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​揮別壓力衣！鄭教授的獨門顯微手術 改善淋巴水腫帶來的不適：​鄭明輝教授團隊、認識與診斷淋巴水腫和手術治療方案 Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery 1 DR. CHENG The Journey of Dr.Cheng Dr. Cheng's Team Publications Presentations Visiting Professorships Awards News 2 PROCEDURES What is Lymphedema Upper Extremity Lymphedema What is Lymphedema of The Legs? Primary Lymphedema Diagnosis of Lymphedema Advanced Diagnostic Technology WSLS 2024 3 CENTER Treatment Comparison Chart Am I A Candidate? Lymphovenous Anatomosis Vascularized Lymph Node Flap Transfer Cheng Lymphedema Grading Systems Lymphedema FAQ Video 4 GALLERY Treatment of Mild to Moderate Lymphedema Treatment of Moderate to Severe Lymphede Testimonials（Video & Letters） Post-Operative Care 5 PATIENT INFORMATION Make an Appointment Accommodation Information Travel Information Patient Rights About Lymphedema Microsurgery Dr. Cheng has been practicing Lymphedema microsurgery since 2000. He has invented some of the most advanced and effective surgical techniques to treat lymphedema. His ground-breaking innovation of vascularized submental lymph node (VSLN) and vascularized groin lymph node (VGLN) flap transfer to distal recipient site creates a physiologic drainage conduit to alter excess lymphatic fluid buildup and minimize the lymphedema associated side effects of tissue fibrosis and cellulitis. Dr. Cheng's lymphedema microsurgery outcomes show statistically significant circumferential reduction rates of affected limb circumference and impressive decreases in the episodes of cellulitis on the lymphedematous limb. His practice is the first in the world to immediately release patients from wearing compression garments postoperatively. Meet Dr. Cheng Ming-Huei Cheng MD, MBA, FACS, is a board certified plastic surgeon specialized in reconstructive microsurgery. Dr. Ming-Huei Cheng is listed among the most sought-after surgeons in the reconstructive microsurgery field. He has performed more than 2,000 microsurgical cases, including arm and leg reconstructions, head and neck reconstructions, breast reconstructions, extracranial-intracranial arterial bypasses, lymphovenous anastomosis and vascularized lymph node flap transfers. He finished a combined microsurgical and research fellow at Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Texas in 1999. He is a member of the American Society for Reconstructive Microsurgery since 2003, a fellow of the American College of Surgeons since 2009, an international member of the American Society of Plastic Surgeons since 2012 and became an Adjunct Professor of the Department of Plastic Surgery at University of Michigan, USA in 2017. Learn more Dr. Cheng is Affiliated With 鄭教授淋巴水腫顯微外科手術學術里程碑 Dr.Cheng’s Academic Journey for Lymphedema Microsurgery 出處：取自《乳癌奇蹟治癒》方舟出版社 News We appreciate the recognition and affirmation from our patients in the United States. Every word of encouragement is our driving force! Dec 17, 2024 Professor Cheng was invited to attend the 49th Global Plastic Surgery Conference held in Porto, Portugal. Dec 10, 2024 Gratitude from Canada — A Patient's Kindness Warms Our Hearts Sep 26, 2024 1 2 3 4

​“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｜ “眼整形藝術家” 杜隆成 主任醫師 ｜顏面、眼部整形項目｜ 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 ｜身體雕塑 項目｜ 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 ｜學經歷｜ 振興醫院美容特別門診 科主任 振興醫院整形外科 主治醫師 馬偕紀念醫院整形外科 資深主治醫師 馬偕紀念醫院外科 總醫師 馬偕紀念醫院外科 住院醫師 馬偕護專 兼任講師 馬偕紀念醫院吉里巴斯醫療團 團長 馬偕紀念醫院外科 病房主任 國立交通大學生物科技研究所博士 中山醫學大學醫學系畢業 ｜國際進修｜ 德國和保兒童醫院手外科進修 美國整形外科醫學會學術委員 美國加州大學洛杉磯分校附屬醫院整形外科進修 美國德州大學附屬醫院整形外科進修 ｜專業認證進修｜ 中華民國燒燙傷及傷口照護醫學會監事 中華民國手外科醫學會監事 中華民國燒燙傷及傷口照護醫學會 理事 中華民國美容外科醫學會 理事 中華民國美容外科醫學會 監事 VASER威塑原廠認證醫師 美麗見證： 杜隆成醫師 杜隆成醫師 Play Video Share Whole Channel This Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied Search video... Now Playing 獨家隱痕手術跟傳統眼瞼下垂手術的差別 01:45 Play Video Now Playing 如何解決提眼瞼肌的困擾 02:04 Play Video

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

