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《美容醫學》豐額女神

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「女神」一詞近期成為網絡流行語,一般指被人仰慕的女性,當中少女韓星經常榜上有名。事實上,不少韓星都給人溫婉可親又年輕的觀感,而且都擁有圓潤豐腴的額頭。

就美學角度,女性飽滿的額頭給人年輕、溫和、貴氣、女性化的感覺。至於不完美的額頭,一般凹凸不平,或扁或斜,甚至因眉骨突出造成額骨相對的凹陷等,影響面部整體的和諧。有人會因此以劉海遮掩,於是髮型十年如一日,整體面型因而長年被局限。其實,現時有醫學方法可修飾額頭形狀,並減淡抬頭紋、提升平滑年輕感,主要物料有聚左乳酸、自體脂肪或透明質酸等。

聚左乳酸是一種刺激骨膠原增生的物料,好處是效果漸進自然,令額頭變得飽滿,約半年左右會見到效果,維持期約兩年。但增生效果因人而異,或需進行多次療程。

自體脂肪轉移是指從腹部或大腿取得脂肪,純化後放到額頭位置,因用上自體組織,不會被身體排斥或出現過敏反應,手感自然。脂肪會有兩至兩成半機會流失。

如用透明質酸作,過程較簡單,不需恢復期。以往透明質酸被認為彈性較差,但現時已有具支撐度又柔順自然的透明質酸。不過透明質酸也會被人體吸收,屬非永久療程,維持期約九個月至一年。

值得注意的是,豐額療程有一定風險,最近內地有豐額療程致盲事故,所以必須諮詢具一定經驗及技術的專業人士,並了解清楚自己是否適合療程。

 

(都市日報 9/9/2016)

《美容醫學》凹凸洞

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皮膚上的凹凸洞,相信沒有人不討厭!但偏偏,這些凹凸洞(大多是暗瘡、粉刺等令真皮層受損及纖維化所遺留的後果)一般都屬較深層的皮膚問題,並不容易處理。傳統處理方法包括磨皮、化學換膚、1064nm鐳射、分段式激光等,而近年出現的755nm波長皮秒科技,則已獲美國FDA認證,它和傳統方法比 較,主要有以下幾個特點:

(1)1064nm鐳射通常須重複多次療程;而一次皮秒755nm鐳射的效果,可能遠勝多次1064nm鐳射,因此整個療程所需的時間也較短。

(2)傳統的療程方法,容易讓肌膚組織累積熱能而造成損傷;但皮秒755nm鐳射大大減輕了反黑、出血、紅腫、結焦、留疤等副作用。

(3)近年,已發展出不同效果的皮秒755nm鐳射,其中有些是以「蜂巢瞬效透鏡」(Focus lens array)的原理進行,可保護表皮,不易產生傷口及造成流血,因此也不易二次留疤。亦因為這特點,接受一次皮秒755nm鐳射後很快可以恢復,一般僅需 3-5小時便可如常生活,甚至上妝保養,復元期比傳統療程方法大大縮短。

(4)已獲美國FDA(食物及藥物管理局)認證,能有效改善皺紋、凹凸洞及當中隱含的黑色素。

當然,進行療程前請諮詢專業人士評估皮膚凹凸洞情況及療程風險,以及是否適合接受鐳射療程。

(都市日報 17/8/2016)

《美容醫學》 4D / 5D 美鼻方法

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現在的醫學美容趨勢,已跟過往的傳統美鼻不同,而是利用結構學的概念,用專業線材去做鼻部美化。基本上這方法是利用特殊的線材,如PDO、PCL或者PLLA等作為支架,借助牽引張力,使鼻尖達到理想的尖度、美感及精緻度。除此之外,這方式較沒有方向的限制,可從整體上綜合修正各種不完美的鼻型。

4D / 5D 美鼻特性包括:

