The British Association of Plastic Reconstructive and Aesthetic Surgeons

Health and care · Professional body

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First report 31 Jan 2020•Latest report 31 Jan 2020

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from The British Association of Plastic Reconstructive and Aesthetic Surgeons linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Birmingham and Solihull

    AI-generated summary

    Renee Simone Brooks · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Renee Simone Brooks underwent a final large-volume liposuction procedure on 29 August 2019, suffered cardiac arrest during the procedure, and died in hospital on 30 August 2019. The inquest identified fat embolism syndrome as a recognised but rare complication, with pre-existing cardiac issues contributing. The principal concern was the absence of UK guidance on safe practice for lipoedema-related liposuction, including procedure frequency, fluid volumes, and post-procedure recovery planning.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to The British Association of Plastic Reconstructive and Aesthetic Surgeons; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of UK guidance on the safe frequency of lipoedema-related liposuction procedures

    Wider context from the report

    “Large volume liposuction is the recognised treatment for patients with lipoedema performed by a small number of specialist surgeons. UK guidance is limited to cosmetic procedures. There are no UK guidelines for lipoedema related liposuction and practices amongst surgeons vary considerably. I heard evidence from ████████ - consultant plastic and reconstruction surgeon, ████████ – Spire’s Group Clinical Director, and ████████ - investigation lead for Spire Parkway Hospital. All expressed concern about the absence of UK guidance relating to indications for safe practice. In particular, in relation to: (a) the frequency of procedures on a single patient, (b) the amount of fluid to put into the patient during the procedure, (c) the amount of fluid to remove from the patient during the procedure, and (d) the post procedure patient recovery plan. Spire Group have since the death of Mrs Brooks created their own internal standard guidance. The majority of procedures are performed on privately paying patients, although the NHS will refer a small number of patients for the procedure funded by the NHS. My ongoing concern is that absence of UK guidance relating to indications for safe practice for lipoedema related liposuction is putting patients’ lives at risk. In my opinion there is a risk that future deaths will occur unless action is taken. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to The British Association of Plastic Reconstructive and Aesthetic Surgeons; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of UK guidance on the amount of fluid to remove during lipoedema-related liposuction

    Wider context from the report

    “Large volume liposuction is the recognised treatment for patients with lipoedema performed by a small number of specialist surgeons. UK guidance is limited to cosmetic procedures. There are no UK guidelines for lipoedema related liposuction and practices amongst surgeons vary considerably. I heard evidence from ████████ - consultant plastic and reconstruction surgeon, ████████ – Spire’s Group Clinical Director, and ████████ - investigation lead for Spire Parkway Hospital. All expressed concern about the absence of UK guidance relating to indications for safe practice. In particular, in relation to: (a) the frequency of procedures on a single patient, (b) the amount of fluid to put into the patient during the procedure, (c) the amount of fluid to remove from the patient during the procedure, and (d) the post procedure patient recovery plan. Spire Group have since the death of Mrs Brooks created their own internal standard guidance. The majority of procedures are performed on privately paying patients, although the NHS will refer a small number of patients for the procedure funded by the NHS. My ongoing concern is that absence of UK guidance relating to indications for safe practice for lipoedema related liposuction is putting patients’ lives at risk. In my opinion there is a risk that future deaths will occur unless action is taken. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to The British Association of Plastic Reconstructive and Aesthetic Surgeons; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of UK guidance on the amount of fluid to put into patients during lipoedema-related liposuction

    Wider context from the report

    “Large volume liposuction is the recognised treatment for patients with lipoedema performed by a small number of specialist surgeons. UK guidance is limited to cosmetic procedures. There are no UK guidelines for lipoedema related liposuction and practices amongst surgeons vary considerably. I heard evidence from ████████ - consultant plastic and reconstruction surgeon, ████████ – Spire’s Group Clinical Director, and ████████ - investigation lead for Spire Parkway Hospital. All expressed concern about the absence of UK guidance relating to indications for safe practice. In particular, in relation to: (a) the frequency of procedures on a single patient, (b) the amount of fluid to put into the patient during the procedure, (c) the amount of fluid to remove from the patient during the procedure, and (d) the post procedure patient recovery plan. Spire Group have since the death of Mrs Brooks created their own internal standard guidance. The majority of procedures are performed on privately paying patients, although the NHS will refer a small number of patients for the procedure funded by the NHS. My ongoing concern is that absence of UK guidance relating to indications for safe practice for lipoedema related liposuction is putting patients’ lives at risk. In my opinion there is a risk that future deaths will occur unless action is taken. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to The British Association of Plastic Reconstructive and Aesthetic Surgeons; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of UK guidance on post-procedure patient recovery plans for lipoedema-related liposuction

    Wider context from the report

    “Large volume liposuction is the recognised treatment for patients with lipoedema performed by a small number of specialist surgeons. UK guidance is limited to cosmetic procedures. There are no UK guidelines for lipoedema related liposuction and practices amongst surgeons vary considerably. I heard evidence from ████████ - consultant plastic and reconstruction surgeon, ████████ – Spire’s Group Clinical Director, and ████████ - investigation lead for Spire Parkway Hospital. All expressed concern about the absence of UK guidance relating to indications for safe practice. In particular, in relation to: (a) the frequency of procedures on a single patient, (b) the amount of fluid to put into the patient during the procedure, (c) the amount of fluid to remove from the patient during the procedure, and (d) the post procedure patient recovery plan. Spire Group have since the death of Mrs Brooks created their own internal standard guidance. The majority of procedures are performed on privately paying patients, although the NHS will refer a small number of patients for the procedure funded by the NHS. My ongoing concern is that absence of UK guidance relating to indications for safe practice for lipoedema related liposuction is putting patients’ lives at risk. In my opinion there is a risk that future deaths will occur unless action is taken. ”
    Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026