tag:blogger.com,1999:blog-54818290578431272942024-02-07T18:37:52.437-08:00髮拉儷皮膚科 髮拉儷皮膚科診所由國泰醫院與亞東醫院雙皮膚科主任蔡宗樺醫師領軍,為您寶貴的肌膚提供更完善的診療計畫。
蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.comBlogger146125tag:blogger.com,1999:blog-5481829057843127294.post-43729636146620784872016-04-08T21:38:00.000-07:002016-11-27T23:05:57.533-08:00髮拉儷皮膚科 看診時間<div style="text-align: left;">
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<a href="http://www.ferrari-clinic.tw/" target="_blank">http://www.ferrari-clinic.tw</a><br />
髮拉儷皮膚科診所<br />
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<b>診所醫師時間調整</b><br />
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<b>蔡宗樺院長</b><br />
<b>髮 </b><b>拉 儷皮膚科診所門診時間</b><br />
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周一、三、五 AM:11:00~PM8:00</div>
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週二、四 AM:09:00~PM6:00</div>
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周六 AM:09:00~PM4:00</div>
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周日及國定假日休診</div>
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<br />蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-74304443345928986902015-05-18T20:28:00.002-07:002015-05-18T20:28:14.334-07:00歐洲皮膚科醫學會記行- 波蘭 克拉克 (Crocow) -1<div class="MsoNormal">
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<span style="font-family: "新細明體","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">飛機上還有德國啤酒,果然是</span><span lang="EN-US">beer</span><span style="font-family: "新細明體","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">當水喝的民族,</span><span lang="EN-US">Lisa</span><span style="font-family: "新細明體","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">來到這可開心了。</span></div>
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<span style="font-family: "新細明體","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> <span style="font-family: "新細明體","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歐洲皮膚科醫學會</span> <span style="font-family: "新細明體","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">在波蘭</span> <span style="font-family: "新細明體","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">克拉克</span><span lang="EN-US"> Crocow</span></span><br />
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<span style="font-family: "新細明體","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">在此和在溫哥華UBC的老師相遇,他是此次大會的keynote speaker(主要演講者),主題是利用毛囊幹細胞再生新毛囊的技術,這是由北美和歐洲共同的研究,已經進入臨床試驗,等到成功,我們就可以取幾根毛囊然後複製一大堆毛囊。</span></div>
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在廣場遇到之前在溫哥華UBC皮膚科住院醫師 ,其中一位總醫師竟然和住院醫師學妹結婚,之前完全看不出來啊。<br />
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-90513211018458487752015-04-14T00:02:00.003-07:002015-04-14T00:02:58.272-07:00蔡宗樺醫師 受邀台灣美容醫學醫學會演講<span style="font-size: 14px;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgk4KvDsBRPzLZ6ZQe4kCBR7q8hU8TLheKTL5Cezk34IuE88sc-cnW_LKdsqfhBNeAzVpiNFfraIF1T08rWu3IhCFZcwAgeMXXfnqPZ2Rkfago2gTWDV-pyVdxyM37Dk71rbhbSfIjZ9Zo/s1600/news150414.jpg" imageanchor="1" style="font-size: medium; margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgk4KvDsBRPzLZ6ZQe4kCBR7q8hU8TLheKTL5Cezk34IuE88sc-cnW_LKdsqfhBNeAzVpiNFfraIF1T08rWu3IhCFZcwAgeMXXfnqPZ2Rkfago2gTWDV-pyVdxyM37Dk71rbhbSfIjZ9Zo/s1600/news150414.jpg" height="440" width="640" /></a></span><br />
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<span style="font-size: 14px;"><b>髮拉儷皮膚科診所蔡宗樺醫師</b></span><br />
<span style="font-size: 14px;"><b><br /></b></span>
<span style="font-size: 14px;">受邀中華台灣美容醫學醫學會演講-<br />
PhotoFractional Therapy - The New Trend of Facial Laser Treatment </span><span style="font-size: 14px;">光梭療法之顛覆現行顏面雷射治療</span><br />
<span style="font-size: 14px;"><br />
</span> <span style="font-size: 14px;">會後與主持人許哲豪頒證留影紀念</span><br />
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</span>蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-30125431740172066832015-04-01T00:28:00.002-07:002015-04-01T00:31:16.710-07:00妊娠肌膚問題大作戰(下)<div class="separator" style="clear: both; text-align: center;">
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(嬰兒與母親2月號 2015/02/18)<br />
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<b>遠離孕期保養地雷</b><br />
蔡宗樺醫師提醒,雖然孕期肌膚更需要仔細呵護,但是孕媽咪的肌膚敏感性較高,不適合再像懷孕前般使用瓶瓶罐罐繁複的保養程序,以免增加肌膚負擔,同時應該選擇成分單純的產品,最簡單的方式就是購買醫美保養品牌標示為寶寶或孕婦專用的保養品。<br />
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<b>地雷1:A酸、水楊酸</b><br />
A酸常出現在抗痘藥品、保養品中,目前醫學已證實口服A酸有致畸胎之風險,雖然外用A酸不像口服A酸會引發嚴重的副作用,不過還是不建議孕媽咪使用;水楊酸對皮膚可提供去角質、分解粉刺、保濕等作用,但是在動物實驗上曾發現有畸胎現象,建議懷孕後期應避免使用。<br />
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<b>地雷2:定香劑</b><br />
許多添加了人工香精的美妝保養產品為了使香氣持久,都會添加定香劑,這是一種高濃度的環境荷爾蒙,長期在人體中累積很難代謝掉,懷孕期間使用會增加胎兒生長遲緩風險,女嬰則有性早熟傾向,蔡宗樺醫師建議孕媽咪應避免接觸有香味的清潔用品、化妝品與保養品。<br />
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<b>地雷3:染燙產品</b><br />
蔡宗樺醫師強調,懷孕期間因血管擴張,染燙產品中的大量化學成分可能經由頭皮滲入體內,對胎兒造成傷害;染髮劑的致敏性很高,如果在懷孕期間發生過敏,因能夠使用的藥物有限,可能使病情拖延,不利於孕媽咪的健康。<br />
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<b>地雷4:彩妝產品</b><br />
彩妝產品含有大量化學物質,多半對人體有不好的影響,蔡宗樺醫師提醒,如果孕媽咪需要化妝,盡量保持淡妝即可;另外,指甲油、指甲彩繪、去光水等產品因含有揮發性氣體,會直接吸入體內,經由血液循環對胎兒造成影響,懷孕期間也要避免使用。<br />
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<b>妊娠保養3要領─清潔+保濕+防曬</b><br />
蔡宗樺醫師指出,懷孕期間受到賀爾蒙波動的因素,容易導致皮膚出現狀況,甚至引發過敏,懷孕期間的保養方式應以簡單為主要原則,掌握「清潔、保溼、防曬」三大要領。<br />
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<b>要領1:適度清潔</b><br />
蔡宗樺醫師建議,孕媽咪最好選擇溫和、無刺激性的清潔用品,分別針對夏季與冬季的肌膚變化選擇不同的產品,同時應視特殊需求調整清潔產品屬性,若是出油量很大或是長痘痘時,可選擇痘痘專用洗面乳,較乾燥的身體肌膚則使用敏感肌專用沐浴劑,或直接使用清水沖洗即可。<br />
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平時有去角質習慣的孕媽咪,蔡宗樺醫師提醒在妊娠期間應避免使用去角質產品,以免對肌膚造成傷害。<br />
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<b>要領2:加強保濕</b><br />
蔡宗樺醫師提到,保濕的重點要視膚質狀況及環境溫、濕度的條件來決定,偏乾性的肌膚或天氣較為寒冷時,可以選擇油脂比例偏高的保濕產品;出油量大、痘痘肌以及悶熱的夏季,就可以改用親膚性佳、清爽型的保濕產品。<br />
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最佳保養時機是洗完澡後,此時全身肌膚的保水度較佳,將皮膚上的水分稍微擦乾後立即抹上保濕品,便可使皮膚呈現水嫩嫩的質感。<br />
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<b>要領3:全面防曬</b><br />
防曬可不是夏季專屬的保養工序,一年四季都應該養成積極防曬的好習慣,把防曬當作日常保養的一部分,特別是孕期黑色素細胞活性強,肌膚容易因為紫外線的刺激,使色素沉澱的情況更為加重,蔡宗樺醫師建議,善用適合孕媽咪使用的物理性防曬品,可防止色素沉澱問題持續惡化<br />
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一般而言,防曬產品的SPF值越高,代表防曬效果越好,但是高SPF值防曬產品具有較油膩的特性,容易導致痘痘惡化,建議孕媽咪依據膚質狀況選擇適合的防曬產品,同時別忘了勤加補擦,外出時再以陽傘、帽子、薄外套減少陽光對皮膚的照射,盡量降低曬傷、曬黑的機會。<br />
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<span style="font-size: x-small;">原始連結:<a href="http://healthnews.com.tw/readnews.php?id=19809">健康新聞網-妊娠肌膚問題大作戰(下)</a></span><br />
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<br />蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-35611073384593641302015-03-31T23:24:00.001-07:002015-04-01T00:31:33.753-07:00壓力大…花樣女大生 頂上幾無毛(2015-03-19 02:52:15 聯合報 記者吳佳珍/台北報導 )<br />
今年十九歲的女大生張小姐,自小頭髮稀疏,三年前開始狂掉頭髮,幾乎快成為光頭,只好戴假髮上學,曾因受不了同學異樣眼光,痛苦到不想去學校。醫師指出,張同學屬於休止期掉髮,原因不明,應與壓力有關。<br />
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台大皮膚科主治醫師蔡呈芳表示,休止期急性落髮在任何年紀都可能發生,一般是營養缺乏,缺蛋白質或鐵質,常見不當減重或懷孕、月經周期不穩的少女;有些因病而起 ,例如發燒時,身體將能量送到重要器官,頭髮等周邊組織得到的營養會減少而掉落。<br />
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蔡呈芳說,一般人一天約掉五十至七十根頭髮,超過七十根就算嚴重掉髮,對於急性休止期落髮,通常壓力事件結束,或飲食調整後,約三至到六個月就會改善,不需要特別治療。<br />
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開業皮膚科醫師徐常捷解釋,頭皮毛髮生長循環可分為生長期、退化期、休止期,正常情況下,生長期約三到五年,進入退化期約一個月,然後進入休止期,約五十至一百根頭髮會自然掉落,一生約重複廿個周期。<br />
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同一時間,百分之九十的頭髮屬於生長期,百分之五的頭髮處於退化期,只有少部分在休止期,但一些先天或後天因素,大量生長期的頭髮突然都進入休止期,就會造成休止期落髮。<br />
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<span style="color: purple;">國泰醫院皮膚科主任詹融怡建議,休止期落髮最好到醫院抽血檢查,排除自體免疫疾病、荷爾蒙或甲狀腺異常等因素,再了解是否有其他壓力因素,或營養問題,可用生髮水或其他輔助治療,但最好的方式就是「等」,不出六個月,頭髮就會慢慢長回來了。</span><br />
