The worldwide Because of the big bucks that can be made the temptation to cash in by ill trained and under qualified fringe medical practitioners has never been greater. Some countries have strict controls, the UK for example will only allow members of The British Association of Aesthetic Plastic Surgeons who are on the specialist register of the General Medical Council to hang out their shingle advertising that they have qualified and are approved to practise cosmetic surgery. The auditing in Johannesburg of companies has taken place. In the United States any licensed Medical Practitioner can call him or herself a cosmetic surgeon without any training or practical experience.
Even the most highly qualified, experienced and expensive cosmetic surgeons can make mistakes. Just think of some of the celebrities that have gone through the procedure and have ended up caricatures of their former selves with disfigurements that can sometimes never be corrected. Check out the av control systems in Johannesburg.