在安德森內搜尋：

​“眼整形藝術家” ​杜隆成 主任醫師：顏面、眼部整形 ｜身體雕塑項目 ｜學經｜國際進修｜專業認證進修｜ 顱顏外科 江天恩 主任醫師 ｜專長｜ 顱顏外科 唇顎裂 正顎手術 口腔顎面外科 全口顎骨重建 ｜經歷｜ 越南 Kangnam Hospital of Aesthetic & Plastic SurgeryGroup 顱顏外科 顧問 印度慈善醫院 Scudder Memorial Hospital 顱顏外科 顧問 上海禾新國際醫院 顱顏外科主治醫師 柬埔寨整形外科醫學會 顧問 沃德口腔顎面外科診所 院長 布拉格醫美診所 顱顏外科主治醫師 國防醫學院 講師 北京愛育華婦兒醫院 顱顏外科主治醫師 台北醫學大學附設醫院 顱顏外科主治醫師 巴基斯坦唇顎裂慈善醫院 訪問醫師 台北醫學大學附設醫院 顱顏中心 Fellowship 三軍總醫院 口腔顎面外科主治醫師 ｜學歷｜ 國防醫學中心 口腔顎面外科 碩士 國防醫學中心 口腔顎面外科 專科醫師 國防醫學中心 住院醫師 美國國家考試檢定合格 ｜獲獎｜ 2025 沃德牙醫診所諾保科全口重建卓越中心 2017 年度最佳住院醫師 2016 年度國際服務紀錄片獎 2011 年度第一屆巴基斯坦矯正國際會議價 值貢獻獎 美麗見證： ｜國際演講｜2026 2026 Vietnam Association of Oral Maxillofacial & Reconstructive Surgeons Surgical Rationales Behind Orthognathic Surgery Ho Chi Minh, Vietnam / May. 2026 2026 Mahidol University Recent Advancement in Gingivoperiosteoplasty – Graftless Evolution in Mixed Dentition Period Bangkok, Thailand／May. 2026 2026 University of Puthisastra Full Mouth Implant Rehabilitation-Concepts to Clinical Practice Phnom Penh, Cambodia／April. 2026 2026 Technological Innovations in Orthodontics and Dental Disease Treatment-Workshop Full Mouth Implant Rehabilitation – Current Trends and Innovation . Hanoi, Vietnam / Mar. 2026 2026 Kangnam Hospital of Aesthetic & Plastic Surgery Group Surgical Demonstration of Total Joint Replacement and Orthognathic Surgery Hanoi, Vietnam / Mar. 2026 2026 Application of 3D Technology in Maxillofacial Surgery & Facial Contouring Surgery-Workshop Application of Digital Anatomy and Technology in the Diagnosis and Treatment of Temporomandibular Joint (TMJ) Disorders Hanoi, Vietnam / Mar. 2026 2025 The 30th Annual Conference of Cambodian Society of Surgery Panelist of Establishment of Craniofacial Surgery in Low Resource Setting Region Phnom Penh, Cambodia/ Nov. 2025 2025 The 30th Annual Conference of Cambodian Society of Surgery Surgical Rationales Behind Orthognathic Surgery Phnom Penh, Cambodia/ Nov. 2025 2nd IAOI Global Implant Summit 2026-Inaugural Launch All on 4- Predictable Implantology Trivandrum, India/ 21th, Sept. 2025 17th State Annual Conference of Association of Oral & Maxillofacial Surgeons of India, Tamil Nadu & Puducherry Branch Panelist of Craniofacial Asymmetry Tamil Nadu, India/ 20th, Sept. 2025 17th State Annual Conference of Association of Oral & Maxillofacial Surgeons of India, Tamil Nadu & Puducherry Branch Surgical Rationale Behind OGS procedures Tamil Nadu, India/ 20th, Sept. 2025 Rajas Dental College & Hospital Full Arch Implant Rehabilitation-Concepts to Clinical Practice Tamil Nadu, India/ 18th, Sept. 2025 Ramaiah University of Applied Sciences in Association of Indian Prosthodontic Society Bengaluru Branch Stepwise Decisions-Hard and Soft Tissue Fundamentals Bangalore, India/ 17th, Sept. 2025 Indian Dental Association Madras Branch-International CDE Program Stepwise Decisions-Hard and Soft Tissue Fundamentals for Aesthetics Zone Implants Chennai, India/ 14th, Sept. 2025 Sri Venkateswara Dental college & Hospital-Indian Association of Oral Implantologists All on 4 Masterclass-Lecture & Demo Chennai, India/ 13th, Sept. 2025 Adhiparasakthi Dental College & Hospital-Indian Association of Oral Implantologists Full Mouth Implant Rehabilitation-Current Trends and Innovations Chennai, India/ 12th, Sept. 2025 2025 The 8th Annual Cambodia Association of Orthodontists Conference Recent Advancement in Gingivoperiosteoplasty Graft-less Evolution in Mixed Dentition Period Phnom Penh, Cambodia/ Feb. 2025 2024 The 14th Plastic Surgery Conference of Cambodian Association of Plastic Reconstructive & Aesthetic Surgery(CAPRAS) Recent Advancement in Gingivoperiosteoplasty – Graft-less Evolution Phnom Penh, Cambodia / Dec. 2024 2024 Taipei International Military