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<span style="font-size: x-small;">原始連結:<a href="http://udn.com/news/story/7266/774561-%E5%A3%93%E5%8A%9B%E5%A4%A7%E2%80%A6%E8%8A%B1%E6%A8%A3%E5%A5%B3%E5%A4%A7%E7%94%9F-%E9%A0%82%E4%B8%8A%E5%B9%BE%E7%84%A1%E6%AF%9B" target="_blank">聯合新聞網-壓力大…花樣女大生 頂上幾無毛</a></span><br />
<br />蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-46394019421546367052015-03-31T23:20:00.007-07:002015-03-31T23:20:59.780-07:00皮膚保健-腳底、手掌痣變化 小心黑色素細胞瘤(2015年03月06日 04:10 魏怡嘉/台北報導)<br />
林先生腳底長了一顆痣,看了相關資料,腳底長痣有很高的機率是黑色素細胞瘤,十分擔心。皮膚科醫師表示,東方人黑色素細胞瘤的確較常長在肢端,但不代表所有長在肢端的痣都有問題,要先看痣的大小,邊緣是否不規則及顏色是否不均勻來判斷,如果長在腳底或是手掌的痣有這樣的情形,就要小心,最好就醫做切片檢查。<br />
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<span style="color: purple;">國泰醫院皮膚科主任詹融怡表示,西方白種人</span><br />
<a name='more'></a><span style="color: purple;">由於喜歡曬太陽做日光浴,所以黑色素細胞瘤多長在軀幹及背部,相對於西方白種人,東方人黑色素細胞瘤多長在肢端,也就是腳底及手掌。</span><br />
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黑色素細胞瘤是皮膚的癌症,跟所有癌症一樣,黑色素細胞瘤也會轉移,若未早期發現、及時處理,癌細胞會往下吃到骨頭,或轉移到淋巴、腦及肺部,威脅生命。<br />
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但不是所有長在腳底或是手掌的痣都有問題,三總皮膚科主治醫師陳振豐表示,還要看痣的狀態,如果痣的半徑大於0.5公分、邊緣呈不規則或是星芒狀、顏色不均勻、不對稱,就要特別注意,黑色素細胞瘤的可能性很高,建議就醫辨別評估。<br />
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所以,一旦發現腳底及手掌有痣,先不要慌張,先觀察痣的狀態是基本動作,陳振豐指出,如果沒有出現值得擔心的幾個情況,基本上可以先觀察,一般正常的痣,多會保持差不多的大小,一旦發現短時間內很快長大,就代表痣發生了變化,要提高警覺。<br />
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<span style="color: purple;">詹融怡指出,在腳底或手掌發現長痣,如果真得無法分辨或是不放心,建議到皮膚科門診請醫師辨別診斷,門診中雖然無法立即做切片馬上得到答案,但透過皮膚鏡先做判斷,還是可以做有效的初部診斷。</span><br />
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<span style="font-size: x-small;">原始連結:<a href="http://www.chinatimes.com/newspapers/20150306000844-260113" target="_blank">中時電子報-皮膚保健-腳底、手掌痣變化 小心黑色素細胞瘤</a></span><br />
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-14315285139459638102015-03-31T23:18:00.000-07:002015-03-31T23:18:06.198-07:00剪成愛心 陰毛修整增2成(2015年02月13日 蔡明樺╱台北報導)<br />
明天是西洋情人節,一名十八歲女大生為給男友驚喜,日前就醫將下體原本一整片的「黑森林」陰毛,修整成「愛心」形狀,準備當做情人節禮物送給男友,增加情趣。醫師說,情人節前夕,進行陰毛修整的女性約增兩成,但也不乏有人自己動手刮,造成皮膚受傷、發炎而就醫。<br />
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<b>自己刮恐發炎</b><br />
收治病例的開業家醫科醫師李芸霏說,該名女大生自述希望在情人節親熱時給男友驚喜,要求將陰毛修整成愛心形狀;另一名喜歡衝浪的女大生則因曾被大浪沖掉比基尼的褲子,露出「黑森林」,日前也要求將陰毛修整成愛心狀,不但可博男友歡心,若不幸再露出下半身也不會太醜。除愛心形狀很熱門外,閃電、水滴和倒三角形也都很夯。<br />
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<span style="color: purple;">國泰醫院皮膚科主任詹融怡說,陰毛修整是以雷射能量破壞毛囊,若皮膚有外傷或紅腫熱痛等,不宜打雷射修整陰毛,若雷射後皮膚異常紅腫,應盡速就醫。</span><br />
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李芸霏指出,臨床有女性愛美又想省錢,索性拿刮刀自除陰毛,但刮刀除毛可能刮傷皮膚、發炎,也有人用蜜蠟除毛,但撕掉覆蓋在毛囊上的蜜蠟後,未來一個毛囊恐長出兩根陰毛,導致陰毛越除越多,皮膚還可能冒出小膿包、凸起物等,愛美不成反傷身。<br />
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<span style="font-size: x-small;">原始連結:<a href="http://www.appledaily.com.tw/appledaily/article/headline/20150213/36386972/" target="_blank">蘋果日報-剪成愛心 陰毛修整增2成</a></span><br />
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-91365862577116377872015-03-31T23:14:00.004-07:002015-03-31T23:14:57.753-07:00植眉配合臉型 找專業醫師諮詢(2015-02-04 經濟日報 劉靜君)<br />
34歲的黃先生因疤痕處長不出眉毛,困擾很久,終於鼓起勇氣拿著旅美棒球好手陳偉殷的照片<span style="color: purple;">求助國泰綜合醫院植髮中心詹融怡主任進行植眉,術後有道帥氣有型的眉型讓他更有自信。</span><br />
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<span style="color: purple;">詹融怡主任說,經充分溝通搭配臉型適合的眉型設計方向並了解眉毛上毛囊受損情況後,黃先生於102年做美型植眉手術,兩眉共植700根毛髮,術後效果良好,讓黃先生恢復自信改善人際關係,很開心的當做33歲生日禮物。</span><br />
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眉毛缺損的原因有先天眉毛稀疏、眉距過寬、燙傷、外傷等原因或因為反覆外力破壞而不長眉毛,需靠外在方法來改善,黃先生是藉由植眉手術解決眉毛問題。植眉手術是由頭皮的後枕部摘取健康的毛囊,依設計的眉型及毛髮毛流角度方向一根一根植入需要的部位,否則毛髮會亂長,若是種植在疤痕組織,因血流供應較少,需有良好的技術,存活率才會高,且植入的毛髮比眉毛粗,生長速度較快且生長期較長需經常修剪。<br />
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國泰醫院植髮中心詹融怡主任提醒,紋眉應注意器具是否為拋棄式針頭,並觀察紋眉後是否有紅腫發炎現象。要徹底解決眉毛稀疏問題,植眉手術可考慮,選擇安全專業及臨床經驗豐富的醫師團隊,與醫師充分溝通造型設計及需求,才能量身打造適合臉型的眉型。<br />
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<span style="font-size: x-small;">原始連結:<a href="http://money.udn.com/storypage.php?sub_id=5724&art_id=685176" target="_blank">聯合財經網-植眉配合臉型 找專業醫師諮詢</a></span><br />
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-66790638349422475162015-03-31T23:12:00.001-07:002015-03-31T23:15:09.509-07:00拒當沒眉 仿陳偉殷展自信<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhS0LypN7qmX97Fk_EyCleZuMApsXjFDap6NWHhyKVY-57nbRm_NseJKKDrJf6JExTFtYjd_5zY-AQspc_V259cb5hOKuVxITYsr8UqeqciaN1lm_t4wLT4YMcAi7IWiw38FKOwPMl4L_A/s1600/%E6%9C%AA%E5%91%BD%E5%90%8D-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhS0LypN7qmX97Fk_EyCleZuMApsXjFDap6NWHhyKVY-57nbRm_NseJKKDrJf6JExTFtYjd_5zY-AQspc_V259cb5hOKuVxITYsr8UqeqciaN1lm_t4wLT4YMcAi7IWiw38FKOwPMl4L_A/s1600/%E6%9C%AA%E5%91%BD%E5%90%8D-1.jpg" height="356" width="640" /></a></div>
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(沈能元/台北報導)<br />
無眉毛者看起來兇狠、氣色不好,「陳偉殷眉」搶救信心。34歲黃先生從小右眉有顆突起的真皮痣,約10年前進行真皮痣切除手術後,因手術傷口較深留下疤痕,再也長不出眉毛,他因眉毛稀疏,常被朋友取笑說,看起來凶惡、沒精神、氣色不好,他嘗試畫眉也都因左右不對稱而放棄,進行植眉手術後,才終於恢復自信。醫師表示,近年來臨床發現,植眉患者男多於女,顯見愛美男性越來越多。<br />
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<span style="color: purple;">收治病例的國泰醫院植髮中心主任詹融怡今表示,黃先生眉毛稀疏,嘗試過許多方式,甚至改留長髮,以瀏海來遮住眉毛,卻因頭髮長期覆蓋額頭,造成額頭皮膚感染、發炎、長痘痘,日前他拿著旅美棒球好手陳偉殷照片,盼有陳偉殷的眉毛,經兩側眉毛共植入700根毛髮,術後效果良好,讓黃先生恢復自信。</span><br />
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<span style="color: purple;">詹融怡說,眉毛缺損原因有先天眉毛稀疏、眉距過寬、燙傷、外傷等,或是因為反覆外力破壞,不長眉毛了,植眉手術是由頭皮後枕部摘取健康毛囊,依設計的眉型及毛髮毛流角度方向,一根一根植入需要的部位,否則毛髮會亂長,而植入毛髮因較眉毛粗,生長速度較快,需經常修剪。</span><br />
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<span style="color: purple;">詹融怡指出,近年觀察發現,求助植眉手術者,男女比例約達6比1,顯見愛美男性不少,且現在臨農曆春節約還有1個月時間,許多植眉、植髮、植鬍、紋眉等患者已約增加2倍。但臨床上有不少病患,因眉毛稀疏覺得犯小人,而去開運紋眉造成過敏、感染等問題,曾收治一名40多歲女子,因眉毛稀疏、覺得犯小人,花錢開運紋眉,沒想到隔天眉頭卻出現紅腫、熱痛等症狀,就醫懷疑是因紋眉器具不乾淨所致,若延誤就醫恐引發蜂窩性組織炎。</span><br />
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<span style="color: purple;">詹融怡說,若要徹底解決眉毛稀疏,可進行植眉手術,臨床上除了植眉外也有越來越多男性進行植鬍及植鬢角,增加男性魅力,但每次手術須自費約6至8萬元,而若要紋眉則應注意器具是否為拋棄式針頭,若紋眉後出現紅腫、發炎等症狀,應速就醫治療。</span><br />
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原始連結:<a href="http://www.appledaily.com.tw/realtimenews/article/new/20150113/541209/" target="_blank">蘋果日報-拒當沒眉 仿陳偉殷展自信</a><br />
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-69608473934859081812015-03-31T23:07:00.004-07:002015-03-31T23:08:23.955-07:00機器人當助手 植髮手術大精進 <div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqO7ciWjP9Lg9KLfS1LpfAxlaqMbFdtQD4Tars6faMrg3qB73IjPa_SNX04sp9vbDfehChUQbR0hjfDK6JRGSuTQ3wXUn_KuuD13_4rJK1Y71VHQ4FQFxUikezE3pPwC1ViDE5se1iMSQ/s1600/1378371073-1245408429.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqO7ciWjP9Lg9KLfS1LpfAxlaqMbFdtQD4Tars6faMrg3qB73IjPa_SNX04sp9vbDfehChUQbR0hjfDK6JRGSuTQ3wXUn_KuuD13_4rJK1Y71VHQ4FQFxUikezE3pPwC1ViDE5se1iMSQ/s1600/1378371073-1245408429.jpg" height="300" width="400" /></a></div>
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(中央社記者陳清芳台北12日電)<br />
植髮手術從手工進化到機械人協助,醫界今天指出,機械人摘取毛囊速度快,疤痕不明顯,植髮存活率高,逐漸被藥物無效的禿髮男士所接受。<br />
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長庚醫院植髮中心主任陳建勳今天指出,2011在美國發表的植髮機器人去年引進台灣,相較以往一株株挖出毛囊,再分階段移植到掉髮部位,有了機器人當助手,平均1小時可取出近千根毛囊,速度快上2到3倍,摘取毛囊對醫師不再是費手工耗眼力的苦差事。<br />
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他說,機械人利用約0.1公分的微小鑽子,順著毛囊生長角度,直接供髮區挖出毛囊深度僅有0.5公分,由於頭血液循環豐富加上微創傷口,癒合快速,48小時後就能洗頭,1個月後可染燙髮。<br />
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<span style="color: purple;">國泰醫院植髮中心主任詹融怡指出,植髮手術的雄性禿案例,大多數是前額左右髮線各凹進去的M型禿以及頭頂的地中海禿,供髮區則在後腦勺,由於不同區位的毛髮特性有些微不同,後腦勺頭髮移植到前額,會跟正常毛囊一樣,得以持續正常生長。</span><br />
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在陳建勳的案例中,43歲林先生事業有成但婚姻無著,M型禿的老態外貌,在相親時很吃虧,經過精算採用機器人植髮,總共種了1800株約3600根頭髮,估計半年到一年後頭髮長齊,不用再為禿頭煩惱。<br />
