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.  

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~ What causes the cosmetic surgery death? Exploring the reality The horrible medical practice hidden in discounted cosmetic surgery

There is no other type of medical care where the price varies between clinics as much as cosmetic surgery and cosmetic dermatology.At a certain cosmetic surgeryDouble fenceThe surgery is 18 10,000 yen, and in certain cosmetic surgery, 9800 yen,Botox injectionAt some cosmetic surgery clinics, it costs 1 yen per site, while at others it costs 3000 yen. What is the difference? I feel like the low-cost, low-quality cosmetic surgery business is destroying the future of cosmetic surgery. PRP therapyThe procedure costs 3 yen. Even though the kit costs more than 3 yen... This system naturally reduces the quality of the kit to the minimum and does not follow the procedures that should be followed. There are cosmetic surgery clinics that use dental kits that are not actually effective or simple blood collection tubes. Of course, there is almost no effect. There are even greater risks hidden behind the procedure. Recently, a patient came to consult us after undergoing treatment with the Fraxel 2 system at a rapidly growing cosmetic surgery clinic that sells discount cosmetic medicine, and after experiencing redness, swelling, and pain like a burn for more than two weeks. The patient had pigmentation on her face, and naturally, the expected effect was not felt at all. She regretted having been lured in by the discount price advertised in a magazine and undergone the treatment. Surprisingly, at the cosmetic surgery clinic, the explanation of the procedure is given by a nurse, not a doctor. Fractional laserIt is one of the treatments that involves some risks in cosmetic dermatology, as it can cause downtime.Even if under the supervision of a doctor, a person without medical qualifications may provide treatment.Fractional laserIt is not permitted under the Medical Practitioners Act to irradiate patients with radiation. It is a clear violation of the Medical Practitioners Act. It is a horrible practice devised to attract customers by discounting treatment fees. When I inquired about this treatment and the equipment to the sales agent manufacturer, they replied, "We tell them to have a doctor perform the treatment whenever possible." When I asked if this is a risky treatment that should definitely be performed by a doctor, rather than "whenever possible," the person in charge seemed to think it was a bad idea, and gave an evasive answer, "Well, yes." Fractional laserIt is absolutely impossible for a nurse to perform the correct irradiation. This is because it is a treatment that requires diagnosis while irradiating, and changes to the set power, irradiation density, and path must be made after observing the skin's reaction. No nurse can properly diagnose the skin's reaction and operate the treatment system. Once the equipment is sold, it is up to the person to use it and how they use it. Am I the only one who thinks that this is too bad? In order to maintain the quality of cosmetic medicine at the clinic, it is necessary for a specialist doctor to carefully and carefully perform the treatment while examining the patient. This limits the number of patients who can be treated in a day. Naturally, it is unavoidable that the cost of cosmetic treatment will be a certain amount from a management perspective. There are many advertisements in local monthly magazines that boast flashy discounts, but our clinic's policy is that such advertisements and PR should never be made, and we believe that excessive advertisements and PR should be avoided in accordance with Article 1 of the Medical Care Act. With the collapse of local medical care being called out, I think it is time for the government and media to warn against doctors easily flocking to cosmetic medicine and performing low-quality cosmetic treatments in order to receive high fees with their inexperienced skills. Recently, there has been a sharp increase in consultations from patients who are worried about problems they have experienced after receiving discounted cosmetic medical treatments. I hope that patients who read this column will take the time to think carefully before undergoing cosmetic medical treatment. Medical care should not be dominated by discounts. I believe that medical care should always provide patients with services at a level that they could even provide to their own family.

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~ Causes of cosmetic surgery deaths? Explore the reality. Terrible medical practice hidden in discounted cosmetic surgery

