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《美容醫學》修出細長小腿

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天氣慢慢回暖,又是穿短裙的季節。東方人頭部佔身體比例較大,腿相對較西方人短,因此有不少女士希望藉着改善腿部線條來修飾整體身形比例。一般而言,小腿粗壯的成因可以是脂肪積聚或者肌肉肥厚。脂肪細胞與肌肉纖維之間不會因運動而互相轉化,因為脂肪與肌肉是兩種不同的組織。針對修飾不同類型小腿, 現時有不同的醫美解決方案。

脂肪型:溶脂是較快見效的方法,原理是透過釋放超聲波來乳化脂肪,再引流出體外達至塑身效果。這個方法可抽走八至九成脂肪細胞,脂肪細胞被溶解後,該部位反彈的機會相對較低。

肌肉型:改善這類型的小腿有兩個選擇。其中一個方法是用電波射頻直接刺激肥大肌肉,令其受熱後自然收縮,效果是永久性的。另一種方法則是使用肉毒桿菌,它是一種高純度蛋白質,可以阻隔神經末梢的信息傳遞,從而令繃緊的肌肉放鬆,繼而縮小。效果可維持9至12個月。接受肉毒桿菌療程不需要恢復期而且副作用少。

但要注意,因每一雙腿走路時,內外肌肉用力比重都不同,因此每個人以肉毒桿菌瘦小腿所需的份量及位置都會有異。專業人士事前需評估小腿條件,訂立各區塊所需的準確份量。如諮詢員不夠專業,評估內外肌肉份量不準確,可能造成腿形改變,例如造成O形腿或X形腿。

另外,接受多次密集式的肉毒桿菌療程後,身體可能會出現抗體,肌肉可能會對肉毒桿菌失去反應。現時有些肉毒桿菌純度較高,出現抗體的風險相對較低。所有醫美療程均有風險,需視乎個人身體狀況,請諮詢專業人士哪一種是最適合你的解決方法。

(都市日報31/03/2017)

《美容醫學》眼部拉提有不同方法

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眼部下垂是步入熟齡要面對的問題之一,成因是眼周皮膚逐漸流失膠原蛋白,肌膚支撐力因而下降,引致鬆弛下垂;而上下眼瞼這些位置是全身皮膚最薄最脆弱的地方,加上一般人每天眨眼達一萬次,眼部活動頻繁,細紋容易形成。針對眼部鬆弛及細紋,過往只能以動刀拉提眼部,將前額和眼部皮膚向上拉緊及減淡眼紋,恢復期較長,現在則有其他無創方法去改善。

肉毒桿菌及透明質酸:藉着肉毒桿菌放鬆眼周向下拉的肌肉,眼和眉弓就會有上揚拉提功能;亦可在眉骨處以透明質酸來提升眼尾部位。而眼周的皺紋可以最小分子的透明質酸豐盈,或以肉毒桿菌放鬆肌肉減淡,兩者對動態紋效果較明顯,效果一般可維持半年至一年。

電波拉提:利用單極射頻技術,均勻加熱眼部深層皮膚組織,刺激膠原蛋白,即時會收緊肌膚,同時約六個月內真皮組織裏會再生新的膠原蛋白,不斷拉提鬆弛的眼部皮膚,改善眼周皺紋及下垂眼形。相對於肉毒桿菌和透明質酸,電波拉提屬非入侵療程,且能針對眼部周圍的非動態紋如魚尾紋等(即是沒有表情時依然存在的細紋)。一般效果能維持三年左右,可做兩至三次以上加強。

釘書機式雙眼皮:用上類似釘書機的器材作為工具,在上方眼皮位置使用。此療程除了可做出雙眼皮的外觀外,還可將多餘和鬆弛的眼皮隱藏在雙眼皮摺痕內,並拉高單眼皮人士易於下垂的眼頭。

以上不同方法,會因應個別年齡和眼部皮膚狀況而有效果差異。請就你的問題和健康狀況,向專業人士了解不同療程的效果和風險。

(都市日報 17/03/2017)

《美容醫學》陰道都要保養

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近年有調查指出,本港女性的性滿足比率只有53%,比台灣的64%遜色。調查又發現,香港女性使用按摩棒等用品自慰的比率,高於台灣及新加坡。

