A recent article published on february 1 on the website of the spanish newspaper el país, entitled " ten things never done by beauty medicine experts " , by isabel rubio. It has been compiled as follows:
Nearly half of the spanish population had medical beauty surgery in 2024. According to the spanish society of beauty medicine, 65 per cent of the medical beauty therapy programmes are carried out by non-professionals. The newspaper consults four cosmetological medical specialists, ranging from viral trends such as the “russian lips” “polybacterium parties” to the services of illegal institutions, which reveal the ten kinds of treatment and behaviour they will never accept。
• a radical change in appearance
Sergio fernández, vice-president of the spanish beauty association, would never accept any project that would “change” himself: “i will avoid large-dose fillings or any fundamentally altered project”. In his view, it was essential to be able to recognize oneself in the mirror. "if the image changes too much, the essence changes."
As beatrice molareho, a meta-medical specialist in beauty medicine and a plastic surgeon in the face, stated that it was equally undesirable to attempt to imitate social media filters or to reproduce celebrity characteristics: “face-to-face plastic surgery and medical beauty should highlight the beauty of the individual rather than create a uniform appearance”
The specialist in anaesthesia and beauty medicine, marcularda morelle gonzález-redondo, stressed the need to identify whether a patient suffers from a “physical deformation disorder” (a mental health disorder that is overly worried about slight or presumed defects). At this point, doctors must “be honest and professional and inform them of feasible and unfeasible options and avoid placing them in a cycle of eventual physical alteration”。
Injecting non-absorptionable materials
Morelle's position is clear: no permanent filling will be implanted. She refers to non-absorptionable products such as methyl methacrylate. “i will not do it because the face will grow old and the implants will remain in the same state. It may end up being an ugly thing in the face or implant.”
Medical beauty needs to be based on scientific evidence. “it seems obvious, but as a surgeon, i visit patients who are injected with non-absorptionable materials or biopolymers every day at an unqualified institution.” moralejo explained. In early 2025, the spanish police dismantled a criminal organization that imported, stored and distributed illegal medical cosmetics and medical devices, involving 24 illegal clinics. In this context, moralejo emphasized the need to avoid the use of materials that could lead to local and systemic complications, such as treatment of partial malformations, exotic reactions, infections or pain。
.. Blindly chasing the short tide
The experts interviewed did not accept short-term treatment. Molaleho refers to the technique of “russian lips” with transparent, acidic lips, which “not only significantly alters the anatomy structure of the lips, but also increases the risk of angioplasm, eventually forming an unnatural lip, which is easily obsolete”. Fernández refers to another “slightly absurd and unsure” trend: the injection of transparent acid simulates the thickening of eyebrow muscles, which is considered to make the eyes more sexy。
Morelle is opposed to treatment that does not guarantee natural effects. She avoids injections of neuroregulating agents only in the forehead, as this can lead to a low eyebrow and small eyes. She refused to provide a wired tila for the unsuited, or to make lips that would otherwise be debatable or overfilled。
Non-accredited medical institutions
Data from the spanish beauty association show that 20 per cent of medical beauty consultations take place in institutions without qualifications, such as uncertified centres, hairdressers or private homes. It warns of an 18 per cent increase in the incidence of medical discomfort due to the increase in unlicensed medical practice, the most serious of which include blindness, stroke and permanent scars。
The cosmetology specialist, léo serodo, who runs clinics in madrid and panama, recommended that the medical practitioner be confirmed by a diploma or certificate: “registration numbers may be consulted to verify whether he is entered in the national directory of health professionals.”
Morelle recommended that the clinic be asked whether it had qualifications and that the doctor be asked to present a certificate of qualification. These checks avoid risks。
Institutions that do not ask about medical history and medicine
Fernández recommended vigilance towards institutions that directly recommend treatment without first recording medical records. Moralyjo added: “if a person's medical history or use of medication is not asked in the preliminary assessment, the necessary link to the development of a reasonable programme and risk reduction is ignored.” serudo indicated that good doctors would inform any treatment of risks, alternatives and possible effects。
Purchase of therapeutic sessions from salesmen
The patient should stay away from the clinic where the treatment is sold by the salesman. Moralyjo stated that the procedure for plastic surgery or medical beauty therapy should be diagnosed and recommended by a doctor and could never be decided by a salesman on a profit basis. A good sign is that doctors who believe that certain treatments are not suitable for patients will reject them decisively. Serudo, for its part, recommends vigilance with regard to sky prices, concessions, “buy-and-take-one” and the scheduling of multiple “compulsory” treatments。
• miracle therapy or unsubstantiated treatment
Moralejo is never going to receive miracle therapy. She argued that medical beauty and plastic surgery had to be based on scientific evidence and professional ethics: “or else we treat patients for economic purposes, not to improve their quality of life or skin condition”. She suggested not to be misled by marketing: “the best guarantee of efficacy lies with professionals, not with what we see in social media”. Some studies emphasize the need for professionals to communicate with patients and to distinguish between realistic effects and unrealistic objectives。
Early contact with the doctor
The spanish beauty medicine association records that the number of young people receiving medical beauty care is increasing. Twenty per cent of patients aged 16 to 25 years, 21 per cent of those aged 25 to 34 and 35 to 45 years, and 38 per cent of those aged over 45. Serodo explained: “there are two reasons for exposure to medical beauty: the elimination of traces of age (from about 35 years) or the promotion of beauty (from about 18 years).” he pointed out that there should be no “early start and overfill” and that “early overuse of products could lead to adverse consequences in the future”。
Moralejo believes that any injection-type medical beauty or facial plastic surgery should be performed at the age of 18 or after facial development. In exceptional circumstances, she has been treated for a patient over the age of 16 because of a disease or a deficiency, but always requires the written consent of the patient and both parents and an assessment of her psychological maturity and motivation。
A study of the journal public library of science, synthesis, noted that self-photo-photo-photo-photography in social media is one of the key factors influencing people's decision to undergo plastic surgery. According to the author, this impact stems from comparisons with others and dissatisfaction with their own image. Therefore, the researchers recommend that parents guide young people in building positive perceptions。
:: emergency pre-event medical attention
“although we all want to be beautiful before public events such as weddings, baptisms, etc., patients need to understand that most sessions should take place at least one month in advance.” moralejo points out. Morelle explained that, with a few exceptions, treatment usually takes between one and a half months to stabilize. She said, “i have refused to provide services to patients who have requested treatment only one week in advance, because you may still be suffering from inflammation because of the lack of time to observe the results. Not only has the situation not improved, it has become worse.”
• participation in the botox party
" botox party" means a gathering where botox is injected in private homes or without certification. "it's more common than we thought." fernández said. Mora leho warns that these acts “are extremely risky to patients because the operator is not a doctor and lacks anatomy, general medical training and capacity to deal with potential complications”. In addition, if such injections are carried out in a non-medical environment and do not meet minimum sterile standards, the risk will become a “real time bomb”. (compilation/hanxio)
