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《美容醫學》真假HIFU

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要數現時最受熱捧的醫學美容療程,『聚焦超聲波提拉』(英譯HIFU)一定是名列前茅的一項。

HIFU意指高能量聚焦超聲波,它可以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,更有效令老化骨膠原收縮,達到猶如傳統拉皮療效,改善鬆弛面部及光澤膚質。

市面上有林林總總的HIFU儀器,療程價格、儀器產地眾多及不同,甚至前一陣子海關查驗出有美容院使用冒牌美國原厰的HIFU儀器,有機會造成灼傷或永久性損害,故選擇HIFU療程時要非常謹慎。

市面有很多沒有FDA(美國食物及藥物安全管理局)認可的HIFU儀器,它們是否能達到皮膚下的4.5mm?是否能產生高能量熱能?這些儀器效用成疑。目前,只有一款HIFU儀器獲得FDA認可,它除了有效能和療程深度保證外,更有顯影顯示超聲波下的皮膚組織,讓操作員在療程中準確地把探頭放在療程部位,而不傷及周邊皮膚組織。除了深度外,足夠的高能量熱能也是取決效果的一大因素,面部不同的部位有不同的線數建議,若療程線數不足,即等於熱能不足,未能刺激骨膠原增生,那就很難看到效果了。療程後,皮膚有機會輕微泛紅及水腫,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。HIFU有別於一般提拉儀器,它無需多次療程,療程後2個月開始看到效果,療效長達2年。

進行『聚焦超聲波提拉』HIFU療程前必須注意:要經專業人士評估健康狀況及是否適合做療程,建議選擇有FDA 認證並有原廠證明的儀器接受療程,並由富經驗的人士進行操作。

(都市日報18/4/2016)

射頻瘦小腿

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纖長的美腿是除了臉蛋以外最能吸引男性視線的部位,短裙配上高跟鞋,優美的腿部線條立即把女性美發揮得淋漓盡致。然而東方人因為肌肉形態及生活作息的關係,小腿較西方人粗壯,想要有修長的下半身,則需要有一雙纖細的小腿。射頻瘦小腿,是目前韓國、日本、台灣越來越多專業人士採用的醫學瘦小腿方式。運用兼具「美型」與「微雕」的射頻技術,想要擺脫惱人的小腿問題,擁有穠纖合度的雙腿不是難事。

許多女性朋友一直為粗壯的小腿苦惱。夏天漂亮的短裙不能穿,冬天望著款式新穎的靴子也沒勇氣嘗試。根據醫學解剖分析,人類小腿部位的脂肪較少,腿部常因肌肉發達而顯得粗壯、臃腫,無論如何運動、節食,都難以擁有纖細美麗的小腿。而我們所謂的甲組腳,絕大部份都是小腿肌過度發達所致。

一般來說,小腿的組成,除了骨頭本身的大小無法修正外,減少小腿肌肉尺寸的方法有兩種方式,分別是肉毒桿菌和射頻肌肉縮小術。肉毒桿菌只要5至10分鐘就可完成,但缺點是需要大劑量的肉毒桿菌,且效果僅能維持6至9個月。想要維持優美纖巧的小腿,就必需不斷重覆的使用,比較花費時間和金錢。

射頻瘦小腿術則是將電磁波導入小腿肌肉層(非神經層),利用電磁波以點狀加溫的方式消融肌肉,讓肌肉纖維自然萎縮,達到肌肉縮小。如此可以減少肌肉尺寸,改善小腿的線條。整個過程沒有破壞神經,不會有神經阻斷後肌肉代償性肥大的問題。射頻瘦小腿的優點是快速,恢復期短,效果較永久,亦不會有走路失衡的問題。射頻瘦小腿術後可能有數天到數周的小腿腫脹麻木,痠痛無力情形,一個月內需著彈力襪及避免劇烈運動,之後就可回復正常,盡情展露性感的小腿線條。

至於有些女士的小腿同時有脂肪冗贅的困擾,對於這些合併脂肪型的小腿肥大,可同時合併進行超聲波溶脂,將多餘的脂肪移除,令小腿的線條得以提升收緊,塑造人人稱羨的修長美腿。

所有療程都有潛在的風險與副作用,進行前必需先諮詢專業人士商討。

(29/04/2016)

《美容醫學》陰道鬆弛、尿滲怎解救?