Medicine Forum TIMMF The Purpose Driven Life - A Craniofacial Surgeon’s Search Taipei, Taiwan / Dec. 2024 2024 Taipei Rotary Club The Purpose Driven Life - A Craniofacial Surgeon’s Search Taipei, Taiwan/ Sep. 2024 2024 The 11th Sri Lanka Orthodontic Society Conference Recent Advancement in Gingivoperiosteoplasty – Graft-less Evolution in Mixed Dentition Period Waskaduwa, Sri Lanka / May. 2024 2024 American Cleft Palate Craniofacial Association Comparative outcomesof extensive gingivoperiosteop;asty using collagen barrier memebrane to enhance alveolarbone regeneration in unilateral cleft lip and palate Denver, USA / Apr. 2024 2023 The 15th Taiji Fetal Medicine Workshop Cleft Care Beyond Surgery-TMUH and Taiji Total Familial Care with Scientific Results Taipei, Taiwan / Dec. 2023 2023 Vietnam International Dental Exhibition & Congress Recent Advancement in Gingivoperiosteoplasty - From Bone Graft to Graft-less Evolution Hanoi, Vietnam / Sep. 2023 ｜論文發表｜ 1. Chiang, Tien-En& Lucia Pannuto& Serena Yu-Li Huang & Wei-Tang Li & Wan-Yu Tsai & PhilipKuo-Ting Chen. (2023). Rationalefor white skin roll flap in unilateral cleft lip repair: A retrospective anthropometric measurement analysis. Journal of Plastic, Reconstructive & Aesthetic Surgery. 10.1016/j.bjps.2023.08.017 2. Chiang, Tien-En & Lin, Yu-Chun & Wu, Chi-Tsung & Wu, Sheng-Tang & Chen, Yuan-Wu. (2022). Association between socioeconomic status and severity of oral epithelial dysplasia using a Taiwanese Nationwide Oral Mucosal Screening Program: a retrospective analysis. BMC Oral Health. 22.10.1186/s12903-022-02084-7. 3. Chiang, Tien-En & Lin, Yu-Chun & Wu, Chi-Tsung & Yang, Cheng-Yu & Wu, Sheng-Tang & Chen, Yuan-Wu. (2021). Comparison of the accuracy of diagnoses of oral potentially malignant disorders with dysplasia by a general dental clinician and a specialist using the Taiwanese Nationwide Oral Mucosal Screening Program. PLOS ONE. 16.e0244740.10.1371/journal.pone.0244740. 4. Chiang, Tien-En & Lin, Yu-Chun & Li, Yu-Hsuan & Wu, Chi-Tsung & Kuo, Chin-Shan & Chen, Yuan-Wu. (2019). Comparative evaluation of auto uorescence imaging and histopathological investigation for oral potentially malignant disorders in Taiwan. Clinical Oral Investigations. 23.10.1007/s00784-018-2691-8. 5. Li, Yu-Hsuan & Chiang, Tien-En & Chen, Yuan-Wu. (2019). Full mouth reconstruction with immediate implantplacement in multipleextraction sockets. Journal of Dental Sciences. 14. 99-100. 10.1016/j.jds.2017.12.001. 6. Li, Yu-Hsuan& Chang, Wei-Chin& Chiang, Tien-En& Lin, Chiun-Shu& Chen, Yuan-Wu. (2019). Mouth-opening device as a treatment modalityin trismus patients with head and neck cancer and oral submucous brosis: a prospective study. Clinical Oral Investigations. 23.1-8. 10.1007/s00784-018-2456-4. 7. Chiang, Tien-En & Chen, Chien-Feng & Li, Yu-Hsuan & Chen, YuanWu. (2017). Comprehensive orthognathic correction of post-traumatic Le-Fort II deformity. Journal of Dental Sciences. 13. 10.1016/j.jds.2017.08.002. 8. Chiang, Tien-En& Lin, Yu-Chun& Chang, Wei-Chin& Chen, Yuan-Wu. (2017). The nasolabial subcutaneous pedicle ap for lower-lip defect reconstruction. Journalof Dental Sciences. 13. 10.1016/j.jds.2017.08.003. 9. Li, Yu-Hsuan & Liu, Chao-Chih & Chiang, Tien-En & Chen, Yuan-Wu. (2017). EZBite open-mouth device: A new treatment option for oral submucous brosis-related trismus. Journal of Dental Sciences. 13. 10.1016/j.jds.2017.06.002. 10. Chiang, Tien-En& Ho, Ching-Liang & Lin, Chun-Shu& Chen, YuanWu. (2017). Complete remission in very advanced oral cancer by docetaxel, cisplatin, 5- uorouracil based induction chemotherapy followed by concurrent chemoradiation. Journal of Dental Sciences. 13.

