2019/06/08

Cosmetic Surgery and Cosmetic Dermatology Actual situation of trouble No9

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Liposuction trouble

The current situation is that surgery is performed on the premise that even if it is not effective or if a problem occurs, unlike facial surgery, it will be a complete loss.It is common for doctors to differ by more than twice the amount of suction for the same part of the same person.The difference in skill between doctors is huge, and is probably the biggest of all cosmetic surgery procedures.This is because liposuction is a completely different surgery than cosmetic surgery on the eyes or nose, and unlike breast augmentation surgery, position and feel are not an issue; the main focus is on slimming down.However, this is subjective, so even if only a small amount of fat is suctioned out, it is true that the patient will become thinner a little, and even if the patient complains, it is impossible to do more because your muscles are thick. They are told that if you don't retain some fat, you won't have a feminine body, and even here, you will be turned away.In other words, this is a field in which even a completely useless doctor can be made to work as a manager.It is no exaggeration to say that it is the most sophisticated cosmetic surgery procedure performed by an inexperienced doctor.More than half of patients decide not to undergo liposuction after learning about the intense pain, internal bleeding, and swelling after surgery, as well as the actual effects.The lower legs in particular are prone to swelling, and many patients suffer from unsightly marks that become uneven several months after the swelling subsides.In clinics where there are multiple doctors and profit is the top priority, there are cases where the doctor in charge is a doctor who has been practicing cosmetic surgery for less than a year.Although I have been a cosmetic surgeon for 18 years, I do not perform liposuction due to my lack of experience and self-confidence.I do not perform liposuction because the results are not 1% satisfactory.How should we understand the reality that self-proclaimed cosmetic surgeons who are just one year out of medical school are performing liposuction on patients while telling them it's easy?Along with breast augmentation and facelifts, this is a surgery that is called the cash cow of cosmetic surgery.A cosmetic surgeon can earn between 1 million and 100 million yen for a surgical procedure in just one hour.There are also many fatal accidents.In reality, accidents have occurred in which patients die from peritonitis due to perforation of the peritoneum due to incorrect suction tubes, or patients die from circulatory failure due to forced liposuction that removes large amounts of fat at once. .It is important to understand in advance that this is a very risky surgery, as fat embolization, which is aspirated, can enter blood vessels and clog pulmonary veins, and accidents can occur during anesthesia.You should never undergo surgery from a doctor who emphasizes the effectiveness and safety of the surgery.There are many young women who think that they can easily lose weight with liposuction, have surgery without considering the risks and the post-operative condition, and end up regretting it.
2019/06/08

Cosmetic Surgery and Cosmetic Dermatology Actual situation of trouble No8

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Trouble with nasal surgery

1. Rhinoplasty:

It is common to use a prosthesis, but if the material is not sufficiently processed according to the patient's condition, it will not fit well, and the prosthesis will become noticeable and slip.If you don't make a good pocket under the periosteum, it will move loosely.Another problem is that he tends to get rhinoplasty when it comes to nose surgeries.In fact, a raised nose is the easiest surgery to perform, and it is easy to produce good-looking results and can save you money in a short amount of time.Cosmetic surgeons with little experience may suddenly implant an off-the-shelf silicone prosthesis without any processing.There are cases where the height or shape of the nose becomes unnatural, and there are cases where the nose breaks through the skin, so we recommend that you have the surgery performed by an experienced specialist.Recently, hyaluronic acid has been injected through the bridge of the nose as part of small plastic surgery, but the results largely depend on the skill of the doctor.Some clinics inject foreign substances other than collagen and hyaluronic acid because they believe the effects will last for a long time.Foreign objects may cause problems in the future, so be careful.You should receive an explanation in advance of what kind of material was injected.  

2. Nasal apex reduction:

There are probably no half doctors who can achieve the effect of chitin just by intranasal incision. In addition to sewing cartilage, the question is whether fat and cartilage under the nose can be treated with chitin. Some doctors say that they can't see well with an incision in the nostril, and they look at the inside of the nostril by looking through the open hole, but these doctors are disqualified from cosmetic surgeons. The wound is noticeable and the patient is suffering from this wound. Although it is a common operation in Korea a little while ago, it is an operation that is not possible in Japan, a country with advanced cosmetic surgery. A method of collecting autologous cartilage from one's ear and burying it in the tip of the nose may be used, but since the wound remains on the ear, deformation and adhesion occur on the implanted nose tip, the effect is not certain, so conscientious I don't think that any cosmetic surgeon would recommend it to patients.  

