NHS medical director Sir Bruce Keogh has promised to clean up the "grubby areas" of an industry that he says does not give patients enough protection, according to The Times.
He said that though there were some very good clinics his inquiry would raise hard questions for the whole industry.
He told the newspaper: "You can be a commercial operation that's well run but are you an ethical operation? Is your practice... driven purely by financial considerations?"
The official review into cosmetic practices should mean the PIP scandal should never happen again. But the industry has a lot of work to do.
A major review into cosmetic surgery is being launched in light of the PIP scandal.