Reading Time: <1 minuteMore and more patients are coming to our clinic hoping for the EL method for underarm odor treatment. As a rule, we conduct blood tests before EL method treatment. This is to check for virus carriers such as hepatitis B, and to screen for general health such as diabetes, liver dysfunction, and blood diseases. Checking for hepatitis B virus carriers is essential to prevent hospital infection, but most beauty clinics do not seem to take the minimum amount of testing or infection prevention measures. At our clinic, we take care of everything so that patients can receive treatment with peace of mind. Director Suetake will be in charge of all blood sampling and explanations. We do not leave any medical procedures to nurses. We thoroughly manage the hygienic environment in the clinic, pain management for patients during treatment, etc.

Reading Time: <1 minuteMany clinics that use MiraDry are promoting and introducing the fact that it is a treatment device approved by the Ministry of Health, Labor and Welfare. This approval means that it is a safe and reliable treatment device, but there is a catch. MiraDry is not approved for the treatment of "armpit odor, i.e., axillary hyperhidrosis," but is approved as a treatment device for "primary axillary hyperhidrosis, i.e., hyperhidrosis of the armpits." In other words, even though it has not been approved as a treatment device for armpit odor, the advertising language is misleading and cannot be helped, even if it is said to be deceiving trust. Even though it is not an armpit odor treatment device approved by the Ministry of Health, Labor and Welfare for odor, it is inevitable that it can be considered a fraudulent act to attract customers by advertising it as effective against armpit odor. Moreover, it is surprising that there are facilities where nurses perform the treatment with MiraDry. There is a constant stream of patients who have received MiraDry multiple times at our clinic, and despite experiencing severe pain and severe swelling in the affected area, they feel no effect at all and come back for treatment again. If you look here to see whether the Ministry of Health, Labour and Welfare has truly approved it as an effective device for treating underarm odor, you will clearly see that this is a lie. https://www.mhlw.go.jp/stf/shingi2/0000200760_00004.html "Regarding the indication for axillary odour, there is a certain need in Japan, so we discussed whether this indication should be approved in the review and expert consultation. As a result, as stated at the top of page 17 of the review report, we believe that it is possible to extrapolate for sweat, but as you all know, as for smell, Asians and Westerners have different body odors, so ethnic differences in the apocrine glands that emit smell cannot be denied. In addition, in the hyperhidrosis test, the primary evaluation item was definitely a subjective evaluation called HDSS. At least, there was an objective evaluation item set for the secondary evaluation item. In this CP-0012 test, the secondary evaluation item was basically a subjective evaluation, and another reason is that objective evaluation was not sufficient. As a result of this clinical trial, the achievement criteria for clinical trials could not be met for odor, so overall, we have concluded that the indication is approved for hyperhidrosis this time, and the effect of reducing odor was not recognized. " The Ministry of Health, Labour and Welfare clearly concluded that the effect of reducing hyperhidrosis and odor was not recognized. Hiding such facts and deceiving patients is an act of fraud. Nurse MiraDry BusinessHow many victims there are? The Ministry of Health, Labor and Welfare has concluded that MiraDry treatment by nurses is ineffective in reducing odor. I would like to hear any rebuttals or opinions regarding this blog from medical institutions, doctors, and nurses who use MiraDry. In order to provide cosmetic medicine properly, I would like to see a review of MiraDry's false advertising and nurse treatment. Treatment is performed by doctors. Isn't it ethically and legally problematic for nurses to use treatment equipment to treat the condition of axillary hyperhidrosis, even under the supervision of a doctor? I would appreciate your advice and look forward to hearing from medical institutions that use MiraDry treatment.

Reading Time: <1 minuteToday, we had a patient who came to our clinic for a follow-up treatment after MiraDry treatment because it had no effect at all. The advertisements say that it is less painful and extremely effective... Of all the treatments, any sensible doctor knows that MiraDry causes the most pain and swelling after treatment. As a specialist who has been treating body odor and hyperhidrosis for over 30 years, I can say with certainty that it is absolutely impossible for MiraDry treatment to cause less pain. Surgery may seem painful after surgery, but it is not. The pain is definitely much stronger after MiraDry treatment because MiraDry causes burns to the skin of the treatment area due to heat energy. The pain of a burn is much stronger than the pain of an incision and lasts for a long time. It is common knowledge in medicine that burns are painful. Some doctors who say that MiraDry treatment is less painful or painless leave all the treatment to the nurses and do not listen to the patient's complaints at all. I do not consider MiraDry to be suitable for children who are sensitive to pain. Severe swelling and pain may last for more than a week. The EL method does not cause severe pain or swelling, and there is no need for oral painkillers. MiraDry retreatment is performed on burn scars, so it is actually time-consuming and difficult. The skin itself has hardened due to burn scars, so local anesthesia is not easy. Local anesthesia for the armpits, which can be performed almost painlessly, does hurt to some extent. I always think, and patients also say, that I wish I had known about the EL method before undergoing MiraDry... I ended up experiencing a lot of pain with MiraDry treatment, having to pay a huge amount of money multiple times, and it was completely ineffective...without any explanation or examination from the doctor... It is unfortunate that there are medical institutions that attract customers by lying about even the downtime with exaggerated advertising. Dr. Suetake / Armpit Odor Specialist / Sakae Clinic (@wakiga.takansyou.suetake) | TikTok We also explain it on TikTok.

