假货充斥的市场,自己请多小心


有一位同行在过去的Beauty Expo里发现了一些不该出现的产品与机器,如消脂机器与玻尿酸填充液等等。这些都是属于医药层次的医疗用品,照理不可以在大众市场上随意售卖,不过却出现然后已经有人购买。

令人担心的是,这些是不是正规,安全的产品?

我的诊所里头也有相同品牌的玻尿酸填充液,而我们如果想要购买,我们还得在那医药公司开一个户口,而且必须附上我们诊所的卫生部许可证,以及医生的执业证明,才可以以不便宜的价格购买这些玻尿酸产品。特意提起这不便宜的价格,因为在那一个展览厅里,相关产品的售价是原价的三分之一,甚至四分之一,或更低。

有医生通知了相关产品的正规售货员,她立刻去调查,乔装购买了一些相关产品,送回总部检验。而昨天,检验结果显示那里售卖的是“假货”,中国进口的假货。而他们也做出了书面上的文告,通知医生们,不要冒着病人们健康的危险,要杜绝假货。
使用不安全的产品会有什么问题呢?

为什么会有人宁愿铤而走险的尝试使用这些所谓的“便宜货”呢?

若不是正规的原装货,对于该产品的成分,质量,运送管理,效果等都会是一个大疑问。曾有一些所谓的水货,化验发现竟然有一些禁药成分,和现在全世界都在拒绝使用的Silicone成分。这些都是一些不幸运的病人,惨痛的后遗症,证明会带来严重的后遗症。如果使用该产品,没有任何效果,最多只是一些金钱上的浪费与损失;可是若遇上有禁药成分的产品,打针打进皮肤底下,唯一的解决方案是手术移除,要变美反而变丑,和经历一些惨痛的时限。

诊所里也有一些病人们,不知从何管道买到玻尿酸填充液,HA Filler,携带而要求我们帮忙注射,以为花费一些注射费用,可以省下差价,而得到所谓的节省。
不过这个是一个危险的要求。
很少有医生愿意接受这样的要求。因为我们不确定该产品是不是正规和安全的产品。若我们冒失的使用了,若发生副作用和后遗症,该怪罪于谁?显然的,是动手打针的那一位。为什么不用安全的产品呢?
我们时常都会把病人的健康与安全放在第一位。所以,我们会使用正规与安全的产品,安全的技术和提供适当的环境,来进行疗程治疗。
不过,很多时候贪小便宜是劣根性。就算要节省,也应该节省在适当的地方,而不是一些奇怪的小聪明,在医生眼里看来就像是把自己的健康乱乱来搞做,后果有时不是我们所能够承担与接受的。


两百次的手术,最后期望的,是回到没有动过手术之前


Dr William


LusciousLips- Next Generation of Physician-strength Formulated Anti Ageing Lip Care Therapy



“As we age, our mouth loses volume, which leads to thinning of the lip and flattening of the cupid’s bow,” As women age, the lips thin and the area between the nose and upper lip seems longer because of the shrinking lips. 
Yes I know you're thinking, "I don't want those big, ugly fish lips." 
Well, you don't have to have them but you can have youthful, plump, full lips that make you look years younger.

So here i am introducing a anti ageing lip care therapy which called: LusciousLips, which is aiming for:
- Anti Ageing
- Volumizing
- Moisturizing and
- healing


The benefits:

  1. Contain powerful patented collagen booster that give a strong anti-ageing lip therapy, effectively minimizing the appearance of the lines on the lip and around the lip area.
  2. Help to firm and tone lips to have a more well-defined lip contour
  3. Contain vitamins that protect lips from damaging free radicals
  4. restore moisture for an instantly plumped and smoother look
  5. increase the appearance of lip volume up to 80% instantly after application with no stinging and irritating sensation
  6. boost moisture retention and accumulation for maximum hydration on dry and chapped lips
  7. easy to apply with pleasant fresh minty flavor and non-greasy texture
  8. safe for use by pregnant woman
  9. hypoallergenic



It is an alternative option for those who is uncomfortable with lips injection treatment and show a good result.





