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  周二美元指数在近三年低点附近徘徊,因特朗普总统对美联储主席的持续攻击进一步削弱了投资者对美国经济的信心。美元兑瑞士法郎汇率接近前一交易日创下的十年新低,兑欧元汇率则维持在三年半低位附近。

  特朗普周一在其社交媒体平台TruthSocial上加大了对美联储主席鲍威尔的抨击,称其为“大输家”,并要求他“立即”降息,否则将面临经济放缓风险。上周五,白宫经济顾问凯文·哈西特表示,总统及其团队仍在研究能否解雇鲍威尔。此前一天特朗普曾表示,撤换鲍威尔“越快越好”。

  此番言论正值鲍威尔上周表态称,美联储在制定政策时可以保持耐心,在明确美国关税计划不会导致通胀持续上升前不应降息。北极星投资管理公司首席投资官埃里克·库比表示:“特朗普与鲍威尔之间形成了可怕的僵局,这加剧了市场对可能撤换鲍威尔的担忧,或将引发美元恐慌性抛售。”

  库比补充道,在贸易方面,“每天未能达成缓解局势的协议,都会持续加剧市场焦虑”,担心特朗普现行政策可能对经济造成破坏性影响。

  汇率方面:美元兑瑞郎持平于0.8095,距前一交易日0.8042的十年低点不远;兑日元报140.99,接近周一创下的140.48七个月低位;欧元微幅波动报1.1502美元,周一曾触及2021年11月以来最高1.1573;英镑稳定在1.3376美元,本周初曾升至1.3421的9月以来新高。

  澳大利亚联邦银行国际与可持续经济主管约瑟夫·卡普尔索表示:“对美国货币政策独立性的猜测持续越久,美元下跌风险就越大。可能需要美国国债或股市再度暴跌,才能促使特朗普总统停止此类言论。”美元指数现报98.454,前一交易日曾跌至2022年3月以来最低97.923。

  就连对风险敏感的澳元周一也攀升至0.6436美元的四个月高位,最新交投于0.6414美元附近。

  21世纪经济报道记者韩利明上海报道

  随着我国求美者的自我认同和个性审美日渐成熟,近年来,美学需求日趋增长,从玻尿酸、胶原蛋白、肉毒素到再生制剂等产品密集上市,医美行业正经历着技术升级带来的深刻变革。

  其中,再生类产品已成为驱动医美机构高质量发展的新引擎。头豹研究院的预测,中国大陆医美再生注射剂市场将在未来几年迎来快速增长,预计到2027年市场规模将达到115.2亿元,2021至2025年间的年复合增长率将高达54.73%。

  现阶段,国内已有八款再生医美针剂获批上市。包括三款“少女针”,分别是华东医药的伊妍仕、谷雨春的塑妍真和四环医药的PCL微球;以及五款“童颜针”,分别为圣博玛艾维岚、爱美客的濡白天使、江苏吴中(维权)的艾塑菲、高德美的塑妍萃和普丽妍的普丽妍。

  日前,高德美宣布旗下塑妍萃在我国全面上市,“童颜针”市场的竞争愈发激烈。在市场高速发展的同时,行业规范也面临更高要求。如何在市场爆发期守住安全底线,成为全行业共同面对的课题。

  中日友好医院整形外科副主任医师马力向21世纪经济报道强调,“求美者在选择产品时应充分了解其特性,考察医生注射经验与技术;术后严格遵循按摩、禁忌事项及复诊要求。更重要的是,务必关注产品、医美机构和医生资质的‘三正规’标准,避免因选择低价或不合规机构,为自身带来不必要的风险。”

  竞逐百亿元市场

  医美再生注射类产品通常以生物医用高分子材料为主要成分,通过微球形态注入真皮层和/或皮下组织,激发人体自身胶原蛋白再生,实现紧致肌肤、抗衰美容的效果。聚乳酸(PLA)、聚己内酯(PCL)、聚乙烯醇(PVA)等人工合成聚合物,是该领域的常用材料。

  聚合物分子工程全国重点实验室主任、复旦大学丁建东教授日前向21世纪经济报道等介绍,“聚合物材料由于其特性与皮肤组织的匹配性,在医美等行业有广泛的应用。其中,聚左旋乳酸有助于刺激皮肤活力再生,因此备受关注。”

  2021年,圣博玛的聚左旋乳酸产品艾维岚和爱美客的左旋乳酸-乙二醇产品濡白天使先后获批。也是在这一年,我国“童颜针”市场进入发展快车道。据沙利文分析,中国医疗美容用PLA产品基于出厂价格的市场规模在2021年达到了人民币1.1亿元。

