China Youth Daily, China Youth Network reporter Liu Changrong
"The surgery is refreshing, but the repair is difficult. A low-cost and unprofessional (aesthetic plastic surgery) surgery performed impulsively may be on the road to rights protection for ten years, and it may cost dozens or hundreds of times to repair. Shi Lei, deputy chief physician of the Plastic Surgery Department of the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences, once bluntly pointed out the risks of non-standard medical aesthetic plastic surgery on her Weibo account. Shi Lei, who has been in the industry for 20 years, admits that nearly half of the surgeries she now does are repaired for patients who have failed medical aesthetic plastic surgery.
Among the many plastic surgery and repair patients, Li Yang (pseudonym) impressed Shi Lei the most. For Li Yang, "bad face" is a realistic description rather than an exaggerated rhetoric. When Shi Lei first met Li Yang, her forehead and even half of the top of her head had no skin, and the red subcutaneous tissue was directly exposed, about the size of a palm.
Li Yang's "bad face" has come so far, but in fact, she did not do the operation, but only injected a certain material - a minimally invasive operation. When Li Yang found Shi Lei, Shi Lei found that "the resolution of ultrasonic NMR is not enough to locate the widely distributed small dose of material on her face." That is to say, Li Yang's face was scattered with the injected material, and what the material was, Li Yang himself did not know, and the doctor could not know.
Shi Lei told the China Youth Daily And China Youth Network reporter that compared with traditional plastic surgery projects such as cutting double eyelids and rhinoplasty, in recent years, the development of very rapid development is that non-traditional plastic surgery projects including injection of certain materials, such as water light needles, botulinum toxin, hyaluronic acid, collagen and other injections belong to this category. In addition, there are sound, light, and electrical projects, such as ultrasonic knives, lasers, and thermages.
Injection plastic surgery projects, because they are minimally invasive operations, have created an illusion that there will be no risk to the public, which is not the case. Shi Lei said that the once popular omeldine, scientific name polyacrylamide hydrogel, a colorless transparent, jelly-like liquid substance, "is said to damage the bodies of hundreds of thousands of Chinese women, and the real data may be more than this." ”
In 2006, due to suspected adverse events and patient complaints, Omeidine was stopped by the State Food and Drug Administration, when the Beijing News reported: "There is no accurate statistics on how many consumers injecting omemodine in the country so far, professor Qiao Qun, director of plastic surgery at Peking Union Medical College Hospital, has conservatively estimated that there are at least 300,000 people."
Omedin, known as artificial fat, can be used to fill multiple parts of the body and is used by many women to augment breasts. After the material is injected into the body, it will travel throughout the body, damaging the nervous system and organ tissues of the body, and some women have breast necrosis after breast augmentation with omedin and have to be removed.
In addition to the risks associated with injection plastic surgery, other plastic surgeries are also risky. In May this year, the news that a woman in Hangzhou had unfortunately died due to liposuction filling surgery once detonated the Internet.
From 2016 to 2020, the proportion of medical beauty dispute cases accepted by the Chaoyang District Court in Beijing increased from 10.8% to 27.0% of the number of medical dispute cases in the same period.
The constant exposure of negative news has not dampened the enthusiasm of beauty seekers. The annual report released by the China Plastic Surgery and Beauty Association predicts that by 2022, the size of China's plastic surgery market will reach 300 billion yuan. According to the "2020 China Medical Beauty Industry Insight White Paper" (hereinafter referred to as the "White Paper") released by iResearch, in 2019, the scale of China's medical beauty market reached 176.9 billion yuan. This size is the result of the reduction in growth rate to 22% that year.
Medical beauty without surgery is also very risky, "repair is difficult to heaven"
There are many problems behind the rapid expansion of China's medical aesthetic plastic surgery industry, and the increasing number of patients looking for Shilei to repair is the epitome of these problems. When Li Yang found Shi Lei, he almost cried and begged her to make a repair, because the "bad face" was serious and his mental state was unstable, and Li Yang had been rejected by many doctors. It took Shi Lei nearly a year and 4 surgeries to repair Li Yang.
Because part of the skin was already festering and missing, Shi Lei buried a balloon-like dilator in Li Yang's scalp and stretched the skin to make up for the missing part. After restoration, "she can at least blend in with the crowd relatively normally, walk on the road, and not be seen as a monster."
