the need for a pre-consultation to assess the patient’s potential contraindications and suitability for the three procedures advertised, including where such a pre-consultation would take place. We understood that a pre-consultation would be necessary in order to discuss the patient’s concerns and suitability for the procedures, outline the complexity or duration of the operations, the pain during or after the operation, the length of recovery time and the potential risks and side effects. While we had not received a response from the advertiser, we understood it was likely that those pre-consultations might sometimes need to take place in person rather than remotely. In this case, three significant medical interventions were included in the package: “tummy tuck”, “breast surgery” and “Liposuction”, each with their own risks and recovery times. We considered that in the context of an ad for cosmetic surgery abroad, information regarding the necessity for pre-consultations and where those would take place was material information necessary for consumers to make a considered decision and should have been included in the ad. Because that material information was not included we considered that the ad was misleading.

On that point the ad breached CAP Code (Edition 12) rule 3.1 and rule 3.3 (Misleading advertising).

5. Upheld

The CAP code required that marketing communications must not include gender stereotypes that were likely to cause harm, or serious or widespread offence.

We considered that women may already be body conscious because of pre-existing societal pressures and that any concerns and anxieties about their weight and shape were likely to have been heightened after giving birth.

We considered that the image of a new mother with her young child with the claim “TIME TO REFRESH YOURSELF! MOMMY MAKEOVER”, in the context of an ad for a package of cosmetic interventions which included a tummy tuck, breast surgery, liposuction and Botox, exploited the insecurities of mothers about their body image and perpetuated pressure for them to conform to body image stereotypes.

We concluded that the ad presented a gender stereotype regarding body image in a way that was likely to cause harm and therefore breached the Code.

On that point the ad breached CAP Code (Edition 12) rule 4.9 (Harm and offence).
This victory for patient safety and highlights the importance of transparency and accuracy in advertising cosmetic surgery. As professionals in the industry, we must ensure that patients are fully informed and empowered to make the best decisions for their health and well-being.

https://www.asa.org.uk/rulings/egemed-hastaneleri-a22-1178817-egemed-hospitals.htmlhttps://lnkd.in/eV6EENEG

The Smart Group - Tixel 2025 Banner 2

Keep In Touch

Ensure you and your staff stay up-to-date with key topics shaping the field of aesthetics.

Your free digital round-up of relevant aesthetic news articles and trending items delivered directly to your inbox.

Immerse yourself in our quarterly, complimentary, themed digital magazine, compiled by award-winning editor Vicky Eldridge.

Stay informed of new technologies and receive exclusive news and offers from carefully selected aesthetic partners.