療程時間短─利用特殊的線材進行,大大縮短療程時間至約10分鐘(過往傳統美鼻需要60-120分鐘),減少了時間和費用,也減少了疼痛感。

副作用少─與傳統美鼻其中一個大區別,4D / 5D 美鼻只需3-5天後就可以正常扭捏鼻子,創傷性少,幾乎沒有傷疤,也不會引起特別的浮腫,可盡快回復正常生活。所用的線材是在臨牀使用了30多年以上的縫合線,可被人體吸收,非常安全。

整體性效果─可經專業人士和接受療程者商議,配合自身脂肪、透明質酸等物料使效果更佳。而鼻尖、鼻樑、鼻子長度及鼻翼等,可以分部位進行。

半永久性─大約6-18個月後,有支撐作用的特殊線材會消失,不過軟組織形成的內部黏連和組織變化的支撐效果,有30-50%屬於半永久性,所以即使特殊線材消失後,也不會完全回到原來的鼻型。

當然,任何療程也有風險,請諮詢專業人士評估鼻子情況,及是否適合 4D / 5D 美鼻。

(都市日報 2/8/2016)

《美容醫學》去除紋身很簡單

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身邊不少朋友,在某年某月,因一時衝動,為皮膚添上了或大或小面積的紋身。當然可以想像的是,他們到後來都想有個好方法徹底把紋身除去。

根據一些統計指出,每5名接受過紋身的人當中,就有1名之後想去除紋身。以往,去除紋身的療程要做很多次,而且非常痛楚,大部分人都說比紋身痛得多,且往往在「捱」完療程後,仍無法徹底清除紋身的印記,留下明顯的色素痕迹,尤其綠、藍、紫等幾種顏色多會殘留,令紋身的部位更難看,恍如對紋身的懲罰。

但紋身絕不是罪!就算是罪,想洗掉也應獲得協助。近年出現的755nm波長皮秒科技便是紋身者的選擇。這種激光技術已獲美國FDA認證能去除紋身,它和傳統的1064鐳射療程比較,至少有以下四大分別:

(1) 傳統1064鐳射通常只對紋身中的黑色有效;皮秒755鐳射則對大部分紋身顏色,包括紅、黃、綠、藍、紫色都能從皮膚上清除。

(2) 傳統1064鐳射療程會對皮膚造成光熱效應,最後可能會留下明顯疤痕;皮秒755鐳射則因為速度快及劑量低,反黑、留疤等副作用減至最低。

(3) 傳統鐳射療程可能要花上好幾年時間;皮秒鐳射則相較下療程更快、單次效果更顯著。

(4) 傳統鐳射易嚴重破壞皮膚組織,恢復期長;皮秒鐳射則傷害性低,恢復期短。

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(左)皮秒755鐳射和(右)傳統1064鐳射除紋身效果

所有療程都有一定風險,以及療程效果因人而異,接受療程前必須先和專業人士諮詢討論。

(都市日報 18/7/2016)

《美容醫學》要靚唔要命?

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近日報道指接連有人到內地打肉毒桿菌瘦臉、瘦腿中毒求醫。接受肉毒桿菌美容療程怎樣可以保障安全?

首先,要了解自己的健康狀況是否適合療程。過瘦、過敏體質、妊娠、哺乳期婦女、患有神經肌肉系統疾病如重症肌無力、多發性硬化、患有上瞼下垂的病人、患有嚴重心肝腎肺疾病和結締組織病的人也不適合。請詳細告知專業人士你的情形,由他們作出適當建議。

其次,應確保使用原廠正貨產品。使用工業用、黑市甚至假冒肉毒素不單無效,其質量和劑量極不穩定,嚴重可能會中毒甚至危害生命。要辨識,可參考藥廠提供認明正貨資訊,查證該藥品是否於香港註冊,並且要留意價格是否合理。一般來說,若一支肉毒桿菌素只需數百元或千多元,應不太符合正規藥品價格,有懷疑的話切勿亂用,並應向專業人士查詢。

