Angel or devil? How to redeem the "hyaluronic acid" on the moral edge?

Today's society is not only an era of "fighting for father", but also an era of "fighting for beauty" When more and more people begin to pay attention to the brightness of appearance, "micro integration" industry is also rapidly sweeping the country Among the numerous products in the "micro integration" industry, "hyaluronic acid" has gradually replaced the old botulinum toxin, collagen, etc with its advantages in many aspects, and has firmly grasped the young heart of women However, with the exposure of information such as "failure of plastic surgery", "operation accident", "black intermediary" and "huge profits of plastic surgery", hyaluronic acid is no longer the perfect skin care angel in people's mind, but more images are the demons of disfigurement that cover up evil In recent years, "micro integration" has gradually become one of the hot spots of consumer complaints On the 7th of this month, CCTV news once again exposed the irregularities of the whole micro industry, as well as the fact that the source of hyaluronic acid is counterfeiting and profiteering So, is hyaluronic acid "angel" or "devil"? What are their merits and demerits? Today, let's talk about the "real identity" of hyaluronic acid and its "right and wrong after its debut" systematically and objectively! Hyaluronic acid, also known as hyaluronic acid, is a kind of glycosaminoglycan, which is widely distributed in all parts of the human body, and the skin contains a lot of hyaluronic acid What's more, hyaluronic acid has a special function of keeping water, which is the best moisturizing substance in nature It is called an ideal natural moisturizing factor Its physiological functions include: water conservation, skin care, anti-aging and so on At present, it has been widely used in health food, cosmetics, injection beauty and so on In 1934, Meyer et al, an ophthalmologist at Columbia University in the United States, isolated hyaluronic acid from bovine eyes In 1985, Shiseido, Japan, first reported the production of hyaluronic acid by Streptococcus fermentation, which gradually replaced the previous tissue extraction method In 2003, the United States approved a patent for the production of hyaluronic acid by fermentation At present, the production of hyaluronic acid by fermentation in China is still in the primary stage, especially the high molecular weight hyaluronic acid of pharmaceutical grade, which still needs to be imported from abroad In terms of sales, in 2010, plastic and cosmetic expenses in the United States reached 10.677 billion US dollars, including 4.103 billion non-surgical plastic and cosmetic expenses, accounting for 38% But in the non-surgical plastic and cosmetic surgery, the cost of injection beauty is 1.877 billion US dollars, of which the cost of hyaluronic acid injection is 733 million US dollars, accounting for 39.05%, which occupies the main position in the skin filler It is found that hyaluronic acid can be used in many aspects, such as health food, cosmetics, injection beauty, orthopedics, ophthalmology, etc 1 Cosmetics as mentioned before, hyaluronic acid has a very strong moisturizing performance, and it is a natural substance widely existing in the skin and other tissues, which is conducive to the transmission of skin nutrients and the discharge of metabolic waste, to maintain a certain amount of water in the skin, so as to achieve the effect of delaying skin aging, beauty and beauty There are many kinds of cosmetics that contain hyaluronic acid in the cosmetics market, such as toner, lotion, essence capsule, mask, shower cream, powder, lipstick, shampoo, sunscreen cream, conditioner, mousse and so on International famous brands apply hyaluronic acid, such as Estee Lauder and Avon of the United States, L'Oreal and Guerlain of France, Shiseido of Japan, etc.; domestic brands include Shanghai Jiahua, Natang, Yilian, dingjiayi and Osman, etc 2 Injection cosmetology is a popular plastic and cosmetic technology both at home and abroad With the increase of age, the hyaluronic acid in the skin decreased, and the water content in the skin cells and between cells decreased By subcutaneous injection of hyaluronic acid, wrinkles can be eliminated rapidly, such as lip augmentation, chin augmentation, nose augmentation, etc At present, the products of hyaluronic acid for injection approved by FDA are mainly Rayleigh series and hylaform series Restylane crosslinked hyaluronic acid product developed and launched by q-medab company in Sweden can effectively improve skin contour and eliminate skin sags caused by scars, wounds and wrinkles The product was approved to enter the U.S market by the U.S FDA in December 2003 The Hylaform cross-linked hyaluronic acid gel produced by Genzyme, USA, has been