2024/07/15

Approved by the Ministry of Health, Labor and Welfare? MiraDry is a lie

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 rather 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 MiraDry treatment. 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 disease known as axillary hyperhidrosis, even under the supervision of a doctor? I would appreciate your advice and look forward to hearing from medical institutions that provide MiraDry treatment.
2024/07/08

Wakiga cream

Reading Time: <1 minuteIt seems that many people hesitate to undergo treatment for underarm odor because of its high cost. At our clinic, we also treat with an antibiotic cream called underarm odor cream. Underarm odor does not come out of the apocrine sweat glands suddenly. It is generated when the substance released from the apocrine sweat glands is broken down by acne bacteria, which is a normal bacterium on the skin. Therefore, applying an antibiotic that is effective against this bacterium reduces the acne bacteria and greatly reduces the odor. In some cases, you can feel the effects in as little as one day. There are almost no side effects, so you can use it with confidence. It has been well received by patients as it has almost completely eliminated the odor. Please feel free to contact us.
2024/07/02

MiraDry Retreatment

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 extremely effective with little pain... 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 little pain. Surgery may seem painful after surgery, but it is not. The pain is definitely much stronger after MiraDry treatment. The reason is that MiraDry causes burns to the skin of the treatment area due to thermal 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 painless 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 tell me, that I wish I had known about the EL method before undergoing MiraDry... I ended up going through 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 use exaggerated advertising to attract customers by lying about even the downtime. Dr. Suetake / Armpit Odor Specialist / Sakae Clinic (@wakiga.takansyou.suetake) | TikTok We also explain it on TikTok.
2024/07/01

Miradry's Darkness

Reading Time: <1 minuteWe have been introducing problems and complaints from patients regarding MiraDry treatment, but the number has increased sharply recently. [Never receive MiraDry treatment by a nurse.] After receiving MiraDry treatment by a nurse twice, the scars from the burns remain and the pain has returned to normal despite suffering for a long time from the intense pain. The patient came to see us, so we asked for more 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. You will not know if you will get a burn from MiraDry XNUMX. Only doctors can directly perform the treatment, it is a gray area that is close to being illegal XNUMX. The manufacturer should not recommend nurse treatment XNUMX. Ethical issues Why is it a 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 without a doctor in the clinic (illegal act) XNUMX: Price competition allows for cheap customer attraction In other words, there are benefits for the clinic, but no benefits for 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.
2024/06/14

How widespread is the EL method for treating underarm odor?

Reading Time: <1 minuteWe receive many inquiries asking where else the EL method can be used to treat underarm odor. Unfortunately, we are the only clinic that currently offers the EL method performed by a specialist. The reasons are as follows: 1: It is extremely difficult to master the technique. 2: It takes a long time to master the technique, so many doctors give up even after coming for training. 3: It takes a long time to become proficient, and if you are not proficient, the treatment time is long, more than an hour for one armpit. 4: If the treatment is not performed by an experienced specialist, many insulated needles are needed for one patient, so the treatment cost is not worth it. 5: The treatment cost is low compared to the labor and treatment time. 6: The spread of low-quality medical care performed by nurses such as MiraDry. 7: The skills of cosmetic surgeons are declining. 8: It is difficult to implement SNS strategies. 9: It is difficult to standardize and educate at major cosmetic surgery clinics. 10: Lack of instructors. 11: Lack of awareness compared to MiraDry. The recent trend in cosmetic surgery is to leave it to nurses even if you have no experience, so the EL method will not spread in the first place. The EL method is the least painful of all underarm odor treatments, has no risks, no downtime, is highly effective, and is a good treatment that puts less strain on patients. It's unfortunate...
2024/06/11

Underarm ointment

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. When young children start to worry about odor, other treatments are difficult to choose, so topical medications are often recommended. On the other hand, even for adults, if the symptoms are not severe, topical medications can be sufficient to control odor.

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, such as when you have folliculitis due to a skin condition, insurance may be available. Medical expenses deductions are also applicable. It is worth trying inexpensive and effective topical medications. Please feel free to contact us.
2024/06/07

All about armpit ga, susoga, and chichiga treatment

Reading Time: <1 minuteThe truth, current situation, and reality of underarm odor treatment are answered in detail in a Q&A format. You can also understand the dark side of cosmetic surgery and underarm odor treatment by watching this video. Don't regret it, get underarm odor, groin odor, breast odor, and hyperhidrosis treatment from a specialist. It's not safe just because it's a major company, or because you can always see flashy advertisements. The reality is that nurses are performing treatments that are damaging to your body. Be sure to get your underarm odor treated by an experienced specialist. If a nurse performs underarm odor treatment, it is a violation of the Medical Practitioners Act and a criminal act, and there is a high risk that the results will be disastrous rather than effective.
@wakiga.takansyou.suetake
 
