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《美容醫學》改善麒麟臂

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手臂粗壮有两个主因。手臂运动过度,长期负重、抱小朋友或做家务,会使手臂肌肉发达,形成粗壮外观。反之,手臂活动不足,也会做成脂肪积聚,形成「拜拜肉」。其实,手臂和其他身体肥胖部位一样,都有分肌肉型和脂肪型等。现时有一些医学美容方法,可以针对不同类型肥胖问题来改善线条。

肌肉型:可以利用肉毒杆菌改善,暂时将该处神经信息传递阻断,令绷紧的肌肉放松,继而渐渐变纤小,效果于两周后慢慢呈现,可维持约9至12个月。

此方法无需恢复期而且副作用少,唯独多次使用肉毒杆菌后,身体可能会出现抗体,影响日后的治疗成效。现时有些不含复合蛋白配方的肉毒杆菌,可以减低重复使用而产生抗体或免疫反应的机会。

脂肪型:可以透过溶脂或吸脂等方法改善。 「超声波溶脂」运用高频率的聚焦超声波方式,由仪器的探头释出高能量,在不伤害皮肤的情况下,经表皮层逐层加热至脂肪层,进行溶解并随着身体新陈代谢慢慢排出体外;另一种溶脂技术「标靶式隔空溶脂」是非接触性溶脂疗程,以标靶式射频实时追踪脂肪层,并隔空传送能量给脂肪细胞,让其自然凋谢,亦通过新陈代谢排出体外;而溶脂则是一次性的方法,透过超声波乳化脂肪并即时引流出体外。通过溶脂疗程,大约八至九成脂肪细胞可被溶解排出,反弹的机会相对较低。疗程中,超声波震荡时产生的热能,更有助紧致松弛的皮肤。

进行任何医学美容疗程前,应先向专业人士查询,并采取最合适的对应方案。

(都市日报11/08/2017)

《美容医学》暗疮皮肤处理

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有一种「青春」谁也不想留住,就是青春痘,又称为暗疮。暗疮的成因主要是皮脂分泌旺盛及皮脂腺闭塞,酿成黑头、粉刺,当细菌于当中滋生,便会导致毛囊发炎,出现红肿。

暗疮问题严重的人士,可按照专业人士处方,使用口服药改善。针对暗疮常见的口服药包括减少毛囊细菌数量的抗生素(如四环素)。也可以利用能减少皮脂分泌的异维他命A酸。两种药物均不适合计划或正在怀孕的妇女使用,有机会造成畸胎。

较轻微的暗疮问题,可使用专业人士处方的外用药物治理。涂抹外用抗生素,可延缓毛囊内的细菌滋长。外用异维他命A酸可加速表皮代谢,预防毛孔闭塞。虽然是外用药,但使用前仍需咨询专业人士意见。不当使用抗生素有机会出现抗药性,而异维他命A酸使用不当有导致皮肤炎的风险。

轻微的黑头、粉刺,可以用较温和的方法改善。现时有些焕肤疗程,可以定期去除老化角质,畅通皮脂腺,缓和毛孔堵塞的情况。配合控制油脂分泌的产品使用,有助预防暗疮形成。

改善疤痕也是暗疮皮肤人士关注的问题。暗疮痊愈后,有机会出现发炎后色素沉淀,使皮肤留下黑印(俗称暗疮印)。随着年龄增长,新陈代谢减慢,这些黑印可能需要更长时间才慢慢减淡。而因暗疮形成的凹凸洞, 就较难随时间淡化。有些皮秒激光疗程可以改善黑色素,同时刺激皮肤胶原增生,改善凹凸洞并收细毛孔。由于皮秒激光速度快,造成的热伤害较传统的纳秒激光为低,有助降低疗程后色素反而加深的风险。

任何美容疗程及产品均涉及风险,需视乎个别皮肤状况,请咨询专业人士建议。

(都市日报27/07/2017)

《美容医学》双眼皮知多点

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不少人希望修饰眼部浮肿,令眼睛看起来更有神。亚洲人眼皮脂肪普遍较厚,单眼皮比例远比西方人高,往往令人有眼部浮肿的错觉,因此亚洲地区最受欢迎的轮廓微调技术,就是双眼皮美化。