3. Nose wing reduction:

Since this involves cutting on the outside, advanced suturing techniques are required.This is because the length of the wound to be stitched is different.Care must be taken to suture the soft tissue under the skin so that it does not become distorted, and to prevent it from pulling.Some clinics advertise that they can reduce the size of the nasal alar by making an incision only on the inside without cutting on the outside, but in reality there is no change at all, or if only the inside is filled, the protrusion of the nasal alar becomes stronger and the shape becomes distorted. It will be.This is a surgery that requires careful selection of surgery and sufficient explanation to the patient.It is best not to do this unless you are very prepared.  

4). Rhinoplasty:

This surgery involves cutting the nasal bone to reshape it, but there are only a few doctors who can properly perform this surgery.It's not enough to cut the bone well, so just scrape it.Some doctors explain this, but the nasal bone is a thin plate-shaped bone and cannot be shaved.Please note that the actual surgery may differ from what the doctor explains.It goes without saying that a cosmetic surgeon who can approach these types of bones requires at least 10 years of experience, and a doctor who has learned the techniques of copying what he or she sees at a major cosmetic surgery clinic cannot do this.There are cosmetic surgeons who add various surgeries to nose surgery because they increase profits by adding options, but it is better to request surgery only from a cosmetic surgeon who clearly promises in advance what they can and cannot do and guarantee the results. Sho.
2019/06/08

Cosmetic surgery and cosmetic dermatology Actual situation of trouble No.7

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Example of unscrupulous cosmetic surgeon Case 3

Fatal accident.medical error.Plastic surgery failed.Medical accidents caused by cosmetic surgeons are often covered by the media.Unlike insurance treatment, cosmetic surgery treatment involves the patient's subjectivity, and there are actually fewer obvious medical accidents such as plastic surgery failures.However, fatal accidents are different.Some cosmetic surgery clinics actively hire doctors with little or no experience in surgery or cosmetic surgery.Generally, preference should be given to doctors with extensive clinical experience.In fact, a certain cosmetic surgery clinic was a clinic that attracted patients by selling low prices and performed surgeries on an assembly line basis.It was decided that it would be detrimental to profits for an experienced specialist to take the time to provide counseling to each patient and perform the cosmetic surgery in a thorough manner, so the surgery was performed in a sloppy manner, using almost inexperienced techniques, as if it were assembly line work. This is our policy.Physicians with a wealth of clinical experience naturally have doubts about this kind of treatment, but doctors with little clinical experience tend to take this kind of treatment for granted.In other words, the sloppy surgeries that are performed on assembly lines are considered to be true cosmetic surgeries and are performed easily.This clinic attracts customers and performs surgeries at surprisingly low prices, such as double eyelid surgery at 2 yen and breast augmentation at 22 yen.As a specialist, I doubt that double eyelid surgery is incredibly expensive compared to the average market price.Considering counseling, preparation, surgery, after-sales follow-up, and guarantees for patients undergoing surgery, the cost is below the cost.You cannot receive real medical care.I also have doubts about the catchphrase of this clinic, which says it's a major clinic, so you can feel safe, and it offers the highest level of safety and security.I have performed many redo surgeries for patients who underwent surgery at this cosmetic surgery clinic.The inadequacy of the surgical technique is clear from the patient's post-operative condition.In fact, this cosmetic surgery clinic had a fatal accident in the past that received extensive media coverage.I had a working doctor who had just graduated from medical school perform surgery on my armpit.The doctor, who had little surgical training or basic medical knowledge, appears to have injected the patient with a lethal dose of anesthetic.The patient died from anesthetic poisoning after the injection.The patient was unhappy because the doctor did not know how to respond in an emergency.It is said that local anesthetic shock may occur in 10 in 1 people.Appropriate treatment may save lives.In this clinic's case, the problem was not the patient's constitution but the doctor's ability.A doctor with no experience in assembly line work will not be able to deal with these types of problems.The doctors at this cosmetic surgery clinic rarely attend or give presentations at cosmetic surgery conferences.Will new surgical techniques and considerations from academic exchange interfere with our assembly-line operations?Naturally, this cosmetic surgery clinic does not have a single specialist certified by an academic society.I am surprised that despite the fatal accident, this cosmetic surgery clinic continues to grow thanks to its low surgical costs.I've been a cosmetic surgeon for 18 years now, and while I'm advocating caution when performing cosmetic surgery, a certain cosmetic surgeon who just graduated from university medical school performs major surgeries on patients, telling them they're easy.We believe that these doctors should be excluded in order to protect the rights of patients and to gain social recognition as a cosmetic surgeon.
2019/06/08