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陳建勳表示,雄性禿發生機率隨年齡增長,正規治療包括吃藥、抹藥以及植髮手術,禿髮初期是到3、4公分左右就不會再長長,投藥治療可減少毛囊萎縮,最少要觀察1年,有效就得持續,才能維持效果。<br />
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原始連結:<a href="http://www.cna.com.tw/news/ahel/201501120441-1.aspx" target="_blank">中央社-機器人當助手 植髮手術大精進 </a>蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-25423830689195033352015-03-31T23:02:00.002-07:002015-03-31T23:08:06.928-07:00季節保健-天冷圍巾不離臉 臉紅長滿玫瑰斑<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEir2fDWHo2L9bzQFDQOSKVqREaLJw-V3BZtkiJmG0LVM4IpuON5ddHJEo3G4FWR4NErFLsUtMGJXCS1KH8-aJufT1qytaQ199f12QGd655__xND0QtnqvsjJ0KneAfq3dx4gxRny3HGsu8/s1600/bd0300_p_06_02.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEir2fDWHo2L9bzQFDQOSKVqREaLJw-V3BZtkiJmG0LVM4IpuON5ddHJEo3G4FWR4NErFLsUtMGJXCS1KH8-aJufT1qytaQ199f12QGd655__xND0QtnqvsjJ0KneAfq3dx4gxRny3HGsu8/s1600/bd0300_p_06_02.jpg" /></a></div>
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圍圍巾、泡溫泉保暖過頭小心玫瑰臉發作!35歲陳小姐有酒糟體質,臉部易因日曬、天熱出現丘疹、潮紅,她原以為到冬天不會發作,沒想到最近太冷,她圍巾不離身,又愛泡溫泉,導致血液循環太好,但臉部散熱功能失調,長滿玫瑰斑。<br />
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玫瑰斑俗稱「酒糟」,常反覆發作,與患者體質有關。<span style="color: purple;">國泰醫院皮膚科主任詹融怡說,有這樣體質的民眾,對溫度相當敏感,因日曬、高溫就容易發作,有的人喝大量茶、咖啡或酒精也會引起不適。</span><br />
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皮膚科醫師徐嘉琪表示,玫瑰斑好發於額頭、臉頰、下巴及鼻子部位。病患臉部易因刺激引起潮紅,並形成持續性紅斑,也會出現血管絲、丘疹及膿包。<br />
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許多玫瑰斑患者以為天氣變冷,應該不易發作。35歲陳小姐過去皮膚狀況都控制得很好,不料天冷時長時間圍圍巾、泡溫泉,皮膚竟也出現紅疹、膿包。<br />
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徐嘉琪說,儘管氣溫下降,但保暖衣物、溫泉容易讓臉部溫度上升,引起潮紅,若持續惡化,疹子、膿包就會陸續冒出來。<br />
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<span style="color: purple;">詹融怡表示,曾有患者夏天從冷氣房走到炎熱戶外,臉部就出現潮紅不適。建議民眾避免過度刺激、保持充足睡眠,就能有效控制玫瑰斑。有酒糟體質的民眾應注意臉部鎮定、保溼,適時擦蘆薈露、海藻膠等保養品,泡溫泉時可準備冷水袋、冷水毛巾,幫助臉部降溫。</span><br />
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原始連結:<a href="http://www.chinatimes.com/newspapers/20141225000857-260113" target="_blank">中時電子報-季節保健-天冷圍巾不離臉 臉紅長滿玫瑰斑</a><br />
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com1tag:blogger.com,1999:blog-5481829057843127294.post-45097560609455808802015-03-31T22:56:00.003-07:002015-03-31T22:57:30.314-07:00專家聚首共同解析! 逆齡王者之光─光梭雷射<span style="font-size: 16px;"><strong>結合彩衝光與飛梭雷射的「光梭雷射」,針對各種膚質問題,創造出更為精確的治療效果,讓肌膚有如搭乘時光飛梭,重回年輕緊緻的膚質,逐漸成為新一代女性全方位解決各式膚況的最佳選擇之一。本期《醫美時尚》邀請國內最具權威的皮膚科及整形外科醫師,帶你了解這項雙效合一的新療法,邂逅光梭雷射的全能魅力。</strong><br /> </span><br />
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<span style="font-size: 16px;"><strong>專業醫師眼中的光梭雷射</strong><br /><strong>Part 1</strong><strong>:夢幻光梭 醫美女王最愛</strong><br /> </span><br />
<a name='more'></a><span style="font-size: 16px;">光療與飛梭雷射臨床經驗已逾十年的皮膚科蔡佳祝醫師是光梭雷射的命名者,她表示之所以提出「光梭」構想給原廠,是因為此機器同時結合了脈衝光與飛梭雷射,「光」代表脈衝光,「梭」代表1565奈米波長的飛梭雷射。「光梭」很直接彰顯其特性。<br /><br />蔡佳祝院長表示,來諮詢的皮膚問題以複合式居多,採用單一雷射儀器治療往往無法針對多種膚質問題一併改善,造成治療成效與期望值有落差。常見的複合式問題包括:紅色痘疤合併凹洞、潮紅膚質合併毛孔粗大、色素斑點合併角質粗糙。有「光療界的瑪莎拉蒂」之稱的彩衝光近來研發出「光梭雷射」,將脈衝光與飛梭雷射結合於一機,是兩者的進化版,更安全有效,為雷射光療打造了新里程碑。過去雖然也能進行這兩種療法,卻必須藉助兩台不同儀器來做,光梭雷射新科技對於受治療者在時間、便利性與預算各方面都更具優勢。<br /><br />蔡佳祝院長進一步說明,傳統脈衝光只有一兩組波長範圍,選擇性不多。而彩衝光有七組不同波段可供醫師選擇,加上新研發的1565奈米的雷射波長置入同一機器平台,配合兩個不同的治療把手,醫師只要觸控螢幕,就可針對不同的複合式皮膚問題,在同一天、同時間做兩種不同的治療,不需大費周章地切換機器,更能專注在病患的療程上,對醫病關係也有正面的助益。<br /><br />大多數皮膚亮起紅燈的病患,都同時合併有兩三種不同的症狀,蔡佳祝院長舉出臨床常見的典型案例:痘疤問題的病患可能合併凹凸不平的纖維化疤痕組織與色素沉著(紅色痘疤);皮膚潮紅、血管絲病變的患者,經常合併出油、毛孔粗大或阻塞的徵狀;很多長了滿臉痘痘的患者,更不知道自己罹患的其實是酒糟性皮膚炎,如果以單純治療青春痘的方式來處理,當然效果不彰,仍會反覆發作。遇到上述幾種病症,光梭療法是首選,以彩衝光來治療色素沉著、皮膚潮紅及血管絲病變,再以飛梭雷射撫平疤痕及調節粗糙老舊角質,兩者可說是絕佳搭配。<br /><br />蔡佳祝院長提醒,好的機器只是第一步,還必須藉由醫師豐富的操作經驗及專業的疾病診斷,針對病灶種類、膚質、預算、時間及期望值,擬定經濟可行的整體計畫,較能符合目前時下尋求醫美治療的顧客需求。<br /><br /><strong><img alt="" src="http://healthnews.com.tw/upload/edit2/images/6-2(10).jpg" style="height: 250px; width: 154px;" /></strong><br /><br /><strong>Part 2</strong><strong>:術後照護簡易 安全與療效兼具</strong><br /> 針對日新月異的雷射市場,如何讓療程更快速有效、恢復期減短,是醫美界共同追尋的目標。皮膚專科彭于賓院長表示,新一代光梭療法,以加速掃描的方式施打,進入皮膚組織形成微小的熱傷害區,使熱傷害面積小於健康肌膚的比例,有利修復,在24小時之內能加速表皮細胞的復原,刺激真皮層的膠原組織增生與重組,達到肌膚持續更新修復的與撫平凹洞、緊緻逆齡的功效。<br /><br />患者進行光梭雷射,可選擇在不同部位分別施作彩衝光與飛梭雷射,或一次全臉施打彩衝光,隔月再進行飛梭,療程後能一舉解決肌膚惱人問題,逆轉青春肌齡。彭于賓院長表示,雷射光療術後照護多不易,光梭的好處在於術後僅有泛紅現象,即便產生巧克力粉狀的小結痂,也很快就脫落,日常只需做好防曬及選用溫和的保濕類產品,爾後若是運動,臉部也沒有產生潮紅,就可以考慮進行下一次的療程,讓肌膚隨時保持在最佳狀態。<br /><br /><strong><img alt="" src="http://healthnews.com.tw/upload/edit2/images/6-3(9).jpg" style="height: 250px; width: 170px;" /></strong><br /><br /><strong>Part 3</strong><strong>:雙效合一 CP值高的逆齡選項</strong><br /> 相比過去效果單一,且恢復期較長的雷射療程,光梭雷射訴求透過複合式的雷射治療,達到1+1>2的成果,讓患者能同時擁有彩衝光的亮白及飛梭雷射的嫩膚療效。皮膚專科蔡宗樺院長針對飛梭雷射及彩衝光個別分析,他表示,許多人對飛梭雷射望而卻步,原因在於術後有組織液、血水滲出及反黑疑慮,傷口恢復期也較長,新一代光梭療法的「改良版飛梭」顛覆此刻板印象,沒有開放性的傷口,且術後照顧容易,能有效撫平凹洞及細紋,使肌膚緊緻無瑕;「彩衝光」的七種波長濾光鏡,如同擁有七種雷射,適應症相較其他脈衝光來得多,可針對不同的肌膚問題提供專一波長治療,達成客製化療程的目的。兩者合一成為光梭雷射,能量互相搭配,從表皮層到真皮層一起作用,不僅同時解決斑點、痘疤、皺紋與妊娠紋等問題,也能縮短療程次數、讓術後效果更加乘,進行過的患者滿意度極高,未來發展指日可待。<br /><br /><strong><img alt="" src="http://healthnews.com.tw/upload/edit2/images/6-4(6).jpg" style="height: 250px; width: 169px;" /></strong><br /><br /><strong>Part 4</strong><strong>:見證美麗奇蹟</strong><br /> 現代人由於慣性熬夜加上飲食不正常,年紀輕輕就膚況不斷,飽受痘疤、斑點、細紋及毛孔粗大等困擾,更甚者還會出現提早老化,有鑑於此現象,能一次解決多種肌膚問題的「光梭雷射」便應運而生。整形外科陳俊嘉醫師分享,他曾收治一名在南科上班的年輕女性,因青春期是嚴重的痘痘肌,導致臉上留有許多大小不等的痘疤,經他建議施打光梭雷射後不僅凹洞撫平,膚質更為細緻無瑕,全臉膚色也變得明亮許多,當困擾多年的肌膚問題解決,整個人的自信心也大幅提升,是外在影響內心情緒的最佳案例,經過這名女性的實例,陳醫師更加肯定光梭雷射的美肌功效,並建議消費者慎選醫師,透過醫師的專業評估與技術,才能年輕、美麗得更加舒適安心。<br /><br /><strong><img alt="" src="http://healthnews.com.tw/upload/edit2/images/6-5(3).jpg" style="height: 250px; width: 184px;" /></strong><br /><br /><strong>案例照</strong><br /><br /><strong><img alt="" src="http://healthnews.com.tw/upload/edit2/images/6-6.jpg" style="height: 198px; width: 500px;" /></strong><br /><br /><strong><img alt="" src="http://healthnews.com.tw/upload/edit2/images/6-7.jpg" style="height: 239px; width: 500px;" /></strong></span><br />
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<span style="font-size: x-small;">原始連結:<a href="http://healthnews.com.tw/readnews.php?id=20107" target="_blank">專家聚首共同解析! 逆齡王者之光─光梭雷射</a></span>蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-14305313081001204432015-03-31T22:53:00.001-07:002015-03-31T22:57:46.519-07:00壓力大…花樣女大生 頂上幾無毛<br />
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今年十九歲的女大生張小姐,自小頭髮稀疏,三年前開始狂掉頭髮,幾乎快成為光頭,只好戴假髮上學,曾因受不了同學異樣眼光,痛苦到不想去學校。醫師指出,張同學屬於休止期掉髮,原因不明,應與壓力有關。<br />
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台大皮膚科主治醫師蔡呈芳表示,休止期急性落髮在任何年紀都可能發生,一般是營養缺乏,缺蛋白質或鐵質,常見不當減重或懷孕、月經周期不穩的少女;有些因病而起 ,例如發燒時,身體將能量送到重要器官,頭髮等周邊組織得到的營養會減少而掉落。<br />
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蔡呈芳說,一般人一天約掉五十至七十根頭髮,超過七十根就算嚴重掉髮,對於急性休止期落髮,通常壓力事件結束,或飲食調整後,約三至到六個月就會改善,不需要特別治療。<br />
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開業皮膚科醫師徐常捷解釋,頭皮毛髮生長循環可分為生長期、退化期、休止期,正常情況下,生長期約三到五年,進入退化期約一個月,然後進入休止期,約五十至一百根頭髮會自然掉落,一生約重複廿個周期。<br />
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同一時間,百分之九十的頭髮屬於生長期,百分之五的頭髮處於退化期,只有少部分在休止期,但一些先天或後天因素,大量生長期的頭髮突然都進入休止期,就會造成休止期落髮。<br />
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<span style="color: purple;">國泰醫院皮膚科主任詹融怡建議,休止期落髮最好到醫院抽血檢查,排除自體免疫疾病、荷爾蒙或甲狀腺異常等因素,再了解是否有其他壓力因素,或營養問題,可用生髮水或其他輔助治療,但最好的方式就是「等」,不出六個月,頭髮就會慢慢長回來了。</span><br />
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<span style="font-size: x-small;">2015-03-19 02:52:15 聯合報 記者吳佳珍/台北報導 </span><br />
<span style="font-size: x-small;">原始連結:<a href="http://udn.com/news/story/7266/774561-%E5%A3%93%E5%8A%9B%E5%A4%A7%E2%80%A6%E8%8A%B1%E6%A8%A3%E5%A5%B3%E5%A4%A7%E7%94%9F-%E9%A0%82%E4%B8%8A%E5%B9%BE%E7%84%A1%E6%AF%9B" target="_blank">壓力大…花樣女大生 頂上幾無毛</a></span><br />
<br />蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-30604390197420011372015-03-06T04:48:00.001-08:002015-03-31T03:41:39.283-07:00選對專業醫師 音波拉皮30分鐘神奇回春<br />