Patient Rights Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery General Consent form A+ Surgery Clinic Patient’s rights and cooperation The cooperation between the patient and the medical team is an important factor for a successful treatment. The patient’s understanding towards patient’s rights and obligations is necessary for a mutual communication in order to promote cooperation and trust. During the patient’s visit to our hospital, we ensure that the following 10 patient’s rights are maintained. Please feel free to provide us with feedback if our services do not meet your expectations, in order for us to improve. It is necessary for the patient and family to provide us with relevant disease information so we can provide you with accurate diagnosis and the most suitable treatment while maximizing the use of limited medical resources to protect our medical environment and the health of everyone. We look forward to building a healthy and harmonious medical environment for all of our patients. Please feel free to approach any of our medical personnel if you have any further inquiries or suggestions about patient’s rights, and it will be our pleasure to assist you in every possible way. Patient’s Rights 【Treatment equality】The patient is entitled to receive treatment regardless of race, religion, nationality, gender, age, disease, sexual preference, location, or social status. 【Healthcare safety】The patient has the right to receive healthcare in a safe medical environment. 【Information and explanation】The patient and primary care provider are entitled to inquire about physician’s or other medical personnel’s names and disease information. 【Informed consent】【Right to refuse】【Alternatives】The patient and the primary family caregiver have the right to participate in the discussion and inquiry of the healthcare process and to decide in the treatment plan, including the rights to refuse treatment and to seek a second opinion. 【Continuous healthcare】The patient has the right to request for pain management, disease management, medication, diet and daily living education, and information and medical services relative to home care services after discharge. 【Palliative Care】According to the hospice and palliative laws and regulations, the patient and the family have the right to decide or alter the decision of “do not resuscitate,” and to renounce the use of life support during cardiac arrest at the risk of termination of life. 【Patient’s privacy】We respect and uphold the patient’s privacy. Disease information and records will be kept confidential. 【Information providing】According to the law, the patient has the right to request for copies of his/her medical record, certificate of diagnosis, and invoice of medical expenses. 【Complain Service】The patient has the right to complain or make suggestions to the hospital, and we will respond accordingly. 【Professional Service】All medical personnel must wear identification cards. The patient can refuse to accept medical service if the medical personnel does not wear an identification card. Patient cooperation To ensure patient safety, the patient and family should provide information such as health condition, medical history, drug history, allergy history, travelling history, contagious disease at present, etc. The patient and family should participate in the discussion of treatment plans and come to a conclusion after understanding the consequences of all possible treatments. All doubts should be clarified with the medical personnel in charge prior to the signing of the consent form. The patient and family should cooperate with physicians in terms of treatment, discharge, or transferal. Please respect our medical resources and the medical facilities of the hospital. Please comply to the hospital’s policies and operating procedures. Never request medical personnel to provide false information or certificate of diagnosis. Please obey the hospital’s curfew and infection policy. Please do not smoke or chew betel nuts in the hospital to prevent affecting the rights of other patients. Please pay the remaining balance after subsidy accordingly. Please approach our social workers or medical personnel in charge if you have any difficulty paying the balance. We provide storage services for the patient and family to secure their personal belongings. We are not responsible for damage or loss of property. Please keep your valuables with you at all times.