Reading Time: <1 minuteWe have been introducing problems and complaints from patients regarding MiraDry treatment, but recently there has been a sharp increase. [Never receive MiraDry treatment from a nurse.] After receiving MiraDry treatment by a nurse twice, the scars from the burns remain and, despite suffering from severe pain for a long time, it has returned to normal. A patient came to see us, so we asked for details. The person who seemed to be a doctor only explained that he would administer the anesthesia, but did not provide any explanation about armpit odor, armpit odor treatment, or MiraDry. The nurse immediately performed the treatment. The reasons why we absolutely do not recommend nurse treatment are: 2: There are no nurses who have experience in the mechanism and theory of armpit odor or treatment (because they cannot perform surgery) XNUMX: Nurses cannot be held responsible XNUMX: It is not clear if burns occur due to MiraDry XNUMX: Only doctors can directly perform treatment, it is a gray area act that is close to being illegal XNUMX: The manufacturer should not recommend nurse treatment XNUMX: Ethical issues Why nurse treatment? XNUMX: Profit is the priority (nurses' hourly wages are low, so profits can be made) XNUMX: There is a possibility that treatments can be performed even if there is no doctor in the clinic (illegal act) XNUMX: Price competition allows for cheap customer attraction, meaning that while there are benefits to the clinic, there are no benefits to the patient. There are too many facilities where doctors who have never treated or operated on armpit odor before have no knowledge of the mechanism of armpit odor or medical knowledge, and only introduce the equipment and have nurses perform the treatment without explanation. The dark side of cosmetic medicine has now become the dark side of the MiraDry business. If you are a doctor or nurse at a clinic where nurses perform MiraDry treatments and have any objections to this blog post, please let's have an open discussion. If you are going to treat patients with the patient in mind, wouldn't it be better for a specialist who is familiar with all armpit odor treatments to guarantee safety and effectiveness? It is also a problem that MiraDry is the most painful treatment of all treatments, and patients are not properly informed before the treatment. Don't be fooled by the MiraDry business. *I am not denying all MiraDry treatments. We believe that problems include performing treatments on areas where the treatment is not suitable, nurses performing MiraDry treatments without a doctor's examination, and exploiting patients by forcing them to take out loans to cover expensive treatment costs through upselling that is completely different from what is advertised.

Reading Time: <1 minuteRecently, clinics that sell cheap prices such as insurance-eligible MiraDry for armpit surgery at 90,000 yen have become more prominent on the Internet. From the patient's perspective, it is undoubtedly a very good thing to be able to receive treatment at a low price. However, the result is... First of all, medical institutions that attract customers by advertising that they will perform surgery with insurance do not perform surgery with insurance, and patients are led to self-paid optical treatment. In this day and age of medical advances, any specialist who treats armpit odor will know how nonsensical it is to treat armpit odor in an outpatient setting with insurance. There is little benefit to outpatient armpit odor surgery, such as downtime and the need for long periods of immobilization, the risk of hematomas and skin necrosis, poor effectiveness, and recurrence, and I can say with certainty that it is a treatment that is absolutely not recommended. It is no longer Showa or Heisei, but Reiwa. Is outpatient armpit odor surgery with insurance as a treatment in the Reiwa era? If there are any doctors who think that it is a really good option, please contact me directly. MiraDry This treatment is also currently performed by nurses at most medical institutions. Are there really patients who want to be treated by nurses? Just buy the equipment and leave everything to the nurses. Examinations and counseling are done by counselors, and treatment is done by nurses, not doctors. It is no longer medical care. MiraDry has become a business-first armpit odor business. Safety and effectiveness are ignored and it is no longer patient-centered medical care. If there are any doctors or nurses who think that the MiraDry treatment I use and the nurse treatment are legitimate as medical procedures and medical ethics, please contact me directly at contact@sakae-clinic.com. We will also organize a live discussion session with you in person. MiraDry has a lot of downtime and pain. Is it such a careless treatment that a nurse can do it on the side? There is a constant stream of patients who come to our clinic to ask for retreatment after receiving MiraDry with no effect at all. [Please be careful of MiraDry treatments performed by nurses]  