! ! ! Emergency column! ! ! Recently, various media outlets reported on a fatal accident at S Cosmetic Surgery Clinic, a major cosmetic surgery chain. There were two fatal accidents last year, and many fatal accidents due to cosmetic surgery have already occurred at S Cosmetic Surgery Clinic. This is a famous clinic group that is well-known in the industry for thoroughly reducing the quality of manualized medical care and performing discount cosmetic surgery. It is also famous for never hiring experienced cosmetic surgery specialists and for not allowing any academic study sessions or exchange of opinions. It is also a cosmetic surgery clinic that is famous for performing extremely sloppy surgery. Of course, there are very few cases where the doctors belonging to this cosmetic surgery group make presentations at or participate in academic conferences. This is because it would be disadvantageous for this cosmetic surgery group to never allow them to learn or introduce legitimate cosmetic surgery medicine. In other words, a low-cost, low-quality, profit-earning business model has been created that pursues only the benefits for the management side, not the benefits for the patients. Doctors who come from this cosmetic surgery clinic group and open their own cosmetic surgery clinics also often operate cosmetic surgery clinics using similar methods of attracting customers and surgical methods. I have patients who have undergone surgery at S Cosmetic Surgery, but there are also many who have undergone surgery by doctors from S Cosmetic Surgery and come to me for corrections because their results were extremely unnatural. There are self-proclaimed cosmetic surgeons who perform similar cosmetic surgery, believing that what they learned and experienced at S Cosmetic Surgery is the best and everything. There are also doctors who call themselves charismatic. Do 2009 people have been operated on for liposuction surgery, and are all XNUMX people really satisfied? What level does the experience of S Cosmetic Surgery compare to the current standard of cosmetic surgery? Cutting corners and keeping costs low is a big risk for patients other than financial benefits. S Cosmetic Surgery repeatedly promotes itself with its best technology and advertising, but doctors with the best technology will never perform cosmetic treatments that use only the lowest priced medical materials, refusing proper aftercare for extremely low surgery fees. Neither the Japanese Society of Aesthetic Plastic Surgery nor the Japanese Society of Aesthetic Plastic Surgeons have ever rated this cosmetic surgery clinic as having the best technology. My cosmetic surgeon friends have also experienced many patients who have had major problems at S Cosmetic Surgery Clinic and have had to undergo corrections. This is the death of a XNUMX-year-old woman due to liposuction. This is an incident that should be taken seriously. Is it really right to recommend liposuction to a XNUMX-year-old? Is it right to ignore aftercare? Were necessary tests such as blood tests and electrocardiograms performed before the surgery? Was the surgery performed properly under strict supervision by an experienced doctor? I feel that we will never get a satisfactory answer from S Cosmetic Surgery. In addition to S Cosmetic Surgery, a major accident occurred in XNUMX at a cosmetic surgery group in the Kanto region that sold discounts. It seems that the accident occurred because the group attracted customers with flashy advertising and performed careless anesthesia despite the lack of cosmetic surgery specialists or supervising doctors. Are there any benefits to discount medical care? Do patients really understand the risks? It is true that many of the medical accidents caused by cosmetic surgery have occurred at cosmetic surgery clinics that have lowered the quality of medical care through price competition. There is a possibility that the actual number and content of fatal accidents at cosmetic surgery clinics that offer discounted low-cost cosmetic surgery, including S Cosmetic Surgery Clinic, is hidden. As cosmetic surgery continues to develop, we will be required more than ever to carefully assess the quality of medical care and provide reliable medical care that puts the patient first. As a cosmetic surgeon, if you do not have the proper skills, knowledge, and experience, and the ability to reliably deal with any problems that may arise, surely you should also be humble enough to refrain from performing surgery. I hope that the perception that cosmetic surgery is scary, that it is an outrageous medical procedure, or that cosmetic surgery is anti-social medical care does not spread.

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Aesthetic surgeon's ability and care of cosmetic surgery suture wound