瞭解更多安德森整形外科近期的新消息，包括活動資訊、各式療程的知識分享、醫師資訊及其他有關診所的重要資訊 We appreciate the recognition and affirmation from our patients in the United States. Every word of encouragement is our driving force! We are delighted to see Ms. Henry successfully overcome post-breast cancer lymphedema and completely free from compression garments! 💪... Patient testimonials 安德森整形外科診所 Dec 17, 2024 1 Post not marked as liked Professor Cheng was invited to attend the 49th Global Plastic Surgery Conference held in Porto, Portugal. It was a great honor to be invited by Dr. Manuel Caneiro and Dr. Alvaro Silva to attend the 49th Global Plastic Surgery Conference held... Presentations 安德森整形外科診所 Dec 10, 2024 0 Post not marked as liked Gratitude from Canada — A Patient's Kindness Warms Our Hearts This week, Anderson received a thank-you card that warmed the hearts of all our medical staff. This card was not just a simple greeting... 安德森整形外科診所 Sep 26, 2024 0 Post not marked as liked Congratulations to Dr. Cheng for being recognized among the top 2% of scientists worldwide! I'm thrilled to share that Stanford University has released its 2024 list of the 'Top 2% Scientists in the World,' recognizing the top 2%... 安德森整形外科診所 Sep 25, 2024 4 Post not marked as liked The 10th World Symposium for Lymphedema Surgery (WSLS) was successfully concluded The 10th World Lymphedema Symposium was held at Taipei Garden Hotel on April 22-24. The Anderson team, led by Dean Zheng Minghui, spent... Lymphedema 安德森整形外科診所 Apr 24, 2024 2 Post not marked as liked Congratulation! The Spanish version of Lymphedema Surgery textbook has been published It is my privilege to announce the Spanish version of our Lymphedema Surgery textbook has been published. I would like to give special... Lymphedema 安德森整形外科診所 Apr 30, 2022 0 Post not marked as liked Dr.Cheng gave A Virtual Visiting Professor Lecture at The University of California, Los Angeles (UCLA) I have appreciated the opportunity to give a virtual visiting professor lecture for UCLA today. It brought back memories of the training... Presentations 安德森整形外科診所 Aug 12, 2020 0 Post not marked as liked Dr.Cheng Presented at The 2020 Virtual Duke Flap Course Feel so privileged to be part of the renowned training program with many amazing and talented surgical experts at the 2020 Virtual Duke... Presentations 安德森整形外科診所 Aug 2, 2020 2 Post not marked as liked Dr. Cheng Presented at 2020 American Society of Reconstructive Microsurgery (ASRM) Annual Meeting Very happy to have managed to attend the 2020 American Society of Reconstructive Microsurgery (ASRM) Annual Meeting at Marriott Harbor... Presentations 安德森整形外科診所 Jan 12, 2020 1 Post not marked as liked Congratulation! Papers Published in the Journal Surgical Oncology I want to express my sincere appreciation to the Editor-in-Chief Dr. Stephen Sener of Journal Surgical Oncology, and the co-guest editors... 安德森整形外科診所 Dec 19, 2019 0 0 comments 0 Post not marked as liked Congratulation! Two Papers Published in Plastic Reconstructive Surgery I feel so happy and humbled to share the great news that two research papers were recently published in the October Issue at Plastic... 安德森整形外科診所 Nov 15, 2019 0 Post not marked as liked Raises Breast Reconstruction Awareness in October It was a great pleasure and honor to share my journey as a surgeon of breast constructions at the grand round of our Department at CGMH... 安德森整形外科診所 Oct 16, 2019 1 Post not marked as liked

不化妝就兩眼無神，眼妝常被下垂的眼皮吃掉嗎？創新「眼型美學」整體治療技術 ，不必再靠「夾睫毛」和「雙眼皮貼」，自然隱痕雙眼皮重啟術，同時美化眼型+改善視線，由院長親自手術，解決你的所有眼型問題 量身定做 雙眼皮美型手術 Eye shape aesthetic treatment 由前林口長庚醫院院長 鄭明輝教授率領業界名醫 主任醫師 張豫苓 韓式眼袋打勾手術、鼻整形手術、脂肪移植、內視鏡拉皮手術、輪廓埋線拉提手術、微整型針劑注射 身材雕塑：抽脂雕塑 ◎ 門診時間：隔週三 下午12:00-15:00 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 身體雕塑：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 美麗見證 我想變成雙眼皮、看起來更有精神，該怎麼和醫師討論? 雙眼皮的形成，主要是因為「上瞼組織內的提上眼瞼肌纖維｣附著於眼皮上，當我們睜眼時，上方的皮膚會懸垂於前，互相折疊，使得摺線明顯，看起來就形成雙眼皮的樣子。單眼皮的人若要透過人為方式，製造這條雙眼皮摺線時，雙眼皮的呈現效果，並不是完全決定於醫師設計的寬度有多少，還需要考量醫師設計的寬度被上眼皮覆蓋之後，真正「露出的寬度有多少｣，進行精確的預判和調整。 以下困擾都能改善： 1.天生單眼皮 2.內雙 3.眼皮不對稱（大小眼） 4.眼睫毛倒插 5.眼皮浮腫(眼窩脂肪多) 6.眼皮鬆弛 7.雙眼皮過寬、過窄、眼裂長 8.摺線不明顯(眼窩脂肪少) 9.多層摺痕眼皮 10.眼皮覆蓋影響視線 11.眼尾下垂影響視線 眼皮類型及適合做的手術： 1.天生單眼皮 2.內雙 3.眼皮不對稱（大小眼） 4.眼睫毛倒插 5.眼皮浮腫(眼窩脂肪多) 6.眼皮鬆弛 7.雙眼皮過寬、過窄、眼裂長 8.摺線不明顯(眼窩脂肪少) 9.多層摺痕眼皮 10.眼皮覆蓋影響視線 11.眼尾下垂影響視線