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從前,收窄陰道的方法只可做陰道重整療程,將陰道與鄰接組織連合多些,從而收窄鬆弛了的陰道,但療程的痛楚及復元期也會比較長時間,同時療程後的疤痕組織有時會令男性行房時感到不適。

現時,有專為修護女性私密的激光儀器推出了,可透過激光刺激陰道周邊膠原蛋白再生與重組,活化細胞層,改善陰道鬆弛及產後滲尿問題,療程時間短,也無疼痛。這種激光更可增加陰道腺體分泌潤滑的作用,及粉嫩外陰及乳暈顏色。

此外,更可配合透明質酸,讓收窄效果更顯著及潤澤外陰皮膚。女性面對生育後或年紀漸長,都會出現陰道鬆弛或滲尿的情況,不用覺得難以啟齒,私密處的保養也關係着女性的健康與自信。

任何療程都可能存在風險或副作用。進行私密處療程前必須注意:要經專業人士評估健康狀況,並建議選擇獲原廠認證、富經驗的專業人士操作療程。

(都市日報5/5/2016)

《美容醫學》蒙蘿麗莎的微笑嘴

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有人說,嘴唇是女孩子最性感的地方之一,名畫《蒙蘿麗莎的微笑》傳頌千古,大家都對她的微笑傾倒不己,可見一雙精緻櫻唇的魅力。立體的微笑唇形可令臉孔變得更生動,也更富甜美感覺,帶來極具親和力的笑容,令人在社交及會客時佔盡優勢。

一張笑臉可以帶來很多方便,可是笑臉的好看與否,和嘴唇的形狀有很大關係。有些人天生的嘴唇較薄,看起來較薄情之餘,也易予人強顏歡笑,甚至是「假笑」之感。由於嘴唇沒有什麼立體感,笑起來臉會更扁更寬,顯得了無生趣,即使花很長功夫用唇線描繪出唇形,再蓋上厚厚唇彩,效果也強差人意。

最為誘人的唇形是微微豐厚,上唇正中的位置和下唇兩處各有一個小唇珠。這種唇形看起來微微上翹,既像天真的小女孩,也像渴望親吻的樣子,既純真又性感,令人想一親芳澤。帶有唇珠的唇形,會令唇峰有棱角,唇型輪廓變得更立體,從而整體臉部輪廓看起來更加精緻有神,猶如電影明星般吸引。

不過,天生有唇珠的人並不多,可以在上唇正中及下唇兩處用透明質酸來創造。專業人士會將透明質酸注入至肌膚,通常會注四、五個點。待透明質酸吸收水分膨脹後,專業人士就開始塑形,塑形完畢後即可。

有些人本身的唇形比較緊繃扁平,此時可以配合肉毒桿菌讓嘴和下巴的肌肉放鬆時,呈現一個微笑曲線的唇型,令面容更顯年輕愉悅。如果同時配合甜美的蘋果肌、眼下的臥蠶、及尖俏的下巴,整張面好似不笑的時候看起來也笑容可掬,親切有加。

有了漂亮的唇形,嘴唇肌膚也要水嫩才可。尤其是踏入秋冬,很多女性都受嘴唇乾燥困擾,透明質酸除了可塑造出微笑唇,也可令唇部飽滿潤澤、淡化唇紋及修護乾裂的嘴唇。

透明質酸是人體本身已有的物質,所以非常自然,在人體內停留時間約9個月後就會慢慢被分解掉。透明質酸療程後,會有短暫的發紅腫脹或是瘀青的現象,過幾天後就會慢慢消失。所有療程都有一定風險,接受療程前必須先和專業人士諮詢討論。

《美容醫學》 激光去斑會反黑?

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部分人接受激光去斑後,會出現俗稱皮膚「反黑」的情形,即是原本的斑會再次出現,甚至範圍更大或更黑。為何會有此現象呢?

其實,激光療程後初期如有反紅或反黑是正常的。反黑是激光產生光熱效應而令皮膚組織受損發炎,造成黑色素沉澱;而反紅則大多與激光的劑量有關,劑量愈高,效果愈強,發炎就愈明顯。此外,出現反黑與否也取決於色斑的種類,以及個人的膚色:東方人膚質較容易出現反黑,據統計,皮膚白皙人士有20%會出現反黑情況,棕黑膚色人士則高達71%;還有,療程後沒有做足護理也是出現反黑的原因。

專業人士會在療程後按情況給予處方藥膏,塗抺療程的部位,這可以降低發熱紅腫、預防反黑發生。接受療程人士本身亦須做好保濕及防曬措施,例如選用SPF30以上的防曬產品,並於戶外活動時每2-3小時補塗一次,亦可配合左旋維他命C使用;在戶外也須多使用遮陽傘。

總括而言,反黑只是暫時性,一般來說大約需要1-2個月時間便會消退,也有需要3-6個月的例子,視乎體質、黑斑種類、代謝色素的能力及療程後護理等因素而定。現時亦有一些較先進的755nm波長皮秒科技,獲美國FDA認證,去除頑固色斑更快更徹底,更可降低反黑反紅的風險。

在本港,激光儀器質量常參差不齊,有機會造成灼傷或永久性損害。建議選用有FDA認證並有原廠證明的儀器接受療程,並由富經驗的專業人士進行操作。任何療程也有風險,請諮詢專業人士評估色斑情況,及是否適合做激光去斑療程。

(都市日報 14/6/2016)