A Retrospective Survey of Legal Complaints on Cosmetic Procedures in Isfahan, Iran Publisher Pubmed



A Ghodousi ARASH ; S Sohrabi SOSAN ; Mr Ardakani Mehdi RASTI ; As Deljavan Alireza SIGHARI ; Sg Ghertasi Oskouei Sina GHERTASI ; F Jokar FARIBA
Source: Journal of Forensic and Legal Medicine Published:2025

Abstract

Background and objectives: Iran has one of the world's highest rates of cosmetic procedures, raising concerns about malpractice and related complaints. This study aimed to evaluate the profile and circumstances of legal complaints related to cosmetic procedures in Isfahan to inform preventive strategies. Methods: In this cross-sectional study, all complaints filed at Isfahan's Legal Medical Center between 2008 and 2012 were reviewed. Cases involving alleged negligence in cosmetic procedures and the resulting wergild evaluation were included. Data collected covered incidence, demographic characteristics, and details of complications or undesired outcomes. Statistical analysis was conducted using t-tests and chi-square tests. Results: Among 128 cases analyzed, the mean age of plaintiffs was 35.1 ± 10.0 years, with females comprising 77.3 %. The majority of complaints (43.8 %) were related to cosmetic surgeries; deformity was the most frequently cited reason (50 %). Practitioners were specialists in 48.4 % of cases, non-specialists in 28.1 %, and of undetermined specialty in 23.4 %. Convictions were issued in 52.3 % of cases, including 17.9 % specialists, 38.8 % non-specialists, and 43.3 % with unknown specialty status among convicted practitioners. Both conviction rates and the involvement of non-specialists were significantly higher in cosmetic dental procedures than in other categories (P < 0.001). Conclusion: Deformity was the most common reason for legal complaints related to cosmetic procedures, with dental procedures contributing substantially to the overall complaint rate. These findings emphasize the importance of enhanced oversight and regulatory control in cosmetic practice. © 2025 Elsevier B.V., All rights reserved.