Cosmetic surgery and cosmetic dermatology Actual situation of trouble No.6

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Example of unscrupulous cosmetic surgeon Case 2

``Human Growth Hormone'' Many of you may be familiar with this term.Why do adults need human growth hormone? [HGH] (Human Growth Hormone) is secreted from the pituitary gland, and thanks to this, our bodies grow larger and reach the physique of an adult.However, it peaks between ages 600 and 65 and begins to decline, dropping to XNUMX% of what it was at age XNUMX at age XNUMX and XNUMX% at age XNUMX.This decrease in secretion is one of the causes of aging.With the progress of anti-aging medicine over the past XNUMX years, increasing the secretion of HGH (human growth hormone) (returning it to the level when we were younger) has a rejuvenating effect on our bodies, that is, Clinical trials have shown that it has the effect of improving physical strength, muscle strength, energy, immunity, reducing skin spots and wrinkles, activating hair, increasing energy, improving memory... Confirmed by.There is another very important function of [HGH] (human growth hormone).It is the most powerful of all the "hormones" produced in our bodies, and promotes the production and secretion of other hormones (estrogen, melatonin, thyroid hormone, etc.) to maintain optimal levels of each hormone. I will work like this.Now, human growth hormone is such a wonderful thing, but is it really effective as an anti-aging treatment?Is there no risk?Human growth hormone is rarely used by endocrinologists in Japan, and I feel that cosmetic surgeons and plastic surgeons are easily abusing human growth hormone.One of my patients was a XNUMX-year-old man who paid XNUMX million yen for six months for anti-aging treatment at a cosmetic surgery clinic in Tokyo, receiving human growth hormone injections.After I stopped this treatment, I began to feel weak and fatigued in a way I had never experienced before, which interfered with my work.He begged for something to be done, but nothing could be done to improve his condition.This cosmetic surgery practice did not explain any risks and recommended human growth hormone injections to patients, claiming that they would become muscular and capable of sexual activity like young men.The manager of this clinic was a regular on the list of millionaires, and was more of a manager and businessman than a doctor.Profit comes first.He seems to have maintained a policy of treating medical care as a business and not providing patient-centered medical care.Indeed, a few months after starting human growth hormone injections at this clinic, my muscles had clearly strengthened, as if my abdominal muscles were separated.Long-term administration of human growth hormone injections is currently considered to have side effects, such as the possibility of increasing the risk of malignant tumor development and growth, and general malaise after administration.While endocrinologists are also cautious about anti-aging treatments, I have big doubts about anti-aging treatments performed by cosmetic and plastic surgeons who emphasize only the benefits with insufficient knowledge.
2019/06/08

Cosmetic surgery and cosmetic dermatology Actual situation of trouble No.5

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Example of unscrupulous cosmetic surgeon Case 1

