Like almost everything these days, aesthetic medicine it also has its own international day and it is today, September 6. An increasingly common and thriving specialty, as Dr. Virtues Ruiz,president of the Murcian Association of Aesthetic Medicine (AMMECC): the 40% of the Spanish population turn to her.
If we talk to medical experts in the field, there is a sore problem that affects both them, the specialists, and the patients. It is about of professional intrusion, a practice that national and community associations are fighting to eradicate, with the ultimate goal ensure maximum safety to those who decide to undergo aesthetic medical intervention (reminiscent of the “Linda Evangelista” case), “injections” with hyaluronic acid, Botox… as advocated by Dr. Peter Vega, Treasurer of the Spanish Society of Aesthetic Medicine (SEME).
Professional intrusion, hot topic
As SEME already gathered in July, the criminal court of Barcelona recognized this non-medical personnel cannot carry out aesthetic medicine treatments and has issued a criminal conviction for trespassing, public health and injury in Catalonia.
For its part, SEME, appearing in this case as a popular prosecution and after ten long years of investigation, celebrated the verdict: “This is a very important step for patient safety.”
But this is only one step because, as Dr. Virtudes Ruiz “accuses” “There is a lot of work and laws, since in a very short time aesthetic medicine experienced a “boom” where everyone wants a piece of the pie.”
Thus, non-medical professionals such as dentists, nurses, physiotherapists, and of course beauticians who perform all types of treatments considered medical are “they jump on the bullring legislation”, Ruiz states.
In France They are also very aware of this problem. Since the beginning of 2022, the French National Agency for the Safety of Medicines and Health Products (ANSM) has received about forty reports of unwanted reactions after hyaluronic acid injections performed by unauthorized persons, in performed practices from non-medical which are dangerous and are prohibited for more inri.
Who can “click” in Spain
Dr. Vega explains that the practice of aesthetic medicine is fully regulated under the 2003 Health Care Establishment Act, which organizes health centers and collects what requirements are needed and what portfolio of services they can offer. Section U.48 specifically states that health centers for aesthetic medicine must be under the responsibility of a physician (both legal and criminal).
Therefore, “in theory”, professionals who can practice it can be exclusively doctors. From 2021, in addition, e.g. master’s degree in aesthetic medicine It can only be addressed to doctors.
It is each autonomous community in particular that reviews what each center will want to do to grant the license in accordance with established laws. “I want to click Hyaluronic acid? well they will ask me What degree do I have? what kind of liability insurance, how will I do it, so that the patient knows at all times which chain to follow,” explains Dr. Petra Vega.
Yet, as Dr. Ruiz argues, aesthetic medicine is not considered specialty within the Spanish health system and therefore there is no regulation in terms of the specific training in that part of medicine that should be required to be able to practise sufficient guarantees for its user population.
This is due to the fact that, although this aesthetic branch is recognized by medical associations and the WTO, in Spain, in order to obtain a specialty category, you must do the MIR, which is only achieved by provision of public assistance when aesthetic medicine is confined to the personal sphere.
Since 2003, Dr. Vega recalls, attempts have been made for this discipline and others such as palliative care and emergency extended accreditation which demonstrates continuous learning, postgraduate courses… “But this requires all autonomous communities to develop it and 19 years later, the legal framework continues to be created”.
So can any doctor inject me with botox? In theory yes, but many autonomous communities take care of their health and add to the development of the U. 48 that “you have a diploma from a medical school where the president signs that you haveno knowledge of it” as Vega notes.
Why is it so important to choose well who pricks us?
Popularization on social networks and the increase in demand for aesthetic medical procedures has led, according to Dr. Vega, to people to believe that the injection is safe.
Paradoxically, it turns out that “nutrition anxiety a tomato you don’t know where it came from and it can poison you and you think that if you drill a static product of which you do not know the origin nothing will happen to you” Vega muses, “A lot of people believe they’re doing something on their own for being more beautiful there will be no consequences when we introduce something into the body has consequences, good or bad,” – continues the expert.
We should not forget when we choose well where and with whom to prick, that aesthetic medicine is “satisfactory area, the person does not go because his life depends on it, he wants to improve, not leave the procedure with such a serious side effect make your life worse.”
Because professional choice perform a cosmetic medical procedure this is vital. “Thanks to our knowledge gained after six year career and four or five specialties that physicians perform clinical history to detect possible abnormalities that prevent us from performing certain treatments; we have comprehensive knowledge of the anatomy of the area, from the properties of the product and the technique used… But most important of all is that if during the treatment A problem is arising (serious or not) that may occur despite neglecting these treatments, we are ready to serve the patient and to solve the problem,” asserts Virtudes Ruiz.
“There is not enough security for consumers if it is not in the hands of a doctor, and it’s not very clear to the majority of the population,” laments Ruiz.
Therefore, to make water more clear, Dr. Vega summarizes in three points why it is so important you know who you’re messing with:
- because a doctor knows how to treat side effects that, as with everything in this life, it can come up. “We are the only ones who have the tools in our hands to make them, including the drugs.
- only a doctor guarantees the product who infiltrates (Botox, hyaluronic acid), because only he can legally purchase it in a pharmacy or laboratory and trace its traceability from production to infiltration, passing through conservation.
- And alone a doctor bears civil liability, medical and even monetary which ensure that you are supported in whatever problem you have.
How do we know for sure that the center we are going to is protected by law? The patient must be informed that the center he will go to is an authorized medical center and this can be seen in any autonomous community. “We’re not all day consulting doctor Google? Well, this is undoubtedly the time to keep doing it, we enter a number or a name and we will find out what authorization this center or specialist has and what to practice,” explains Dr. Vega.
Reach the end of the penetration?
Dr. Virtudes Ruiz is not very optimistic: “Another example: Botox can be injected, by law, only by doctors who have also undergone a special course on its use for aesthetic purposes. However, it seems anyone can inject it without consequences and not only that, you can Announce with fanfare through networks, posters, radio, etc. etc… After all, we are the doctors who can’t announce it and the rest, “intruders” have the upper hand”, I’m sorry
For Dr. Petra Vega, the end of obsession will come civic education, to carry the message that beauty is not superfluous is part of us and does not come from outside: we must be inside safe hands for be more beautiful and healthy.