Tolstoy said: There is no more convincing letter of recommendation than a beautiful appearance. This shows the importance of beauty in appearance. Natural is of course beautiful. If your appearance is not as beautiful as you would like it to be due to congenital deficiencies, or if your original beautiful face is declining due to age, advances in beauty technology can undoubtedly make it possible for beauty motivation to be realized. Both the beauty seeker and the beauty practitioner should follow the tension between technical rationality and humanistic spirit to make beauty a more certain life event. But recently there has been a series of worrying incidents within the medical aesthetic industry. Polyacrylamide gel injection for breast augmentation was banned by the State Drug Administration, three ministries and commissions jointly investigated and dealt with fake botulinum toxin produced by three manufacturers used for injection for wrinkle removal, and the stem cell injection beauty scam was exposed, etc. This series of events were exposed by major media and caused a certain range of concern and repercussions in the society. Medical cosmetic practices by injection are widely suspected, and some beauty seekers have become extremely fearful of injections, as if the cosmetic surgery industry has entered the post-injection era. Emerson said that health is the first priority of life. Beauty treatments that are detrimental to a beauty seeker’s health are not worth advocating. But the sacrifice of partial or temporary health in exchange for a beautiful appearance is a choice that is difficult to avoid in many cosmetic surgery methods, and the proper use of injection is precisely one of the less damaging means of medical beauty. In fact, not all injectable breast implants need to be taken out immediately. Generally, local hard knots, chest and back pain, displacement and deformation of injectables, excessive psychological burden, affecting normal life and those who want to get pregnant must be dealt with. It is best to use direct vision surgery and not to do it again by extraction. An MRI is required beforehand to clarify the location, shape and relationship of the injected material to the surrounding tissues; ultrasound examination is only qualitative and of little significance. It is not necessary to expand the resection of all the involved tissues, otherwise it is not cost-effective and the result will only be the replacement of one deformity with another. If conditions allow, it can be replaced with a safer prosthetic material at the same time. However, this type of surgery is best done in a large hospital by an experienced doctor, and is best performed in the third trimester for pregnant women. Second, the current safer way of injectable beauty Although injectable breast augmentation has been abolished, but this does not mean that the injection method itself is dangerous, it should be said that committed to developing a safer and more effective injection materials, is still the direction of development of the cosmetic surgery industry. The injection method as an important means and method of cosmetic surgery is still very useful, has been confirmed and long-term practice to confirm the safety and effectiveness of injectable beauty is still quite common. 1, injection treatment of keloid scars: for keloid scars and keloid-like hyperplastic scars, corticosteroid injection within the lesion tissue is still the preferred method in many human sites. 2. Injection treatment of hemangioma: strawberry hemangioma and some spongy vascular malformations seriously affect the appearance and function, so injection of appropriate sclerosing agents and anti-tumor drugs is the main treatment means and also an important surgical aid. 3, facial injection wrinkle removal: For dynamic wrinkles on the face and neck caused by expressions, injection of botulinum toxin type A is the preferred method, which is recognized by the authoritative U.S. Food and Drug Administration. However, only four manufacturers are allowed to use it worldwide, and the only product approved for use in China is “Hengli” from Lanzhou. For deeper static facial wrinkles, the approved product is Zyderm, a bovine collagen produced in the United States, but it is expensive and requires skin testing before injection, and there is no approved alternative product in China. Hyaluronic acid sodium Hylaform, also known as sodium glass acid or hyaluronic acid, is approved by the European Union (CE) for wrinkle removal, its safety is better, but it is absorbed faster and needs to be injected repeatedly. Autologous fibroblast Isolagen, once hyped as “autologous youth cells”, is cultured with autologous tissues, but the preparation is complicated, the expiration date is short, multiple injections are needed, and the authenticity of the cell activity is difficult to identify. Euthyrox & Evolan, formerly known as Evanlux, is the latest wrinkle reduction and shaping filler produced by French ProCytech, which was approved by the European Union (CE) for clinical beauty in 2000 and approved by China’s Drug Administration for domestic use in 2005. The product has 4 series, EVOLUTION is a long-acting synthetic dermal filler consisting of permeable spheres attached to a non-absorbable viscoelastic hydrogel; OUTLINE does not have a microsphere structure. It is a complete line of absorbable fillers for various wrinkles, including three products: FINE for superficial wrinkles and superficial epidermal folds, with a half-life of 1 year. ORIGINAL for shallow wrinkles, micro wrinkles and folds, lip augmentation, half-life of 2 years. ULTRA for deep wrinkles, micro wrinkles and folds, half-life of 5 years for facial plastic surgery. 