Reading Time: <1 minuteI have previously written about anesthesia for underarm odor in a blog. When treating underarm odor, it is essential to inform patients about the risks of anesthesia. However, it seems that almost all medical institutions do not inform patients about the risks of local anesthesia. https://www.kin-ikyo-chuo.jp/files/resident/senior/program-anesth Many doctors are unaware of the risks of the local anesthetic xylocaine. As shown in the table above, if 10cc of 2% xylocaine is rapidly injected into the body as an anesthetic, it will exceed the maximum dose and may even be life-threatening. In fact, a tragic fatal accident occurred at a certain cosmetic surgery clinic, where an inexperienced cosmetic surgeon administered a local anesthetic to a female patient in her 20s before surgery for underarm odor, resulting in her death. Fatal accidents from local anesthetics? It is not impossible. Recently, young cosmetic surgeons have become charismatic on social media, and cosmetic surgeons with very little experience and knowledge are overconfident in treating patients without receiving education on these risks. At our hospital, we currently mix a homemade anesthetic that adjusts the concentration of xylocaine to 0.17% or less, mixes it with the alkaline drug meiron to adjust the pH and suppress pain during pain. With MiraDry, it is not uncommon to administer more than 20cc to one armpit, and if 2% xylocaine is used on both armpits, it can be life-threatening... Just because it is a famous cosmetic surgery clinic, doesn't mean the anesthesia is safe. A cosmetic surgeon who calls himself the director and has almost no medical or surgical knowledge performs local anesthesia without considering the risks, which is a very scary medical procedure. Moreover, after the anesthetic injection is completed, the MiraDry treatment is left entirely to the nurses, and they may not notice any abnormal symptoms due to xylocaine poisoning after anesthesia. Of course, nurses have no knowledge or experience in this field. If such risky medical procedures are performed with profit as the priority, the patient's life will be threatened. I would like patients to know that local anesthesia also carries great risks before treatment.  

Reading Time: <1 minuteThe topical medication for underarm odor has an odor-reducing effect, as it contains ingredients that suppress the bacteria called acne bacteria, which breaks down the substances that cause odor. It is a wonderful topical medication that is sure to be effective and has no side effects, and we prescribe it to many patients at our clinic. Topical medicines are ideal when you want to suppress odor before puberty or before undergoing surgical treatment, miraDry, EL method, etc. If a young child becomes concerned about the odor, other treatments are difficult to choose, so topical medications are often suggested. On the other hand, even in adults, if the symptoms are not severe, it is possible to control the odor with topical medications.

Recommended for those who have questions such as

I don't have the budget for surgery or other treatments. He was reluctant to undergo the procedure and wanted to get rid of the odor as soon as there was no downtime or pain. I want easy treatment. the smell is not that strong

Benefits of topical medications

・No downtime ・No scars ・No aftereffects or complications ・Easy and quick ・Can be done by yourself at any time ・Low cost

Disadvantages of topical medications

- Complete recovery is not possible - If you stop using the product, the odor will return immediately - It will take some time for the odor to go away after using the product

Topical medicine FAQ

Are there any side effects from topical medications?

Basically, there is no need to worry about side effects even if you use it for a long time. This is a formulation that has an extremely low possibility of causing contact dermatitis due to the cream base material.

How long does it take to see the effects after using it externally?

You will notice results as soon as 24 hours later, but generally you will feel results within 2-3 days.

How often do you use topical medications?

Generally, it is recommended to apply twice a day.

Can I use it at any age? Is it okay for children?

Since there are almost no reported side effects, it can be used by everyone, from pregnant women and children to the elderly.

Can it be used after EL method, MiraDry or surgery?

Since this is a topical antibiotic, it can be used immediately after surgery.

Can it be used immediately after a MiraDry or BeauHot treatment?

It is ready to use for any treatment.

Do you experience any itching or pain when using it externally?

It does not cause itching or pain when applied, except in cases of special contact dermatitis.

How much does it cost?

It costs about 3,000-5,000 yen for one month. In some cases, insurance may cover skin conditions such as folliculitis. Medical expenses are eligible for deduction. Cheap and effective topical medications are also worth trying. Please feel free to contact us.

