Reading Time: <1 minute Since our opening, our clinic has been producing doctor's cosmetics in-house. We purchase cosmetic raw materials from raw material manufacturers and compound them in-house to produce a vitamin C derivative lotion, which is a basic cosmetic. There are few doctors who are familiar with the basic knowledge of weight loss and manufacturing methods required for producing cosmetics, so we have released the only video in Japan, the third volume of the series ``Tips for Producing Doctor's Cosmetics for Doctors,'' so that even those without the knowledge of a private practitioner can easily produce doctor's cosmetics in-house. The advantage of producing in-house is that fine adjustments are possible, and preservatives can be used to adjust the amount of methylparaben or change to phenoxyethanol, etc., and preservative-free formulations can also be produced. General cosmetics contain various preservatives to allow a three-year shelf life. There is an advantage in being able to produce so-called ``raw'' cosmetics, and it can also be used by those who are resistant to the addition of preservatives. However, cosmetics that do not contain any preservatives are prone to oxidation and may actually be harmful to the skin, so be careful. When performing cosmetic dermatology treatment, it is essential to have a minimum level of knowledge about the ingredients and manufacturing of cosmetics.  

Reading Time: <1 minuteAs the COVID-19 infection spreads, people now have to cover their faces with masks, leaving only their eyes exposed. Many companies now require employees to wear masks indoors. Currently, the number of patients undergoing mole removal is increasing rapidly. Carbon dioxide laser treatment is well known for mole removal, but our clinic recommends thermal evaporation treatment using electronic energy, which leaves less scars than carbon dioxide lasers and can be removed reliably in a short time, or evaporation treatment of mole tissue using a thulium laser (Lavieen). >>About mole removal Unlimited mole removal Treatment is performed on a flat-rate basis. In medical institutions, removal using a carbon dioxide laser is common, but there is a high possibility that a very noticeable hypertrophic scar will remain, so careful consideration is required. Many patients come to our clinic to consult about hypertrophic scars after mole removal using a carbon dioxide laser. CO₂ or carbon dioxide laser mole removal has a cutting-edge image with the name laser, but it has been used clinically for over 25 years. In a sense, it is an old-fashioned treatment and is not necessarily recommended as the first choice for carefully removing moles. In fact, I also removed moles more than XNUMX years ago using a domestic carbon dioxide laser system developed by Japan Infrared Industries Co., Ltd. (Neek), which was sold at a list price of about XNUMX million yen at the time. When I started working as a cosmetic surgeon, the treatment for mole removal was basically excision, so the carbon dioxide laser system, which can evaporate and disappear by simply irradiating it with laser light, was revolutionary and seemed like a magical device. Scars are less noticeable than with incision surgery, and scar healing was not a big issue more than XNUMX years ago. Laser treatment In those days, patients were satisfied if the swelling and color of the mole improved. However, nowadays, there are systems that can remove moles more cleanly, so the issue of scars such as hypertrophic scars caused by carbon dioxide laser removal has come into focus. I am still reluctant to use the same treatment method as XNUMX years ago. Currently, raised moles are mainly removed using a treatment method that evaporates the mole tissue with heat from electronic energy of radio waves. For flat moles, a laser is irradiated with a medium called thulium to evaporate the tissue and remove it. Moles are diagnosed with a device called dermoscopy. If malignancy is suspected, the affected area must be removed by excision or hollowing out, and a pathological examination is performed to confirm the diagnosis. For tumors and moles that have been diagnosed as benign, we do not perform excision, but choose to treat them with electronic energy evaporation or thulium laser. For aftercare, a medical sticker is applied for a few days and moist wound healing is performed, but the affected area is not disinfected. Disinfecting the wound will delay wound healing due to the tissue damage caused by the disinfectant, and the risk of infection will increase. The main reason for removing moles is for aesthetic purposes, but there are also cases where a fortune teller recommends removal, or there are symptoms such as itching or pain. Mole removal does not mean that all scars will heal and become inconspicuous in the same way. Depending on the part of the body, the scar may become raised and become a state of hypertrophic scarring, so careful consideration is required before surgery. On the face, scars are likely to be noticeable around the mouth, lower jaw, and above the cheekbones. On the body, scars are likely to be noticeable on the shoulders, above the deltoid muscle, and above the sternum, because the skin is highly taut and the scar is always pulled by the surrounding area. In particular, in these areas, there are many cases where the scar heals as a white raised hypertrophic scar. Depending on the part, excision surgery can also be performed without leaving any scars, so if the mole is too large, surgery may be necessary. Because there is cartilage just below the tip of the nose, it is difficult to remove the mole, and you will need to choose a treatment other than excision. Mole removal is not a difficult cosmetic surgery procedure, but there are many things to be aware of, such as postoperative care and the selection of the surgical site, so we recommend that you receive a thorough explanation of the risks and benefits from your doctor before undergoing treatment. contact@sakae-clinic.com phone:0120566680