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選對專業醫師 音波拉皮30分鐘神奇回春</h2>
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「我不是你同學,我是你高中老師」,這句經典的廣告台詞,讓人印象深刻,農曆年節將至,想要讓許久不見得眾親友讚嘆:天阿!歲月<br />
<a name='more'></a>在你臉上完全沒有留下痕跡!醫美微整成為最夯的年前活動。蔡宗樺醫師指出,音波拉皮更是近年新寵,有別於一般傳統拉皮出血多、恢復期長、甚至留下疤痕;音波拉皮無傷口、不需恢復期、疼痛程度如蚊子叮咬一般,且立即看見效果,是上班族午休美容首選。</div>
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蔡宗樺醫師(見圖)指出,音波拉皮以超音波深入真皮層及筋膜層,比電波拉皮以熱能刺激方式更安全,表皮肌膚也不容易受傷;一般療程後大多需要6個月才會出現效果,若醫師使用專業的「進階式打法」及「Free Hand打法」,能夠立即讓消費者有拉提的視覺感受,後續能更有效的刺激膠原蛋白增生,大獲消費者好評,儼然成為回春神器。</div>
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蔡宗樺醫師表示,音波拉皮雖然是非侵入性的微整療程,但消費者仍須慎選有執照、具經驗的醫生執行。音波拉皮問世已有7年之久,但正式引進台灣才1年多,在台灣有經驗的醫師並不多。蔡宗樺醫師先前擔任過大醫院的主任級醫師,經歷豐富,曾遠赴與世界第一位使用音波拉皮的醫師Hanry Chen學習,並多次受邀國內外演講相關題目,甚至擔任音波拉皮課程講師,指導其他醫生音波拉皮技術,專業程度在業界首屈一指。</div>
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蔡宗樺醫師再表示,有經驗的醫師能夠精準判別消費者臉部各個部位鬆弛的程度、肌膚厚度等等,搭配不同強度的能量施打,完全客製化,甚至能打的部位也較廣(例如脖子),在同樣發數下將音波拉皮的效果發揮到最大。蔡宗樺醫師表示並建議搭配雞尾酒療法,根據病人需要做合併療程,輕鬆擁有凍齡美肌、成為看不出年紀的逆齡美魔女。</div>
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-17739255751243896822014-12-01T23:05:00.003-08:002014-12-01T23:20:31.404-08:00來和皮膚科醫師比觀察力- 雷射生髮<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin-bottom: 6px; margin-top: 6px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;"><img alt="" border="0" src="https://blogwww.s3.amazonaws.com/uploads/fgblogphoto/6800/06a49dc5-b074-4cc5-8835-f27f9367985f.png" style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; max-width: 690px; padding: 0px; vertical-align: baseline;" /></span></div>
<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin-bottom: 6px; margin-top: 6px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;">請先看以上左右照片,您覺得哪一邊的髮量較多呢??<br /><br /><br />這是蔡宗樺醫師在皮膚科醫學會演講給皮膚科醫師聽,如何使用雷射搭配生髮藥物使頭髮有效生長。當場放這照片給在場皮膚專科醫師投票,問題如下:<br /><br />比較左右対照圖,左側圖的髮量比起右側是?</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin: 6px 0px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;">1.明顯較多</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin: 6px 0px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;">2.有點較多</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin: 6px 0px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;">3.沒有差異</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin: 6px 0px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;">4.有點較少</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin: 6px 0px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: small; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;">5.明顯較少</span></span><span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;">你的答案如何呢? 公布皮膚專科醫師的投票結果:</span><br />
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<img alt="" border="0" src="https://blogwww.s3.amazonaws.com/uploads/fgblogphoto/6800/2cc2ddf0-3eba-48c1-8e0a-f9d816c55052.png" style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; max-width: 690px; padding: 0px; vertical-align: baseline;" /></div>
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<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin-bottom: 6px; margin-top: 6px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;"><br />如果你也覺得左邊的髮量比較多,恭喜你,你的觀察力和95%的皮膚科醫師一樣好,因為大於95%的皮膚科醫師都認為左邊的髮量比較多(覺得明顯較多的有75%,有點較多的有20‧3%)。<br /><br />這是同一位先生接受蔡宗樺醫師的「魔髮雷射」,左圖是治療後的頭髮生長的情況,<br /><img alt="" border="0" src="https://blogwww.s3.amazonaws.com/uploads/fgblogphoto/6800/06a49dc5-b074-4cc5-8835-f27f9367985f.png" style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; max-width: 690px; padding: 0px; vertical-align: baseline;" /></span></div>
<div style="background-color: white; border: 0px; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12.8000001907349px; font-stretch: inherit; line-height: 1.5em; margin-bottom: 6px; margin-top: 6px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 1em; margin: 0px; padding: 0px; vertical-align: baseline;">他在來找蔡醫師之前已經吃柔沛擦落健生髮水超過一年了,但覺得效果仍然不滿意。我診斷他是雄性禿第4級,建議基本的吃藥擦藥仍然持續當做維持性的治療,並加上蔡宗樺醫師給予「魔髮雷射」治療,經過一個多月後就看到效果了,是不是很明顯呢? (待續)</span></div>
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-38003259163746510362014-11-21T20:23:00.000-08:002014-11-21T20:23:02.528-08:00常熬夜 愛染燙 當心髮絲直直落<h1 style="background-color: white; border: 0px none; color: #313133; font-family: 微软雅黑, 黑体, 'helvetica neue', 'lucida grande', Arial, PMingLiU, 'Trebuchet MS', Helvetica, Verdana, sans-serif; font-size: 30px; font-stretch: normal; line-height: 1.3; margin: 0px; outline: none 0px; padding: 0px; width: 630px;">
熬夜 愛染燙 當心髮絲直直落</h1>
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<time datetime="2014/11/05 00:00" style="background-color: white; color: #666666; display: block; font-family: Verdana, Arial, PMingLiU, sans-serif; font-size: 13.3333330154419px; line-height: 1.5; margin: 15px 3px 0px 0px; padding-right: 0px;">2014年11月05日 中時電子報</time><div class="rp_name" style="background-color: white; border: 0px none; color: #666666; font-family: Verdana, Arial, PMingLiU, sans-serif; font-size: 13.3333330154419px; line-height: 8.66666698455811px; margin: 0px; outline: none 0px; padding: 0px;">
<cite style="border: 0px none; display: inline-block; font-style: normal; margin: 0px 0px 5px; outline: none 0px; padding: 0px;"><a href="http://www.chinatimes.com/reporter/1357" rel="author" style="border: 0px none; color: #3366cc; cursor: pointer; margin: 0px; outline: none medium; padding: 0px;" title="陳瑄喻">陳瑄喻</a></cite>/台北報導</div>
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不僅男性有掉髮問題,台灣也有不少女性也深受掉<span style="font-size: 18px; line-height: 20.3999996185303px;">髮困擾,一名23歲的女性公務員,因工作因素常工作到深夜,再加上喜愛染燙,結果近日卻發現頭頂、太陽穴出現掉髮現象</span><span style="background-color: transparent; font-size: 18px; line-height: 20.3999996185303px;">,嚴重影響外型,透過藥物及調整作息,目前已恢復一頭烏黑秀髮。</span></div>
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<span style="background-color: white;">國泰醫院皮膚科主任</span><span style="background-color: yellow;">詹融怡</span><span style="background-color: white;">表示,許多年輕女性喜歡在頭髮上發揮巧思,但過度染燙、頭髮綁太緊,都容易造成頭皮毛囊發炎,讓髮根斷裂,若是用到來路不明的染、燙藥劑更有可能直接損壞毛囊,讓頭皮紅腫、過敏。</span></div>
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她指出,頭髮每月才長1公分,有人每個月都會染髮,造成染劑使用過於頻繁,頭髮乾燥分叉,最後髮根斷裂,想要擁有一頭柔順秀髮,至少得再花上數個月的時間。</div>
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頭皮老化是指頭皮毛囊萎縮的現象。詹融怡表示,多數人以為只有男性才會面臨禿頭危機,事實上女性頭髮稀疏問題不亞於男性,內約有310萬女性面臨頭髮稀疏問題,集中在30至55歲。</div>
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詹融怡表示,染燙會造成頭皮發炎及掉髮危機,但女性會掉髮主要還是來自遺傳,但女性比男性更常染燙頭髮,所以常會發生掉髮、頭皮老化等問題,她說,民眾若是發現每日掉髮超過150根,或發現頭髮慢慢稀疏,就需要特別注意。</div>
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她強調,有掉髮問題的民眾,平常應勤換枕頭套及內襯,保持頭皮清潔,避免過度拉扯、染燙頭髮,若有多年不見的朋友發現自己髮量減少,再加上掉髮量增加,民眾最好就能盡快就醫。</div>
蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-90625081669658098672014-10-29T01:19:00.000-07:002014-10-29T01:19:50.921-07:00音波拉皮 聽眾提問 part3<div class="normal" style="layout-grid-mode: char; line-height: 150%; mso-layout-grid-align: none; mso-pagination: none;">