A cosmetic surgeon is not a professional just because he is good at cosmetic surgery. He also needs to know how to heal the wounds caused by cosmetic surgery. This is the final touch. A professional suturing without scars should be the most professional of all surgeons. However, do most cosmetic surgeons really pay close attention to the scars of their patients? Some cosmetic surgeons believe that fine suturing will make the wound look beautiful. There are some areas that should not be finely suturing. If the sutures are too fine, the blood circulation of the sutured wound will deteriorate, the sutured area will open, and the scar may become dirty. Some cosmetic surgeons thoroughly disinfect the sutured wound after surgery. Disinfection is poison to the wound and should never be done to the sutured wound. This is a common practice among self-proclaimed cosmetic surgeons who have transferred from departments other than surgery, such as internal medicine, psychiatry, pediatrics, and dermatology. Disinfecting the sutured wound can open the wound and significantly delay healing. Even worse is applying gauze or Sofrature directly to the suture wound. This causes the suture wound to dry out, slowing down healing. Furthermore, when removing the gauze or Sofrature, bleeding and pain will occur, and there is a high risk of the wound opening up. Furthermore, some cosmetic surgeons apply steroid cream to the suture wound. The cream contains an irritant called a surfactant, which will definitely worsen the wound. The final step is for cosmetic surgeons to use dissolving thread to suture the wound. This is an unthinkable act. This is especially true in medical institutions that advertise that you don't need to come to the hospital for circumcision surgery. This is because dissolving thread does not need to be removed. However, if this thread remains in the wound, it will definitely cause inflammation in the surrounding skin and make the suture wound dirty. This is a suture material that cosmetic surgeons with common sense and morals would never use. There are many patients who are troubled by the ugliness of their suture wounds after cosmetic surgery. There are also cosmetic surgeons who have no knowledge of wound care, and even if they do, they do not do it because of the time and cost involved. Patients who pay high cosmetic surgery fees have the right to receive the highest level of wound care, but it seems that in many cases, the wound is not taken care of. Many new covering materials are now on the market, which dramatically improve wound healing. There is no need to restrict bathing. Please do not take a bath for one week after surgery. A cosmetic surgeon tells you something ridiculous. The sutured wound will epithelialize in 48 hours, so you can take a normal bath from the third day. Washing the wound in the shower will remove dirt and reduce the risk of infection. I have never seen a case where infection was caused by bathing. Be careful of cosmetic surgeons who disinfect sutured wounds, cover them directly with gauze, use Sofratul, or restrict bathing for long periods of time. You may have to protect your sutured wounds yourself. Surgical scars can change dramatically depending on the thread, covering material, treatment method, etc. I would like patients undergoing surgery to be aware of how to care for sutured wounds. From my 20 years of experience as a cosmetic surgeon,Proper suture wound careI would like to continue to serve in the future. https://www.sakae-clinic.com/wound/index.html

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Scared Kramer patient

Cosmetic surgery clinics must also deal with aggressive and persistent complaints from unreasonable complainers. Complainers may make complaints after treatment with the intention of receiving cosmetic treatment for free from the beginning, or they may change their mind midway and make unreasonable demands to the medical institution, demanding a refund of the treatment fee. In either case, it seems that these complainers often demand the return and refund of products that they have used extensively at stores other than medical institutions. Hotels and department stores have manuals for dealing with complainers. In these cases, they will create a quarrel over even the slightest mistake and make the accommodation fee free or demand a condolence payment. Unfortunately, in private clinics like ours, it is impossible to treat patients as complainers from the beginning, so we have not taken sufficient measures and have fallen prey to complainers in the past. In particular, there are complainers who target people in medical positions. There was a patient who persistently demanded a full refund of the treatment fee because the treatment did not completely remove the spots. Even though the treatment fee was discounted and the treatment was performed at a campaign price, it makes you suspect that it is a planned complaint to ask for a refund after the treatment. "I was counseled to get rid of the spots completely, but they haven't gone away!" is a ridiculous thing to say. First of all, as a doctor, I can never guarantee that the spots can be completely removed. This is because some spots, such as melasma, are extremely difficult to remove and can only be controlled. In many cases, even a slight fading is effective enough. There are some complainers who make aggressive complaints about even a small amount of remaining spots. They unilaterally insist on what is convenient for them, such as the staff's poor attitude, insufficient explanation, the cost is too high, what they say is different, etc., and do not give in. Some patients make threatening complaints. Until now, I thought that I would have to refund the money because I was afraid of the risk of having to spend time on such unreasonable patients, but as a medical institution, I will explain things thoroughly, provide materials, perform treatment that is currently considered effective in medicine, and if there are no problems, I will never give in to unreasonable complaints. When it comes to medical troubles, mistakes and negligence on the part of medical institutions and doctors are often brought up, but there is also the fact that there are patients who have an abnormally persistent temperament called complainers. Previously, there was a case where a doctor who was an acquaintance forged a medical certificate and demanded a refund. When we informed the doctor who submitted the forged medical certificate through the clinic's legal counsel that we would be filing criminal charges against him, he completely changed his attitude and stopped making unreasonable demands. When a complainer complains, we first show hospitality and give priority to explaining acceptable retreatment options and getting them to accept them. However, if they make repeated unreasonable demands or engage in acts that could be interpreted as threatening, unfortunately, we must take legal action. Doctors have an obligation to ensure and protect the health and safety of their patients, but from this actual case, we have learned that they must also protect themselves from the fear of complainers. It is unfortunate that medical institutions need to take measures against complainers so that they do not spend too much time on such complainers and neglect the treatment of other patients.

