Think twice before going under the knife! As a leading cosmetic surgeon, I’ve seen it all—but there are certain procedures I’d never recommend, no matter how tempting they may seem. Instead, I’m here to reveal smarter, safer alternatives that deliver stunning results without the risks. And this is the part most people miss: not all aesthetic treatments are created equal, and some can do more harm than good. Let’s dive into the five procedures I’d avoid—and the genius tweakments I’d choose instead.
The global aesthetic market is booming, with non-invasive treatments like Botox and dermal fillers leading the charge. Valued at over £11 billion in 2025, it’s projected to soar to nearly £19 billion by 2030. But with popularity comes pitfalls. Here’s where it gets controversial: some of the most hyped procedures can come with serious downsides. Take it from me, Dr. Ifeoma Ejikeme, an award-winning aesthetic practitioner known for setting industry standards—these are the treatments I’d skip, and what I’d recommend instead.
1. Thread Lifts: The Short-Lived Solution
What is it? Thread lifts involve inserting fine, often spiked plastic threads under the skin via a cannula, pulling them back toward the ears to tighten loose tissue and lift sagging brows.
The Problem: While it sounds appealing, the results are fleeting compared to the lengthy recovery time and potential risks. Uneven results, visible threads, and infections are all too common. But here’s the kicker: hyaluronic acid fillers can achieve similar—if not better—results with expert placement, offering a more predictable and safer outcome. For instance, a subtle cheek or chin filler can smooth sagging jowls effortlessly.
Cost: From £450 per syringe.
2. At-Home Microneedling: A Recipe for Disaster
What is it? Microneedling creates tiny injuries in the skin to stimulate collagen and elastin, reducing wrinkles, pigmentation, and scars.
The Problem: While effective in clinics, at-home kits often reuse needles, increasing the risk of infection, scarring, and long-term texture changes. The smarter move? Opt for professional microneedling, where sterile, single-use devices are used at precise depths for safe, reliable results.
Cost: From £350 per session.
3. Fat-Dissolving Injections: A Risky Gamble
What is it? Unregulated injections claim to target stubborn fat by breaking down cells for the body to eliminate.
The Problem: These injections, especially in delicate areas like the chin, are a red flag. Counterfeit products are rampant and can cause necrosis, nerve damage, severe infections, and chronic nodules. Even approved agents like deoxycholic acid require skilled professionals to avoid complications. My go-to alternative? Endolift laser treatment—a precise, incision-free method that tightens skin and reduces fat using a hair-thin optical fiber. It’s done under local anesthetic for minimal discomfort.
Cost: From £3,500 for the full lower face.
4. IPL Laser Hair Removal for Darker Skin: A Recipe for Disaster
What is it? IPL uses broad-spectrum light to heat hair follicles, inhibiting growth over time.
The Problem: While safe for lighter skin, IPL poses serious risks for olive and darker skin tones, including burns, scarring, and hyperpigmentation. My advice? Steer clear and opt for a medical-grade Nd:YAG laser, which is safer and more effective for darker skin.
Cost: From £250 per session.
5. Plasma Pens on Eyelids: Too Risky for Thin Skin
What is it? Plasma pens use heat to create microinjuries, stimulating collagen and tightening skin on the eyelids.
The Problem: The eyelid skin is incredibly thin, making it prone to scarring, hyperpigmentation, and prolonged recovery. Plus, it’s only suitable for Caucasian skin types. Better options exist: Medically validated treatments like radiofrequency microneedling or fractional laser offer safer, more effective results for delicate eye areas.
Cost: From £600 per session.
Now, let’s talk everyday essentials: Suri toothbrushes, launched in 2022, caught my eye with their eco-friendly design and magnetized wall holder—no more messy sink rings! The Suri 2.0 upgrade adds water-resistant features and a UV travel case that kills 99% of bacteria on bristles. And for under £10, a frizz-fighting spritz that leaves your hair Hailey Bieber-sleek? Yes, please!
But here’s the real question: Would you risk complications for a quick fix, or invest in safer, long-lasting alternatives? Let me know in the comments—I’m all ears!