<b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">電波的深度是比較淺,音波可以比較深,這是原理。但是就一般美觀而言,這兩種有什麼差別?</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">這兩者各有各的支持者和粉絲,差別在於音波它的</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">深度跟局部聚焦溫度會比較高,只要醫師操作得宜的話,相對上它拉提的效果會比電波還要好。電波拉皮有人認為好處是在於它可以聚焦在局部的真皮層上,局部的熱能如果累積得夠的話,可以把局部的脂肪稍微縮小一點。不過我個人還是覺得這種方式只是把皮膚變緊,把它往內縮。另外在疼痛度上來講,也是很多人在意的部份,那麼電波到底會不會很痛?雖然這是因人而異,但我自己做過,真的還蠻痛。而大部份人對音波治療的接受度都還</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">ok</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">,有點能量在皮下經過的感覺。經過我治療的人有些在打音波前幾年打過電波,覺得音波的舒適度好很多。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">聽眾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">我的小孩曾經做過電波拉皮,以前做的時候有打麻藥,好像是為了要讓病人完全睡著,現在是不是應該不用打麻藥了?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">請問您的小孩是多久以前做電波拉皮的?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">電波拉皮大約已有十年的歷史了,總共經過了三代的儀器。我記得第三代應該是三年前剛出來的,我不太確定您的小孩是不是用了最新一代的儀器。不過在做電波拉皮的時候,是不是需要打麻藥睡著,還是要看個人對疼痛的忍受度,這方面我們會建議一定要找</span><span style="background: white; color: windowtext; font-family: 標楷體; font-size: 14.0pt; letter-spacing: .65pt; line-height: 150%;">合格可信任的醫師和麻醉醫師進行。</span><span lang="EN-US" style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com1tag:blogger.com,1999:blog-5481829057843127294.post-91475753963402274372014-10-28T20:27:00.000-07:002015-03-31T04:40:44.466-07:00音波拉皮問答集 part 2<div class="normal" style="layout-grid-mode: char; line-height: 150%; mso-layout-grid-align: none; mso-pagination: none;">
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">有沒有什麼樣的禁忌?什麼情況下不應該做音波拉皮?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">第一是皮膚表面有開放型傷口;第二是臉上有很嚴重的囊腫型痤瘡,也就是嚴重青春痘。這二種狀況都不適合做音波拉皮。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";"></span></b><br />
<a name='more'></a><b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">如果傷口已經結疤了可以嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">如果是已經結疤了或是留有一些疤痕,那是可以做音波拉皮的。另外,若是女性在懷孕期要特別注意,因為這方面還沒有證實它的安全性,所以懷孕婦女要等生完小孩再做。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">聽起來做音波拉皮的禁忌並不多。那有沒有年齡上的限制?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">基本上音波拉皮這樣的治療大部份還是針對成年人,之前衛生福利部也有針對這方面規定,雖然這不算手術,但我們還是會建議在成年</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">20</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">歲之後,整個身心都比較穩定的時候再做。因為它的功用就是使皮膚拉提變緊緻,大部份還是以二三十歲的輕熟女到四十幾歲以上的熟女這個年齡層,會比較想要來接受這樣的治療。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">會不會因為年紀太大不能做?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">所有的治療都有限制,即使是手術也一樣。如果說皮膚真的已經鬆弛到太嚴重的情況下,我們要先跟病人溝通好,不是不能做,做完之後還是會有效果,但我們不能期待一個</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">90</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">歲的阿嬤,動完手術後皮膚像</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">50</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">歲,這種可能會與期待落差太大的話也不適合。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">治療之後,一般可以預期會有什麼樣的效果?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">音波拉皮在上市前有做了一個很大型的研究,統計這樣的治療可以讓皮膚往上拉提到多大的程度。舉例來講,上半臉的部份,最容易觀察的就是眉毛的位置,眉毛平均可以往上拉提</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;">2</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">公厘左右,在外觀上可以看到滿明顯的效果。另外是雙下巴或是下顎的線條部份,也都可以看到雙下巴縮小、往上拉提的作用。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">那麼像法令紋也可以消失嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">法令紋的話要看深淺情形。若是比較淺,可因為透過外面皮膚變緊的關係,讓法令紋變得比較不明顯。但是如果法令紋非常深,則會建議治療完後還會再搭配一些填充劑的治療,就是像玻尿酸這一類的。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">一般的皺紋不是很表淺嗎?像這種皮膚繃緊,跟我們剛所說的在皮膚的筋膜層做深部聚焦加熱有關係嗎?</span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"> <span lang="EN-US"><o:p></o:p></span></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">皮膚的皺紋也可以分成淺的紋路跟深的紋路,深的紋路指的就是皮膚整個往下鬆弛的部份。為什麼手術要拉筋膜層這個位置?舉例來說,一個房子要穩固,首先就是要把地基打好,當地基流失的時候就會變成土石流,上面的房子也會一瀉千里往下墜。一樣的原理,因為筋膜層它像是地基的作用,皮膚的筋膜層鬆了以後,連帶上面皮膚都一起往下掉,所以重點就是要把底下筋膜層拉緊,上面皮膚鬆弛的問題才能改善。再來就是有些皮膚皺紋是在比較表淺的部份,就是在表皮層與真皮層之間,音波拉皮有深度不同的探頭,最深的是到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;">4.5mm</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">,可以達到筋膜層;另外也有</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;">3.0mm</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">跟</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;">1.5mm</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">的探頭,</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman";">可以</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">去拉真皮層比較表淺的皺紋。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">醫師在操作的時候會怎麼決定要以哪種深度的探頭做手術?</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">醫師會評估每一個病人需要改善的位置以及皺紋的深度,然後針對那個位置去選擇合適深度的探頭。所以醫師的學經歷和背景很重要,會影響對於探頭和能量的選擇和判斷。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">做一次大概需要多少時間?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">差不多要一個小時。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">是指整個臉部嗎?</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">臉部到雙下巴的位置。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">有沒有人只做局部的?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">有,比如說有些人覺得眉毛特別垂,想要改善眉毛的位置,就可以專打眉毛這個地方。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">您是第二次提到眉毛,為什麼這麼在乎眉毛?</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"> <span lang="EN-US"><o:p></o:p></span></span></div>
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<b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">眉毛是個很好的指標,因為當一個人眉毛往下垂時,整個人的眼神就會看起來很沒精神、好像很累,其實不是因</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">為沒有精神,而是因為上面額頭的皮膚鬆弛了,筋膜層的張力不夠而往下垂。為什麼在國外會以眉毛作為指標?因為眉毛的位置有很好的定位點,可以客觀的去量出一個數據。比如說,</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">當眼睛直視前面的時候,以瞳孔的位置當作基準點,往上量到眉毛的高點,量出一個數字,作為一個指標。做之前量一次,做完之後</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">3</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">個月以後再量一次,發現它往上拉提了</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">2mm</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">,藉由得到的這個數字可以作為評估的方式。</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"> <span lang="EN-US"><o:p></o:p></span></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">做的時候要注意臉部要對稱,所以左右兩邊要一起做。問題是在加熱讓它收縮的時候,怎麼確保兩邊的效果是一樣的?會不會一邊拉得比較緊,另一邊拉得比較鬆,看起來不太對稱呢?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">事實上每個人的左右臉是不會完全對稱的,從先天到後天,仔細看一定會發現某一邊的眉毛高一點,另一邊邊低一點;或是某邊的顴骨比較高。所以在治療上來講,會儘量做微調。舉例來說,如果左邊的眉毛比較低,我們在操作時會控制把左邊的發數跟能量多放一些,儘量達到一個比較平衡的狀態。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">您剛有提到做完之後大約需要</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">4</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">個月左右才會有效果出來,有</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">沒有可能做完當下看起來效果很好,但是</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">4</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">個月之後看起來兩邊的效果有差別?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">做完之後每個人的增生幅度不一樣,當然有可能左右兩邊進步的程度會不盡相同,但是這部份通常不會差距太大。如果真的有人是屬於特殊體質,差距比較明顯,那麼只要另外一邊再稍微加強一下就好了。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">依您的經驗,一般人最常做的部位是哪裡?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">最常是全臉性的治療,但我們會根據患者的需求,依照最需要的位置再另外加強。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">您碰到的患者年紀最大的是幾歲?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">年紀最大有遇到七十幾歲的阿嬤。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">做完之後是不是看起來像五十幾歲?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">我覺得做完之後可以很明顯的看出皮膚變緊、變年輕許多,至於是不是看起來像五十幾歲,那位阿嬤自己覺得有年輕這麼多。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對於雙下巴也有效嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對雙下巴的效果真的是滿好的。很多人會誤以為音波拉皮聚焦的能量是把脂肪溶掉,其實不是。它的聚焦點是一個差不多</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">1mm</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">立方非常小的小點,雖然它的溫度夠高,但它不是把脂肪溶掉,而是讓皮膚變緊緻,就好像一個球變小了之後會把裡面的東西往上或往內推,以致於雙下巴就會縮小。我在國外有學到針對眼袋部位去做治療,原理也是一樣,把眼皮的皮膚變緊以後,就可以把眼袋往內推,讓眼袋縮小。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">所以音波拉皮它不是抽脂,也沒有抽脂效果。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對,它不是抽脂,而是讓皮膚變緊緻。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">聽眾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">我是洗腎病人,因為皮膚癢,有擦了乳液、止癢藥,也吃了抗組織胺的藥,但還是很癢,請教醫師這是為什麼?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">針對洗腎病人的皮膚癢,比較難治療,不像一般人皮膚過敏可能擦擦藥或吃吃藥就好了。講得比較簡單一點,就是因為毒素累積在皮膚所造成的,久了之後皮膚看起來就會有黑黑粗粗的感覺。