Phoebe Dukes for City News
Ashton Collins, Director of Save Face

City News can reveal the scale of concern in the cosmetic industry following reports of liquid BBL procedures taking place in Airbnbs, hotel rooms, garden sheds, and even public toilets. Parliament urged an immediate ban on liquid BBLs in an inquiry last week.

A quick scroll on Instagram, a direct message, a deposit sent. And just like that, you’ve booked a Brazilian Butt Lift – not in a hospital, but in a hotel room, a rented flat or even someone’s living room.

Source:  Adobe Stock

The death that sparked attention

In September 2024, 33-year-old mother of five Alice Webb, from Gloucestershire, tragically died following a liquid BBL procedure.

Last October, a BBC investigation reported that Jordan James Parke, 34 – known online as the “British Lip King” – had been arrested on suspicion of manslaughter following Webb’s death. He has not been charged.

Parke himself died in mid February, intensifying scrutiny around the largely unregulated world of non-surgical filler procedures.

Image of Jordan James Parke, ‘The Lip King’

For campaigners, the Lip King case symbolises how fast the industry has grown, and how little oversight exists.

Patients fighting for their lives over cosmetic craze

Liquid BBLs involve injecting large volumes of dermal filler, often hyaluronic acid, into the buttocks. The idea is to add shape and volume. This procedure is marketed as a quick, “non-invasive” alternative to surgical fat transfer.

The cost typically ranges £2,000 to £3,000. But the risk can be fatal.

Victoria Brownlie MBE, Chief Policy and Sustainability Officer at the British Beauty Council, says London is uniquely exposed.

Victoria Brownlee MBE

“Twenty-five per cent of all beauty businesses in the UK are based in London,” Brownlie says. “That’s fantastic – but it also means you have a very high concentration of businesses operating there.”

Under current rules, unless something is legally classed as surgery, there are no meaningful national regulatory requirements governing who can perform it.

“That is a treatment which absolutely shouldn’t be undertaken by anyone other than a very senior healthcare practitioner,” Brownlie added. “The most reputable surgeons would not undertake a procedure like this because of the risks associated with it.”

Yet online, they are sold as something you can do “in your lunch break”.

From Instagram to emergency care

Save Face – a government-approved register for accredited cosmetic practitioners – says it has received nearly 1000 patient complaints since 2023 relating to liquid BBLs. More than 50% involved severe life-threatening complications, including sepsis, necrosis, abscesses, cellulitis and filler migration.

Director Ashton Collins says

“Some women didn’t make it through the night…families were called in to say goodbye.”

One woman suffered cardiac arrest and liver failure and was placed in an induced coma for a week. Another was told she had just a five per cent chance of survival after going into septic shock. Collins says

“In 100% of the cases we investigated, the practitioners had no healthcare qualifications.”

Instagram clinics and living room procedures

Ashton Collins told City News that 90% of patients reportedly found their practitioner on social media.

Every single non-surgical BBL case reviewed by Save Face was carried out by an amateur practitioner. Under current rules, many injectable procedures can legally be carried out by people with no formal medical training

Collins describes providers operating out of hotel conference rooms, travelling city to city.

“You’d pay a hefty deposit. The location wouldn’t be disclosed until the morning. You’d have it done, and then they’re gone like a ghost”.

Because local council enforcement only applies within borough boundaries, practitioners can simply move across London – or relaunch under a new Instagram handle.

What happens next in London’s cosmetic “wild west”?

Save Face surveyed 2,215 healthcare professionals practising aesthetic medicine. 99% said they do not offer non-surgical BBLs, citing serious safety concerns.

MPs are now considering restricting liquid BBLs to appropriately qualified medical professionals – a move that could effectively amount to a ban.

Brownlie says the need for reform is urgent.

“We hold our breath every time we hear of a new case, because we don’t want it to be another situation where someone has died.”

The British Association of Aesthetic Plastic Surgeons warned the UK is “sitting on the edge of a public health catastrophe” if action is not taken.

But there is still no confirmed date for the ban.

For now, bookings are still allowed. The Instagram ads remain. And across London, high-risk injections are still happening behind closed doors in hotel rooms and Airbnbs.