自古以來,陰道是否緊緻是性滿足的其中一個要素。但隨着女性年齡增長,尤其是產後婦女,很多時會出現陰道鬆弛的情況,若忽視不理,除了可導致兩性生活不美滿外,亦可能因為分泌減少及乾癟,令陰道容易成為細菌溫牀,增加感染風險,同時更要面對失禁的煩惱。

現時醫學上有幾種方法可改善陰道鬆弛問題:

陰道重整療程:產後陰道鬆弛情形較嚴重的婦女,可考慮陰道緊縮術,把陰道黏膜與提肛肌拉緊,將陰道管徑縮小,亦不適合短期內計劃懷孕的女性。

豐盈方法:以自體脂肪或透明質酸進行,豐盈萎縮的陰道壁,增加它的厚度及潤澤度。優點是過程快速,步驟簡單,而且復元期短。缺點是維持時間僅9-12個月,之後需再次接受療程。

激光技術:現時已經有專門使用於陰道黏膜和其下層彈性纖維的激光,可刺激陰道周邊膠原蛋白再生與重組,活化細胞層,幫助陰道變得緊實,更可增加陰道腺體分泌潤滑的作用,並可改善陰道鬆弛及產後滲尿等問題。優點為無創,亦可配合激光改善外陰的色素。一般需療程2-3次,效果可維持一年左右。

超頻技術:以超聲波結合聚焦單極射頻技術,刺激外陰和陰道口的膠原蛋白及彈性蛋白的收緊和增生,增厚膠原層,並放鬆陰部被壓的神經,提升血液和淋巴循環。除了可收緊及潤澤乾癟的陰道、增加彈性,亦可改善外翻的陰唇,重塑「含苞待放」的緊緻形狀及膚質。無創,無痛感,一般需做4次療程,效果可維持半年至一年。

以上療程均可能有一定風險,請諮詢有足夠經驗的專業人士。

(都市日報 27/02/2017)

《美容醫學》面型速速瘦 

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過年期間偶爾都可能會大吃大喝,面對假期後的包包面或四方面,怎樣才可急救?

現時有幾種不同的醫美方法可供參考:

瘦面療程:是以肉毒桿菌放鬆及縮小兩腮發達的咀嚼肌,令面部線條柔和,達到瘦面的功能。瘦面療程也適用於提升面型及改善面型大小不一。效果維持約半年,之後可考慮每半年左右做一次維持。請留意,施行瘦面療程的技術和經驗很重要,簡單舉個例子,有些人本來擁有美麗酒窩,做完瘦面療程後酒窩消失了,其實如專業人士能準確判斷瘦面位置便能保留酒窩了。

拉提:如果瘦面的問題不在兩腮發達的肌肉而是鬆弛,「聚焦超聲波拉提」(HIFU)或美容線提升這一類拉提療程會較為適合。HIFU原理是聚焦傳送高能量超聲波到皮膚下的肌腱膜層,令鬆弛腱膜收縮拉緊及刺激骨膠原增生,改善鬆弛面部,更可光澤膚質。一般在療程後兩~三個月才見分別,可維持長達2年。療效視乎 HIFU儀器的能量和深度穩定性,及操作人員的經驗是否可準確判斷位置和使用能量。而美容線是以不同長度、形狀及材質的線材,置於面部不同的「拉提點」,把鬆弛的面部組織拉緊,同時可減少皺紋。

溶脂:如果面部或雙下巴主要是脂肪比例多,溶脂是可考慮的直接方法。一般減肥方式只能縮小脂肪細胞的體積,卻不能永久消減脂肪細胞的數目,只要脂肪細胞還在,就有機會反彈增肥。而超聲波吸脂就是以超聲波快速震盪,在不傷血管及神經下直接溶解及排走面部多餘的脂肪細胞,效果可謂一勞永逸。療程後恢復期約一個月。

所有醫美療程均有風險,需視乎個人面部肥胖的原因及身體狀況,請諮詢專業人士哪一種是適合你瘦面的解決方法。

(都市日報 14/02/2017)

《美容醫學》如何補充膠原?