若是擦乳液、擦藥、吃藥都還控制不下來的話,另有一種</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">治療方式叫做</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">「照光治療」,照一種特殊波長的紫外線,可以改善皮膚,讓皮膚發炎的現象穩定下來。照光治療在大醫院的皮膚科以及比較大的皮膚科診所才有這樣的設備,不過基本上也是有健保給付的。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">請蔡醫師幫我們解釋一下,音波拉皮的音波是什麼意思?是超音波嗎?可以聽得到它的聲音嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">它是屬於超音波,它的頻率是</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">4 MHz</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">和</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">7 MHz</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">兩種,屬於我們耳朵聽不到的頻率。音波拉皮療法剛引進台灣大概不到一年,但是在國外已經核准差不多有五年的時間,美國</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">FDA</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">在</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">2008</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">年就已經核准。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">在台灣有核准嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">台灣有核准,台灣是在去年底的時候通過衛生福利部的核准,它的適應症叫</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">「</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">Lifting</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">」,就是</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">拉提。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">拉提有沒有限定部位?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">拉提的主要部位就是在臉部到下顎這個位置,另外它的仿單還特別建議由皮膚科專科醫師和整型外科專科醫師來操作,或者是在皮膚科和整型外科的監督之下操作,會比較安全。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">拉皮最早是透過手術方式進行,請問蔡醫師,手術要怎麼做?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">醫師會在病人耳朵的前面或後面附近的位置去做個切口,把皮膚翻開來,找到肌肉筋膜層往上拉,之後再以縫線把筋膜層固定住,然後再把多餘的皮膚剪掉縫起來。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">萬一拉很緊的時候會不會變成皮笑肉不笑的樣子?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">有可能,有時候拉得太過頭看起來整張臉就會繃繃的,不自然。而且拉提有一定的向量、有一定的位置把皮膚拉緊。舉例來講,下巴的位置拉緊了,可是中臉跟上臉部份還是鬆鬆的、垂垂的,看起來就會很不自然。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">聽眾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">現在講的拉皮或整型大部份都是指臉部,不過一般人老了之後都是「雞脖子」比較嚴重。有很多人的臉整理得很好,但雞脖子的狀況還是很明顯,感覺效果不是很好,請問雞脖子很難改善嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">先請問蔡醫師,「雞脖子」是什麼意思?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">「雞脖子」就是俗稱的「火雞脖子」,火雞脖子不是一圈一圈的嗎?鬆鬆的、垮垮的,有一些環狀的紋路,一層一層的感覺。「雞脖子」這個問題,如果仔細觀察的話,有些人並不是到老了才有,其實在年輕的時候就有一點這樣的問題。它的構造跟皺紋又不太一樣,所以在治療上來講的確是比較困難。以現在的治療而言,根據我個人經驗,以及國外研究的資料都有提到音波拉皮是比較有效的方式,除此之外可以做一些注射性的治療,比如說把填充物打在凹陷的地方,然後讓雞脖子凹陷處的皮膚組織慢慢重整,之後脖子的皮膚可以變得比較平順,即使已經很深沒辦法達到完全平整,但是一定會有明顯改善。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">那是什麼原因造成「雞脖子」的?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">如果是很年輕就有的話,其實是和個人本身的體質有關,局部的皮膚會產生一些皺摺,皮膚底下有一些纖維往下拉;年紀大的話,就跟臉部皺紋形成的原因類似,是因為皮膚膠原蛋白跟彈性纖維都慢慢老化了,就會往下垂,形成一圈一圈的紋路。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">所以「雞脖子」也是老化的徵兆之一?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對,很多人都只注意到臉部老化的問題,可是脖子卻洩露出他的年齡。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">這也算是音波拉皮的範圍嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">音波拉皮也是可以治療脖子的皺摺。不過因為脖子的皮膚是很薄的,而且它底下有一些構造,比如說像甲狀軟骨、甲狀腺、氣管等等,所以要更加注意選擇有經驗的醫師來治療。而且因為音波拉皮才剛引進台灣,所以更需要有經驗的醫師來操作。我曾去和一位醫師觀摩交流,他是全世界第一位使用音波拉皮醫師,有超過</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">5</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">年經驗,我在音波拉皮引進前就特別跑到香港,去了解音波拉皮對亞洲人怎麼樣能安全又有效。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">剛蔡醫師有提到外科手術,如果手術拉太緊,可以再透過手術把它放鬆嗎?還是拉緊了就不能再修復了?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">拉太緊的話,理論上是有辦法再把它放鬆。可是因為這畢竟不像上發條或鎖螺絲一樣轉緊轉鬆那麼容易,重新再開刀的話,又會造成底下組織的另一次傷害,也一定會有一些疤痕的問題,所以基本上最好還是不要有這種情況出現,一次把它開好比較好。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">但是音波拉皮是可以重新再做的嗎?萬一沒有做好還可以加強嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">如果做太多次會不會有什麼問題?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">做太多就是皮膚變太緊。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">那皮膚會恢復嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">一定都是會恢復的,過幾個月或一、兩年之後,一定都會恢復,不過很少會到太緊的程度。事實上音波拉皮是讓皮膚透過非侵入性、不用開刀的方式讓它變緊,所以它的效果當然不可能是像手術直接往上拉得這麼緊。但是很多人誤以為手術是永久性,其實也不是,據統計手術拉皮約</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">5</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">年後皮膚就會慢慢地又鬆弛下去。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">也就是說,音波拉皮這種方式它的效果是有個限度,它沒辦法產生皮笑肉不笑的那種狀況。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">那是絕對不可能的,音波拉皮本身拉的強度是不可能到達那種程度。但是有一點很重要的就是因為它打得深度夠深,所以要特別注意不能打到神經組織。一般來講,以往做雷射、<span style="background: yellow; mso-highlight: yellow;">電波拉皮</span></span><span style="background: yellow; color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-highlight: yellow;">(</span><span lang="EN-US" style="background: yellow; color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-highlight: yellow; mso-shading: white;">Thermacool</span><span style="background: yellow; color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-highlight: yellow;">)</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">,都不會碰到神經層,因為神經層的位置很深,我們打不到;可是音波拉皮是有可能打到神經層的,所以在某些神經比較表淺的位置,比如說在嘴角附近,就要特別避開這個位置不能打,否則萬一不小心打到神經的話,有可能造成神經暫時性的損傷。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">嘴巴會歪掉嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">有可能暫時性會有這種現象,但機率不高。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">音波拉皮還有什麼副作用?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">其它副作用是可能會稍微的腫個一、兩天,但是之後就會慢慢消掉。不過這種腫脹的情況,我倒不覺得它是一種副作用,反而是我所希望看到出現的。因為有腫的話,就表示皮膚底下的組織已經達到一定的溫度才會腫起來,我們也可以就此預測之後產生的效果會滿好的。另外,我有接過一個案例,有位患者在別的地方打完,發現皮膚出現一條一條的紋路,甚至起水泡,這就表示當初做的時候探頭沒有貼平,能量打到表皮去了。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">本來是要打到筋膜的,結果打到表皮,感覺像是燙傷。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對,就是歪掉了。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">聽眾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">我有上眼瞼肌無力的問題,眼皮會下垂,請問這個部份有辦法用音波拉皮去改善或是處理嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">請問醫師有沒有診斷是什麼樣的原因造成您的上眼瞼肌無力?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">聽眾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">醫師說有可能是先天的。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">那麼是一眼還是兩眼?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">聽眾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">一眼比較明顯。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">這種情況可以透過音波拉皮去拉額頭的位置,讓上面的皮膚變緊,可以連帶眼皮一起往上拉。但是音波不能直接打在上眼皮或打在眼眶以內,因為音波的深度夠深,所以一定要打在眼眶以外,否則有時候打太深可能會造成一些眼睛的問題。因為是透過額頭皮膚拉提變緊而連帶的將眼皮往上拉,所以一定要先看您眼皮下垂的程度,再幫您評估往上拉的程度是不是可以達到您預期的要求。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">我們一般人最常聽到的就是電波拉皮,而音波拉皮好像是一個滿新的、相當時髦的技術,台灣一直到最近半年左右才引進。請問電波拉皮跟音波拉皮有什麼差別?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">電波拉皮算是台灣這十年來拉皮界的東方不敗,中間曾經有所謂的光波拉皮,也就是用雷射光來拉皮;或是微波拉皮,用微波的能量來拉皮,可是發現效果都沒有像單極的電波拉皮效果這麼好,所以電波拉皮一直很紅,直到這半年才遇到對手,就是音波拉皮。這二者之間有什麼差別呢?電波拉皮是透過電波從外面的表皮去加熱,然後一直往下滲透,所以當我們要加熱到足夠溫度的時候,表皮就怕會有燙傷的風險,所以電波拉皮可以加熱的溫度差不多是介於</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">40</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">幾度,大部份的病人就已經會覺得很燙了,它的原理就很像是用電熨斗把皺的皮膚燙平一樣。但音波不一樣,音波是透過聚焦的超音波直接把能量聚焦在深部的位置,所以它是略過表皮的,皮膚表面並沒有受到影響。而且它可以很精準的到肌肉筋膜層加熱做拉提,它的溫度可以直接達到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">,這個溫度就是膠原蛋白重組很重要的一個黃金溫度,達到這個溫度之後,肌肉纖維收縮就可以產生效果。所以第一個不同點是音波它打的深度可以比電波還要更深;第二個是音波可以直接聚焦,只要操作得宜的話,比較不會有表皮燙傷的風險;第三個是音波還有搭配一個新的科技,就是時況轉播的超音波影像,這部份可以幫助醫師去判斷皮膚底下組織的構造及音波能量落點深度等等的狀況。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">您剛說電波拉皮像是在皮膚表面用熨斗一樣進行治療,是不是一定要用電波?其它任何熱源可以嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">事實上這期間也用過很多種不同能量來源,比如剛提到的光波就是透過雷射光或脈衝光去加熱,不過因為光在皮膚表面會被很多黑色素直接吸收、擋掉,因此可能只是加熱到表皮層而已,連真皮層都達不到。後來和光波比較起來,發覺在加熱的深度方面,電波還是能穿透得比較深,因為電波至少還可以達到真皮層的位置。