医生的道德与准则

其实这一个准则并不界限于中国医师,而是所有医生们应该遵从的业内道德行规准则,让自己在这领域里,尊重他人的同时,也更赢得对自己的尊重。
不只是适合医美医生,这适合所有的医生同行们,提醒与警惕。

内容自医美时讯,中国医师道德准则


《中国医师道德准则》规范了医师的道德底线,促使医师把职业谋生手段升华为职业信仰;医师应遵从行业自律的要求,以医师职业为荣,笃行中国医师道德准则,赢得社会的尊重,让医学的文化得以传承和发扬。

一、基本准则

1. 坚持患者至上,给予患者充分尊重。

2. 敬畏生命,以悲悯之心给予患者恰当的关怀与照顾。

3. 不因任何因素影响自己的职业行为,拒绝参与或支持违背人道主义的行为。

4. 在临床实践、教学、研究、管理或宣传倡导中,承担符合公众利益的社会责任。


5. 终身学习,不断提高专业知识和技能。

6. 以公平、公正的原则分配医疗资源,使其发挥最大效益。

7. 维护职业荣耀与尊严,保持良好执业状态。

二、医师与患者

8. 不因患者年龄、性别、婚姻状况、政治关系、种族、宗教信仰、国籍、出身、身体或精神状况、性取向或经济地位等原因拒绝收治或歧视患者。

9. 耐心倾听患者陈述,建立相互尊重的合作式医患关系。

10. 以患者可以理解的语言或方式与之进行交流,并尽可能回答患者提出的问题。不以不实的宣传或不正当的手段误导、吸引患者。

11. 不以所学的医学知识和专业技术危害患者或置患者于不必要的风险处境。

12. 医师不应将手术、特殊检查和治疗前的知情同意视为免责或自我保护的举措,更不应流于形式或视为负担,而应重视与患者的沟通和宣教。
13. 医师享有对患者处方、治疗或转诊等技术决策的自主权,当患者利益可能受到损害而医师本人无力解决时,应主动通过相关途径寻求解决。

14. 选择适宜的医疗措施,对于经济困难的患者尽量给予医疗帮助或协助其寻找救助途径。


15. 追随医学进步,不断更新知识,通过自我提升,更好帮助患者。

16. 在医疗实践中,严格区分治疗行为与实验行为,恪守职业道德。

17. 正确评价自己的医疗能力,在个人技术有局限性时,应与同事商讨或寻求帮助,以求得到合理诊疗方案。

18. 在临床实践中应时刻关注可能威胁患者安全的危险因素,并积极向管理者提出危险预警和改进建议。

19. 在指导医学生临床诊疗活动中应避免给患者带来身心损害。

20. 慎重对待患者对于维持生命治疗的选择。尊重丧失能力患者在其丧失能力之前所表达的意愿,可通过生前遗嘱、替代同意等方式,最大限度地保护患者的权益。

21. 为患者保守秘密,避免在公共场合讨论或评论涉及患者隐私或有身份识别的信息。

22. 除信息公开可能对患者造成伤害而需要隐瞒信息的情况外,患者有权知道病历上与其相关的信息及健康状况,但病历上如涉及第三者的保密信息,医师则应征得第三者同意才可以告知患者。


23. 尊重患者的合理要求和选择,尊重其接受或拒绝任何医疗建议的权利。

24. 面对失去意识的急危患者,应寻求法定代理人的同意,在无法联系患者法定代理人时,医师可默认为患者同意,报经医疗机构管理者或授权负责人同意后施救。对自杀患者,也应挽救其生命。

25. 对行为能力受限的患者,应尽量让其在诊疗过程中参与决策。
26. 如果患者法定代理人或授权人禁止为患者提供必要的治疗时,医师有义务提出异议,如在危急时则以患者利益至上而从事医疗行为。

27. 发现患者涉嫌伤害事件或者非正常死亡时,应向有关部门报告,并应特别关注对未成年人、妇女和精神障碍者的人身保护。
28. 在宣告患者死亡时,要严格按照临床死亡标准和相关医疗程序施行。在患者死亡后,应当安慰家属,告知其善后事宜。