4, facial depression filling: including folds, lip augmentation, improve facial contour, filling depression scars, in addition to the available solid materials, injection method is still very promising. Reliable materials include sodium hyaluronate, collagen, Iveran (EVOLUTION). 5. Granular autologous fat injection free grafting: This is a structural autologous grafting at the tissue level, which is a classic method for facial filling depressions and breast augmentation, but it also has shortcomings that have not yet been overcome, mainly the absorption rate after surgery is difficult to control and predict, the surgical procedure, especially the handling of fat tissue is tedious, and the amount of single tissue grafting is limited, but it is still a safer way to fill. In the future, if growth factor slow release technology and fat stem cell technology can be applied, there will be considerable potential. 6. Growth hormone HGH injectable supplement: HGH is the main component of sheep placenta except for sex hormone, its main cosmetic effect is to reduce 14.4% of the whole body adipose tissue, increase lean body tissue by 8.8%, improve skin texture and increase immune function. In the past, it was used as an exogenous hormone supplement with therapeutic effects, and the latest research shows that it has certain effects on facial rejuvenation and body shape, but the source of the drug must be very reliable, with Swiss Serono and American Pfizer’s HGH being the best. Longer treatment course, slower onset of effect, non-specific is its disadvantage. 3. Advice to beauty seekers 1. Do not replace professional with common sense, distinguish between facts and opinions The ability of beauty seekers to obtain information through media propaganda, network information, interpersonal communication, and even their own reading of professional books has been very amazing. However, medical science is always the synthesis of experimental and empirical science, so don’t take your personal one-sided common sense and experience as the golden rule, propose impractical or not yet clinically mature methods, and add great pressure to the professional physicians and do it reluctantly. Do not treat medical aesthetics as a sub-discipline of aesthetics, and do not replace the laws of biology with the principles of physics. For example, many people still believe that the buried wire method of double eyelid surgery is always more natural and quicker to recover than the incision method, and that it is easier to modify and restore, but in fact this is not true. 2, do not treat business as academic, distinguish between legal and illegal The appropriate publicity for medical aesthetics can help the promotion of the profession, but exaggerated publicity, although very tempting, is the hidden danger of medical accidents. Fashion “frontier” hidden risks, due to media misinformation and some plastic surgery institutions exaggerated propaganda, some plastic surgery “fashion” is very hot, such as “height increase surgery”, etc., so that many short men and women tend to be very popular. The company’s main goal is to provide a comprehensive range of products and services to the public. But the professional physician reminded, this kind of surgery because the operation is complex, technology is still immature, more complications, there are certain risks, can not be strongly advocated. The reports of physical disabilities caused by height enhancement surgery have also been in the press time and again, so I hope that those who wish to do so will think twice before acting. In addition, there is a lot of publicity about the latest plastic and cosmetic apparatus in society, it seems that with the new apparatus will be able to bring the ideal plastic and cosmetic effect. In this regard, experts believe that although the instruments and equipment are constantly being updated, the most crucial thing is to rely on the technical level and experience of the operating doctor. If you only look at the equipment and ignore the doctor’s factor, it is actually putting the cart before the horse. For example, liposuction, although there are currently resonant liposuction, ultrasonic liposuction and other liposuction instruments, but the most critical indicators of surgery, such as post-operative local flatness, the reasonableness of the shape, the number of complications, etc., still depends mainly on the clinical experience and operating techniques of the surgeon. “Korean plastic surgery” is ambiguous, specious means of propaganda, deceiving consumers of Korean plastic surgery hospitals are mostly individual small workshops, much like individual street dental clinics in China. The basic are two or three rooms, a doctor two nurses husband and wife beauty salon, and these beauty salon doctors to China, but some medical plastic surgery institutions held up as South Korea’s “plastic surgery authority experts”. Driven by the interests of the current domestic some unregulated plastic surgery institutions, Korean-style plastic surgery as a