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.
2024/06/13

Anesthesia for the treatment of underarm odor (2)

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 our own anesthetics by adjusting the concentration of xylocaine to 0.17% or less, mixing 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... It is not true that it is safe because it is a famous cosmetic surgery clinic, or that anesthesia is safe because it is a doctor. Local anesthesia is a very scary medical procedure performed by a cosmetic surgeon who calls himself the director and has almost no medical or surgical knowledge, without considering the risks. Moreover, after the anesthetic injection is completed, the MiraDry treatment is left entirely to the nurses, and there are cases where the nurses do not notice any abnormal symptoms due to xylocaine poisoning after anesthesia. Of course, the 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 significant risks before treatment.  
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
 
2022/01/01

Scars after armpit treatment

Reading Time: <1 minuteThere are many consultations about scars after underarm odor treatment. Even if the incision after surgery is small, the scars left by peeling the skin can be unsightly due to cysts and clogged pores caused by enlarged pores. Currently, underarm odor treatment is being promoted as a treatment that does not use a scalpel and has no downtime, and nurses are performing the treatment. When observing the affected area over a long period of time, there are many cases where scarring occurs, cysts develop, or keratin plugs become noticeable. This condition cannot be improved by anything other than surgical treatment. Scars after underarm odor surgery and underarm odor treatment without a scalpel can be significantly improved by cosmetic surgery and skin regeneration medicine using fractional lasers. Please do not give up and consult us. For cosmetic surgery, cosmetic surgery, armpit treatment, hyperhidrosis treatment, petite plastic surgery, hokuro removal, scar treatment, wrinkle, and sagging treatment in Nagoya, please contact Sakae Clinic.
2021/12/20

Armpit treatment Scars from microneedling treatment

Reading Time: <1 minuteThis is a scar from a patient who has been treated for underarm odor and hyperhidrosis with microneedle high frequency treatment for more than three months using a device called Viewhot. Since needles are randomly inserted into the underarm skin and high frequency waves are applied to generate heat, severe inflammation may occur. This is a condition in which there is a very high possibility that ugly white bumpy wart-like burn scars will remain even if the redness has completely healed. Treating such scars is difficult. First, we start with treatment to eliminate the redness and proceed with treatment to prevent scarring. If you are looking for cosmetic surgery, cosmetic surgery, underarm odor treatment, hyperhidrosis treatment, minor cosmetic surgery, mole removal, scar treatment, wrinkles, or sagging treatment in Nagoya, please contact Sakae Clinic.
2021/12/05

Dark side of armpit treatment Pitfalls of microneedling treatment

Reading Time: <1 minute There has been a big change in the treatment of underarm odor to a treatment that does not use a scalpel. What is the reality of underarm odor treatment that is easy and can be performed with no downtime? Unlike surgery, there are many cosmetic surgery clinics where nurses are in charge of underarm odor treatment because it is easy to perform. There are many advertisements that emphasize the benefits of the latest next-generation underarm odor treatment that does not require a scalpel, has no downtime, and is painless. This comic explains the possible risks and complications of underarm odor treatment that does not use a scalpel using microneedles. If you have a patient who would like to receive underarm odor treatment, please read this and carefully consider the treatment method. If you are looking for cosmetic surgery, cosmetic surgery, minor plastic surgery, underarm odor treatment, hyperhidrosis treatment, or diet in Nagoya, please consult Sakae Clinic.
2021/12/04

Supervision of the Darkness of Cosmetic Surgery series

Reading Time: <1 minuteThe dark side of cosmetic surgery Cosmetic surgery has become a familiar medical treatment It has been more than 30 years since I started working as a cosmetic surgeon, and many cosmetic surgery clinics have opened, resulting in more problems than ever before and many people suffering from complications and aftereffects caused by cosmetic surgery. In order to avoid these risks as much as possible, I asked a friend to create an easy-to-understand comic to explain the risks. Although armpit odor surgery is no longer performed as it used to be, it is one of the surgeries that used to have many complications. For those considering armpit odor treatment, I have created a comic to explain the risks of surgery in an easy-to-understand manner. If you are looking for cosmetic surgery, cosmetic surgery, small plastic surgery, armpit treatment, or diet in Nagoya, please contact Sakae Clinic.
2021/11/23

