"The operation is cool for a while, and it is difficult to repair. A low-cost and unprofessional (medical and aesthetic plastic surgery) operation carried out on impulse may be on the road of safeguarding rights for 10 years, and it may cost dozens or hundreds of times more money to repair." Shi Lei, deputy chief physician of plastic surgery of the plastic surgery hospital of the Chinese Academy of Medical Sciences, once said bluntly on her microblog account. Shi Lei admitted that nearly half of the operations she is now doing are for patients who have failed in medical and aesthetic plastic surgery. Among many patients with plastic surgery and repair, Li Yang (pseudonym) impressed Shi Lei most. For Li Yang, "bad face" is a realistic description rather than an exaggerated rhetoric. When Shi Lei first saw Li Yang, she had no skin on her forehead and half of her head. The red subcutaneous tissue was directly exposed, about the size of a palm. Li Yang just injected some kind of material - a minimally invasive operation. When Li Yang found Shi Lei, Shi Lei found that "the resolution of ultrasound and MRI was not enough to locate the widely distributed low-dose materials on her face." In other words, Li Yang's face is filled with injected materials, and Li Yang doesn't know what the materials are, and the doctor doesn't know. Shi Lei told Zhongqing daily · zhongqing.com that compared with traditional plastic surgery projects such as double eyelid cutting and nose augmentation, non-traditional plastic surgery projects including injection of certain materials have developed very rapidly in recent years, such as Shuiguang needle, botulinum toxin, hyaluronic acid, collagen and so on. In addition, there are acoustic, optical and electrical projects, such as ultrasonic knife, laser, thermomaggie, etc. Injection plastic surgery project, because it belongs to minimally invasive operation, has created an illusion of "no risk" for the public, but this is not the case. China has come into fashion for a long time, Shi Lei said. The name is polyacrylamide hydrogel, a colorless, transparent, jelly like liquid substance. "It is said that it has damaged hundreds of thousands of Chinese women's bodies, and the real data may be more than this." In 2006, omedine was stopped by the State Food and drug administration due to suspected adverse events and patient complaints. In that year, the Beijing News reported: "there is no accurate statistics on the number of consumers injected with omedine in China so far. Professor Qiao Qun, director of plastic surgery of Peking Union Medical College Hospital, once conservatively estimated that there are at least 300000 people". Omedine is called artificial fat, which can be used to fill many parts of the body and used by many girls for breast augmentation. After the material is injected into the body, it will wander around the body and damage the nervous system and organ tissues of the body. Some women have to remove the breast necrosis after breast augmentation with omedine. In addition to the risks of injection plastic surgery projects, other plastic surgery also have risks. In May 2021, the news of the unfortunate death of a woman in Hangzhou due to liposuction and filling surgery once detonated the network. It is also common to protect rights after the failure of medical beauty and plastic surgery. From 2016 to 2020, the proportion of medical beauty disputes accepted by the people's Court of Chaoyang District in Beijing increased from 10.8% to 27.0% in the number of medical disputes in the same period. The constant exposure of negative news did not dampen the enthusiasm of beauty seekers. The annual report released by China plastic and cosmetic association predicts that the scale of China's plastic market will reach 300 billion yuan in 2022. According to the 2020 white paper on insight into China's medical beauty industry (hereinafter referred to as the white paper) released by iResearch consulting, the scale of China's medical beauty market will reach 176.9 billion yuan in 2019. This scale is the result of the growth rate decreasing to 22% in that year. Medical beauty without surgery also has great risks, "it is difficult to repair" There are many problems behind the rapid expansion of China's medical and aesthetic plastic industry, and the number of patients looking for Shi Lei for repair is increasing. When Li Yang found Shi Lei, he almost cried and begged her for repair. Because his "rotten face" was serious and his mental state was unstable, Li Yang had been rejected by many doctors. It took Shi Lei nearly a year and four operations to repair Li Yang. Because part of the skin has been ulcerated and missing, Shi Lei embedded a balloon like dilator for Li Yang's scalp to expand the skin to make up for the missing part. After repair, "she can at least integrate into the crowd normally, walk on the road and will not be regarded as a monster". In Shi Lei's opinion, Li Yang is lucky. At least she has integrated into normal life, and some patients will even lose sight and hemiplegia because of injection of unknown materials. "Therefore, medical beauty without surgery also has a great risk. It's not as simple as making a face in a beauty salon. In fact, we take the risk of medical beauty too lightly." Shi Lei said. According to the white paper, at present, the genuine rate of injections circulating in the medical and American market is only 33.3%, that is, two of every three injections are parallel or fake illegal injections. Omedine, which has been banned by the state for 7 years, is still in the medical and aesthetic plastic market in the coat of hyaluronic acid. Netizen Mimi once shared her painful experience after injection of omedine on the Internet. She was injected with omedine on her forehead, lying silkworm, yamagen, bridge of nose, nose and chin. As a result, the skin of the nose broke, and Mimi had to take out omedine. However, because omedine had widely penetrated into the tissue and completely blocked a blood vessel of Mimi, finally, some "meat and tissue were dug out together, and the whole subcutaneous skin was empty". Later, Mimi had three nose plastic surgeries, including