安德森整形外科診所，由全球知名整形外科權威鄭明輝教授領軍，並使用全台僅4台的Mitaka顯微鏡進行手術。兼具美容與治療效果，提供國際等級醫療、醫美服務，包含淋巴水腫治療、乳房重建、隆乳、乳房微調美學、臉部美容、身材精雕等服務，依據個人體況和需求精細診斷，客製化專屬您的美容治療計畫，從局部到全身，打造健康美麗新生活！ 25 Years of Surgical Experience An Authority in Lymphedema, Breast Reconstruction, and Aesthetic Medicine Professor Ming-Huei Cheng is an internationally certified plastic surgeon specializing in microsurgical reconstruction. He is recognized as one of the most sought-after plastic surgeons in the global field of microsurgical reconstruction. To date, he has performed over 2,500 microsurgical procedures, including head and neck reconstruction, breast reconstruction, extracranial-intracranial bypass surgery, lymphaticovenous anastomosis (LVA), and vascularized lymph node transfer (VLNT). In 1997, Professor Cheng completed six years of residency training in plastic surgery at Chang Gung Memorial Hospital in Linkou, Taiwan, and was subsequently promoted to attending plastic surgeon. In 1998, he completed a fellowship in microsurgery at the Department of Plastic Surgery at MD Anderson Cancer Center in Houston, Texas. He became a member of the American Society for Reconstructive Microsurgery in 2003 and a Fellow of the American College of Surgeons in 2009. Since 2017, Professor Cheng has served as an adjunct professor at the University of Michigan’s Department of Plastic Surgery. Each year, he conducts demonstration anatomy teaching sessions and delivers lectures to guide students at the University of Michigan. 媒體採訪 媒體採訪 Play Video Play Video 02:40 乳癌術後還沒完！醫曝最折磨人後遺症　她手腫到連拿筆都難｜三立新聞LIVE 🌀 三立LIVE新聞 24 小時不打烊！隨時都在你身邊陪你看世界 👉https://youtube.com/live/QsGswQvRmtU 💬 精選節目看這裡 ⬇️⬇️⬇️ 🌍 李文儀｜消失的國界 看見世界，走出台灣 🌐 👉https://www.youtube.com/@消失的國界 🗣️ 李正皓｜新台派上線 最敢說的新觀點，沒有極限！ 👉 https://www.youtube.com/@新台派上線 🚀 王偊菁｜前進新台灣 一起推進改變台灣的力量 💫 👉https://www.youtube.com/@前進新台灣 🕵️♀️ 呂惠敏｜驚爆新聞線 重大事件第一線深度揭密！ 👉 https://www.youtube.com/@驚爆新聞線 ✨ 朱培滋｜台灣亮起來 每個努力發光的人，都值得被看見 🌟 👉 https://www.youtube.com/@台灣亮起來 🧑💼 鄭弘儀｜話時代人物 與你一起走進人物背後的故事 ❤️ 👉 https://www.youtube.com/@話時代人物 📱 下載三立新聞網APP（新聞不漏接、節目隨時看） 👉 https://acts.setn.com/event/2024newsapp/ 🌐 三立新聞網官網 👉 https://www.setn.com/ 💼 想加入我們，一起說好故事？ 👉【職缺介紹】https://www.104.com.tw/job/8rrov?jobsource=google Play Video Play Video 47:19 草蜢蔡一傑抗癌暴瘦9公斤！頭暈檢測！ 三金歌王洪榮宏逆轉三高！抗肌少症！【聚焦2.0】第627集 醫美診所針孔偷拍事件嚇壞民眾！出國整形或做醫美，真的又俗又好？中國流行的「精靈耳」整形傳出毀容案例！整形權威鄭明輝示警！小心致癌填充物！通常注射填充物出現饅化現象大約要幾年，若是材質無法被吸收，就得動手術才能清除！ 三金歌王洪榮宏自爆最近剛出月子？原來去年底動了「總有一天等到你」的攝護腺手術，恢復期竟然比一般人長！名醫提醒，攝護腺刮除之後，還是會罹癌！攝護腺癌初期無感，當腰痛、腳麻症狀出現，恐怕已經癌症轉移！ 曾沛慈勇闖《浪姐7》，其實她當年參加《超級星光大道》因為壓力一度胖到62公斤！藝人王真琳自曝壓力性進食，半年暴肥8公斤！名醫如何逆轉二高，甩掉身上十多公斤體重？1800卡食譜這樣吃！ 退化性關節炎不是老人專利！40歲膝蓋沒擋頭，可能是吃出來的！最新研究發現，愛吃超加工食品的人，大腿油花特別豐富！發炎因子還可能傷害心血管、增加失智風險！一個相當重要的算式，可以算出你的內臟脂肪是否超標！ 流汗多、喝水少，小心結石發作！45歲爸爸右腰痠痛一直隱忍，等到受不了才跑急診，已經腎臟發炎感染，再晚一步就會引發敗血症！如何分辨是肌肉痠痛還是腎結石造成的疼痛？敲敲看肋脊角就知道！ 本集完整影片請至►https://youtu.be/Jnc5h9vQzlE 來賓： 安德森整形外科診所院長 鄭明輝 馬偕醫院泌尿科資深主治醫師 李致樵 資深醫藥記者 洪素卿 三金歌王 洪榮宏 復健科醫師 王思恆 #高文音 #養生 #健康保健 #洪榮宏 #王彩樺 #張曼玉 #侯佩岑 #矽膠 #精靈耳 #神奇膠 #致癌 #隆乳 #隆鼻 #頻尿 #尿不出來 #攝護腺肥大 #攝護腺雷射汽化手術 #坐月子 #恢復期 #小便帶血 #腰痛 #腳麻 #骨刺 #攝護腺癌 #淋巴水腫 #浪姐7 #曾沛慈 #王真琳 #壓力肥 #壓力性進食 #皮質醇 #高血壓 #高血糖 #減重食譜 #退化性關節炎 #超加工食品 #慢性發炎 #腰高比 #內臟脂肪 #微重訓 #久坐 #草蜢 #蔡一傑 #頭暈 #腦梗塞 #糖尿病 #平衡感 #前庭 #心肌梗塞 #顯微手術 #牙線 #心內膜炎 #心臟瓣膜 #機車坐墊 #睪丸 #腎結石 #腎水腫 #腎衰竭 #敗血症 #腰痠背痛 #腎臟痛 #肋脊角 #肌少症 #蛋白質攝取量 #波比跳 年代新聞台50頻道【聚焦2.0】每週六20:00首播 ▶訂閱【聚焦2.0】官方YouTube：https://bit.ly/337M644 ▶按讚【聚焦2.0】臉書絲團：https://www.facebook.com/eratvfocus2 ▶瀏覽【聚焦2.0】官方網站：http://www.eracom.com.tw/EraNews/EraPrograms/Focus2.0/ ▶下載【聚焦2.0】APP： iOS平台： https://reurl.cc/yy1x2M Android平台： https://reurl.cc/ZnaYDW Play Video Play Video 26:16 如何單純坐著，就消耗最大卡路里？鄭明輝醫師：增加基礎代謝率，瘦下14KG不復胖 (ep.201)｜50+Talk 邁入中年後，即使吃得少，體脂還是降不下來？前林口長庚醫院院長鄭明輝醫師，曾因工作壓力一度胖到84公斤，更飽受胃潰瘍之苦。 他分享自身減重經驗認為，減重不只是單純消滅脂肪，關鍵更在於維持基礎代謝率與熱量平衡。他親身實踐「Smart健康管理計畫」，不僅成功減去14公斤，至今十年未曾復胖。 本集鄭明輝醫師將分享，如何透過運動有效保持代謝？為什麼「低脂」食物反而可能讓你更胖？還有實用的進食技巧以及三餐飲食菜單大公開！用對方法，你也能在中年後找回輕盈、煥然一新的自己！ ✅本集節目重點 1. 年紀越大基礎代謝率越低？如何才能有效維持？ 2. 成功瘦下14公斤的「Smart健康管理計畫」是什麼？ 