A coroner has criticised a Turkish clinic for 'upselling' British mother Hayley Dowell a BBL 10 minutes before she was due to have liposuction and a tummy tuck.

Hampshire area coroner Nicholas Walker said Mrs Dowell was given a 'financial incentive' to have a cut-price BBL with only five minutes to consider it before surgery.

Mr Walker also said the surgery was much shorter than it would have been in the UK.

Mrs Dowell was training to be a dental nurse, the inquest heard.

At Winchester Coroner's Court, Mr Walker gave a conclusion of complications arising of elected cosmetic surgery abroad.

He said: "Hayley wanted liposuction and a tummy tuck and so set about finding somewhere to go forward with this.

"She researched the decision to go to Turkey largely because it was cheaper and she had that in her mind."

He said that the family had questions around the accounts given to the inquest by the surgeon and the anaesthetist in Turkey, but as there is ongoing civil litigation, he could not further go into these details.

He said: "Both families have what seems to me legitimate questions about contradictions of written accounts given compared to the recollections of Mr Dowell and I am sure they would like to know why the operation took much less time than it would have taken here in the UK according to the evidence I have."

Mr Walker said that the surgeon doing the operation, Dr Salih Basat, did not make Mrs Dowell aware of the risks of having a Brazilian butt lift.

He said: "[Mrs Dowell] had five minutes to decide what to do and how to pay for it. A significant reduction in price was offered."

Mr Walker said a consent form had been produced to the inquest, although it was many pages long and as Mr Dowell said he never saw his wife sign it, the timelines did not match up.

He said that in the UK this kind of 'upselling' would never have happened because the surgeon would need consent from the patient and there is a cooling off period of 14 days for them to change their mind.

Mr Walker said that after a postmortem examination in Turkey and then confirmed in the UK, the cause of death was pulmonary fat embolism.

He said: "It is clear to me how much you care deeply for her because of how you fought with great dignity to have the questions you have answered for you.

"I am sorry that I can't answer everything. I am not sure if you understand why I can't answer those questions.

"But I am sorry to the three children who have been left without a mother, and I am sure there is a hole that has been left in their lives."

Mr Walker said that he would be making a Prevention of Future Deaths Report that would be addressed to the Secretary of State for Health and the General Medical Council.

He said that he was concerned that patients were not made aware of the risk of procedures before they get on the plane.

He also said he was concerned at the 'upselling' that can occur that is combined with a 'financial incentive' and a short time limit before the surgery.

He said: “My concerns are that a UK citizen can travel abroad for surgery without knowing the risks of the procedures before they get on the plane.

“Secondly that the upselling on procedures combined with a financial incentive, a price reduction, and with limited time, doesn’t allow for proper consent that they give to the procedure.”

"These limit reasoned thought, proper reflection, research or consultation with others, so friends and family.

“I am concerned that there is a risk of future deaths.”

The coroner said he could not comment on the clinic or the surgeon.

Mrs Dowell's aunt, Justine Williams, said during the hearing: "I am Hayley's aunt, so I have known her since she was born. She was a lovely little girl. She was a very grown-up little girl at a very young age.

"She was diagnosed with asthma very young, and she was able to deal with it from a very young age.

"She was a fun-loving girl who loved her beautiful children.

"He dad, who unfortunately died, and she absolutely adored her dad.

"She was a fun-loving, outgoing girl. At the time she was training to be a dental nurse. She was having this new career happen.

"It was a big loss, and she is greatly missed."

She said that she had three children who were now aged 20, 19 and 14.