现时双眼皮美化的方法主要分成两类。眼皮脂肪较厚,眼睑浮肿松弛的人士,适合用去除的方法,一次过去除上眼睑内多余的脂肪及皮肤组织,同时塑造双眼皮线。若是眼部皮肤较薄,并且没有明显眼皮松弛的人士,可以选择传统线材方法,塑造双眼皮皱折。眼皮较厚的人士若选择采用传统线材方法,也可以配合小开口,去除眼皮多余的脂肪。

现时的「钉书机式双眼皮」,是改良版的吊线式双眼皮,利用外形与钉书机相似的器械,一并将眼睑皮肤、皮下脂肪、肌肉、睑板和结膜同时固定,因此较稳固持久。好处是疗程时间短,无需拆线,而且恢复需时较短。使用传统线材的双眼皮疗程则需要去除线材,恢复期也较长。

除了疗程和恢复期的长短,以上两种方法还有一个分别:钉书机式双眼皮的效果是永久的,而传统线材式双眼皮的效果是可逆转的,如果疗程后效果不如理想,可以拆除并作出调整。任何医学美容疗程均涉及风险,需视乎个别身体状况,请咨询专业人士哪一种是最适合你的解决方法。

(都市日报13/07/2017)

 

《美容医学》难缠的荷尔蒙斑

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荷尔蒙分泌异常,压力,或怀孕期间体内黄体素转变,都会使皮肤色素沉淀。荷尔蒙斑问题困扰不少女士,更是数一数二难处理的色素问题。现时尚未有方法完全根治荷尔蒙斑。避免使用影响荷尔蒙的药物,比如避孕丸,和充足的防晒措施,可延缓荷尔蒙斑增加。一旦荷尔蒙斑已经产生,有数个方法可以改善色斑外观。

市面上的去斑膏林林总总,对苯二酚(氢醌)是去斑膏常用的美白成分,它可干扰黑色素形成,故此有美白淡斑的效果。长期使用高浓度对苯二酚可导致赭色病(褐黄病),产生的色素反而比本来的荷尔蒙斑更难去除,因此一般的去斑产品多使用2%以下浓度。并不建议连续使用超过6个月。

激光疗程是较快捷的色斑改善方法。原理是将高能量集中到真皮层,使皮肤底层的色素因膨胀而破裂,分裂成微小的色素碎粒。在皮肤细胞修复过程中,这些色素碎粒会通过淋巴系统排出体外,从而去除荷尔蒙斑。

东方人较容易于激光疗程后有色素加深的现象,原因是接收高能量后皮肤发炎,使色素过度沉淀,又称为「反黑」。现时的皮秒激光科技,比纳秒激光更快,能减少激光热效的刺激,产生的热伤害相对较低,降低反黑的机会。另外,皮秒激光把能量专注于震荡力而非热力,被照射的色素会分裂得更碎,代谢速度相对也较快,因此能于更短时间内看到疗程效果。

任何医学美容疗程均涉及风险,激光是高能量仪器,必须由经过专业培训及有经验的人员小心操作。请咨询专业人士哪一种是最适合你的解决方法。

(都市日报29/06/2017)

《美容医学》后天的旺夫鼻

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相信不少人对相学有研究,有些思想传统的女性认为鼻梁有节会克夫,因此会选择以医学美容方法去除鼻节。鼻节是指鼻梁有小处凸起,呈驼峰形,所以有鼻节的鼻子又称为驼峰鼻。鼻节形成主要是鼻梁发育时软、硬骨衔接不正常,其次是因外伤或骨折造成。

传统矫正方法是磨平凸起的软骨组织。此方法过程不会感到不适,恢复期约三天,疗程后七天内需要以胶带固定鼻梁,约一周后可以去除线材,效果持久稳定。唯独疗程部位有机会不平顺,甚至因过度矫正而导致鼻梁永久凹陷。

轻微的鼻节可以用透明质酸修饰,做法是填补山根位凹陷处,连贯鼻子线条,使鼻子看起来变平顺。透明质酸修鼻节的好处是其可逆转的特性,万一效果不理想,可以用降解酶把透明质酸溶解重建,而且无需恢复期。但透明质酸会被人体代谢分解,效果只能维持约18个月。另外,透明质酸进入皮肤后会轻微向外扩散,若剂量过多有机会令鼻梁变宽。