3. 碳水吃太少反而有害健康？鄭院長的三餐菜單分享 4. 吃東西的速度和減重有關？怎麼吃才不容易胖？ ◈其他收聽連結 1. Apple： https://go.cwgv.tw/92c5aj 2. Spotify： https://go.cwgv.tw/92c5em 3. KKbox： https://go.cwgv.tw/92c5gg 主持人：《50+》總編輯兼副執行長王美珍 來賓：安德森整形外科診所院長鄭明輝 製作團隊：蔣德誼、黃湘婷 《50+學院》優雅儀態工作坊 👉https://fiftyplus.pse.is/8ptdnc ➤如果你喜歡這集節目，歡迎贊助50+，並到Apple Podcast給我們五星好評、留言，支持我們持續製作好內容。 50+贊助網址：https://www.fiftyplus.com.tw/support ➤如何留言與評論 ： (1) 至50+Podcast頻道主頁找到「評分與評論」 (2) 給5星好評 (3) 點擊「撰寫評論」留言給我們 #基礎代謝率 #鄭明輝 #減重 #健康管理 #不復胖 #有氧運動 #重訓 #飲食控制 #podcast #50plustaiwan Play Video Play Video 03:34 乳癌切除不只留疤！醫曝1/4會憂鬱　乳房重建+平衡性手術=人生修復鍵 藝人近期公開罹患乳癌後，讓乳癌議題再度浮上版面。乳癌長期位居台灣女性癌症之首，每年約增加1萬8千位乳癌病人，好發年齡40-50歲，雖已被WHO列為可治癒疾病，但手術切除後的身體殘缺，往往成為病友心中難以癒合的創傷。 Play Video Play Video 09:18 消脂保肝防癌料理 名醫3招逆轉胃潰瘍 20240511【聚焦2.0】第534集 本集完整影片請至►https://youtu.be/vvzbgDotfE8 前林口長庚院長、整外權威鄭明輝過去怎麼作息不正常，造成胃潰瘍3次，加上本身常腰痛決心瘦身分享減肥和運動逆轉胃潰瘍!營養師教胃潰瘍的人吃的順序要注意，還有不能吃重鹹，例大碗泡麵一碗鈉含量就超過一天攝取量!營養師教大家三餐怎麼吃，適合胃潰瘍、降脂肪肝也適合防癌。 來賓： 營養師 余朱青 安德森整形外科診所院長 鄭明輝 #高文音 #養生 #健康保健 #胃潰瘍 #降脂肪肝 #防癌 年代新聞台50頻道【聚焦2.0】每週六20:00首播 ▶訂閱【聚焦2.0】官方YouTube：https://bit.ly/337M644 ▶按讚【聚焦2.0】臉書絲團：https://www.facebook.com/eratvfocus2 ▶瀏覽【聚焦2.0】官方網站：http://www.eracom.com.tw/EraNews/EraPrograms/Focus2.0/ ▶下載【聚焦2.0】APP： iOS平台： https://reurl.cc/yy1x2M Android平台： https://reurl.cc/ZnaYDW Play Video Play Video 12:00 不讓乳癌殺手奪命　權威名醫鄭明輝曝光1件事輕鬆跟乳癌說掰掰｜三立新聞網 SETN.com ◎觀看【三立即時新聞】重大消息不斷更新：http://bit.ly/36jnhEA ◎訂閱【三立新聞網YouTube】看新聞直播：http://bit.ly/2W7jK6E ◎下載【三立新聞網APP】個人化新聞AI推薦：http://bit.ly/2HSpkTw ◎加入【三立新聞網LINE】最新話題每天推播：http://bit.ly/2t0IZua ◎按讚【三立新聞FB】社群熱文隨手掌握：http://bit.ly/2JDZ7c7 ◎追蹤【三立新聞網IG】熱門影音即時分享：http://bit.ly/2w8hh3y ◎追蹤【三立新聞網Twitter】全球新知一把抓：http://bit.ly/2YeSU0F ◎三立新媒體事業群【社群話題搶先追蹤】：http://bit.ly/2LHTREP ◎三立新聞網【 https://www.setn.com 】給您最新、最快的即時新聞 #乳癌#鄭明輝#安德森整型外科診所#安潔莉娜裘莉#小布#十大癌症#阿桑#薇薇安 Play Video Play Video 01:48 林口長庚前院長鄭明輝出新書　暢談自創「水餃減重法」－民視新聞 【民視即時新聞】生活中心／李世宸、談駿豪　台北報導林口長庚前院長鄭明輝，今天發表新書，要和大家談談脂肪的正確認識，還大談自己減重過程，2006年時他體重曾高達82公斤，配合「水餃減肥法」，每天攝取熱量控制在1800卡，成功瘦到68公斤，讓在場眾人都嘖嘖稱奇。 -- 看新聞：https://www.ftvnews.com.tw/news/detail/2025830L07M1?utm_source=youtube&utm_medium=description -- 📱下載民視新聞APP → https://bit.ly/3x8ePpb ✅ 民視新聞網：https://www.ftvnews.com.tw/ ✅ 民視新聞FB：https://www.facebook.com/ftvnews53 ✅ 加入民視LINE：https://lin.ee/jvHY7X4 ✅ 訂閱民視IG： https://www.instagram.com/ftvnews/ Play Video Play Video 09:23 戰勝胃潰瘍！名醫激瘦15kg三餐菜單！超狂水餃減肥法公開｜鄭明輝 乳癌權威【早安健康X破解健康密碼】 (720p) Rave Reviews! Dr. Cheng’s latest book The Fat Magician has soared to #1 Bestseller on Books.com.tw! With years of dedicated research, Dr. Cheng shares his insights openly—discover how fat can actually be a hidden treasure! Get your copy now on Books.com.tw and enjoy an exclusive special offer! Buy Now 為什麼要選擇安德森？ 01. 由國際顯微整形外科權威 (前林口長庚醫院院長)領軍 02. 25年治療經驗，全球800萬排名前2%頂尖醫師科學家 03. 醫療團隊皆有專業執照 全程麻醉專科醫師麻醉監控 04. 精細的醫學診斷 量身定製專業諮詢服務 05. 24小時專業護理師團隊照護獨立病房，溫馨舒適 醫學中心規格的設備與服務 淋巴水腫 L ymphedema surgery 院長親自執刀、以全台僅4台的Mitaka顯微鏡進行手術 ，術後無需穿著壓力套 乳房重建 Breast reconstruction "自然波動感"獨家技術，堅持以「乳房重建」最高醫療規格做隆乳 醫學美容 Beauty treatments 提供雙眼皮手術、除皺拉提、抽脂身材雕塑等各項美容美體服務 ——— 美容醫學再進化 不只是凍齡，更要逆齡 國際顯微整形外科權威團隊， 結合美學、醫學科技 帶您重塑自我，美麗蛻變 ——— 客製化量身打造 自然、隱痕、安全 複合式微整形 + 全身精緻體雕 從此拍照免修圖，素顏見人不用怕 來到安德森，就像家一樣安心 Go to link Go to link Go to link Go to link Go to link Go to link 1/1 Congratulations to Dr. Cheng for being recognized among the top 2% of scientists worldwide! Learn More 門診時間 鄭明輝 院長 週二、週四及週五 下午13:00-15:30 杜隆成 主任醫師 週一 下午14:00-17:00 江天恩 主任醫師 週一 下 午13:00-17:00 週五 上午09:00-12:00 點我預約

認識安德森的專業醫師團隊： 院長 鄭明輝、主任醫師 杜隆成 和 主任醫師 ​張豫苓，了解更多醫師的專業領域及門診時間 Our Team 院長 鄭明輝 淋巴水腫： 淋巴管靜脈吻合術、顯微淋巴結皮瓣移植 乳房重建： 自體皮瓣重建、義乳重建、自體脂肪移植、對稱性調整、隆乳、縮乳 / 提乳、男性女乳症、乳頭整形、乳頭 / 乳暈重建 ◎ 門診時間：每週二、四、五 下午13:30-16:00 LEARN MORE 主任醫師 杜隆成 顏面、眼部整形： 雙眼皮進化式縫法、內開上眼瞼下垂手術、內開下眼袋整形手術、顏面脂肪移植年輕化手術 美體雕塑： 乳房脂肪移植整形手術、男性女乳症手術、腹部鬆弛整形手術 ◎ 門診時間：每週一 下午14:00-17:00 LEARN MORE 主任醫師 江天恩 顱顏外科、唇顎裂、正顎手術、口腔顎面外科、全口顎骨重建 ◎ 門診時間：每週一 下午13:00-17:00，週五上午9:00-12:00 LEARN MORE