還有,必須選擇具醫療規格的機構接受療程。所選的機構,應對藥品、療程程序監控嚴謹,並且對藥品儲存、衞生、使用流程、如何銷毀等,都嚴格遵從一定的規章,例如是否經消毒包裝等;且要選擇受過專業訓練的專業人士,因肉毒桿菌療程需要精準技術,對藥品用量、手法、位置和層次上也有高要求;不建議光顧那些可單買藥品,到流動地點接受專業人士「到會」療程的服務,因可能缺乏足夠保障。

愛靚也要精明,不要等出了事才去挽救。如發現療程後呼吸困難、暈眩、言語不清等徵狀,應立即求診。

(都市日報 07/07/2016)

《美容醫學 》透明質酸美化五官面形

一張討人喜歡的面孔,無論在職場上還是情場上都是必殺技。可是並不是每個人都天生麗質,美麗的容貌亦會隨年月慢慢走樣。除了化妝外,醫學美容是現時極為流行的美容方法,當中透明質酸就是其中一種安全的方法。

透明質酸可以因應不同的需要,使用在面部不同的部位,並不是一般人以為只可以使用在鼻樑及下巴。例如雙眼眼皮脂肪較多,又或是眼睛看起來較浮腫的,可以在眉弓處使用,令眉目的輪廓更加深邃,雙眼看起來更有神,猶如混血兒般。另外,眼下的位置也可使用微量透明質酸,創造出「卧蠶」,使雙眼看起來永遠處於微笑放電的狀態。

而一些人顴骨太寬,造成一張大餅臉,看起來比真實年紀大,其實也不一定需要削顴骨,只需在雙頰的蘋果肌及太陽穴使用適量透明質酸,就可以令整體臉形變得柔和自然,顴骨不再顯眼,予人有臉孔變小的感覺。

即使不是大餅臉,於蘋果肌及太陽穴使用透明質酸對改善臉容也有特別的效果。有些人五官明明十分精緻,可是由於雙頰太過瘦削,看起來一副「孤寡相」,令人難以親近,只需在蘋果肌使用透明質酸,立即就可以出現甜美的笑肌,看起來親切可人。對於淚溝深和眼袋大的人,利用透明質酸來提升蘋果肌,也可以令雙眼的問題沒那麼明顯,光彩照人。至於太陽穴,亦有人稱之為「夫妻宮」,原因是據說飽滿的夫妻宮可以帶來美好的夫妻感情。從美容的角度來說,飽滿的太陽穴可使上半面和中半面線條順滑,令臉孔不再「三尖八角」,較為可親。

額頭方面,男人和女人的額頭有很大的不同,女性適宜有飽滿的額頭,也可以利用透明質酸改造,令人看起來猶如少女般,增加青春童顏的感覺。透明質酸亦可使用於虎紋位置,除可填補凹陷的法令紋外, 亦可藉此縮小鼻翼及改善突嘴.
至於最多人使用的下巴和鼻樑,也可以同時改善整體面部觀感。因為精緻的下巴可以立即顯現瓜子面形, 使面形秀氣變小,更可改善突嘴;而高挺的鼻樑亦可以令五官更立體,雙眼集中而且深邃。

透明質酸美化五官面形需要配合整體面部輪廓,任何療程亦有一定風險和注意事項,接受療程前宜先向专业人士諮詢,以找出最適合自己的接受疗程的位置。

(26/11/2015)

《醫美大公開》淚溝 = 累溝(一)

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解決淚溝前,先要弄清楚淚溝是甚麼。很多人會將淚溝與眼袋、臥蠶及甚至黑眼圈混淆。