placing an autologous rib on the nose, and there was still an indelible dent on the nose. If all the people who fail in plastic surgery are compared to an iceberg, the corner that can be seen on the water is an extreme case of death and exposure due to plastic surgery, and the main part under the water is many people like Li Yang and Mi Mi. Although plastic surgery does not endanger their lives, they are also victims of nonstandard and even illegal plastic surgery. I was bitten by acquaintances Shi Lei told Zhongqing daily · zhongqing.com that many of the repair patients she received were introduced by acquaintances to do medical beauty and plastic surgery. Li Yang is such a typical case. Li Yang works in the medical device industry. After his colleagues introduced him to buy some materials, he and his colleagues injected each other at home. "I don't know what to inject at all. Some unknown materials will be packaged by merchants with various gimmicks, and we can't distinguish its true ingredients." Shi Lei said. Cake cake is a practitioner in the medical and aesthetic plastic industry. She told Zhongqing daily · zhongqing.com that there are many plastic institutions with poor professional level, which will exaggerate the effect after plastic surgery. For example, there are few comparison pictures of plastic surgeons in advertisements, but directly publicize the "net red face" after plastic surgery. In order to earn a commission, the employees of these institutions constantly introduce acquaintances to plastic surgery. Gao Gao said that for ordinary people, if they need to do their homework, check materials and select institutions from scratch in medical beauty and plastic surgery, it will be more laborious and laborious. However, if there are acquaintances to help introduce them, coupled with the exciting publicity of the institutions, many people can't resist the temptation. "If you need to do your homework, you may also see cases of plastic failure. However, if you only listen to the introduction of acquaintances, you will only see successful cases." Said the cake. The detailed data of the medical beauty plastic surgery case handled by the Chaoyang District Court of Beijing further shows that many beauty seekers have become lambs to be slaughtered in informal and illegal plastic surgery institutions. In these cases, 96.9% of the institutions are at fault, about 90.8% are misoperated, 72.1% are involved in fraud and false publicity, and about 61.9% are involved in doctors or other professional and technical personnel without corresponding qualifications (multiple fault situations may be claimed in the same case). For the exaggeration and even false advertising of medical and aesthetic plastic surgery institutions, in June 2021, The special rectification work plan for combating illegal medical beauty services jointly issued by the National Health Commission and seven departments (hereinafter referred to as the work plan) clearly requires: "standardize medical beauty service information and medical advertising according to law, and severely crack down on false medical beauty advertising, information and unfair competition". Medical aesthetic plastic surgery is essentially a medical behavior The programme of work clearly states: "Medical cosmetology activities involve the health and life safety of the people, and can only be carried out after obtaining the practice license of medical institutions in accordance with the law. No unit or individual shall carry out medical cosmetology services, illegally purchase and use medical cosmetology drugs and medical devices, and publish medical advertisements or advertisements in a disguised form without meeting the legal conditions." "Medical aesthetic plastic surgery is essentially a medical behavior." Shi Lei said. All medical behaviors involving people's life and health have risks. In order to minimize this risk, doctors will carry out long study and training, and finally go through strict examination and screening. Shi Lei said that qualified plastic surgeons must obtain a medical practitioner's certificate. It takes an average of 5-8 years to obtain the certificate. Among them, they have to go through systematic study and many years of internship in regular universities. After obtaining the medical practitioner's certificate, they have to accumulate for at least two years before they can operate the medical plastic surgery project independently. In 2018, the "underground black needle" white paper of China Medical Beauty jointly released by China data research center and the medical risk control center of China plastic and cosmetic association pointed out that there are only about 17000 compliance practitioners in China's medical beauty industry, while the number of illegal practitioners exceeds 150000. Among these illegal practitioners, there are beauticians, manicurists and hairdressers who have only been trained for months or even weeks. They put on white coats and become "plastic surgeons". The reality is that many consumers do not regard medical aesthetic plastic surgery as a medical behavior. Shi Lei said that some people feel as relaxed as going to a restaurant for dinner. Like Li Yang, a few people who injecting materials from their homes to their faces, many bloggers share their experience of playing tiktok at home on the Internet platforms like Xiao Hong and Jo, and tell netizens that the whole process is simple and easy. This is actually very dangerous. Most of the patients who asked Shi Lei for repair were not repaired for the first time. Gao Gao said that some irregular medical and aesthetic plastic institutions promise to do it again if they are not satisfied. However, if they don't do it well for the first time, it's actually difficult to do it well. For those seeking beauty who want medical beauty and plastic surgery, Shi Lei suggests going to a regular hospital or institution to find a qualified doctor. In addition, we also need to do our homework carefully. We can't make a choice only by some advertisements, and try to avoid the tragedy of "surgery is cool for a while, and repair is difficult to go to heaven". (outlook new era)