What kind of image do you have of a cosmetic surgeon?High income earners, tax evasion, money-rich lifestyles, friendships with celebrities, etc. Sometimes, the media extensively reports incidents caused by cosmetic surgeons, which creates a very social image of cosmetic surgeons that is different from that of doctors who provide medical treatment under insurance. It's been raised.Tax evasion, obscenity, stimulants, fatal accidents... Actually, the probability of committing such crimes is not high just because you are a cosmetic surgeon.There is no difference when considering the population ratio of society.There are quite a few cosmetic surgeons who are serious, diligent, and care about their patients.I feel that the media often overreacts to incidents and troubles caused by cosmetic surgeons because they are newsworthy and attract more attention, and they are often featured on TV, magazines, etc. in a funny way.However, it is also true that there are cosmetic surgeons who commit crimes and commit outrageous acts.Dr. I, who had a background in plastic surgery, was well-known as an anti-aging specialist.After graduating from a medical school at a private university in the Kanto region, I worked as a plastic surgeon, but midway through, I became an advisor to a certain wig company and was assigned to run a clinic.Due to his fickle nature, he had no desire to practice and performed false medical treatment, and was flooded with complaints and was even featured as an unscrupulous doctor on Friday.After that, she gave lectures as a lecturer for a certain seminar company, promoting herself as a plastic surgeon and anti-aging specialist.Is he a famous doctor with a lot of exposure in the media?He was active as a.At a seminar on human growth hormone, the participants were furious at the false and illegal content, which suggested smuggling of human growth hormone, and a panic erupted as they confronted the seminar company and Dr. I.I was also participating in this seminar, and it was an unprecedented event. Dr. I was not an endocrinologist nor had he acquired solid knowledge and techniques for administering human growth hormone.In fact, they boasted of illegally smuggling human growth hormone preparations, which the Ministry of Health, Labor and Welfare had not approved, and whose administration was regulated in the United States.Hormone replacement therapy is essential for anti-aging, but it is not so easy that a plastic surgeon or cosmetic surgeon can perform it in one day.There were also problems with companies that invited doctors with these qualities as seminar instructors and demanded high seminar fees.After this, Dr. O, a leading plastic surgeon, will hold a seminar on cleaning up Dr. I at a later date. I cannot understand that a doctor like Dr. O, who is respected by many doctors and has a great track record and career, would support Dr. I.After that, Dr. I was kicked out of the clinic along with the doctor he worked with, and became a full-time doctor at a dubious clinic run by a beauty salon owner, and was arrested for abusing stimulants. Dr. I was also a consultant for an anti-aging cosmetics company. Before his arrest, Dr. I had already declared bankruptcy, and it was discovered that he had been fraudulently collecting money from many of his fellow doctors and using it for his own entertainment.He is suspected of using stimulants during his work as a doctor.This is the fate of Dr. I, who sold himself as a cosmetic surgeon as a certified plastic surgeon.Although Dr. I was arrested for stimulants, his medical license will probably not be revoked.In a few months or years, you may be wielding a scalpel or administering hormone replacement therapy at some clinic, just as you did in the past.
2019/06/08

Cosmetic surgery and cosmetic dermatology Actual situation of trouble No.4

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Expensive cosmetic surgery

Occasionally, at my clinic, I see patients who request unimaginably expensive cosmetic surgery and come to the hospital with unsatisfactory results and requesting re-treatment.120 million yen for double eyelids.Not only did it have no effect at all, it just damaged it.In the burial method, the cost of cosmetic surgery is around 10 yen. Clinic A requires patients to pay high treatment costs for any surgery.Advertisements show market prices for surgery.250 million yen for surgery with a nose prosthesis.Your eyes are special, so if you don't have eyelid surgery right away, it's going to be a big problem.A particularly famous doctor who specializes in double eyelids is here today. can be done.If you miss this, you will regret it very much.Forcibly recommend the surgery with various reasons such as, and make a loan for the expensive surgery cost.An act far removed from medical treatment.In the past, this clinic has become a problem due to the failure of anesthesia management for cosmetic surgery surgery, leaving patients in a vegetative state.Attract customers with a flashy advertisement for a clinic affiliated with an entertainment production company and let a doctor who has almost no experience in cosmetic surgery perform the surgery.Counselors, who do not have medical qualifications, drive patients psychologically and lure them into surgery on the same day.As if hypnotized, there are quite a few patients who end up taking out expensive loans and undergoing surgery.Cosmetic surgery should be prepared well and received on a different day from counseling unless there is a serious reason.The intention of the clinic is not to miss a patient during the surgery on the same day.There is no benefit for the patient in same-day surgery.Before undergoing cosmetic surgery, take your time and reconsider whether you really need surgery.It is not too late to undergo non-urgent cosmetic surgery even if you are satisfied with the procedure.
2019/06/08

Cosmetic surgery and cosmetic dermatology Actual situation of trouble No.3

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Trouble with male genital surgery Mystery of plastic surgery clinic.

