Reading Time: <1 minuteFatal accidents occurring during cosmetic surgery are often widely reported. This is due to 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 immaturity or carelessness, but there are also unforeseen accidents. It is highly unlikely that a patient will be killed by 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 was not due to carelessness. XNUMX: Treatment on an area that is not suitable for the procedure XNUMX: Treatment on an area that is not suitable for the procedure XNUMX: Treatment and subsequent care in the delicate zone, which is a high-risk area XNUMX: Possibility of nurse treatment? XNUMX: Possibility of attracting customers through false MiraDry advertising All of these fatalities were bound to occur, not accidents. They are incidents. In fact, if a doctor told a patient that MiraDry is effective for underarm odor, and instead of the doctor performing the treatment, a nurse performed the treatment, and the doctor did not examine the patient and overlooked the third-degree burn, causing necrosis and infection to worsen, then that would be a criminal act. They should be held strictly accountable. I 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 would never be performed by a doctor who has studied legitimate medicine. 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 who lost their lives due to the nonsensical treatment at a beauty clinic that prioritized profits, and the feelings of their families, I believe that if I could have made the risks of the MiraDry underarm 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 underarm odor, and there is a risk of losing your life if a nurse performs the treatment. I hope that this information will be conveyed to patients considering underarm odor treatment so that they do not fall into the trap of the MiraDry underarm 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 saying that there was no problem because he was being careful, but if he had performed MiraDry on the groin, which is not effective in areas where it is not suitable, 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 the doctor's responsibility should be thoroughly pursued. (We believe that the manufacturers selling the medical device are not at fault in the MiraDry death incident, but if possible, we would like MiraDry sales companies to stop MiraDry treatment on areas outside the indications and cases where it is not suitable, and to strictly notify the medical institutions that introduce it that nurse treatment is not allowed.) https://www.mhlw.go.jp/stf/shingi2/0000200760_00004.html