2024/06/05

Problems with anesthesia for armpit pain treatment

Reading Time: <1 minuteWe have received many consultations from patients who have received MiraDry treatment but found it ineffective or recurred. Currently, more than half of the patients who visit our clinic for the first time and wish to receive treatment for underarm odor have undergone MiraDry treatment. Many patients complain of strong pain from anesthesia and strong swelling and pain after surgery. It is highly unlikely that anesthesia before underarm odor treatment will cause strong pain. Anesthesia is performed using a local anesthetic called Xylocaine. Its chemical name is lidocaine hydrochloride and its pH is acidic. In fact, the pain during anesthesia is caused by the infiltration of the acidic liquid Xylocaine rather than the pain of the needle injection. At our clinic, we have taken measures to ensure that patients feel almost no pain. 1: Adjust the pH by mixing an alkaline drug solution called Meylon 2: Dilute 2% Xylocaine to 0.17% 3: Inject with a thin needle 4: Slowly inject the anesthetic The steps 1-4 can significantly reduce pain, and even elementary school children can receive anesthesia with peace of mind. Cosmetic surgery treatments are at your own expense, and unlike medical treatments covered by insurance, they require medical skills and hospitality to eliminate pain and the patient's fear and anxiety as much as possible. Treatments are carried out in a safe environment, relying on the skills of not only our doctors but also our staff. Patients who experience strong pain from anesthesia before MiraDry treatment can receive treatment with peace of mind.
2024/05/08

Risks and effectiveness of armpit surgery covered by insurance

Reading Time: <1 minuteRecently, there has been a sharp increase in the number of patients who have undergone surgery for armpit odor covered by insurance, but have been left with ugly scars or have had no effect at all, and are coming to the hospital for retreatment. Armpit odor surgery can be covered by insurance, but in reality, there are clinics that perform rather questionable surgeries, so be careful. Clinics that advertise that armpit odor surgery is covered by insurance are particularly important. There are problematic clinics that advertise that ``armpit odor surgery is covered by insurance'' just to attract customers! Armpit odor surgery covered by insurance In the current Reiwa era, I would be cautious... The reasons are: 1: There are clinics that attract patients with insurance, and then upsell them in-house, saying that it will leave scars or be ineffective, forcing them to undergo treatment at their own expense. 2: Outpatient armpit odor surgery makes it difficult to keep the affected area still, making it impossible to perform extensive exfoliation, and extremely ineffective. 3: Because it is covered by insurance, there is little consideration given to scars, and many patients suffer from ugly scars after surgery. 4: In the Reiwa era, armpit surgery, which is a Showa-era treatment, is problematic. There is a high risk of various complications occurring after surgery. 5: There are many cases where the doctor's skills are low. (Doctors with specialized knowledge and experience often do not recommend armpit surgery under insurance treatment, which has a high risk and low effectiveness.) As a cosmetic surgeon, I have performed more than 1,500 cases of armpit surgery, but I do not think that it is a treatment that should be performed in the Reiwa era. In the Showa and Heisei eras, surgery was established as the main treatment, so it was natural to perform it, but now that there are non-invasive treatments, there are many patients who undergo surgery because it is cheap and covered by insurance, but they are suffering from scars and various complications (skin necrosis, scar contracture, sebaceous cysts, etc.) without any effect. In my career as a cosmetic surgeon for over 30 years, I think I have performed the most armpit surgery in the Tokai area. However, if surgery is the only option, surgical treatment is unavoidable, but now that there are highly effective treatments such as the EL method with no downtime and no complications, it is better to carefully consider whether to undergo surgery under insurance treatment. Postoperative immobilization is more difficult than patients imagine. Postoperative complications are more common than patients imagine. Because it is covered by insurance... This is because treatments such as malignant tumors are called standard treatments, and the most scientifically effective treatments with established evidence are covered by insurance, so treatments covered by insurance should be prioritized, but armpit odor surgery is completely different. We would like patients who are considering armpit odor surgery to think carefully about whether surgery covered by insurance is really safe, effective, and suitable for them.
2024/04/28

Hype of underarm treatment

Reading Time: <1 minute (*Photo is for illustration purposes only.) As the temperature rises, we are receiving more and more consultations from patients with body odor and hyperhidrosis. At present, the treatment that is most advertised and promoted is MiraDry, isn't it? The exaggerated advertising and problems with MiraDry are noticeable. Sakae Clinic's Body Odor and Hyperhidrosis Treatment "EL Method" (sakae-clinic.net) About half of our new patients are consultations for retreatment after MiraDry surgery, which has had little effect, recurrence, or no effect at all. MiraDry advertisements are full of attractive keywords such as "no scalpel, no pain, you can go about your daily life immediately." However, the reality is that it is very painless and you cannot expect a complete recovery with one treatment. In particular, MiraDry performed by nurses is almost ineffective or has frequent problems with burns. Body odor is a disease called axillary hyperhidrosis, and doctors should be directly in charge of the treatment, but the current situation is that it is left to nurses. As a result... There are a considerable number of patients who have suffered severe burns and scars that are completely ineffective. What I can say with certainty is that you can never expect legitimate medical effects or safety from treatment by nurses. The same doctor should be in charge of the treatment from start to finish, explaining, treating, guaranteeing effectiveness, and ensuring safety. I have received many consultations from patients who have had no effect from treatment by nurses at nearby hospitals, but I am very disappointed that this is a profit-first treatment that is far removed from medical care. In cosmetic medicine, there are many medical institutions, managers, and doctors who prioritize profit over patient satisfaction and safe medical procedures. In less than half a year, the director of a major cosmetic surgery clinic... A doctor with no experience in cosmetic medicine cannot even give instructions on underarm odor treatment. I think there may be a problem with the anesthesia before underarm odor treatment. At our clinic, we never recommend high-interest medical loans, make aggressive up-sells, or recommend treatment on the same day. Even blood sampling is not done by nurses, and I, the director and specialist, am responsible for all counseling, examinations, treatment, care, etc. When it comes to treating underarm odor, the EL method is superior to MiraDry in all aspects, including cost, safety, downtime, pain, and effectiveness. We hope you will consider it.

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