Treatment method in which a nurse is in charge of armpit pain treatment

Reading Time: <1 minuteOf course, armpit surgery is performed by a doctor. However, recently, there have been many problems with nurses treating armpits. Non-surgical armpit treatments include Miradry and Viewhot. Recently, ultrasound treatments such as HIFU have also become available. The common feature of these treatments is that they all use equipment to press a dedicated probe against the affected area and irradiate it. For this reason, the technique is simple and even nurses can perform the treatment. However, nurses have not studied medicine. Even if they study nursing, they are not experts in dermatology, wound healing, or cosmetic medicine. It is not the same whether they are nurses or doctors, as they only press a probe against the skin and irradiate it. First of all, there are individual differences, so detailed parameter settings such as output, irradiation time, and range are required depending on the condition of the skin, the treatment area, etc. of each individual patient, and following the manual given by the company not only does not produce sufficient results, but extremely serious skin damage, burns, and nerve damage have actually occurred as medical accidents. So why do nurses treat armpits? The reasons are assumed to be as follows. 1: The treatment time is long and it is not worth it considering the doctor's fee. 2: The surgery is performed by a doctor, but only nurses are available due to the reservation situation. 3: The company sold the equipment to me, saying that it is a simple treatment that even a nurse can do. 4: Considering how to reduce the cost of treatment in the price war, the business will not be viable unless a nurse performs the treatment. 5: Doctors do not know anything about body odor. For this reason, not only are there risks involved in nurse treatment, but there are also legal issues that are gray. Since it is a medical procedure, even if it is under the supervision of a doctor, it cannot be said that there is definitely no problem under the Medical Practitioners Act for a nurse to perform body odor treatment. Ethically, it is absolutely not OK for a nurse to perform body odor treatment. I have been advising manufacturers about this issue for many years, but they have completely ignored me, and the thing I feared happened. Although it was not a treatment for underarm odor, a nurse was performing high-frequency treatment for wrinkles and sagging skin (reported as laser treatment) without the supervision of a doctor, which caused severe burns to the neck and resulted in a six-month recovery, causing a cosmetic medical incident in which a certain clinic was raided for professional negligence resulting in injury.The report included real names and even the name of the cosmetic medical device used. https://news.yahoo.co.jp/articles/98c0df8670df62a988c3d9b40ea6cdbff7afabcc It is unusual for police to investigate a medical institution for reasons other than fatal accidents. This case is just the tip of the iceberg, and the reality is that many problems occur as a result of nurse treatments. Our hospital has also received many consultations after problems with nurse treatments. It is unfortunate, but the cosmetic medical industry is building a business system that lowers the unit price for nurse treatments, promotes them, and attracts customers. In order to avoid lowering the quality of cosmetic medical care, perhaps it is time to reconsider the gray area cosmetic medical procedures performed by nurses.  
2021/11/20

Body odor treatment Suction surgery

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Body odor treatment suction method

What is the suction method?

Suction method is a suction method surgery, which is a surgical method developed by a procedure to remove and remove sweat glands that cause body odor by suction operation with a suction tube.

As a treatment for armpits, suction surgery was performed at cosmetic surgery clinics more than XNUMX years ago.

Suction method From the day of surgery, it is possible to date, there is no pain, scars do not remain, it is easy, etc. As a treatment method for armpits that can be easily received without downtime, a catch phrase by a certain cosmetic surgery clinic has been used in the past with a large advertising strategy. It is a treatment for armpits that has been carried out for a certain period of time.

At that time, surgery was performed by using a thin suction tube for liposuction, incising the skin of the armpit for several millimeters, and rubbing the subcutaneous tissue from the back side of the skin without peeling the skin as in the conventional armpit surgery method. Was carried out.

It was postoperative care that gauze fixation was not necessary because the armpit skin was not peeled off, but in reality, there were not a few complications such as postoperative bleeding and speciation.It is less effective than various conventional surgical methods because it is an operation that only scrapes out the subcutaneous tissue containing the sweat glands that cause the odor with a suction tube, and even if the odor and sweat are slightly reduced for several months, it is almost the same. It was an incomplete surgical procedure that returned to.For this reason, many complaints were made by patients who underwent suction surgery, and its effectiveness was denied. Currently, few medical institutions carry out suction surgery as a treatment for body odor.

Comparison of suction surgery and MiraDry

Unlike MiraDry, which is a non-invasive treatment method, suction surgery is inferior in effectiveness despite being performed by a doctor, and it cannot be said that it is actually an easy treatment method for body odor.

Unlike MiraDry, damage to the epidermis was characterized by almost no pain as long as it did not cause speciation.

Aspiration method for treating children's body odor

Treatment of body odor in children is more difficult than in adults.Aspiration is not the treatment of choice for children.Children have a high ability to regenerate tissues, and if sweat glands are not removed and destroyed more firmly than adults, there is an extremely high possibility of recurrence, and suction methods cannot be used to completely cure them.

