Reading Time: <1 minuteFatal accidents occurring during cosmetic surgery are often widely reported. This is because of the social impact, which is completely different from traffic accidents. However, the recent MiraDry fatality accident does not seem to have been reported by the media. Why is such a major social, medical, and ethical issue not being reported? MiraDry fatalities are not accidents, but incidents. As a cosmetic surgeon with 34 years of experience working in cosmetic medicine, I would like to express my personal opinion. Most fatal accidents during cosmetic surgery occur due to the doctor's inexperience or carelessness, but there are also unforeseen accidents. It is highly unlikely that a patient will die from illegal acts. Whether it is liposuction or bone cutting, these accidents are caused by the doctor's carelessness or lack of skill. However, this MiraDry fatality accident was not due to carelessness. XNUMX: Treatment on an area that is not suitable for treatment XNUMX: Treatment on an area that is not suitable for treatment XNUMX: Treatment on a sensitive area, which is a high-risk area, and subsequent care XNUMX: Treatment by a nurse? XNUMX: Possibility that MiraDry false advertising attracted customers Both of these deaths were inevitable, not accidents. They are incidents. In fact, if a doctor told a patient that MiraDry is effective for underarm odor, and a nurse performed the treatment instead of the doctor, and overlooked third-degree burns without examining the patient, causing necrosis and infection to worsen, then this is a criminal act. They should be held strictly accountable. We believe that there are an enormous number of potential victims of the MiraDry underarm odor business. MiraDry treatment on the delicate zone, which is vulnerable to burns and prone to infection, is an abnormal medical procedure, and a doctor who has studied legitimate medicine would never do it. MiraDry causes some burns and damage to the skin, and careful postoperative care and follow-up should be required. It is a complete lie that MiraDry has almost no downtime. When I think about the patients and their families who lost their lives due to the nonsensical treatment at beauty clinics that prioritize profits, I think that if I could have made the risks of the MiraDry armpit odor business more widely known, the damage could have been prevented. We must not let the MiraDry death incident fade away. If things continue as they are, similar incidents may occur in the future. MiraDry is not effective against armpit odor, and there is a risk of losing your life if it is performed by a nurse. I hope that this information will be conveyed to patients who are considering armpit odor treatment so that they do not fall into the trap of the MiraDry armpit odor business at unscrupulous beauty clinics. In the recent MiraDry death incident, many MiraDry certified doctors have posted excuses on their websites, but they should learn ethics before medicine. There was a doctor who posted an excuse on his website that there was no problem because he was careful, but if he was using MiraDry on the groin, which is not applicable and has no effect, he would be out. It is assumed that many patients have been harmed by such doctors. The details of the MiraDry death incident should be disclosed and the cause and doctor's responsibility should be thoroughly investigated. (We believe that the medical device manufacturer is not at fault in the MiraDry death incident, but we would like MiraDry sales companies to stop MiraDry treatment on areas and cases that are not suitable for the treatment, and to strictly notify medical institutions that use the treatment that nurses are not allowed to perform the treatment.) https://www.mhlw.go.jp/stf/shingi2/0000200760_00004.html