Penile surgery is performed under the banner of plastic surgery.There, he was put on the operating table and humiliated by a male staff member who called himself a counselor, and was told that in order to make his genitals bigger, he would have to get about 275 collagen injections, and was told that he would have to pay 275 yen for phimosis. There are situations where people who go for surgery are forced to take out a loan of 2 million yen while they are on the operating table.Although this issue has been widely covered by many media outlets, including newspapers and magazines, it has not been improved.This is because, as a patient's psychology, I can't reveal it publicly because it would expose me to shame.In other words, I'm in a state of sleep.At my clinic, a student came to my clinic for a consultation after having undergone phimosis surgery at the U Clinic and was forced to take out a XNUMX million yen loan for the surgery.This happened after my legal advisor asked me to see a student because his client was not feeling well after surgery.He was also asked for his opinion on whether the surgery cost of XNUMX million yen was appropriate.The excess collagen that had been injected left a lump in a part of the penis, and the sutured area was open and partially necrotic.I was surprised at how complicated the surgical technique was.This clinic claims that there is no need to go to the hospital.If you don't need to go to the hospital, it's like being told by a doctor that you don't know what will happen after surgery.There are no benefits to the patient.A sensible doctor should be concerned about the patient's condition after surgery, and post-operative care is also necessary.Dissolvable threads will not be used by cosmetic surgeons who are concerned about cleaning scars.The doctor responsible for the surgery always recommends that you visit the hospital for post-operative care.In the end, the student was hospitalized for two weeks and was not seriously injured, but the surgery cost was not refunded.In addition to phimosis, there is another type of penis surgery called pedicle augmentation surgery (surgery to make it longer and thicker), but since the penis is firmly fixed at the back, the two types of ligaments at the front are cut and the penis is extended forward. It cannot be pulled out.Augmentation surgery is also not recommended as it may cause tissue necrosis and disfigurement.Be careful at clinics specializing in penises that only perform phimosis and long penis enlargement surgeries, as most of the doctors are not sufficiently trained as cosmetic surgeons.There are problems with circumcision surgery whether it is too expensive or too cheap.At a major cosmetic surgery clinic, part-time doctors perform procedures using a crude and easy-to-perform surgical method called the clamp method.The surgery cost is low, but the surgical scar is ugly.Surgery has a fair price.Be suspicious of treatment costs that you cannot accept.
2019/06/08

Cosmetic surgery and cosmetic dermatology Actual situation of trouble No.2

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What are cosmetic surgery, cosmetic surgery, and dermatology clinics?

Cosmetic Surgery, Cosmetic Surgery, Cosmetic Dermatology, Cosmetic Internal Medicine The only medical department officially approved by the Ministry of Health, Labor and Welfare is cosmetic surgery.Even if you are practicing cosmetic dermatology, you can only officially claim to be a cosmetic surgery department. There are no special regulations for HP, but when advertising on town pages or official magazines, you cannot use the cosmetic dermatology department.In Japan, once you graduate from a university's medical school and obtain a medical license, you can immediately start practicing medicine as a doctor.You are free to choose the path you want to take.Basically, you will decide on your specialty after 2 years of clinical training.There are a few courses in cosmetic surgery, such as Kitasato University and the University of Tokyo, but there are also specialized courses at universities.However, in most cases, trainees will undergo training under a cosmetic surgeon and acquire the skills and knowledge needed to become a cosmetic surgeon.Unfortunately, there are large differences in the level of care, and some facilities cannot be considered to be providing patient-centered medical care.He does not tell patients whether the surgery is suitable, and performs cosmetic surgery if the patient requests it.Some clinics force you to perform surgery on the same day with downtime even if you are not suitable for surgery.Naturally, we only emphasize the benefits of surgery and do not explain the postoperative course or risks of surgery.Doctors who train at these medical institutions and acquire surgical techniques open new cosmetic surgery clinics in a short period of time.In other words, even with insufficient training in a short period of time, it is possible to open a cosmetic surgery clinic that claims to be a cosmetic surgery clinic.There is one doctor who introduced himself on his website as a charismatic and experienced cosmetic surgeon who was in his second year of medical school.Even though I have been a cosmetic surgeon for 2 years, I believe that I still have a lot to learn as a cosmetic surgeon, so I study every day and attend academic conferences and seminars to get back to my basics and work hard every day.How much experience and knowledge can you gain in just one or two years?That's a big question.Many patients do not know that there is a big difference between a plastic surgeon and a cosmetic surgeon.A plastic surgeon is not necessarily a good cosmetic surgeon.Isn't a good cosmetic surgeon a doctor who carefully and diligently provides medical care for his patients to the best of his ability?
2019/06/08