In Shi Lei's view, Li Yang is lucky, at least she has integrated into normal life, and some patients will even be blind and hemiplegic because of the injection of unknown materials, "So, the medical beauty without surgery is also very risky, not to the beauty salon to make a face so simple, everyone actually takes the risk of medical beauty too lightly."
The "White Paper" shows that the current rate of genuine injections circulating in the medical beauty market is only 33.3%, that is, 2 of every 3 injections are illegal injections such as parallel goods and fakes. Omedine, which has been banned by the state for 7 years, is still wearing the cloak of hyaluronic acid in the medical aesthetic plastic surgery market.
Netizen Mimi once shared her painful experience after injecting omemodine on the Internet. She has injected omemodine into the forehead, silkworm, mountain root, bridge of the nose, the tip of the nose and the chin. As a result, the nose had a skin rupture, and Mimi had to go to omemodine removal surgery, but because omeldine had been widely infiltrated into the tissue, and one of Mimi's blood vessels was completely blocked, some "meat and tissue were dug out together, and the whole skin was empty." Later, Mimi underwent 3 more nasal surgeries, including a self-adhesive rib on the tip of the nose, and there was still a dent on the tip of the nose that could not be eliminated.
If all people who fail plastic surgery are likened to an iceberg, then the corner that can be seen on the surface of the water is the extreme case of death due to plastic surgery and exposure, and the main part under the water surface is many people like Li Yang and Mimi, although plastic surgery does not endanger their lives, they are also victims of irregular and even illegal plastic surgery operations.
Pit by acquaintances
Shi Lei told the Reporter of China Youth Daily and China Youth Network that many of the repair patients she received were introduced by acquaintances to do medical aesthetic plastic surgery, and Li Yang was such a typical case. She works in the medical device industry, and after being introduced by a colleague to buy a certain material, she and her colleagues inject each other at home, "I don't know what is injected, some unknown materials will be packaged by merchants with various gimmicks, and it is impossible to distinguish its true composition." Shi Lei said that she also believes that being introduced by acquaintances to do medical aesthetic surgery is actually a common sentiment of people, "Colleagues handed you a cup of coffee, will you suspect that it is poisonous?" ”
Cake cake is a practitioner of the medical beauty plastic surgery industry, she told the China Youth Daily · China Youth Network reporter, there are many professional level of plastic surgery institutions, when promoting the outside will exaggerate the effect after plastic surgery, such as advertising there are few plastic surgeons before and after the comparison chart, but directly promote the plastic surgery after the "net red face", the practitioners of these institutions in order to earn commissions, constantly introduce acquaintances to plastic surgery.
Cake cake said that for ordinary people, if they need to do homework, check information, and choose institutions from scratch in terms of medical aesthetic plastic surgery, it is more laborious and laborious, but if there are acquaintances to help introduce, coupled with the seemingly heartwarming publicity of the institution, many people will not be able to resist the temptation. "If you need to do your own homework, you may also see cases of plastic surgery failures, but if you only listen to acquaintances, you will only see successful cases." Cake said.
The detailed data of medical aesthetic plastic surgery cases handled by the Chaoyang District Court in Beijing further shows that many beauty seekers have become lambs to be slaughtered in informal and illegal plastic surgery institutions. Among these cases, 96.9% were at fault by institutions, 90.8% were improperly operated, 72.1% were involved in fraud and false publicity, and about 61.9% involved physicians or other professional and technical personnel without corresponding qualifications (the same case may claim multiple faults).
In response to the exaggerated and even false advertising behavior of medical beauty plastic surgery institutions, in June this year, the National Health Commission and 7 departments jointly issued the "Special Rectification Work Plan for Cracking Down on Illegal Medical Beauty Services" (hereinafter referred to as the "Work Plan"),which clearly requires: "Standardize medical beauty service information and medical advertising in accordance with the law, and severely crack down on false medical beauty advertisements, information and unfair competition behaviors".
Aesthetic plastic surgery is essentially a medical act
The "Work Plan" clearly points out: "Medical beauty activities involve the health and life safety of the people, and it is necessary to obtain a medical institution practice license in accordance with the law to carry out practice activities." Units and individuals that do not have the legally prescribed conditions must not carry out medical beauty services, must not illegally purchase or use medical beauty drugs and medical devices, and must not publish medical advertisements or covertly publish advertisements. ”
"Aesthetic plastic surgery is essentially a medical act." Shi Lei said. In order to minimize this risk, doctors will conduct long studies, training, and finally undergo rigorous examination screening.