避免鼻梁因透明质酸过量而变宽的情况发生,先决条件是专业人士需要准确拿捏剂量,亦可以结合线雕技术,以同样可以被人体代谢的聚对二氧环己酮线(PDO)或聚左乳酸线(PLLA)作为支架,支撑凝胶状的透明质酸,加强承托,以预防透明质酸外扩而引起鼻梁变宽的风险,并可同时延长效果至两年以上。

任何医学美容疗程均涉及风险,需视乎个别身体状况,疗程前请咨询专业人士意见。

(都市日报16/06/2017)

《美容医学》女星青春不老的秘密

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胶原随年龄增长流失乃正常不过的现象。胶原增生的方法有很多,液态拉皮是渐进式的改善方法,因为效果不是即时可见,所以较受想低调塑型的女星欢迎。

液态拉皮又名童颜疗程,是利用聚左旋乳酸(Poly-L-lactic acid / PLLA)刺激皮肤的纤维母细胞,使自体胶原增生,令皮肤厚度增加,达至肌肤饱满的效果。固体形态的聚左旋乳酸被用作医美线材多年,其生物相容性高,不易被身体排斥。它是一种能被生物降解的物质,于体内被分解成二氧化碳、水、糖后会自行代谢。

虽然聚左旋乳酸和透明质酸都有饱满皮肤的效果,但它们的效果不尽相同。透明质酸是一种丰盈剂,疗程后效果即时可见,但维持时间较聚左旋乳酸为短,约一年内会被人体吸收。聚左旋乳酸的疗程效果并不是即时的,它被皮肤吸收后会渐渐被分解,借此刺激胶原生长,效果会于一至三个月内逐渐呈现,但可维持长达两年以上。

传统的聚左旋乳酸有个缺点,针对皮肤较薄的位置时,有机会产生肉眼看不见而触得到的颗粒。伤口容易出现肉芽肿或蟹足肿的人士,接受液态拉皮之前,必须向专业人士了解自身的情况是否合适。操作者在疗程前适当处理聚左旋乳酸,例如控制调配时间,让粉剂充分溶解于液体内,加上疗程后按摩,可减少以上情况发生的机率。

现时有一些聚左旋乳酸可全面使用,即使疗程位置皮肤较薄,比如太阳穴和接近泪沟的部位,也不易产生凹凸不平的效果。其晶体呈不规则状,产生的自体胶原较柔软,需要的按摩次数也大大减低。

任何医学美容疗程均涉及风险,需视乎个别身体状况,疗程前请咨询专业人士意见。

(都市日报29/05/2017)

《美容医学》皮肤也要做定期检查

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大家都明白「病向淺中醫」的道理,所以會做定期身體檢查,但皮膚檢查也很重要!皮膚問題例如色斑、皺紋、毛孔粗大甚至炎症等,其實很多都可通過定期檢查及早發現,那麼療程效果就可大大提升了。市面有很多皮膚分析提供,進行分析有甚麼需注意呢?

首先,要清楚你想檢查的是甚麼層次。有些分析儀看到的是放大了的皮膚表面圖像,能夠分析的僅是已暴露在肌膚表面的問題,較適用於護膚品選擇初步參考;另一類深層智能分析儀則可利用超高解像度技術(千萬像素或以上),有些更以紫外光及偏振光拍照再加上特別影像生成技術,顯示真皮層問題如紫外線色斑、隱性色斑、紅血絲分布,甚至寄生在毛囊口的細菌都可現形,通過定量分析將隱藏在皮膚基底層的問題顯示,適合醫學美容所要求的更精準分析,使用針對性療程。現時的智能分析儀亦有不同進階分析切合不同需要,如預測模擬皮膚老化過程,及以龐大個案數據庫,將同齡、同膚質類型的個案作比對。