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Devil cosmetics

There are cosmetic manufacturers that combine all the trendy ingredients into their products.Among them, be careful about cosmetics containing hydroquinone.At the clinic's affiliated companies, patients sometimes wonder why they don't add hydroquinone, which is highly effective against age spots.Doctor's cosmeticsThis is a question from users. The reason is simple. Hydroquinone should be considered a medicine, and because it oxidizes easily, its safety in cosmetics has not been confirmed. Hydroquinone is said to be 100 times stronger than arbutin (in a test tube), and the topic is focused on its effectiveness, so some people may use it without paying attention to its safety. In the past, its use in cosmetics was prohibited in Japan, so it was only used in some dermatologists to treat age spots. It is a very unstable substance that quickly oxidizes and turns brown when simply dissolved in water. It turns pink when added to a cream, so it is a raw material that is difficult to ensure stability. It was originally banned in Japan because no manufacturer submitted safety data to the Ministry of Health, Labor and Welfare. However, after the deregulation of cosmetics in 2001, hydroquinone cosmetics appeared because it became possible to use any ingredient other than pharmaceutical ingredients and some prohibited ingredients at the company's responsibility even without safety data. However, this does not mean that the cosmetic manufacturer confirmed its safety. Naturally, because of its strong toxicity, many countries have restrictions on hydroquinone, and in the United States, where it originates, cosmetics state that if there is no effect after three months of use, it should be discontinued. In Europe, where cosmetics regulations are as relaxed as in Japan, hydroquinone is also designated as a prohibited ingredient and is prevented from being brought in from overseas. In Japan, the situation is very vague, and there are no warnings about hydroquinone on cosmetics, and it is not banned, so it is left unchecked. If hydroquinone is used under the supervision of a specialist, the specialist will objectively judge it and advise you to stop using it, but if it is included in cosmetics, there are no warnings like in American cosmetics, and it is likely that it will continue to be used forever. In other words, there is no doubt that using oxidized hydroquinone in cosmetics is problematic. This is the reason why major cosmetics manufacturers have refrained from using it. Hydroquinone becomes more toxic when oxidized, so it is dangerous and cannot be used unless it is made by a company that places great importance on stability when making cosmetics. Rather, hydroquinone should be treated as a medicine to be used under a doctor's prescription. By the way, the whitening effect of hydroquinone is achieved by suppressing the activity of tyrosinase and by preventing small melanin molecules from sticking together to form larger melanin molecules (preventing melanin polymerization). Unfortunately, the effective amount of hydroquinone (whitening) is close to the amount at which side effects occur (irritation), so although it is certainly effective, it also places a heavy burden on cells, and hydroquinone is not used in general cosmetics. It is not surprising that it is banned in Europe, but rather a given. It seems that stricter regulations are also being considered in the United States. I hope that women will acquire a solid knowledge of cosmetics so as not to fall prey to companies that prioritize profit and follow trends without regard for safety.

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Nagoya's unscrupulous cosmetic surgeon who was arrested and went bankrupt