三、医师与同行

29. 医师应彼此尊重,相互信任和支持;正确对待中医、西医各自的理论与实践。

30. 公正、客观评价同行医师的品格和能力,不包庇和袒护同行,积极参与医疗技术鉴定和出庭作证等法律程序。

31. 医师不应相互诋毁,更不得以不正当方法妨碍患者对其他同行的信赖。

32. 医师应与同行相互学习与交流,并将自己的技术和知识无私地传授给年轻或下级医师。

四、医师与社会

33. 给予急需医疗帮助的人提供适当的医疗帮助并负有专业责任。

34. 对社会负有解释科学知识的专业责任,医师应成为公众健康的倡导者、健康知识的传播者和公众健康危险的警示者。

35. 要意识到团体、社会和环境在患者个人健康方面的重要影响因素。要在公共健康、健康教育、环境保护、生态平衡、社会福利以及相关立法等方面发挥积极作用。

36. 应确保所参与的项目研究符合科学和伦理道德要求。

五、医师与企业


37. 不得因医药企业的资助而进行有悖科学和伦理的研究,不能为个人利益推销任何医疗产品或进行学术推广。
38. 对于医药企业资助的研究,医师应该在公布、展示研究成果或宣教时声明资助事实。
39. 医师不得参与或接受影响医疗公正性的宴请、礼品、旅游、学习、考察或其他休闲社交活动,对于企业的公益资助、临床研究或学术推广应按规定申报和说明。

40. 应当抵制医药企业假借各种名义向医师推介的处方药品搭售、附赠等促销活动。

Guideline for Beauty Industry

There is the guideline for the Beauty Industry. For your information.
Basically please do not have your Inject able treatments, Laser treatments or any surgical procedures done in a non-medical equipped premise or center. It is mean for safety reason. Your health and safety.



1. OBJECTIVES
1.1 The objectives of this guidelines are as follows :
i. To increase professionalism and to prevent the occurrence of unwanted incident within the beauty services; ii. To encourage the practitioners to adhere to good practices when providing services or when administering treatments; and
iii. To enhance consumer protection against improper practices in the beauty industry.

2. DEFINITION OF BEAUTY INDUSTRY
2.1 This guidelines is applicable to the beauty industry. The beauty industry refers to trades which provide services as follows : Any procedure which is intended to maintain, or enhance a person’s external physical appearance or to produce a greater feeling of well-being including facial or body treatments, application of cosmetics, manicure or pedicure, application, or mending, of artificial nails, epilation including electrolysis, hot or cold wax.
2.2 The practitioners in this industry include beauticians, aestheticians, beauty consultants, aesthetic therapists, spa therapists, complementary therapists, masseurs, make-up artists and nail technicians.

3. GENERAL PROHIBITION FOR BEAUTY PRACTITIONERS
3.1 A beauty therapist should confine his/her practices to the services set out in Paragraph 2.1. In addition, the practitioner shall not:
i. Operate or give manipulative treatment for any condition requiring the use of a general or local anesthetic by injection even within the fields mentioned in paragraph 2.1;
ii. Treat any person who to his/her knowledge is at the time under the care of a medical practitioner for a condition likely to be affected by his/her treatment without the knowledge and consent of that practitioner;
iii. Make misleading or deceptive claims about their services, advertise products or services with false endorsements, claim benefits that they do not have, make false representations about the standard, quality or value of the service offered;
iv. Engage the services of medical practitioners to carry out prohibited services as mentioned in 4.1 in their beauty premises; and
v. Allow or rent out their beauty premises to carry out any of the mentioned

4. SERVICES TO BE PROVIDED WITH CAUTION AT BEAUTY PREMISES
4.1 Practitioners in the beauty industry to exercise caution when providing the following services:
i. Intense Pulsed Light ( IPL ) The use of any IPL machine is not encouraged unless the practitioners have received adequate training to use such machines correctly and in a safe manner.
ii. Laser treatment Laser Treatment machines should only be used by practitioners who have received adequate training and are able to use such machines correctly and in a safe manner.
iii. Acupuncture Acupuncture treatment shall be administered in accordance to the relevant legislation.
iv. Piercing Beauty Therapist should refrain from providing such services in the beauty salon premise.
v. Slimming treatment Slimming treatment involving the use of sonography, cavitation, hot and cold treatment and coolant (chemical) machine should be administered with care and by practitioners who have received adequate training.
vi. Ultra-sonic devices The use of ultra-sonic devices must be used with caution and the practitioners should have received adequate training to use such devices correctly and in a safe manner.