Accommodation Information Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery 從台北車站到安德森整形外科 Transportation routes 點擊開啟Google map Take the bus 63號公車 至中山國中下車 點擊查看公車路線 49號公車 至民權復興路口下車，步行4分鐘 點擊查看公車路線 Take the MRT 台北車站搭乘板南線（藍線）至忠孝復興站， 再轉搭文湖線（棕線）至中山國中 站 從桃園機場到安德森整形外科 Transportation routes 點擊開啟Google map Take the bus 63號公車 至中山國中下車 點擊查看公車路線 49號公車 至民權復興路口下車，步行4分鐘 點擊查看公車路線 Take the MRT 台北車站搭乘板南線（藍線）至忠孝復興站， 再轉搭文湖線（棕線）至中山國中 站 A+ Surgery Clinic is located on Fuxing North Road in Songshan District, Taipei City. Below are some hotel information around the neighborhood, providing various options for your stay. 15 minutes walking distance Mandarin Oriental Taipei No. 158 Dunhua North Road Taipei Read More 6 minutes by car HOTEL METROPOLITAN PREMIER TAIPEI No. 133, Section.3, Nanjing East. Road., Zhongshan District, Taipei Read More 6 minutes by car COURTYARD by Marriott Taipei Downtown No. 6, Section 3, Minsheng East Road, Zhongshan District, Taipei Read More 10 minutes walking distance BROTHER HOTEL No 255, Sect. 3, Nanjing East. Road, Songshan District, Taipei Read More 2 minutes walking distance Taipei Fullerton Hotel-Maison North No 315 Fuxing North. Road, Taipei Read More 2 minutes walking distance Guide Hotel No. 307, Fuxing North. Road., Songshan Dist., Taipei Read More 2 minutes walking distance Cityinn Hotel Plus Fuxing North Road Branch No 338 Fuxing North. Road, Taipei Read More 3 minutes walking distance Forever Inn 3F, No 282 Fuxing North. Road, Taipei Read More

瞭解更多顯微淋巴結皮瓣移植的適合對象、手術結果、術前及術後的對比和分析，全部來自於鄭明輝教授的多年經驗。 Vascularized Lymph Node Flap Transfer (VLNT) Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery About VLNT Lymphedema can cause painful and unsightly swelling in the arms and/or legs. Though there are varying degrees of lymphedema, Dr. Cheng’s expert microsurgery techniques provide several possible solutions. For patients with Cheng’s Lymphedema late Grade II to Grade IV, and no clear functioning lymphatics shown on indocyanine green (ICG) lymphography images, a vascularized lymph node (VLN) flap transfer is recommended. For patients with more severe cases of lymphedema, such as lymphedema Grade IV, there may be a need for a liposuction or a partial wedge excision one year after the VLN flap transfer. 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. Case Candidates for VLN Flap Transfer Lymphedema patients who aggressively received rehabilitation for more than 6 months without making any improvement. Patients that develop episodes of cellulitis. Patients with total lymphatic obstruction present in diagnostic imaging (lymphoscintigraphy). Patients with no patent lymphatic (collecting) ducts available for the procedure of lymphovenous anastomosis (LVA). (See LVA section) Patitents with Cheng’s Grading Ⅱ, Ⅲ and Ⅳ lymphedema How Does It Work? The choice of the donor site for the VLN flap surgery is based on patient preference, and the availability of sizable lymph nodes at the preferred site. Before the donor site is chosen, Dr. Cheng uses ultrasound images to determine the viability of the lymph nodes. Given these factors, the vascularized submental lymph node (VSLN) flap is the most commonly preferred VLN flap by Dr. Cheng’s patients. Usually, the VSLN flap is transferred to the back of the wrist or to the ankle in accordance with the “pump” mechanism, catchment effect, and natural gravity effect to achieve maximal functional recovery. Though this surgery can provide great relief for painful swelling, the unsightly skin on the wrist may be bothersome to the patient. Fortunately, one-year after VSLN flap transfer surgery it can be removed, leaving a more subtle, linear scar. At this point, the limb previously affected by the lymphedema should be softer and smaller as well. Intrinsic lymphovenous connections exist within the lymph node flap. These connections are responsible for shunting the lymphatic fluid into the venous system, creating local decompression at the site of vascularized lymph node flap transfer. 