Graduated from the School of Medicine of the Imperial University, became a cosmetic surgeon without any experience → Arrested for violating the Medical Practitioners Act, suspended from medical practice, and filed for bankruptcy In 1997, a case occurred in Nagoya where a dishonest cosmetic surgeon was arrested for violating the Medical Practitioners Act, filed for bankruptcy, and disappeared. This was Dr. S, who was 50 years old at the time and graduated from the School of Medicine of the Imperial University and was a lecturer in thoracic surgery at a private medical university in Aichi Prefecture. He started a cosmetic surgery clinic without any training or experience because he thought cosmetic surgery was profitable. His selling point was that he was a thoracic surgeon who could perform any surgery easily and successfully! His selling point was that he was a salesman. In the waiting room, he proudly displayed his medical doctor certificate and his graduation certificate from the Imperial University. After leaving clinical practice at the university, he was mainly in charge of animal experiments and did not perform clinical work until just before opening his clinic. He had a very high sense of pride, and he was convinced that since he was a graduate of the Imperial University and would be doing cosmetic surgery, any surgery would be easy, so he performed breast augmentation surgery for the first time in his life while referring to books. However, the operation started with local anesthesia, but the amount was increased as the patient complained of pain, and the patient went into shock due to local anesthesia poisoning. He did not recover and was transferred by ambulance to the Japanese Red Cross Hospital. He was unconscious for several days. His life was barely saved, but the brain damage was left and he became amnesiac. I was able to hear the details of this frightening incident later from the staff who worked under Dr. S. A sensible doctor would have been depressed at this point and performed the operation carefully, but Dr. S, who always starts the operation under the influence of alcohol, convinced everyone that the reason there was no fatal accident was because he was good at it, and the ridiculous operation was performed even more quickly. All failures and troubles are the patient's fault. The skin rotted because you moved, and this happened because you did not rest. He yelled at the patient to scare him, saying that he was a veteran thoracic surgeon and cosmetic surgeon and could not make a mistake, and he also seemed to cover up the medical errors. Furthermore, Dr. S had a friend who worked at a real estate company that he employed as the office manager, pretend to be a fake doctor and have him perform medical procedures. When he went to Hawaii, he was arrested for causing trouble by having the office manager perform medical procedures, and the case was widely reported in the local newspaper as a front page article. Even after this, he continued to perform medical procedures and caused victims. Many of the victimized patients came to my clinic after Dr. S filed for bankruptcy and disappeared. One female patient had a mole on her nose gouged out with a scalpel, leaving her in a horrible sunken state, and became depressed; another young female patient had her genitals mangled with an electric scalpel to treat condyloma, a type of sexually transmitted disease; and another young female patient had so much skin scraped off during an underarm odor surgery that it became necrotic, leaving keloid-like scars and causing her to suffer from difficulty in raising her upper arm. Many young female patients were victimized by Dr. S. Dr. S's misdeeds were well known even in Nagoya. He was a doctor of medicine, graduated from an old imperial university, graduated from thoracic surgery, and a university lecturer, and had a strong sense of elitism, and it seems that he never listened to the opinions of others. It was later discovered that he had quit his university due to troubles with women and surgery. Needless to say, the incident caused by Dr. S has caused great harm not only to patients, but also to university staff and doctors working part-time at the clinic. An incident very similar to that of Dr. S, who was arrested in Yokohama last year, occurred in Nagoya more than 10 years ago. This incident serves as a lesson that just because someone graduated from a famous university, is a medical doctor, or is a confident doctor, does not necessarily mean that they are qualified to be a cosmetic surgeon. Now that his suspension from practicing medicine has been lifted, Dr. S may be wielding a scalpel somewhere as a cosmetic surgeon.

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Reports of troubles and accidents of successive cosmetic surgery

Complaints and troubles with cosmetic surgery that were not publicized before have recently been widely covered in the media. Unlike medical malpractice, there are many troubles due to unjust billing for medical expenses. Here is what has been reported recently. There have been a series of troubles where medical institutions have forced customers to enter into unjust credit contracts for hair removal and breast augmentation surgery. The Installment Sales Act allows customers to default on payments to credit companies if the product or service is defective, but medical procedures are not covered by it. On the 25th, lawyers will launch the first dedicated telephone service, the "High-cost Cosmetic Medical Victims 110." "I asked for circumcision surgery based on an advertisement for 110,000 yen, but at the time of the surgery I was told that it would cost 1.7 to 1.8 million yen, and a credit contract had already been prepared for me." "I saw an advertisement for 85,000 yen, and when I consulted about double eyelid surgery at the clinic, I was persuaded for two hours and signed a contract for 2.7 million yen, but my eyelids swelled after the surgery." The consumer consultation service of the Second Tokyo Bar Association receives one or two such medical loan consultation calls per month. Similar calls are also being made to medical consultation hotlines. According to the National Consumer Affairs Center, there were 1,253 complaints and inquiries about cosmetic medical treatments in fiscal 2006, a 1.4-fold increase over three years. Nearly 80% of the total were related to contracts and cancellations. In the case of beauty salons, profit-first salons that deviate from their original duties are damaging the image of the industry, and the same is true for cosmetic surgery. It is also necessary to thoroughly drain the pus in order to purify the industry. We hope that the government will also crack down strictly.