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">既然是達到熱就能讓膠原纖維破壞收縮,那如果用暖暖包放著熱敷久一點也可以嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">用暖暖包、電暖器或是其它的熱源直接去接觸皮膚,是很有創意的想法但都會產生問題。舉個例來說,假如我們去烤肉要烤雞腿肉,大家都知道它是很難熟的,可能外面的雞皮都烤焦了,但是裡面的雞肉還是生的,因為烤肉時的熱源是從外而內慢慢傳導進去的,要靠熱度由外往內慢慢滲透,如果希望裡面達到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">,可能外面已經</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">80</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">℃至</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">90</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">,表皮早就被嚴重燙傷起水泡了。而音波之所以可以達到比較深的原因,是因為它可透過特殊專利的構造從內往外加熱,去保護表皮,加熱筋膜層和真皮,就像隔山打牛一樣。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">所以音波它不是作用在表皮,而是在真皮的地方?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對,音波的能量是透過表皮冷卻以後把能量往真皮的地方推。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">所以我們不能隨便試,以為拿個熱水袋熱敷臉就可以達到拉皮的效果,其實並沒有這種效果。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">熱敷完之後會皮膚立刻腫腫的,以為好像有拉皮的感覺,其實半小時後就不見了。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">我看很多人做完拉皮美容之後,就戴著口罩把臉遮起來,幾天以後才敢見人,請問音波拉皮有這個問題嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">音波拉皮最大的好處就是完全不會有這樣的修復期,甚至午休時間做完下午就可以回去上班。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">它看不出來有美容的傷口?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">完全沒有任何傷口,只是一台機器在臉上打,表面沒有任何的傷口,做完之後稍微會有一點微腫,但是也不會很</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">明顯,過</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">1-2</span><span style="color: windowtext; font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">天就會消掉了。</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-68096617147213092782014-10-06T03:00:00.000-07:002014-10-06T03:00:31.907-07:00皮膚保健-溫冷水交替 潔顏不必靠科技 2014年10月06日 中國時報<br />
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現代人愈來愈重視「面子問題」,往往不惜砸下重金保養肌膚,但皮膚科醫師認為,「清潔」是臉部肌膚保養的基礎,但若是過度清潔,反而可能刺激皮脂腺分泌過多油脂,建議可溫、冷水交替使用,讓毛孔可徹底清潔。</div>
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<span style="background-color: white;">國泰醫院皮膚科主任</span><span style="background-color: yellow;">詹融怡</span><span style="background-color: white;">表示,不少民眾洗臉的習慣不佳,例如有人過度清</span></div>
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<span style="background-color: white; font-size: 18px; line-height: 20.3999996185303px;">潔,反破壞角質層造成敏感性肌膚;有人則是下班後未徹底卸妝,以致冒痘痘、皮膚過敏。</span></div>
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台北長庚醫院皮膚科主治醫師黃毓惠表示,「清潔」是臉部肌膚保養最重要的步驟,若未仔細清除臉上的殘妝、油汙,易引發痘痘、粉刺等問題,但若過度清潔,比如一天洗上好幾次臉,則可能刺激皮脂腺,導致滿臉油光,皮膚狀況反而更糟。</div>
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黃毓惠說,其中塗抹防曬產品,事後務必做好臉部清潔,尤其像是高係數、可防水等防曬品,因含有化學物質,質地油,建議應先卸妝再洗臉,避免毛孔堵塞。</div>
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但該如何正確清潔臉部肌膚髒污?皮膚科醫師趙昭明則建議,可使用一般的清潔用品即可,市售的洗面乳、肥皂的清潔效果就很好,不用刻意追求使用特別的產品,此外,夏天用冷水,冬天用溫水來洗臉,較不刺激皮脂腺的分泌,如果白天還覺得臉油,只要用清水沖洗即可。</div>
蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-5247570586910408002014-10-06T02:57:00.000-07:002014-10-06T02:57:02.436-07:00蘋果即時【Dr說】用沐浴乳洗頭會掉髮?安啦!<div class="separator" style="clear: both; text-align: center;">
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<span style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;">用沐浴乳洗髮不會傷頭皮或掉髮,但可能會洗不乾淨。資料照片</span><br />
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<span style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;">近視族洗澡時摘下眼鏡看不清,一旦誤將沐浴乳當洗髮精使用,難免害怕會掉髮或傷害頭皮。開業皮膚科醫師趙昭明說,沐浴乳、洗髮精主成分都是界面活性劑,前者訴求皮膚保濕、溫和清潔,後者強調去油、去污力,用相對溫和的沐浴乳洗髮,不需擔心會刺激頭皮或掉髮。</span><br style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;" /><span style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;"> </span><br style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;" /><span style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;">沐浴乳、洗髮精酸鹼值約介於pH4.5~6微酸性,可兼具去污、保護頭皮功效,趙昭明提醒,買強調去污、控油功效的清潔用品,若酸鹼值超過7(偏鹼性),會破壞皮脂膜,過度清潔將使頭皮更敏感、去屑出油更嚴重。</span><br style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;" /><span style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;"> </span><br style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;" /><span style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;">國泰醫院植髮中心主任</span><span style="background-color: yellow; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;">詹融怡</span><span style="background-color: white; font-family: Helvetica, Verdana, Arial, sans-serif; font-size: 18px; line-height: 27px;">說,將沐浴乳當洗髮精,油性髮質者可能會洗不乾淨,或洗髮後很快又出油,還是用洗髮精的清潔效果較佳。(蔡明樺╱台北報導)</span>蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-24474949797798357522014-10-06T01:58:00.003-07:002014-10-06T01:58:36.672-07:00過了中秋 登革熱疫情還在發燒 (中時電子報 2014年10月01日)<div class="separator" style="clear: both; text-align: center;">
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上圖: <span style="background-color: white; color: #4f4f4f; font-family: Verdana, Arial, PMingLiU, sans-serif; font-size: 18px; line-height: 20.3999996185303px;">高市登革熱病例近3000例,創歷年新高,衛生局加強戶外積水容器噴藥。(呂素麗翻攝)</span><br />
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炎熱夏天,國民健康署統計,今年7到9月因中暑、熱衰竭急診人數,較去年同期增加近3成。急診醫師表示,往年過了中秋,急診就少有中暑、熱衰竭病患,但今年直到上周還陸續接到病患;皮膚科醫師也表示,溼疹及汗斑等病症,入秋後通常門診量會下降2成,但至今不見退燒跡象。</div>
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登革熱疫情也因溫度居高不下持續發燒,全台上周新增633病例,再創新高,疾管署副署長周志浩表示,今年疫情嚴峻,不排除打破2002年一年累計5000病例紀錄,光是高雄市至今已近3000例,9月就有1520例,為歷年之最。</div>
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新光醫院急診主治醫師張志華表示,今年酷暑急診熱衰竭及中暑人數明顯增多,病患常在下午1、2點出現,其中又以老人、勞動者及運動員居多。</div>
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張志華強調,熱衰竭及中暑嚴重時會多重器官衰竭、危及生命。一旦出現不適,散熱是首要工作,先將病患移到陰涼處,讓病患平躺,將腳抬高以利血液回流,同時灑水、煽風降溫,若病患仍昏迷,最好趕緊送醫治療。</div>
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台大醫院急診醫學部主任方震中表示,天氣跟急診人數有關,根據往年經驗,急診部無論發燒、病毒感染等,人次9月就會開始驟降,到10、11月人次最少;今年9月溫度跟8月不相上下,9月病患數雖有稍微下降,但幅度不大。</div>
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<span style="background-color: white; color: #333333;">國泰皮膚科主任</span><span style="background-color: yellow;">詹融怡</span><span style="background-color: white; color: #333333;">表示,今年天氣特別溼熱,讓皮膚病患者更嚴重,甚至有病患全身70%溼疹,連當兵都免了。</span></div>
蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-9238745868090567782014-09-29T07:34:00.002-07:002014-10-28T20:28:40.792-07:00音波拉皮 問答集 part 1<div align="center" class="normal" style="layout-grid-mode: char; line-height: 150%; mso-layout-grid-align: none; text-align: center;">
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">本文部份內容已於</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;">News98</span></b><b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">電台</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;">6</span></b><b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">月</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;">12</span></b><b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">日「音波拉皮新風潮」節目播出。</span></b></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">由 蔡宗樺醫師 接受主持人曾醫師訪問</span></b></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾嶔元:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">我們今天邀請到的來賓是國泰綜合醫院皮膚科蔡宗樺醫師,今天要討論的主題是「音波拉皮」。這是醫美的主要項目之一,大家都耳熟能詳,先請蔡醫師幫我們介紹一下拉皮的目的是什麼?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡宗樺:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">隨著年紀慢慢的老化,皮膚就會往下鬆弛,這跟地心引力、膠原蛋白流失有關。當老化的狀態出現時,就會產生法令紋、嘴角紋、眼皮下垂或是雙下巴等等的情況,很多人就會希望透過一些治療方式讓鬆弛的皮膚往上拉提,可以重新變緊緻,這是一個很重要的抗老回春的概念。即使是輕熟女也希望透過這樣的方式來凍齡。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">眼袋也和拉皮相關嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">以廣義來講,眼袋也算和拉皮相關。眼袋是眼睛下面的筋膜變鬆了以後,導致眼睛下面的脂肪往下掉,而形成眼袋。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">我們可以想像老了以後皮膚鬆弛、脂肪凸出來,看起來會有些老態龍鍾,而拉皮就是把皮膚繃緊,外表看起來就會比較年輕一點。這讓人很好奇,為何是用「音波」來拉皮?音波是什麼意思?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">最傳統的拉皮方式是以手術方式來拉皮,在耳朵周圍切一個開口,從皮膚底下肌肉筋膜層的位置往上拉,縫在骨頭上,就可以達到拉皮的效果。可是因為手術的整個恢復期很長,而且還可能有一些風險,所以慢慢就有人發展出一些不用手術的方式來拉皮,像是光波、電波等方式,而現在最新的科技叫「音波拉皮」。在醫學上超音波已經使用很久了,最常聽到的就是腹部超音波、腎臟超音波,可以讓醫師看到影像。可是科學家發現把超音波聚焦的時候,它可以產生足夠的能量,產生熱能,這叫做「<span style="background: yellow; mso-highlight: yellow;">高能聚焦超音波</span>(</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">high-intensity focused