瞭解更多有關淋巴水腫的成因，淋巴液和淋巴結的差別，淋巴系統的重要性，淋巴循環的流程圖，作為免疫系統的一部分，這些是你必須知道的事。 What is the Lymphatic System? As part of the immune system, the lymphatic system helps the body activate a specific immune response against viruses and bacteria. It retains fluid homeostasis in all different compartments of the body. It is made by channels called lymphatic vessels. These collect lymph from all over the body and deliver lymph to the regional lymph nodes or thoracic ducts and then back to the cardiovascular system. 淋巴水腫的原因是什麼？ 淋巴水腫的主要原因是淋巴系統無法正常排除淋巴液，導致液體堆積，讓手腳或其他部位腫脹。 它可以分為 先天性（原發性） 和 後天性（繼發性） 兩種。 先天性淋巴水腫：因為淋巴系統天生發育不全或功能異常，導致淋巴液無法順利流動。這種情況比較少見。 後天性淋巴水腫：比較常見，通常是因為某些疾病或治療影響了淋巴系統，例如： 癌症治療或放射治療。 當淋巴系統受損或堵塞時，淋巴液無法順利排出，就會在手臂、腿部或其他部位堆積，形成腫脹，這就是淋巴水腫。 What is Lymph fluid? Lymph is a colorless protein-rich fluid that physiologically collects waste products and pathogens. It is present in tissue and transported through the lymphatic system to regional lymph-nodes. The venous flow carries 90% of arterial blood back to the heart and the remaining 10% becomes lymph fluid in the interstitial. Peripheral lymph nodes drain approximately 4-8 liters of lymph fluid per day. The lymphocytes (infection-fighting cells) that reside in the lymph nodes activate a specific immune response against infection. What are Lymph Nodes? Lymph nodes are bean-shaped organs of the lymphatic system that are distributed widely throughout the body. They are composed by lymphoid tissue enclosed by a capsule of connective tissue. Lymph nodes are major sites of B cells, T cells, and other immune cells. They serve as filters for the blood and provide specialized tissues where foreign antigens and cancer cells can be trapped and exposed to cells of the immune system for destruction. They are typically found concentrated near junctions of the major lymphatic vessels and most prominently found in the neck, groin, and armpits. Why is the lymphatic system important? The lymphatic system has two important roles: activating the immune response against antigens and transporting lymph fluid. Both functions are important to preserve body homeostasis. When the lymphatic system is compromised by cancer, infections, surgery, trauma, or congenital issues, the affected part of the body is prone to swelling (lymphedema) and recurrent infection due to the faulty surveillance mechanism. The functions of the lymphatic circulation include prevention and resolution of edema, maintenance of interstitial fluid homeostasis, immune trafficking (the regulated transit of antigen-presenting cells to the lymphoid organs), and lipid absorption from the gastrointestinal tract. Recipient Site of Vascularized Lymph Notes Transfer I.Wrist, dorsal or volar II. Elbow III. Axilla IV. Groin V. Posterior proximal leg VI. Ankle, anterior or medial Pathophysiology of Lymphedema i. Lymph accumulation ii. Inflamation iii. Infection iv. Fat proliferation v. Fibrosis Donor Vascularized Lymph Notes 1. Submental 2. Supraclavicular 3. Thoracic 4. Groin 5. Omentum 6. Mesenteric 此圖右側肢體正常，左側為上肢及下肢淋巴水腫。 可使用的治療方法如：淋巴管靜脈吻合術或顯微淋巴結皮瓣移植。 Lymphatic Circulation Flowchart Explanation of Physiological and Non-Physiological Surgical Approaches for Treating the Lymphatic System 鄭教授淋巴水腫顯微外科手術學術里程碑 English

ＰＲＯＧＲＡＭ 2024 WSLS Symposium Program

Primary Lymphedema 淋巴管靜脈吻合術：​安德森的專業技術， 您的安心選擇及​案例分享 Partial Mastectomy with Breast Reconstruction Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Treatment Instructions With the advancement of nipple-sparing mastectomy, the number of such patients has significantly increased. The original intent of breast-conserving surgery is to preserve healthy breast tissue and the nipple without compromising the principles and safety of cancer treatment, minimizing the emotional impact of losing a breast. This approach is supplemented with chemotherapy and radiation therapy to reduce the likelihood of recurrence. In recent years, as breast