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Violation of esthetic doctor law

Recently, we have seen reports of salon owners and staff being arrested for violating the Medical Practitioners Act. In some cases, salons openly perform medical-like practices in a so-called black box. In other words, the closer the practice is to medical-like practices, the higher the profits. Since they cannot expect to make a large profit from traditional skin care and healing treatments, they are expected to violate the Medical Practitioners Act by engaging in illegal practices such as laser hair removal, mole removal, and age spot removal. People without expertise or qualifications do not understand the risks. They also tend to over-advertise and perform treatments because they have nothing to lose. Unfortunately, estheticians do not have national qualifications, so from today I can work as an esthetician right away. In the past, advanced knowledge and skills were required for hair removal, but nowadays, with the emergence of laser hair removal devices, anyone can easily perform the treatment. However, the risk of burns increases, and if the settings are incorrect, problems such as burns and pigmentation can occur. Some patients have come to my clinic for treatment after suffering from significant burns caused by hair removal at salons. I do not deny the treatments at salons, but society cannot function without complying with the law. The reality of major beauty salon chains that only pursue profit is also horrifying. They make beauticians compete with each other for sales from customers acquired by bar graphs, inflate prices, and aggressively solicit with talk that can be interpreted as half-threatening. They lure customers with campaigns and trials to make them sign contracts for expensive courses. It is a special business negotiation and method. Recently, listed beauty salon La Parle was suspended from business. This beauty salon also seems to have increased its sales by using quite aggressive and fraudulent methods. It was an incident and report that further tarnished the image of the industry. What I cannot forgive is that there are many beauticians who take advantage of women's desire to improve themselves and use beauty salons as a tool to make money, or who recommend beauty treatments by lying about the risks of cosmetic surgery and cosmetic dermatology treatments. I have also confirmed the existence of a manual that falsely explains to customers that hair removal at cosmetic surgery is painful, causes many problems, and has a large risk, and emphasizes the safety and convenience of beauty salons in order to sign contracts. This manual contains a list of contents that can be interpreted as slander against cosmetic surgeons. If cosmetic surgeons across the country were to see this manual, they would be extremely angry at beauty salons. There is no pride or dignity in being an esthetician, and the reality is that beauty salons are used as a cover to make money. I hope that the authorities will crack down on this and the industry will be normalized. The Medical Practitioners Act prohibits anyone other than a doctor from performing hair removal procedures that use strong light or lasers on the roots of hair.

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Cosmetic surgery treatment by a fake doctor

I recently came across a newspaper article about a Korean woman being arrested for injecting anti-wrinkle medicine without a license, violating the Medical Practitioners Act. One of my patients was tricked by this fake doctor and had cosmetic surgery? and suffered a lot. An acquaintance told her that a famous cosmetic surgeon from Korea was coming to Japan to perform a special nose job, and she had a rhinoplasty at home without hearing any specific explanation or surgical method. Soon after, something foreign was inserted into her nose, which became red and swollen, and in a miserable state. I happened to be in Akasaka at the time, so I asked a cosmetic surgeon friend of mine to perform the revision surgery right away. Something outrageous had been inserted into her nose. A large ready-made prosthesis without any processing had been inserted haphazardly, causing inflammation and infection. Fortunately, the problem was resolved early, but it seems that this was the procedure performed by the arrested Korean woman. It seems that she was worried about the flood of complaints about her cosmetic surgery, so she changed to injections such as Botox and made a killing. Below is the article about her arrest. <Article> The Metropolitan Police Department has arrested Korean esthetician Choi Bok-rye (53) on suspicion of violating the Medical Practitioners Act (practicing medicine without a license) for injecting women with a drug to remove wrinkles without a medical license. The drug used in the wrinkle removal contains botulinum toxin, which has caused deaths from side effects overseas. Since it is not approved for cosmetic surgery in Japan, it is difficult for anyone other than doctors to obtain it, and the Organized Crime Control Division 1 is investigating the drug's acquisition route. According to the investigation, Choi is suspected of performing medical procedures without a license, such as injecting a drug containing botulinum toxin, which has the effect of temporarily paralyzing nerves and relaxing muscles, in order to remove wrinkles on the faces of five Korean women and other customers at her home in Chuo Ward, Chiba City, between March and October last year. Choi came to Japan in 1998 and said that he had been performing cosmetic surgery on Koreans at his home and other locations since around 2000, stating that he had learned how to give injections in Korea, where minor cosmetic surgery was popular. He opened an esthetic salon in the city in November last year, but closed it within a month due to a lack of customers. Choi was arrested on the 15th of last month on suspicion of violating the Waste Disposal Act for dumping empty injection bottles and other items in a garbage dump. About 300 used needles were found in the garbage, and the department believes that hundreds of women may have been subjected to unlicensed medical procedures, and is currently investigating.