commercial gimmick, recruiting some do not have the surgical qualifications of Korean third-rate plastic surgery practitioners, taking the opportunity to raise prices to deceive Chinese consumers. The new terminology “invented” by applying some advertising planning concepts, especially for example: “foreign technology”, “domestic leading technology”, “one-time, permanent, painless,” One-time, permanent, painless, scarless surgery”, “unsatisfactory unconditional refund”, “unsatisfactory restoration” and other irregular terms are worthy of caution, and the excellent planning and innovative ideas of the commercial elite are actually illegal. Medical soft advertisements, such as “new nano-materials” and “original and personalized” are specious and very tempting. Medical beauty advertising must be standardized, and its operation and implementation must be legal, including the legitimacy of the practitioner, the legitimacy of the medical institution, and the legitimacy of the products used. Many use “three no” plastic beauty products is the fact that the current medical beauty industry is widespread, the relevant state departments are strictly investigated, consumers should also be more careful, if necessary, should be verified to the medical administrative agencies or to the good reputation of the brand-name hospital consultation, so as to protect their own interests. What’s more, some beauty salons in the scope of life beauty business is still operating, regardless of whether it is a regular professional physician, are illegal practice of medicine, the consequences are difficult to imagine, based only on its non-standard sterilization and isolation measures, enough to make the fear of hepatitis B, and even AIDS scourge of beauty seekers, which is the illegal practice of medicine, there should no longer be disfiguring tragedy occurred in the beauty salon industry. 3, careful choice of plastic and cosmetic physicians Today more and more people, especially young women will spare no expense to turn to the doctor’s scalpel, in their own body to re-sculpt the beauty. But because of the low threshold of entry into the industry, the management is not standardized, the technical level of practitioners vary, resulting in many people not only did not “whole” out of the beauty, but destroyed the beauty, and damage to health. Therefore, to provide the following points for the beauty seekers in the choice of doctors to do reference: (1) before the surgery should be required to see the medical beauty doctor qualification certificate. The medical beauty practitioner should have three certificates, namely “doctor’s qualification”, “doctor’s license”, “medical beauty attending doctor’s professional qualification”. Many professional scholars are deeply worried about the current situation of practitioners in China’s cosmetic surgery industry. They said that the requirements of the plastic and cosmetic industry for doctors are very high, not only to have skilled surgical techniques, rich clinical experience, but also to have a strong aesthetic qualities, with a certain appreciation of art and aesthetics. Foreign professional plastic and cosmetic surgeons must have many years of clinical practice in plastic surgery and later pass an examination before they can obtain a license to practice cosmetic surgery. Because cosmetic surgery is the icing on the cake, only with many years of clinical experience, in order to be more confident to carry out independently, to improve the success rate, to achieve more satisfactory results (2) the doctor’s unit must be the health administrative departments licensed to legally carry out medical beauty formal medical institutions. With “medical institution practice license”; the beauty medical institution will be for you to implement the cosmetic surgery project is within the scope of legal approval of the project. (3) No matter how famous the doctor claims to be and how high his status is. You must make sure that the surgery he performs on you is what he is best at and what he does regularly. It is understood that the country is recognized by the industry’s “authentic” cosmetic surgeons are not many, but the actual “knife” but thousands, as long as you dare to do, dare to advertise, there is no worry about the market. Therefore, to remind the beauty seekers, must carefully choose professional medical institutions and doctors, at the same time to ask to understand, find out the attending physician’s qualifications, clinical reputation, consultation environment, surgical equipment and sterilization isolation conditions, etc., in order to their desire for beauty to serve him. (4) You believe that the surgical plan, surgical content, surgical methods, surgical materials, etc. designed by the doctor for you are the most suitable for you, and it is your voluntary choice, not imposed by the doctor for other commercial purposes, you have not been implied or induced by the doctor. In recent years, cosmetic surgery technology is constantly developing and there are more and more types of cosmetic surgery. For example, blepharoplasty, rhinoplasty, breast augmentation, liposculpture, face lift, and face-lift. There are also several different procedures for the same type of surgery. Plastic and cosmetic surgery is sculpting on a living body, which is why we should not which procedure is the best, but which one is the best for