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不少人都會多吃含骨膠原的食品,希望補回流失的骨膠原來讓皮膚飽滿年輕。但事實上,皮膚能從飲食吸收的骨膠原只有3至5%左右,所以作用不太大。想抗衰老,除做足防曬工夫外,亦有一些非入侵療程,有助達到皮膚飽滿緊緻、輪廓提升之餘,亦可讓膠原自我增生。

現時較多人談論的是「聚焦超聲波拉提」(HIFU),在無損傷下穿透皮膚,準確聚焦在皮膚4.5mm下的SMAS肌腱膜層,產生高能量熱能,從而刺激骨膠原增生,更令老化骨膠原收縮,改善鬆弛的面部及光澤膚質。請留意,現時HIFU儀器琳瑯滿目,建議選擇已取得FDA認證的機種,在療效和安全方面會較有保障。

另一種是「超頻雙波拉提」,即是以單極射頻結合超聲波交融輸出技術,以每秒二百萬至三百萬次的超聲波,在表皮與真皮層造成機械式震動效應,深入6層組織,在每一層都針對性解決各項膠原問題,例如在真皮層做膠原蛋白再生,增加膠原密度;在皮下組織作膠原支架重組;在深淺筋膜層做收縮膠原纖維、拉提收緊,以期減淡皺紋,提升面部輪廓。聽上去好像非常「大工程」,實質上它是無創及微感覺,所用的超頻雙波控溫技術也讓皮膚表層不會過分受熱。

以上各項方法的成效,需視乎個別情況,請向具經驗的專業人士諮詢,詳細了解自己適合哪種輪廓提升療程,以及相關風險。
(都市日報 25/01/2017)

《美容醫學》個鼻會發光?

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最近看到一個電視清談節目,嘉賓提到驚見有位女士疑似做過透明質酸療程,近距離會看到她的鼻子在陽光映照下,鼻樑中間竟然會「發光」!

這位嘉賓提到的女士,鼻子發光的原因不得而知,但透明質酸療程的確有一種叫「藍光效應」(tyndall effect),就是療程部位在陽光下會泛着類似藍光、青黑的狀況,主因是光線映到皮膚上,被內裏的透明質酸的懸浮膠體顆粒散射,而光線當中波長較短的藍光,容易反射到皮膚表面,藍色光因而產生。因此,「藍光效應」通常較容易在淺層療程部位出現,例如淚溝、鼻部的淺層位置等。

上述的潛在反應,與專業人士技術、療程深度位置及劑量等相關;而對於透明質酸的材質選擇亦十分重要。市面上各種透明質酸濃密度有別,大致分為顆粒式、部分顆粒式及全凝膠三大類,與肌膚的融合度、支撐度、回彈度亦各有不同。當中,零顆粒的全凝膠透明質酸較不易出現「藍光效應」。有些透明質酸亦會針對淺層部位改良技術,有助處理鼻部、淚溝、眼紋、魚尾紋、眉心紋、唇周紋、頸紋等,讓效果更加自然。

透明質酸療程逐漸較為人所熟悉,希望大家對它有更深入的了解,包括不同種類透明質酸的區別、用途及潛在副作用,並向富經驗的專業人士諮詢後,才決定是否接受相關療程。

 

(都市日報 10/01/2017)

《美容醫學》不同溶脂方法

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從前關注身形人士只會在夏天快到時才減肥,因為大熱天身形無所遁形。但隨着地球暖化,現在即使是冬天,街上仍見人熱得只穿短袖熱褲,在這個充滿節日聚餐氣氛的易胖季節,都有不少人問:「冬天想Keep Fit可以怎樣做?」

除了注意飲食和生活模式外,現時有一些非入侵性的無創溶脂療程可選擇,大致可分為接觸性和非接觸性溶脂。

接觸性溶脂:「冷凍溶脂」以低溫冷凍脂肪細胞,令其提早老化,並透過天然分解及清除過程,令脂肪層變薄,最後透過身體正常代謝過程溫和排出體外;而「超聲波溶脂」則運用高頻率的聚焦超聲波方式,在不傷害皮膚的情況下,由儀器的探頭釋出高能量,經表皮層逐層加熱至脂肪層進行溶解,溶解後的脂肪會隨着身體的新陳代謝慢慢排出體外,亦可刺激骨膠原增生,使療程部位的肌膚緊緻。以上兩種療程都是以探頭接觸皮膚再傳輸能量施行療程,所以過程中有些人皮膚會有不同感受。