另外,分析操作者的專業性是非常重要的。部分分析儀是手持、外置光源的,操作者的力度和進行分析的光源會大大影響結果的準確度;部分測試要求客人先落妝和抹走防曬(例如水分測試),否則會蓋住真實皮膚而錯誤分析;而較專業的中心亦會管理數據記錄,追蹤個別客人的療程進度,像身體檢查般比較不同時期的檢查結果。因此,應選擇可信賴的機構進行分析。

最後,要留意檢查結果只是數據而已,怎樣詮釋有賴分析者的專業知識及有否受過相關訓練,尤其某些皮膚深層次問題,須由專業人士分析作準。

(都市日報19/05/2017)

《美容医学》防晒你要知

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90%的皮肤老化问题是由紫外线引起,因此防晒是维护皮肤健康美丽不可或缺的一步。长期暴露在紫外线下,皮肤老化会比正常快多达10倍,更会让肤色不均,甚至造成皮肤癌(现时罹患皮肤癌更有上升的趋势)。可惜仍有很多人对防晒一知半解,未能做足更全面防晒保护:

1. 在户外才需防晒?

不!室内环境固然都有紫外光,而且长期对着手机或平板电脑,LED荧幕的蓝光也会加速皮肤氧化、色斑的形成及阻碍皮肤修复,所以一年365日都需要使用防晒产品。

亦因此,防晒用品也应选择较全面的,除了须抵挡紫外线(UVA , UVB)外,现时有些防晒霜,已经可以阻挡上述荧幕所发出的蓝光(HEV)和近红外线(IR-A),提供更高效的保护。

2. SPF指数愈高愈保护?

从阻挡UVB的角度,分别有限:SPF30已能阻挡97%的紫外线,SPF50只能增加阻挡至98%,而SPF100也只会是99 %。目前仍未有产品能阻挡100%紫外线。自2011年起,美国食物及药物管理局限制生产商不应标示或声称其防晒产品有高于SPF50的保护,因此举或会令消费者误以为该防晒能提供足够保护。

3. 接受完医学美容皮肤疗程(例如焕肤或激光),应涂上哪类防晒?

答案是物理防晒,因为它的成分是二氧化钛和氧化锌,分子颗粒较大,不会像化学防晒的分子颗粒容易渗入及刺激做完疗程后防御力较低的皮肤。

4. 擦上高效能防晒霜,就可一劳永逸?

不!不论任何度数的防晒霜,出门前30分钟请擦上,以及每2小时补擦一次。

(都市日报27/04/2017)

《美容医学》别让颈纹出卖你!

颈部可以泄露女人的年龄,但却是很容易忽略保养的部位。颈部经常伸展,以及真皮层结缔组织流失,加上下巴皮肤开始松弛,脂肪长期挤压下,颈纹就会形成。幸好现时有不同的医美方法改善。

非入侵性方法:单极射频借着电波加热皮下4.3mm的真皮层,刺激胶原蛋白收缩及持续增生;而聚焦超声波将皮下4.5mm的筋膜层瞬间加热,令皮肤组织重组,增加皮肤组织密度,达至拉提效果,从而减淡皱纹。不过这些方法需要一点时间才见效,效果至少2 至 3 个月后才显现。

丰盈方法:把丰盈材料或自体脂肪注入患处。好处是恢复期短,即时效果较明显,亦适合消除较深的皱纹,但由于颈部皮肤偏薄,皮下脂肪少,充填物有机会移位,甚至局部隆起,令表面不平滑,因此分量及位置需控制得精准。

线材拉提:以医美用线材置于颈部,拉紧松弛的组织,于皮下组成承托皮肤的支架,减淡颈纹,同时增加皮肤弹性。现时有PDO线(俗称「蛋白线」)或PLLA线(俗称「童颜线」)等不同材质,置于皮下半年至两年后会逐渐被人体吸收。现时有些立体线材用多条线组成,以增加与皮下组织的接触面,使纤维蛋白增生面积增加及促进细胞连结。相对于丰盈疗程,线材不易形成珠串状的颗粒,亦不易移位。线材亦可用于提升下巴位,借收紧双下巴来减淡颈部折痕。

任何医学美容疗程均涉及风险,需视乎个别身体状况,请咨询专业人士哪一种是最适合你的解决方法。

(都市日报21/04/2017)