5. PROHIBITED SERVICES AT BEAUTY PREMISES
5.1 The following services are prohibited at beauty premises :
i. Removal of moles and warts - No practitioners remove moles or warts by using chemical or by using diathermy or other electrical or mechanical means;
ii. Chemical peels exceeding 15% , and lower than pH 2*
iii. All types of injection All types of injectable treatments that works by relaxing the facial muscle to get rid of lines and wrinkles, the use of fillers for volume enhancement and chelating therapy using intravenous Vitamin C or other chelating agent for skin whitening.
iv. Implantation to the body The implantation of a device placed under the human skin for decorative or modification purposes. The treatments may be sub-dermal or trans-dermal.
v. Derma-roller The use of derma-roller for deep acne scar treatment and skin rejuvenation which penetrates the skin and create lots of tiny wounds.
vi. Liposuction The treatment that involves the removal of fat deposits from the body using a cannula.
vii. Injection/Fat Graft A medical procedure using the technique of moving fat from one area of the body to another to improve contour, correct defects or enhance features.
viii. Eyelid surgery (Blepharoplasty) A surgical modification of the eyelid. Excess skin and fat are removed or repositioned, and surrounding tissue may be reinforced.
ix. Hair transplant A surgical technique that involves harvesting hair follicles from one part of the body (the donor site) and transplanted to bald or balding parts (the recipient site).
x. Incision and suturing of skin - Making a cut to the skin and joining the tissue using needle and thread.
xi. Sinus treatment which involves penetration into the nose using product or instrument.
xii. Any form of blood-letting or blood-withdrawal treatment - for cosmetic or any other purposes.
xiii. Cosmetic Dentistry - Any dental work that improves the appearance of a person’s teeth, gums and/or bite.
xiv. All treatments that induces abrasion causing damage to the skin. xv. Slimming treatment involving the consumption of prescribed drugs.

6. BEAUTY THERAPIST
6.1 All beauty therapists are encouraged to acquire the necessary trainings and qualifications which commensurate with the services they provide.
6.2 All beauty therapists shall maintain good personal hygiene and stay healthy at all time.
6.3 All beauty therapists should have good interpersonal skills.

7. CODE OF ETHICS
7.1 All beauty therapists shall abide by the Code of Ethics and good practices as follows:
i. Uphold the high professional standards of the industry;
ii. Conduct themselves in conformity with good character and professional decorum;
iii. Obtain consent from clients prior to treatment;
iv. Obtain consent from clients before taking pre and post photography as evidence of effectiveness of treatments. No picture of clients may be used for advertising or publicity purposes unless the prior consent of clients is obtained;
v. Respect the right and privacy of customers and safeguard customers’ information within the limit of the law;
vi. Shall not engage in activities which are illegal or immoral. They must not work in, or be associated with establishments which offer services which are illegal or immoral;
vii. Refrain from condemning,
viii. Be knowledgeable and be able to give right and sufficient information, advice and recommendations about the products and the services that are offered to the clients consistent with good industry practices. This includes furnishing any information on the possible side effects of the products or treatments, if any;
ix. Shall not undertake treatments which are beyond the scope of their professional education, training and experience;
x. All beauty therapists should, as far as possible, enquire any medical history before treating a client for the first time to ensure the client is under the care of a medical practitioner or not;
xi. In the event of unwanted incident occured, beauty therapists must be able to identify quickly and refer such cases that need medical attention;
xii. Act honorably towards their clients by informing and publishing a transparent pricing or charges list prior to the treatment and avoid any false claim that can mislead the clients; and
xiii. Refrain from participating in aggressive or pressured products or services promotion which will lead to disturbance and harassment to the clients.

8. BEAUTY PREMISES
8.1 Each beauty therapists has the responsibility for maintaining a safe, clean, well maintained and healthy premise at all time by following environmental, safety, and health rules and practices. 
8.2 All beauty premises should have adequate and suitable structural items and facilities for services offered. 
8.3 All beauty premises shall obtain the necessary licenses required by any respective regulatory bodies. 
8.4 All relevant licenses shall be displayed and be visible to the public.



https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CBwQFjAA&url=http%3A%2F%2Fwww.kpdnkk.gov.my%2Fdocuments%2F10137%2F9147641d-9e27-4de8-9d34-72f5c5c02762&ei=6PqwU8rRLYOMuASUmILYBQ&usg=AFQjCNFuR-G4wRnX2ULWNGisCFA9b7IcvQ&sig2=YHYP-sCdsaXL8R8L4trsXw