reconstruction has become widely accepted, nipple- and skin-sparing mastectomy combined with immediate breast reconstruction has gained popularity among patients. If the condition meets the surgical criteria, breast surgeons, in collaboration with reconstructive surgeons, can offer this option to patients. Anderson, Your safe choice Medical Center Specifications and Equipment The operating room is equipped with Mitaka microscopes, of which there are only four in Taiwan. They have a resolution of up to 16 million pixels and can magnify 42 times optically. They are very suitable for the anastomosis of lymphatic vessels and veins of 0.5 mm and are often used in lymphatic venous anastomosis, such as preoperative evaluation and intraoperative evaluation of the permeability of sutures, making the operation more stable and safe. What Conditions Are Suitable for Nipple-Sparing Mastectomy? In the past, nipple-sparing mastectomy was limited to patients with small tumors located far from the nipple. However, with the aid of intraoperative nipple radiation therapy, patients with tumors located within 2 centimeters of the nipple may now be considered for this procedure. This decision depends on a preoperative evaluation by the breast surgeon using ultrasound to assess suitability. If deemed appropriate, intraoperative nipple radiation therapy can be used to enhance the safety of preserving the nipple. Additionally, a critical safeguard during the surgery is the frozen section biopsy of the nipple tissue. This ensures that the nipple is free of malignant tumor invasion before it is preserved. For patients with tumors closer to the nipple, intraoperative nipple radiation therapy is essential to maximize safety and ensure optimal outcomes. Does Preserving the Nipple Increase the Risk of Recurrence? The preoperative evaluation process is highly rigorous, yet some patients still feel uneasy, primarily due to concerns about tumor recurrence in the nipple area and complications associated with nipple preservation. In fact, nipple-sparing surgery has been performed for many years, and when performed under suitable conditions, the risk of tumor recurrence after surgery is very low. Studies have shown that the recurrence rate is comparable to that of traditional mastectomy. Are There Any Complications with Nipple Preservation? Another common concern is whether the preserved nipple will maintain adequate blood circulation or if it might become necrotic. This largely depends on the surgeon's skill. Experienced surgeons can typically achieve excellent outcomes, but complications may still occur. For example, poor blood circulation in the nipple could lead to partial or complete necrosis, requiring nipple removal. To enhance surgical safety, specialized imaging devices are used during the procedure to monitor and evaluate blood flow. If any issues are detected, a single-stage reconstruction may be adjusted to a two-stage reconstruction to balance the goals of reconstruction and surgical safety. Contact Dr. Cheng For A Consultation If you have Breast Cancer Related Lymphedema and would like to know more about the most advanced treatments, contact Dr. Cheng. Internationally recognized as a leading lymphedema specialist, Dr. Cheng can discuss treatment options, based on your individual case. Dr. Cheng is a member of the American Society of Reconstructive Microsurgery and has performed numerous VLN surgeries on breast cancer survivors and other lymphedema patients. Learn more

Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery 1 DR. CHENG News 2 PROCEDURES WSLS 2024 3 CENTER Videos 4 GALLERY 5 PATIENT INFORMATION 6 GALLERY 協會介紹 活動花絮 會刊園地 愛心捐款 輔助基金專區 獲得補助款姊妹心得分享 病人故事 乳房到底是屬於誰的? 乳房是屬於父母的、丈夫的、孩子的，還是女性自己的? 林口長庚紀念醫院乳房重建中心從2000年至2018年12月，已完成超過1500例乳房重建，手術成功率98%，是目前台灣陣容最堅強的乳房重建團隊。協助失去乳房的女性，找回自信，以「深下腹動脈穿通枝皮瓣」乳房重建，不犧牲橫腹直肌，此手術技術及經驗領先，為亞洲第一。