Is the suction method possible at any part?

There was a case where it was also performed on Susowakiga, but treatment on the areola and anus is not indicated because treatment is not possible with the I line.

Suction surgery flow

XNUMX: Design of treatment range

XNUMX: Disinfection

XNUMX: Local anesthesia with xylocaine

XNUMX: Small skin incision

XNUMX: Insertion of suction tube, removal of subcutaneous tissue including sweat glands from the back side of the skin

XNUMX: Suture of the incision

XNUMX: Compression fixation Some medical institutions perform simple treatments such as applying gauze to the affected area to prevent skin peeling.

downtime

Most patients do not need to fix and remove the affected area after surgery, and most patients visit only the suture wound.Or, depending on the case, it is not necessary to remove the thread by using a meltable thread.

Completed with just one outpatient surgery There were many cosmetic surgery clinics that were attracting customers by complaining about.The pain was less because the skin was not exfoliated, but there were cases where bleeding at the exfoliated site and speciation occurred after surgery because the fixation was not performed firmly.Since the range of treatment is small compared to other surgical methods, there is almost no risk of leaving ugly widespread scars or scar contractures.

Suction method market price

Although it is a suction surgery that is rarely performed nowadays,At that time, the market price was about XNUMX to XNUMX yen for surgery.

Concept of suction method surgery at Sakae Clinic

In our hospital, the suction method is

XNUMX: No effect can be expected

XNUMX: There is a considerable risk of postoperative blood speciation

XNUMX: As another treatment method for body odor, a highly satisfying EL method that ensures a permanent effect with less downtime. https://sakae-clinic.com/skin_care/axillary_odor/ Can be provided to patients

The suction method is not used for the reason.

Who recommends the suction method?

Nowadays, there are more choices of treatments, and if you want a permanent effect, it is meaningless, so no one recommends it.

Features of suction method

It is a naming and surgical method developed for the purpose of attracting customers in the PR of a major cosmetic surgery clinic group during the heyday of surgery, and it is a half-finished treatment method that is not effective and most of them recur.It has no clinical significance.

Precautions for suction method

It is not a treatment for body odor that you should receive.It can be said that the operation of sucking the subcutaneous tissue including the sweat glands does not completely cure the hircismus and hyperhidrosis, and it is not only meaningless but also has a great negative effect as it leaves the skin wound.The late Dr. Masumi Inaba also enthusiastically stated that the suction method is a fraudulent operation as a treatment for body odor and that it can be asserted that it is not a treatment method that should be performed from an academic and ethical point of view. I remember.

2021/11/19

Wakiga Inaba surgical method

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Inaba surgical method

A landlord representing Japan in the treatment of body odor,Using the Inaba-type armpit remover developed by the late Dr. Masumi Inaba, the skin was peeled off with a surgical scissors called a long sweat gland from an incision of less than XNUMX cm, and then the Inaba-type remover was inserted subcutaneously into the skin. A surgical method to remove the Ecklin sweat glands, apocrine sweat glands, and sebaceous glands by pressing the upper side of the skin with the blade of a sword with a roller from the back side and sliding the blade applied to the back side..
When I was training as a cosmetic surgeon more than XNUMX years ago, I visited Dr. Masumi Inaba's Inaba Cosmetic Surgery in Asagaya, Suginami-ku, Tokyo many times. rice field.And he is one of the few doctors who received direct guidance on Inaba surgery.
At that time, I remember as yesterday that I was guided to my laboratory about hair growth theory, the mechanism of body odor, etc., and Professor Masumi Inaba and the best radical treatment method for body odor and hyperhidrosis.As it is now, armpit surgery and other treatments are not widespread, and Inaba surgery was famous as the only treatment that could be completely cured.Inaba Cosmetic Surgery attracted patients suffering from hircismus and hyperhidrosis from all over the country, but nowadays, the length of downtime and risks are due to the long downtime and the scars remaining after surgery. Due to the problem of scars and the lack of guidance, the number of doctors performing the procedure has dropped sharply.
At certain medical institutionsRoller clamp methodA similar modification of the surgical method is being implemented under the name.