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Vicious infiltration staff aimed at beauty clinics

Many people apply and inquire about working as staff at beauty clinics. Is it becoming a dream job for women? However, some people try to become staff in order to demand unreasonable wages targeting beauty clinics. K was a woman in her 30s who wanted to work as a receptionist and counselor at the clinic. Although she did not make a strong impression during the interview, she persistently requested that she be given a chance to work at a beauty clinic, so we decided to hold an orientation. The orientation is an opportunity to confirm the work content and clarify whether it is possible to continue working at the clinic by explaining the work at the clinic for the number of days and time desired by the person, showing a DVD, and having them observe the reception work. K persistently requested to hold more orientation days and repeatedly expressed her desire to work at the clinic at all costs. At first, I thought she was very motivated to work, but during the orientation, she began making frightening remarks to the staff. After working there for about two weeks, she began to slander and expose the inner workings of a certain beauty clinic, her previous workplace. Moreover, he started talking about how he was forced to quit his job because of harassment and bullying. He became persistent in saying that he could not forgive his previous clinic, that it was unethical, and that it was doing outrageous things. He even talked about specific management information and patient information, and it became clear that K had no concept of protecting personal information. Of course, it is impossible for a medical institution that needs to protect the privacy and personal information of patients more than any other company to employ such a person. Furthermore, during the orientation, K asked to receive cosmetic treatment and performed the treatment. Of course, it was later revealed that K had no intention of paying for the treatment, even though it cost money. After the orientation, when we told K that we could not employ him, his attitude suddenly changed, and he left, swearing at us, saying that he could not understand the work because we did not teach him carefully, and that you staff are terrible. A few days later, a threatening letter was sent to the clinic from K. The letter said that if K's salary (there was no time card, no hourly wage, and no other arrangements, and the orientation was held on the date K wanted) was not paid within three days, legal action would be taken. It also hinted at the involvement of a third party. Later, the Labor Standards Inspection Office reported that K had not paid her salary, so I had a meeting with the person in charge. The person in charge explained that K had made a ridiculous false report, saying that she had performed medical procedures even though she was not a nurse. It was also revealed that she had reported working on dates when she had not come to the clinic at all during the orientation. She had slandered the Labor Standards Inspection Office as a form of harassment. The person in charge at the Labor Standards Inspection Office was also surprised by K's misdeeds. It turned out to be a completely false report, and we requested that no workplaces be victimized in the same way in the future. We immediately contacted the director of K's previous workplace and were able to hear the circumstances and circumstances behind K's resignation. It was said that she had resigned due to problems with her abusive behavior towards staff using the same method. We were very concerned about K's extremely unfair behavior, so we carried out a thorough investigation, and new facts came to light one after another. He had visited the clinic in advance for counseling as a preliminary inspection (he denied it when questioned by the staff), had undergone surgery as a monitor at another cosmetic surgery clinic, and because he was not satisfied with the results, he slandered the clinic and avoided his responsibilities as a monitor... Information from those involved made it clear that he was a habitual perpetrator of unfair acts aimed at cosmetic clinics and to gain profits. We immediately sent a registered letter to K, informing him that we would file criminal charges if he committed any further unfair acts, and the harassment stopped. We were preparing to immediately file criminal charges with the authorities if any further slander was committed. In addition to our three clinics, we believe that many other clinics have probably been victimized by K. It was a shocking incident that there were people who infiltrated the clinic in various ways, such as orientation, staff, and monitors, and obtained inside information to blackmail or gain unfair profits in a planned manner. In order to absolutely protect the personal information of our patients, we believe that a policy of strict action against such people is necessary.

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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.