ultrasound; HIFU</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">)」。當超音波聚焦在某一個點的時候,可以將溫度增高到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">左右,這就有點像把放大鏡放在大太陽底下,聚焦在某一個點時可以把樹葉燒起來的原理。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">放大鏡聚光的時候它不能穿透皮膚,但是超音波可以穿透皮膚,是利用這個差別。請問超音波聚焦是要聚焦在哪裡?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">透過機器的設定,超音波可以聚焦在不同的深度,最深的可以達到皮下</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;">4.5mm</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">,這個深度剛好就是肌肉的筋膜層,也就是傳統手術拉皮的那一層。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">所以是透過熱把肌肉筋膜層拉緊嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對,透過熱能造成立即性的收縮,以及後續筋膜的膠原蛋白重組過程讓它變緊。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">溫度下降了以後效果就消失了嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">科學家研究</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">是膠原蛋白能夠達到重組的最佳溫度,重點是它的溫度有沒有辦法達到這個溫度。假如只有</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">40</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">時,可能會造成暫時性的水腫,等水腫退了之後又會打回原形。所以如果能夠達到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">的</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">黃金溫度的話,膠原蛋白就可以自己重新增生,然後產生緊緻組織的作用,所以它的維持效果也會較好。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">您剛講的意思是利用超音波把能量聚集在皮膚下肌肉筋膜層的地方,然後因為聚焦的關係,可以在筋膜層產生</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">的高溫,所以這是因為熱能導致收縮嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對。第一點,熱會造成立即性的收縮;第二點,熱會造成局部的微破壞,有點像先破壞再建設的原理,但是必須在控制之下破壞,因為如果加熱到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">100</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">會把所有東西都燒壞;但也不能只加熱到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">40</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">而已,必須要達到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span lang="EN-US" style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">℃</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">的溫度,讓膠原蛋白可以產生重新增生的機制。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">加熱到一定溫度之後,可以把皮膚裡面老化的蛋白質破壞,然後被身體吸收,身體就會產生新的膠原纖維。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對,不過新的膠原纖維是慢慢產生的,過程大約需要</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">3</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">6</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">個月,不是立即性的。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">3</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">6</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">個月才看得到緊縮的效果?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對,它的最好效果會出現在</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">3</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">6</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">個月之後,慢慢會愈來愈好。但如果醫師操作技巧純熟使用進階式治療法,可以在治療當下就先產生立即效果。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">這樣可以維持多久?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">維持的時間官方說法約兩年,但只要在治療時選擇進階打法,提供足夠的進階能量,可以維持更久。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">到這時候新生的組織也已經老化了?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">對,新生的組織也會慢慢老化。舉例來講,本來是</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">歲的皮膚,做完之後恢後到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">55</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">歲的皮膚,也許做完這樣的治療之後,可以立刻感覺皮膚年輕了</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">5</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">歲,但是時間不是靜止的,皮膚也會持續慢慢老化。不過經過一、兩年之後,它並不會又回復到</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;">60</span><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">歲,還是會比做治療之前更年輕。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">曾:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">假設說維持了兩年,還可以繼續再做嗎?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">可以。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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<b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">蔡:</span></b><span style="font-family: 標楷體; font-size: 14.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">因為音波拉皮它不是侵入性的,所以不會像手術開刀完之後會有疤痕及皮下組織破壞的問題,也就沒有所謂的次數限制。如果經過一、兩年之後,覺得需要重新再微調加強一下,就可以再做。</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: 標楷體; mso-hansi-font-family: 標楷體;"><o:p></o:p></span></div>
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-15544922324204256142014-09-17T23:14:00.002-07:002014-09-17T23:30:57.793-07:00蘋果日報: 像清宮阿哥 粉領植髮降髮線- 詹融怡醫師 <br />
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像清宮阿哥 粉領植髮降髮線</h1>
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<time class="" datetime="2014/09/17/" style="color: #616161; display: inline; vertical-align: middle !important;">2014年09月17日</time><br />
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【邱俊吉╱台北報導】一名二十來歲粉領族長相清秀,卻因髮際線天生較高,額頭顯得大又寬,讓她自卑感嘆:「老覺得自己像清宮劇裡的阿哥。」經髮際線植髮後,額頭高度降低,臉看來也變小,才重拾自信。醫師表示,髮際線植髮近年蔚為潮流,雖可改善外觀但索價甚高,從髮際線到鬢角完整植一排,花費恐逾十萬元,宜多評估考量。</div>
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細緻但價格高昂</h2>
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收治病例的國泰醫院植髮中心主任<span style="background-color: yellow; color: blue;">詹融怡</span>昨轉述,該名粉領族從小就苦於額頭大、髮際線高,根本不敢綁馬尾、戴髮箍,且一定得蓄瀏海,若不如此,就怕別人感覺她活在清朝,也讓她的打扮受到極大限制,日前終於決定接受植髮。<br />
<span style="background-color: yellow; color: blue;">詹融怡</span>表示,由於髮際線是頭髮第一排,所以植髮密度要夠,也得選擇偏細的毛髮,是細緻度較高的植髮;經植髮後,粉領族的髮際線明顯下降,代價則是自費逾十萬元。<br />
植髮開業醫師朱冠州指出,髮際線植髮在國際已蔚為風潮,男女皆適用;他昨也邀熱愛男扮女裝的陸小美(化名)現身說法,陸原為髮線日益上升煩惱不己,透過植髮降低髮際線後,自覺不但額頭縮小,臉型也變得柔和。 </div>
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蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-68806148072729934902014-09-15T01:35:00.000-07:002014-09-15T01:35:35.986-07:007 14自體生長因子育髮術、挽救你的頭皮!<br />
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<span data-mce-style="font-size: x-large;" style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: large;">自體生長因子育髮術是除了擦藥,吃藥,植髮以外,使<span data-mce-style="color: #993366;" style="color: #993366;">頭髮再生</span>的治療。我對於自體生長因子有做過臨床觀察,只要毛囊還未死,就能夠有好的療效。之前曾經上<span data-mce-style="color: #993366;" style="color: #993366;">電視節目</span>解說這個治療。</span>蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0tag:blogger.com,1999:blog-5481829057843127294.post-79813157324750721602014-09-08T01:02:00.001-07:002014-09-08T01:03:19.184-07:00被嫩妻嫌老 禿頭男植髮找回自信 : 詹融怡 華視新聞採訪<iframe allowfullscreen="" frameborder="0" height="344" src="//www.youtube.com/embed/i2LoJuugNN8" width="459"></iframe><br />
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被嫩妻嫌老 禿頭男植髮找回自信</h1>
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一名63歲的蕭先生,聽信坊間流傳抹母奶可以生髮,結果他大膽嘗試,但頭髮沒有長出來也嘗試抹麻油,還引起毛囊炎,讓小他20幾歲的嫩妻都嫌棄,要求他戴帽子才肯一起出門,最後蕭先生決定接受植髮手術,蕭先生笑說以前小孩看到他都叫阿伯,植髮後已經改叫他叔叔了。</div>
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給嬰兒營養的母奶,也可以當作治禿頭的神水嗎?穿著紅色衣服一身趴哩趴哩的63歲蕭先生,就是相信坊間流傳抹母奶的偏方,大膽用母奶抹在頭皮上,希望可以促進生髮,甚至還抹麻油加強,會這樣做,就是因為小他20幾歲的嫩妻一直嫌他禿頭,但沒想到偏方用盡,頭髮不旦沒長出來,還造成毛囊炎,患者蕭先生,「沒用又癢」,醫生也說坊間偏方,都沒有研究根據,最好還是不是亂試。</div>
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國泰皮膚科主任詹融怡,偏方沒效,蕭先生只好戴假髮,嫩妻也準備50多頂帽子給先生遮蓋,否則就拒絕一起出門,但為了一勞永逸,蕭先生最後接受了植髮手術,看看植髮前的照片,和植髮後現在的他,人都變年輕了,現在他可以自信地把帽子丟掉,嫩妻開心地挽著他的手一起出門。</div>
蔡宗樺/詹融怡 皮膚科醫師http://www.blogger.com/profile/02025462851029729273noreply@blogger.com0