Shi Lei said that qualified plastic surgeons must obtain a practicing physician certificate, which takes an average of 5-8 years to obtain, of which it takes many years of systematic study and years of internship at a regular university, and after obtaining a practicing physician certificate, it is necessary to go through at least two years of accumulation to be able to independently operate the medical aesthetic plastic surgery project.
In 2018, the "White Paper on The Underground Black Needle" of Chinese Medical Beauty jointly released by the China Data Research Center and the Medical Risk Control Center of the China Plastic Surgery and Beauty Association pointed out that there are only about 17,000 compliant practitioners in China's medical aesthetic industry, while the number of illegal practitioners exceeds 150,000. Many of these illegal professionals, such as beauticians, manicurs, hairdressers, etc., who have only undergone months or even weeks of training, put on white coats and become "plastic surgeons".
The reality is that many people do not see aesthetic plastic surgery as a medical behavior, Shi Lei said, and some people feel as relaxed as going to a restaurant for a meal. Like Li Yang, there are not a few people who inject materials into their faces at home, and many online bloggers share their experience of playing water and light needles at home on online platforms such as Xiaohongshu and Douyin, and tell netizens that the whole process is easy and simple. This is actually a very dangerous behavior.
In fact, most of the patients who seek shi lei for repair surgery are not doing repairs for the first time. Cake cake said that some irregular medical and aesthetic plastic surgery institutions promised to do it again if they were not satisfied, but if they did not do it well for the first time, it was actually difficult to do it well later.
For beauty seekers who want to undergo medical aesthetic plastic surgery, Shi Lei recommends that they should go to regular hospitals or institutions and find doctors with relevant qualifications. In addition, it is also necessary to do homework carefully, not just rely on some publicity and advertising to make a choice, and try to avoid the tragedy of "surgery is cool, repair is difficult to heaven".
Be wary of plastic surgery to produce greedy psychology
Chen Chen (pseudonym) has performed 17 surgical surgeries, and her 15th surgery was to cut off her jawbone and make her face smaller. At that time, 4 bones were cut off, each about the thickness of a finger, three or four centimeters long. Chen Chen, who has always felt that he is not very afraid of pain, screamed loudly in the middle of the night after this plastic surgery, and had serious complications, and once vomited blood during hospitalization. Chen Chen thought that he might not be able to walk out of the hospital.
Chen Chen told herself at that time that this was her last plastic surgery, and she was worried that her re-rectification might really be life-threatening, and after 4 times of nose, 3 times of eyes, 2 times of contouring, 2 times of people, 3 times of liposuction, and 1 time of breast augmentation, she really had no place to re-rectify.
However, after recovering, Chen Chen was very satisfied with her smaller face, but she was not satisfied with the nose that had been raised before, and felt that the nose was too high, so she went into the plastic surgery hospital again, took out the rib cartilage that existed in the nose, and then took a piece of rib cartilage to pad the nose again, but it was lower and more natural than before. After finishing her nose this time, she also said that this was the last time she would straighten it. Who knows that two months later, Chen Chen went to go to "skinlifting" surgery again...
Cake told the Reporter of China Youth Daily and China Youth Network that the people she came into contact with plastic surgery needs often did not have only one demand, "Will not say that simply do a double eyelid, they will definitely do double eyelids, and then consider whether to do a fat filling, and then see if the chin is too short, whether the nose is also cushioned." Plastic surgery institutions (irregular) take advantage of this psychology of beauty seekers and continue to sell them. ”
Shi Lei also said that many people who come to plastic surgery are more beautiful in themselves, "This is actually a pursuit of quality of life." "The pursuit of beauty is human nature, but how to judge that your pursuit of beauty is not deviated?" Shi Lei suggested: "Don't be greedy. If someone who is almost 50 years old has to look like he is in his 20s, he will definitely go back and forth, and (his face) will definitely be 'stiff' so that everyone can't look at it. ”
Shi Lei, who has undergone restorative surgery for many patients, advises young people who want to do aesthetic plastic surgery: "Look at their appearance more rationally and learn to accept their various characteristics, rather than seeing it as a shortcoming." ”
Source: China Youth Daily client
![Use technology to justify the name of medical beauty: not only "icing on the cake", but also "send charcoal in the snow"[fig]](data:image/gif;base64,R0lGODlhAQABAIAAAP///wAAACwAAAAAAQABAAACAkQBADs=)