了解更多有關術後照顧的重點，患者不再需要穿戴壓力袖套、襪，但建議患者在術後接受3~6個月的復健，需要積極治療。 Post-Operative Care Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Post-Operative Rehabilitation The A+ Surgery Clinic provides comprehensive and extensive medical services before and after surgery. It is recommended that lymphedema patients receive post-operative rehabilitation for a period of 3- 6 months. It is most noteworthy that patients no longer need to wear compression garments after Dr. Cheng’s Side-to-End Lymphovenous anastomosis and vascularized submental lymph node flap transfer to distal recipient site for post-operative rehabilitation. It is recommended to massage from the proximal limb to the distal site for 15 minutes 3 times a day one month post-operatively for 3 to 6 months to further improve lymphatic drainage. Post-Operative Follow-Up The lymphedema of both upper and lower extremities can cause pain, discomfort, fibrosis, cosmetic problems, and mobility restraints for patients. It is common that lymphedema patients develop various degrees of depression due to physical discomfort, disfiguration, and emotional distress. With an average of a 2-year follow up after undergoing microsurgical microsurgery including Side-to-End Lymphovenous anastomosis and vascularized lymph node flap transfer to distal recipient site, the affected limb become softer overtime. 90% of lymphedema patients have seen size improvement with a mean circumferential difference of 50%. With the physical improvement, patients are subjectively pleased to resume daily activities and life styles they used to have. After vascularized submental lymph node flap transfer, you are asked to comply with the rehabilitation program, which includes progressive lower limb muscle strength training and reverse manual proximal (groin) to distal (ankle) lymphatic drainage. You are encouraged to gradually massage the flap, scar, and control body weight control starting after discharge. Reverse manual lymph drainage and flap massage are performed for 15 minutes/time, 3 times daily. You are advised to return to normal activity gradually as tolerated, and all other physiotherapy and compression wrapping are discontinued. Vascularized submental lymph node flap is placed on the wrist in accordance with the “pump” mechanism and effects of gravity. You do not need to wear a compression garment or bandaging after surgery but are allowed to wear a wrist brace or wrist support to hide the scar on the wrist after the wound complete healed. Another revision surgery to remove the skin paddle and superficial fat of the transferred flap to improve the cosmetic appearance and simultaneous liposuction of the thigh to decrease the production of lymph is recommended after 1 year of vascularized submental lymph node flap transfer. 1. Reverse manual lymph drainage: Time: Performed for 15 minutes/time, 3 times a day, from groin to flap. Method: Medium strength massage that compresses the skin, subcutaneous, fat and muscle in proximal (groin) to distal (flap) direction. This helps encourage drainage of the lymph drainage through the lymph flap and appropriate channels. 2. Flap massage: For increasing the venous drainage of lymph node flap pumping Time: Performed for 15 minutes/time, each 3 times daily. Method: Medium strength massage to pump lymph node flap and the scar around flap. 3. Body weight control: Time: Check body weight every day. Lighten your weight if your Body Mass Index(BMI) over 25. 4. Infection/cellulitis prevention and control: Most healthcare-associated infections are preventable through good hand hygiene. It’s important to identify and treat cellulitis early because the condition can spread rapidly throughout your body. Red area or “New red spots” of skin that tends to extend from distal to proximal Swelling Tenderness Pain Fever over 38.5℃ After the initial postoperative period, you are seen on a monthly basis by sending images. You may use any communication apps, such as Line, WhatsApp, Skype, e-mail or WhatsApp. Surgical outcomes are evaluated by your subjective improvement, circumferential measurements, the frequency of cellulitis, and via patient reported health-related quality of life outcome metrics. We will arrange ultrasonography, CT, and lymphoscintigraphy for checking the number of the lymph node on the flap, lymph node function and volume of the arm after one year.