黑眼圈:下眼瞼下方所呈現的陰影,是由於血液流過眼部附近皮下靜脈所形成。常見的黑眼圈主要分為色素型、血管型、皺紋型和眼袋型,不同類型需要針對性解決。

臥蠶:下眼睫毛下緣微隆起的位置,因像躺臥的蠶而得名。臥蠶其實是比較發達及增厚的肌肉(瞼板前眼輪匝肌)。

眼袋:倒三角形的眼袋,是下眼瞼水腫、眼皮內側纖維組織鬆弛下垂、脂肪突出所成,給人疲倦年老之感。

淚溝:就是眼袋下方內側的明顯凹溝。因流失膠原蛋白及萎縮組織而變成的凹槽,往往是面容老化的標記。我們稱之為淚溝,其實更可稱做「累溝」。淚溝衍生出的陰影,似眼袋又似黑眼圈,因此會有「淚溝型黑眼圈」、「淚溝型眼袋」等說法。如果蘋果肌又同時凹陷及下垂,淚溝會更明顯,而顯得老氣橫秋。至於消除淚溝的方法,下回公開。

(都市日報8/1/2016)

《醫美大公開》 淚溝=累溝(二)

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淚溝是眼袋下方內側的明顯凹溝,坊間有很多方法減輕甚至消除淚溝,例如:

(1)動刀方法:(i)動刀做去除眼袋時,以多餘脂肪做淚溝;(ii)在淚溝位置加入外來物Gortex或人工矽膠,這種方法屬永久性,但風險較高。

(2)非侵入性醫美方法:按摩,使用激光、射頻、HIFU聚焦超聲波等,目的主要是緊緻及提升眼周組織,令淚溝消失。

(3)透明質酸、自體脂肪療程:(i)使用如透明質酸、自體脂肪等,以填補凹陷的淚溝及支撐蘋果肌。透明質酸有不同大小分子,細小分子會較適合於眼周。市面上有些細小透明質酸添加了維他命等抗氧化劑,是專為眼周而設,除了填補淚溝,還可減淡眼周暗沉的色素。而療程效果與專業人士技術有很大關係,不論位置、深度、分量等都必須拿捏準確,動作也一定要輕柔。(ii)令眼下膠原蛋白增生的製劑,包括聚左乳酸線、PDO線雕等。PLLA線雕是近來韓國新興的方法,所用的線由PDO材質優化成PLLA聚左乳酸材質,療效可維持達兩年。

以上方法中,非侵入性醫美或透明質酸、自體脂肪,聚左乳酸線、PDO線雕等療程,相對動刀方法風險較低。任何醫美療程都存在可能的風險,詳情諮詢專業人士,和有良好溝通有助於達至理想效果。

(都市日報專欄22/1/2016)

《醫美大公開》 如何選擇「水光槍療程」?

保濕從來都是抗衰老的基本步。缺乏水份的皮膚就像沙質的斜坡乾涸傾坍,變得鬆弛、難以修復。

水光槍現在流行到很多護膚品品牌也借其名出了面膜、精華液等等。醫美界的水光槍可密集均勻地把藥劑直接送進0.8至1.2毫米深的真皮層,比塗擦的護膚品更快速見到分別,而當中的物料是根據不同皮膚需要而調配。但市面上水光槍療程價格參差不一,高低相差很大,為什麼呢?

首先,水光槍必須具有負壓功能,如果選擇了沒有負壓功能的水光槍,沒能把藥劑送到真皮層,那整個療程就是「白做」了。

而使用的物料也會導致價格非常參差,正常使用的物料是有鏈結的透明質酸(長效保濕)、肉毒桿菌(提升去皺)、傳明酸(去黑美白)、具抗氧化功能的物料,但市面上很多平價的療程都是提供普通的精華素及沒有鏈結成分的透明質酸,沒有鏈結的透明質酸很快會被人體吸收,不能鎖住水份,效果不長效。普通的精華素在這方面的功效更成疑。

更重要的是,操作水光槍人員的專業程度往往是療程價格的重大要素。最近有報導指女星因醫美事故爛面毁容,這很多時都是操作者失誤造成的。建議消費者選擇獲原廠訓練而富經驗的療程師操作,否則容易發生意外及沒有保障。

(都市日報22/3/2016)