Reading Time: <1 minuteWe provide detailed answers on the truth, current situation, and reality of armpit pain treatment in a Q&A format. If you watch this video, you will understand the dark side of cosmetic surgery and the dark side of underarm treatment. Get treatment for armpit bloat, sweat bloat, sweating, and hyperhidrosis from a specialist that you won't regret. You don't feel safe because it's a major company, but you don't feel safe because you can always see flashy advertisements. The reality is that nurses are performing treatments that are damaging to your body. Be sure to have your armpit pain treated by an experienced specialist. If a nurse treats underarm pain, there is a high risk that it will be a violation of the Medical Practitioners Act, a criminal act, and the result will be disastrous rather than effective.

@wakiga.takansyou.suetake

 

Reading Time: <1 minuteWe receive many inquiries about re-treatment from patients who have received miraDry treatment but found it to be ineffective or have had a recurrence. Currently, more than half of the patients who come to our hospital for the first time who wish to receive treatment for underarm pain are patients who have undergone MiraDry treatment. Many patients complain of strong anesthesia pain and severe swelling and pain after surgery. It is highly unlikely that you will experience severe pain from anesthesia before armpit treatment. The anesthesia uses a local anesthetic called xylocaine. The chemical name is lidocaine hydrochloride and the pH is acidic. In fact, the pain during anesthesia is more painful than the pain from needle injection, and is caused by the infiltration of the acidic liquid xylocaine. At our hospital, we do our best to prevent pain so that our patients experience almost no pain. 1: Mix in an alkaline drug called Meiron to adjust the pH. 2: Dilute 2% xylocaine to 0.17%. 3: Inject with a thin needle. 4: Slowly inject the anesthetic. The pain can be significantly reduced by steps 1-4. Even elementary school students can safely undergo anesthesia. Cosmetic surgery treatment is self-funded and unlike insurance treatment, it requires medical skills and hospitality to eliminate pain and the patient's fear and anxiety as much as possible. We will provide treatment in a safe environment with the skills of not only the doctors but also the staff. Patients who experience severe pain from the anesthesia before miraDry treatment can undergo the treatment with peace of mind.

Reading Time: <1 minuteRecently, there has been a sudden increase in the number of patients who have had underarm surgery covered by insurance, but have left ugly scars or had no effect, so they are coming back for re-treatment. Underarm surgery is possible even if it is covered by insurance, but you should be careful as there are some clinics that perform very questionable surgeries. Be especially careful about clinics that advertise underarm surgery as covered by insurance. There are problematic clinics that advertise that ``armpit surgery is covered by insurance'' just to attract customers! Underarm surgery covered by insurance: In the Reiwa era, I am cautious... The reason is 1: They attract patients with insurance, and then upsell the procedures in the hospital, telling them that they will leave scars and have poor results, forcing them to pay for the treatment at their own expense. There are clinics that do that. 2: Underarm surgery performed on an outpatient basis is difficult to immobilize the affected area and is impossible to exfoliate over a wide area, making it extremely ineffective. 3: Due to insurance, there is little consideration given to scars, and many patients suffer from ugly scars after surgery. 4: His armpit surgery, which is a treatment from the Showa era, is a problem in the Reiwa era. There is a high risk of various complications occurring postoperatively. 5: There are many cases where the skill of the doctor is low. (Doctors with specialized knowledge and experience often do not recommend underarm surgery as a medical treatment covered by insurance, which is highly risky and less effective.) As a cosmetic surgeon, I have performed over 1,500 cases of underarm surgery. However, I do not think that this is the treatment method that should be used now in the Reiwa era. In the Showa and Heisei eras, surgery was established as the main treatment, so it was natural that it would be performed, but now that non-invasive treatments are available, people can undergo surgery because it is cheap and covered by insurance, and it is not effective and leaves many scars and various other symptoms. Many patients suffer from serious complications (skin necrosis, scar contracture, atheroma...). I believe that in my career as a cosmetic surgeon over the past 30 years, I have performed the most underarm surgeries in the Tokai area. However, if surgery is the only option, surgical treatment is unavoidable, but now there are highly effective treatments such as the EL method that have no downtime and no complications. It's best to think carefully. Postoperative immobilization is more difficult than patients imagine. Postoperative complications are more common than patients might imagine. This is because insurance covers treatments for malignant tumors, etc., which are the standard treatments, and the most scientifically effective treatments with established evidence are covered by insurance, so treatments covered by insurance should be prioritized. However, armpit surgery is completely different. I would like patients who are considering armpit surgery to think about whether surgery covered by insurance is really safe, effective, and suitable for them.