資料來源： 淋巴水腫手術的原則和實踐。 Cheng MH，Chang DW，Patel KM（編輯）。 Elsevier Inc，英國牛津。 ISBN：978-0-323-29897-1。 2015年7月，第65頁。 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。 資料來源： 淋巴水腫手術的原則與實踐。 Cheng MH，Chang DW，Patel KM（編輯）。 Elsevier Inc，英國牛津。 ISBN：978-0-323-29897-1。 2015年7月，第219頁。 淋巴結供體區 1. 下領部 2. 鎖骨下 3. 胸椎 4. 腹股溝 5. 大網膜 6. 腸系膜 淋巴水腫的病理生理 a. 淋巴積聚 b. 炎症發炎 c. 脂肪增生 d.纖維化 淋巴結皮瓣接受區 I. 手腕（背部或手掌） II. 手肘 III. 腋下 IV. 腹股溝 V. 後腿近端 VI. 足踝（前側或内側） What to Expect After Flap Transfer Surgery Dr. Cheng’s unique surgical technique can greatly improve the quality of life of patients suffering from lymphedema. By transferring the vascularized lymph node flap to the recipient site, for example to the wrist, Dr. Cheng improves the functionality of the lymphatic system. As a result, the tissue becomes softer, the affected arms and/or legs become smaller and lighter and the patient experiences less cellulitis. This in turn gives the patient an improved cosmetic appearance. In addition, it is important to note that with Dr. Cheng’s superior technique and skills, patients no longer need to wear compression garments post-surgery. Although after VLN flap surgery the initial transferred flap on the wrist is not aesthetically pleasing, one year after the surgery the transferred skin may be removed. Typically done under local anesthesia, this procedure will leave the wrist with a subtle, linear scar instead. In Cheng’s experience, the success rate of the vascularized lymph node flap is 98%. With an average 18 months of follow-up after VLNT surgery, 90% of BCRL patients show substantial improvement, with an average circumferential difference improvement of 40%. Though patient results vary, in general, post-surgery the affected limb becomes much softer over time; and restriction of daily activities is minimized. After VLN flap surgery patients resume their normal life styles with a boost in self-confidence. A VLN Flap transfer with Dr. Cheng can alleviate lymphedema symptoms, greatly increasing patients’ quality of life. Evidences of Mechanism of Vascularized Lymph Node Transfer 1. Tc-99m Lymphoscintigraphy Increased Clearance on Static Images Static views of the same edematous upper limb on posterior view. Images of the upper extremity was taken at 30, 60 and 120 minutes after injection of radio-labelled tracer. Preoperative images (upper row: A-C) and postoperative images (lower row: D-F).In the pre-op images, there is prominent diffuse accumulation of activity shown in the skin of the affected forearm over time. Post-operatively, dermal backflow is less marked in the forearm (D-F) and the radio-labelled tracer has migrated more rapidly to the distal arm (arrow in F). Data source: Vascularized groin lymph node transfer using the wrist as a recipient site for management of postmastectomy upper extremity lymphedema. Lin CH, Ali R, Chen SC, Wallace C, Chang YC, Chen HC, Cheng MH. Plast Reconstr Surg. 2009 Apr;123(4):1265-75. 2. Vascularized Groin Lymph Node Transfer to Elbow of Post-op Lymphoscintigraphy A 68-year-old female patient who was a victim of right upper limb lymphedema underwent vascularized groin lymph node flap transfer to right elbow (A). Preoperative lymphoscintigraphy showed accumulation of Tc-99 in the forearm and absence of right axilla lymph node (B). At a follow-up of 56 months, the patient was satisfied with the softening of left upper limb with a circumferential reduction of 58% above elbow and 40% below elbow (C). Post-op lymphoscintigraphy revealed increased uptake of Tc-99 by the transferred vascularized lymph nodes at the elbow level and less accumulation of Tc-99 in right upper arm (D). Data source: 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 204-5. 