Cosmetic surgery and cosmetic dermatology Actual situation of trouble No.1

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Advertising for cosmetic surgery, cosmetic surgery, and cosmetic dermatology

Before undergoing cosmetic surgery, patients gather information when deciding which medical institution to receive treatment.In the past, paper media such as magazine advertisements and newspaper advertisements were the main source of information, but recently, with the spread of the Internet, many people are getting information by directly looking at medical institution websites using various search engines. .Many people seem to think that because the clinic is advertised on TV, it is safe, or because it is a famous clinic.Promotion and advertising requires a huge amount of budget.If you place a 1P color advertisement in a major national magazine, the average publication fee is 150 million yen to 180 million yen.There are many clinics whose annual advertising budget exceeds 1 million yen just by placing advertisements in multiple major national magazines.Since the number of patients is limited, advertising investment costs can only be recovered by performing expensive surgeries.In other words, it is no wonder that some clinics are thinking of increasing profits by offering treatments such as breast augmentation surgery, liposuction, facelifts, and human growth hormone replacement therapy, which is said to be a cash cow for cosmetic surgery.These treatments can provide medical fees of over 100 million yen for a single treatment.In fact, there are cases in which inexperienced doctors, trying to quickly recover the funds needed to start a new business, mainly perform these high-risk, high-reward surgeries, causing major problems.In order to recover huge advertising costs, surgery is recommended to patients who are not eligible for the surgery.On the patient side, it is also necessary to analyze information such as the cosmetic surgery, the history and expertise of the attending physician.A conscientious doctor will never perform any surgery or treatment that he or she is unsure of.Surgery and treatment will be performed carefully, taking into account the appropriate indications.Ads never list risks or disadvantages.It is best to think of advertisements as just a form of information.Recently, there has been a rapid increase in the number of clinics in which dermatologists provide cosmetic dermatology treatment, but there are also cases where new treatments are suddenly started based only on the knowledge gained from the professionals.It would be fine if the doctor still performed the treatment directly, but it would be a shame if the treatments that were effective when performed by a dermatologist, who lacks medical skills, are being questioned because everything is left to nurses.We recommend that patients do not accept advertisements at face value, but instead gather information and receive counseling until they are satisfied.
2011/07/24

State-of-the-art medical workshop

Reading Time: <1 minute “Leading Regenerative Medicine Seminar & Latest Training Seminar " A workshop will be held. Monday, July 7th 4:17 - 19:19 (social gathering 20:3 - 5:21) Location: Sakae Clinic 2nd floor, Nishiki HOTEI Building, 3000-XNUMX-XNUMX Nishiki, Naka-ku, Nagoya Participation fee: Free Social gathering will be held after the seminar If you wish to participate in the social gathering, the participation fee will be XNUMX yen (meal fee). Participants 5-8 names   Contents: First domestic PRP therapy to athletes (For more information is herehttps://www.sakae-clinic.com/prp/ We provide treatments to Japan's national track and field athletes at the Paralympic Games Sydney, Athens, and Beijing.This technique can be seen in his workshop courtesy of a subject.After that, we will explain the latest knowledge such as core training and stretching.We will hold a social gathering with top athletes to exchange the latest training and sports information.   Sakae Clinic

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