you. (5) You have a clear perception of your defects and you and the surgeon have a clear consensus on the post-surgical results. The type of surgery varies from person to person, and the surgeon will take into account the applicant’s facial features, image, temperament and professional characteristics, as well as his or her requirements, to develop the best surgical plan to achieve the most perfect artistic results. For example, there are two types of blepharoplasty: buried and incisional. The buried method is suitable for younger patients with thin eyelids and long eye fissures, while the incisional method is divided into different types such as small incisions and full incisions, all of which are tailored to the patient’s own conditions. Eye bag surgery is divided into internal incision, external incision; breast augmentation is divided into injection and implant type, for safety reasons, the current domestic and international medical community is more agreeable to the implant type. Implants are divided into areola incision, inframammary wall incision and axillary incision. The areolar incision should not be used for unmarried women who have not yet had children because it destroys the breast tissue and poses a great risk for future breastfeeding. Therefore, patients should have a full communication with the doctor during the visit and choose the best surgical plan according to their characteristics. (6) The doctor has clearly explained to you the surgical procedure, the process, the possible results or possible accidents, the surgical complications; the post-operative rest period, precautions, the cost of the surgery and the burden of the cost of dealing with complications, and the risks you have to bear. (7) Your intuition tells you; this doctor is the one you can trust and is the best for you. If you are not satisfied with the first doctor you consult, you can go to a second one until you are satisfied, but do not make a hasty decision. Because most cosmetic surgery procedures are not essential and do not have to be done right away, you definitely have plenty of time to make your choice. In the absence of a final decision, do not rashly book an appointment for surgery, and do not blindly sign a surgery agreement, if you are still hesitant, that you do not fully trust the doctor or have concerns about whether you really need to carry out cosmetic surgery, it may be worthwhile to give yourself some time to calmly think about it. The doctor is the main body of medical activities, and the current situation of asymmetric information of medical technology determines his strong position in the doctor-patient relationship. The author has served in the medical aesthetic industry for 15 years, by the teachings of the older generation of plastic and cosmetic workers, deeply as the responsibility of the practitioner, put forward a rough opinion for the reference of peers: 1, informed consent is still the primary medical ethics According to the requirements of the applicant, to explain the benefits of surgery or treatment and clearly inform the cost of obtaining results (time, cost, pain level) and risk (surgery or treatment of accidents, the possibility of dissatisfaction, complications and their The post-operative rest, precautions, and the responsibility of both the doctor and the patient for their respective risks are medical steps that cannot be omitted. This is not difficult for doctors in public hospitals to do. But for the private hospital to profit as a survival priority, can do this is even more valuable. 2. Respect the principle of evidence-based medicine Taking the standpoint of the beauty seeker, making evidence-based choices about their requirements and making joint decisions; fully communicating with doctors and patients and providing professional knowledge; making frank assessments of their motivation choices and the reasonableness of their requirements; evaluating clinical microeconomics; and objectively informing themselves about the state of health technology will put the medical aesthetic industry on a virtuous track, while avoiding disorder and disorder. 3, improve the technical level, and jointly prosperous industry The current level of plastic surgery technology has not reached a higher level, still can not meet the requirements of many beauty seekers, the urgent need to overcome many problems, the doctor has the responsibility to continue to explore and develop, which is the fundamental driving force for the development of the industry. 4, a gentleman loves money, take the right way to pay for their skills and medical ethics so that the benefits of beauty seekers is the only way for each plastic and cosmetic workers to gain revenue. Public hospital physicians should not rely on their academic power or commercial bribery to obtain the benefits that do not belong to them; private hospital practitioners do not rely on exaggeration, concealment to induce beauty seekers, with the end of the era of plastic surgery profiteering, should be proud of the hard work of the operation and get paid. You can deceive all people in a moment, can always deceive some people, but can not always deceive all people, the author to Lincoln’s words to inject breast augmentation, fake botulinum toxin incident, stem cell injection beauty caused by the medical beauty storm to make this note, I do not know if it is appropriate.