  2024年,我国“童颜针”市场迎来爆发,三款产品先后获批。1月,江苏吴中代理的聚双旋乳酸产品艾塑菲成功获批;9月和11月,注射用聚左旋乳酸填充剂品牌塑妍萃、普丽妍申报的“聚乳酸面部填充剂”先后获批。

  随着产品获批上市,市场扩容效应显著。公开资料显示,2024年4月,艾维岚相关主题的分享会上,公司曾介绍,这一产品的累计销售数量已达到21.33万支。按照产品1.8万元至2万元的单价估算,这一产品三年创造的商业收入在40亿元之上。同时,按照艾维岚注射三次维持两年的治疗历程来判断,国内累计用户约7万。

  爱美客在2024年年报中披露数据显示,濡白天使所属的凝胶类注射产品实现营业收入12.16亿元,较上年同期增长5.01%。此外,江苏吴中更是凭借其代理的艾塑菲的市场表现,预计2024年实现归母净利润约5500万元至8000万元,成功扭亏为盈。

  激烈的市场竞争中,企业也在加速布局。日前,爱美客发布公告称拟收购REGENBiotech的控股权。而REGENBiotech的核心产品艾塑菲,这一国内首款获批进口“童颜针”,正由江苏吴中代理。随着爱美客收购REGENBiotech逐渐落地,未来艾塑菲代理权花落谁家,尚待观察。

  此外,国内尚有多家厂商布局产品竞逐这一市场。其中,华东医药在2024年5月披露信息显示,旗下聚左旋乳酸胶原蛋白刺激剂Lanluma于2020年获得欧盟CE认证,已在全球32个国家和地区获批上市销售,且在2022年12月已在海南博鳌乐城国际医疗旅游先行区先行获批落地,目前已顺利通过国际合作临床试验备案,开启全国多中心注册临床研究阶段。

  平衡技术创新与安全规范

  医美再生领域的快速崛起,既得益于其“自然抗衰”的临床效果,精准契合了当代求美者“美而不假”的核心诉求,也离不开其作为高附加值品类的巨大商业潜力。然而,随着市场热度不断攀升,“馒化(FOS)”、结节等安全问题也不容忽视。

  “在正规、规范的操作和注射技术加持下,医美再生类产品的并发症风险可大幅降低。国际统计数据显示,正确使用前提下,结节发生率低至十万分之四,这也凸显医生专业培训的重要性。”马力表示,求美者也需建立对再生材料的正确认知,并遵循术后按摩、术后禁忌和定期复诊等注意事项。

  此外,马力也强调传递正确信息的必要性,“针对网络上繁杂且良莠不齐的信息,医生有责任向求美者科普产品特性,帮助其理解再生类产品带来的渐进式效果,减少认知误区,更好地服务高端求美需求。”

  值得关注的是,在社交平台上,不少求美者分享了“童颜针”的使用经历,其中不乏因不当使用导致的不良案例。例如部分求美者反馈“用童颜针打泪沟,变成了印第安纹”、“打的额头,感觉位移到鼻梁也肿肿的”、“打了口周,已经变成蜜蜂小狗了”……

  21世纪经济报道查询国家药品监督管理局信息发现,已上市的五款“童颜针”均有明确的适应证范围。其中,圣博玛的艾维岚(注射到真皮深层)、爱美客的濡白天使(真皮深层、皮下浅层及深层注射填充)、江苏吴中的艾塑菲(注射到面部真皮深层)、普丽妍的普丽妍(注射到鼻唇沟部位真皮深层)均用以纠正中重度鼻唇沟皱纹;高德美的塑妍萃用于真皮深层、皮下层注射,以矫正中面部容量缺失和/或中面部轮廓缺陷。

  高德美中国医学部负责人范虹博士在接受21世纪经济报道采访时强调,“企业严格遵循中国获批适应症开展业务,并倡导基于实证证据科学地使用产品。”

  马力也表示,过去中国市场上确实存在一些产品,医生会依据专家共识和国外同行经验分享进行超适应症使用的情况。但对于像刚上市的塑妍萃这类产品,当下还是应按照说明书和标准化培训流程,在规定的适应症范围内合理使用。

  “超适应症使用是建立在医生前期积累了大量经验,并且经过与国外同行交流、回顾文献,以及自身对产品使用熟练的前提条件下,在合理合法的范围内进行的治疗工作。”在马力看来,医学本就是一个不断探索的过程,相信在行业达成共识的前提下,随着国内对产品使用经验的逐步积累,一方面从公司层面申请到更多的适应症,另一方面医生也能在保障安全的前提下,为求美者带来更多产品的相关应用。

  在这场“美丽经济”的竞赛中,更需要平衡好技术创新和安全规范的关系,如此,方能更好地契合求美者需求,从而推动行业创新发展。

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