3. Vascularized Submental Lymph Node Transfer to wrist of Post-op Lymphoscintigraphy A 52-year-old female patient who was a right upper limb lymphedema underwent vascularized submental lymph node flap transfer to right wrist. Pre-op lymphoscintigraphy showed accumulation of Tc-99 in the forearm and absence of right axilla lymph node. Post-op lymphoscintigraphy revealed increased uptake of Tc-99 by the transferred two vascularized lymph nodes at the wrist level and less accumulation of Tc-99 in right upper arm. Data source: 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 204-5. 4. Intra-op Image Evidences of Mechanism of Vascularized Lymph Node Transfer ICG Injection on Lymph Node Directly Native Lymph Drainage through VSLN Flap Data source: Proposed pathway and mechanism of vascularized lymph node flaps. Ito R, Zelken J, Yang CY, Lin CY, Cheng MH. Gynecol Oncol. 2016 Apr;141(1):182-8. Q1 How can VLN surgery improve lymphedema? Lymphedema is caused by a blockage in the lymphatic system. If the lymph fluid is unable to circulate through the body, it builds-up and causes minor to severe swelling. Typically, lymphedema swelling is seen in the arms and/or the legs, though it can occur is other parts of the body. There are different degrees of lymphedema and some cases can be treated non-surgically. However, for certain types, such as Cheng's Grade II, III and IV lymphedema, surgery may be the only option to alleviate symptoms and reduce swelling. The VLN flap transfer unblocks the lymphatic system in order to allow the lymph fluid to circulate better, reducing swelling in the affected limb over time. Dr. Cheng has been extremely successful in using this technique to treat moderate to severe cases of lymphedema. Q2 Are follow-up appointments post-surgery required? VLN flap surgery with renowned surgeon Dr. Cheng has an excellent success rate. However, the VLN flap surgery is a delicate procedure that requires several follow up appointments after the surgery. These appointments allow Dr. Cheng to carefully measure the circumference of the affected limb or limbs to ensure optimal results. Dr. Cheng will discuss symptom relief with patients, which helps to determine the success of the transferred lymph nodes. Although no compression garments are needed, it is important to attend all follow-up appointments in order to assess progress anddetermine if any addition physical therapy is necessary. Q3 Why choose Dr. Cheng for VLN flap surgery? As an internationally renowned surgeon, Dr. Cheng is an expert in several microsurgery techniques that address lymphedema, including VLN flap surgery. With over a 98% success rate, Dr. Cheng can properly asses your condition and determine what is the best treatment plan. Depending on the grade of lymphedema, Dr. Cheng will recommend the best solution. As a plastic surgeon that specializes in reconstructive microsurgery, Dr. Cheng holds the world record for successfully treating the largest number of lymphedema patients with vascularized lymph node transfers. His unique technique and expert skill enable him to not only diagnose the cause and grade of lymphedema but also propose the best treatment to reduce patients' symptoms and improve their quality of life. 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

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13:30-16:00 塗昭江 主任醫師 週五 上午09:00-12:00 杜隆成 主任醫師 週一 下午14:00-17:00 點我預約

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. Congratulations to Dr. Cheng for being recognized among the top 2% of scientists worldwide! 了解更多 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 熱門商品 ——— 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 門診時間 鄭明輝 院長 週二、週四及週五 下午13:30-16:00 杜隆成 主任醫師 週一 下午14:00-17:00 張豫苓 主任醫師 週三 下午12:00-15:00 塗昭江 主任醫師 週五 上午09:00-12:00