Disadvantages of Inaba surgery

It is a method of exfoliating the armpit skin extensively and inserting an Inaba type remover to remove the sweat glands from the back side of the skin as much as possible, but it requires a long-term strong fixation of about XNUMX weeks called double tie-over, so originally If so, there are restrictions on daily life and physical restrictions due to downtime that requires long-term hospitalization.
No matter how small the skin incision is, the area of ​​peeling is wide and bleeding is likely to occur, and there is a risk of extensive skin necrosis when speciation occurs.
It is difficult to fix it firmly, and if you do not fix it firmly to the surgical site of the armpit with gauze etc., the shape of the peeled skin will be deformed into an accordion-like folded bellows shape, or a cyst will be formed after the operation, or it will become scarred. increase.
There were not many doctors who could perform Inaba-style surgery well because of the high skill of craftsmanship.
Currently, compared to Ladry, which is the mainstream treatment method that does not use a scalpel for the treatment of hircismus and hyperhidrosis, the current situation is that it is not widespread even if the effect can be expected to be completely cured due to advanced technology and downtime. ..

Inaba surgical procedure flow

XNUMX: Marking of the peeled area on the skin

XNUMX: Local anesthesia

XNUMX: Incision to the insertion site of the Inaba-type deleter

XNUMX: Skin exfoliation in the therapeutic range

XNUMX: Inaba-type remover inserted, sweat gland tissue removed from the back of the skin

XNUMX: Hemostasis

XNUMX: Make a small drain incision on the skin

XNUMX: Double tie-over fixing of peeled part

Inaba surgical method downtime

The incision is as small as XNUMX cm or less, but the peeling range of the skin is wide and strong fixation is required, and it is necessary to keep rest until the peeled skin engrafts with the mother bed.A minimum of XNUMX-XNUMX weeks of rest and fixation is required.
The arm must be raised and maintained at a right angle while it is fixed.
Downtime is a long remedy.
Fixed removal is XNUMX to XNUMX weeks later.It takes at least half a year for the scar to be inconspicuous as a skin color because the skin from which the tissue is scraped from the back side turns brown and pigmentation often occurs.

Treatment costs for Inaba surgery

The specific market price is currently unknown because there are few facilities that actually perform the Inaba ceremony.
In the case of a similar method, it will be around XNUMX yen.

Indication of Inaba surgical method

Those who do not mind scars, can tolerate long-term rest and downtime, and want to aim for radical cure with one treatment.

Significance of Inaba surgical method

The purpose is to complete one operation aiming for complete cure by implementing extensive treatment.
The downtime is long, and there are many complications such as skin necrosis due to blood type formation, postoperative skin scar contracture, epidermoid cyst, and folliculitis.
The incision is small and unobtrusive, but the exfoliated skin often causes pigmentation and scarring, which makes the skin at the surgical site discolored or bumpy.

Risks of Inaba Surgery

·downtime
・ The possibility of pigmentation and shape changes of exfoliated skin
・ May be accompanied by postoperative pain due to firm fixation
・ If not rested, blood speciation will occur and widespread skin necrosis will occur.
・ There is a possibility that a state of cyst formation and accumulation of liquid secretions called seroma will appear after surgery.
・ The peeled skin may shrink and form an ugly shape called scar contracture.

The future of Inaba surgery

* Before treatment with the EL method, I had been performing reduction surgery for Inaba surgery for many years.
The skin is peeled off only in a narrow area in the center, no complications occur after surgery, fixation is released in XNUMX days, and a method with less downtime and less pain for postoperative patients is devised. I have had an operation.
You will prioritize either taking effect or making scars less noticeable.Ideally, surgery should be effective and scars should be inconspicuous, but this is contradictory to surgery for hircismus and hyperhidrosis.
 In search of a new treatment method, we have developed the EL method, which is a treatment method that does not leave scars, can be expected to be completely cured, has no downtime, has no complications, and does not cause postoperative pain.
Currently, Inaba surgery is completely canceled and EL method is used as the main treatment for hircismus and hyperhidrosis. With more than XNUMX years of experience as a cosmetologist, EL is the best treatment for patients, including shearing, Inaba surgery, and many surgeries. ..
In recent years, a beauty surgeon who has never performed a case of armpit / hyperhidrosis surgery purchases only treatment equipment and entrusts all the treatment to a nurse, and treats armpit / hyperhidrosis extensively using advertising media. There are many medical institutions that carry out PR. Unless a specialist who has experienced all types of surgery and treatment is in charge of direct treatment, the results will not be satisfactory for the patient.We recommend a medical institution where a specialist with abundant treatment experience directly implements body odor and hyperhidrosis.There are few patients who are satisfied with the treatment of hircismus and hyperhidrosis by the nurse's treatment, and troubles occur frequently.We believe that the treatment of hircismus and hyperhidrosis, which is a medical practice, should be performed by a skilled specialist, not a nurse.

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