used directly for subcutaneous implantation because of its good biocompatibility and stability The product has also been approved by the US FDA In recent years, cross-linked hyaluronic acid subcutaneous injection has been widely recognized in Taiwan and Hong Kong As a safer filling product, the "over" hyaluronic acid of hyaluronic acid has an undoubted cosmetic effect on human skin However, if it is applied outside the legal permission, the bad effect will be a devastating blow to individuals and their families And these use beyond the law, mainly for beauty salons beyond the scope of business injection of hyaluronic acid, the spread of fake goods and the profiteering industry chain behind 1 Beauty salons that inject hyaluronic acid beyond their business scope are not qualified to do invasive beauty projects According to the regulations of the measures for the administration of medical cosmetology services in China, the injection of hyaluronic acid belongs to the medical behavior The doctors who carry out the medical cosmetology must have the qualification of practicing doctors, and the personnel who are engaged in the medical cosmetology nursing work must also be the nurses registered by the nursing department But in reality, some beauticians in white coats are "five minutes" trained without any personnel We should know that hyaluronic acid needs to be injected into the superficial dermis If the injection site is too shallow, it may cause local induration; if the injection site is too deep, it may not have cosmetic effect In addition, although injection plastic surgery trauma is small, it may also lead to allergies Once there is an accident in the injection, it needs professional medical institutions to carry out emergency treatment, serious or even life-threatening 2 There are a lot of fake products and rampant profits Some of the imported hyaluronic acid injections have no name, package, certificate or approval number As for the origin, even the sales personnel may not know it In many cases, they will deceive the customers, saying that they are from Japan, South Korea, Germany, Italy or Taiwan It has been reported that more than 90% of the products on the market are fake, because the global production of hyaluronic acid is very small, and there are strict regulations for its use in China It is impossible to achieve the phenomenon that the product supply exceeds the demand At the same time, the spread of fake goods will naturally be accompanied by the rampant profits It's said that the cost price of each bottle of fake injection is only a few yuan The price at the time of delivery has changed into dozens of yuan, and then it becomes hundreds of yuan in the hands of middlemen Then the dealers who go down may sell it to 2300 yuan In this way, the price has to be increased layer by layer Finally, the price that beauty salons sell to customers has reached tens of thousands of yuan And a course of treatment may have 10 or 20 needles, and customers who consume this kind of injection may have several courses of treatment in succession, so a customer's consumption will cost hundreds of thousands of yuan Consumption of a huge amount of beauty products, how many will be false, this number is hard to imagine! How about the market supervision of hyaluronic acid? According to the statistics of China Consumer Association, in the past 10 years, there are nearly 20000 complaints about disfigurement and shape destruction caused by cosmetic surgery every year However, many people turn a blind eye to this, and the number of injection beauty salons is still rising rapidly every year It can be said that the beauty industry has become a profiteering chain hidden in the urban life track, but there is no clear regulatory unit in such a chain Industry and commerce, health, Drug Administration These are the main supervision departments of plastic surgery industry The business license is managed by the industry and Commerce Department, the health license is managed by the health department, and the products used are under the supervision of drugs However, once there are violations, no one can control them At present, various localities and departments are carrying out the action of rectifying the micro and whole industry together The comprehensive investigation on the production and operation enterprises, users, beauty medical institutions, beauty salons and the Internet of hyaluronic acid for injection has been carried out for many times, but it does not seem to have achieved the expected deterrent effect There is a long way to go for the elimination of cancer in the whole micro industry More efforts should be made to focus on departmental cooperation, improve laws and regulations, strengthen daily supervision, strengthen administrative guidance, and issue consumer warnings!