非接觸性溶脂:「標靶隔空溶脂」以標靶式射頻,隔空傳送能量至皮下脂肪,實時主動追蹤脂肪層,細胞吸收能量後自然凋謝並經體內循環系統排走。由於整個過程都是非接觸性,療程過程中沒有多大感覺。相比其他溶脂的逐小範圍進行療程,隔空溶脂每次療程範圍比一般溶脂更大,因此如果以大範圍如腰間及大腿來說,隔空溶脂算是快速。

以上各項溶脂方法都是不傷正常細胞,亦無創、無需復元期,可向專業人士查詢潛在風險及究竟哪一種較適合自己。

(都市日報 30/12/2016)

《美容醫學》「男人真心話」雙手也要保養

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日本網絡媒體“Mynavi Woman”做過一項「男人真心話」調查,問受訪者「你覺得女性若沒好好保養,會讓人看得很難過的部位是哪裏?」結果指男性最在意的保養部位第一名是手部(高達16.4%),當中有男性表示粗糙的手會讓人沒有想牽手的欲望。

隨着年紀漸長,皮下脂肪流失,加上組織萎縮,造成青筋肌腱漸露、指縫間凹陷,可透過療程增加皮膚外表的飽滿感,達到滑溜青春效果,現時有聚焦超聲波提拉、透明質酸、微晶球體(CaHA)等方法。

超聲波提拉:聚焦在皮膚4.5mm下的肌腱膜層,產生高能量熱能,刺激骨膠原增生並令老化骨膠原收縮,達到猶如傳統拉皮療效,改善鬆弛的手部皮膚。但療程部位會感到輕微痠痛,這是收縮緊實表現,感覺一般幾天會消退。

透明質酸:適用於手部關節間有凹陷情形,使用透明質酸填補可達至豐盈。透明質酸質感較軟,效果較自然。但要留意,手部是經常活動的部位,透明質酸流失得較快,維持期不會太長。

微晶球體:和透明質酸一樣,是一種可被人體分解的物質,可填補變多的雙手皺摺及皮下脂肪萎縮形成的凹陷。由於黏性佳,較不易移位變形,並同時會促進膠原蛋白增生,飽滿柔嫩雙手。微晶球體會慢慢代謝,維持期會較長,但也不是永久。

以上手部療程都各有優缺點,使用哪種方法需視接受療程者手部及整體身體情況而定,並有相關風險,請向專業人士查詢。

(都市日報 06/12/2016)

《美容醫學》備戰聖誕:透明質酸?微晶球體?

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天氣逐漸步入冬天,有些大型商場更已開始聖誕裝飾了,也就是說:節日社交旺季快將來臨!愛美人士當然不能等到12月才備戰,現在已需要做好扮靚工夫。至於做甚麼,當然因人而異,而近年不少女士會選擇接受輪廓美化及嫩膚,例如透明質酸、微晶球體等非永久性方法。

透明質酸又稱玻尿酸,是由膜蛋白透明質酸合成酶組成的凝膠,與人體肌膚內自行產生的透明質酸相似,因此和身體組織相容度高,會被吸收分解,大大減低反應過敏的風險。而且由於透明質酸的質感較軟,效果會較自然。要注意的是,不同大小分子的透明質酸適用於面部不同部位,例如小分子較適用於面部較細緻部分的線條美化,大分子則適宜用作大範圍的飽滿提升。透明質酸亦可深層滋潤乾燥皮膚,在冬天特別用得着。但亦由於透明質酸的成分容易被分解,效果維持較短。不過現時已有較高濃度的透明質酸供選擇,可減慢分解時間,兼加强承托力。

至於微晶球體,其實是一種主要由烴基磷灰石鈣組成的白色凝膠,成分屬於天然礦物質,與人體相容度高。它的粒子較大和較硬,也會被人體吸收和分解,但分解後留下來的物質會促進自體膠原蛋白增生,從而讓皮膚有彈性及緊實,達至臉部塑形與拉提的功能。除了有助輪廓塑形外,亦可撫平細紋,結實肌膚。

整體來說,微晶球體的分解時間比透明質酸長,效果較持久;它的支撐能力也較強,且本身較穩定,不會滑動、移位、變形。但它就不宜用於改善淚溝、美化唇部等皮膚較薄位置了。

有關接受透明質酸或微晶球體方案的注意事項及相關風險,請向專業人士諮詢。

(都市日報 23/11/2016)