瞭解更多鄭明輝院長首創的淋巴水腫分級評分系統，透過客觀測量和先進的影像技術來分析症狀，能夠精準盤段及確保術後最好的結果。 Cheng Lymphedema Grading Systems Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Lymphedema Grading Systems Using physical exam findings, history of disease and imaging modalities, several classification schemes have been proposed to stage lymphedema. Perhaps the most widely used is the International Society of Lymphology staging system. But this staging system is based only the clinical symptoms, but no objective measurement or imaging assessment. As our understanding of lymphedema has evolved and technologies improved, other staging systems based on clinical presentation, circumferential measurements, objective measurements, lymphatic imaging or a combination thereof have been proposed. Effective and precise treatment A system adopted by the world At our center, we use the Cheng Lymphedema Grading system based on symptom severity, circumferential difference, and lymphoscintigraphy imaging to determine appropriate treatment, which was published on the Annals of Surgical Oncology, a renowned journal: A Prospective Evaluation of Lymphedema-Specific Quality-of-Life Outcomes Following Vascularized Lymph Node Transfer. (Patel KM, Lin CY, Cheng MH.) and book: Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015. Cheng Lymphedema Grading Chinese English 上肢淋巴水腫分期（病例） Chinese English 資料來源： Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015, page 204. 下肢淋巴水腫分期（病例） Chinese English 資料來源： Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015, page 204. Novel Taiwan Lymphoscintigraphy Staging System Dr. Cheng is the author of the Cheng Lymphedema Grading System with integration of Taiwan Lymphoscintigraphy Staging which was published in Annals of Surgery (the top Surgery Journal) in July 2018. The Cheng Lymphedema Grading System with integration of Taiwan Lymphoscintigraphy Staging, a comprehensive objective assessment tool that analyzes lymphedema symptoms with quantitative measurements and advanced imaging technology, can effectively help physicians evaluate the severity of lymphatic obstructions, determine the accurate diagnosis, select the most appropriate procedures to treat lymphedema, and ultimately ensure the favorable functional outcome and finest quality of life for lymphedema patients. Taiwan Lymphoscintigraphy Staging Chinese English 資料來源： Cheng MH, Pappalardo M, Lin C, Kuo CF, Lin CY, Chung KC. Validity of the Novel Taiwan Lymphoscintigraphy Staging and Correlation of Cheng LymphedemaGrading for Unilateral Extremity Lymphedema. Ann Surg. 2018 Sep;268(3):513-525 Partial obstruction Total obstruction Recommended reading journal A Prospective Evaluation of Lymphedema-Specific Quality-of-Life Outcomes Following Vascularized Lymph Node Transfer. Patel KM, Lin CY, Cheng MH. Ann Surg Oncol. 2015 Jul;22(7):2424-30 https://www.ncbi.nlm.nih.gov/pubmed/25515196 Validity of the Novel Taiwan Lymphoscintigraphy Staging and Correlation of Cheng LymphedemaGrading for Unilateral Extremity Lymphedema. Cheng MH, Pappalardo M, Lin C, Kuo CF, Lin CY, Chung KC. Ann Surg. 2018 Sep;268(3):513-525. https://www.ncbi.nlm.nih.gov/pubmed/30004927

瞭解更多安德森整形外科三位專業醫師的門診時間：鄭明輝 院長、杜隆成主任醫師及張豫苓主任醫師，週一至週五皆有門診。 門診時間 鄭明輝 院長 週二、週四及週五 下午13:00-15:30 杜隆成 主任醫師 週一 下午14:00-17:00 江天恩 主任醫師 週一 下 午13:00-17:00 週五 上午09:00-12:00 點我預約