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  • 乳房重建方式比較 | 安德森整形外科診所

    乳房重建方式比較 找到最適合妳的方式 乳癌婦女中有四分之一的人會得憂鬱症,根據林佳佑(2008)及林怡伶(2011)碩士論文研究,發現乳癌患者接受乳房重建後可改善生活品質,降低心理衝擊並可恢復身體心像。乳房重建並不會增加乳癌復發率,也不會影響復發及轉移的偵測,對於術後化學治療也無衝突,所以乳房重建是乳癌婦女很好的選擇。 生理食鹽水袋平均追蹤11年;矽膠袋平均追蹤5年 資料來源:林口長庚乳房重建中心 回到乳房重建中心

  • Liposuction | 安德森整形外科診所

    VASER2.2威塑體雕 Body Sculpting Treatment:由經驗豐富的鄭院長親自操作,能精準鎖定溶脂部位,不傷周邊組織,術後不鬆垮、不易復胖 VASER2.2威塑體雕 Body Sculpting Treatment [ 深層抽脂 + 淺層精雕 ] 由經驗豐富的鄭院長親自操作,能精準鎖定溶脂部位,不傷周邊組織,術後不鬆垮、不易復胖 抽(補)脂 體雕塑身術,擺脫沉重包袱,再現窈窕傲人曲線 為什麼要選擇安德森? 由國際顯微整形外科權威 (前林口長庚醫院院長)鄭教授領軍 鄭教授已有25年手術經驗,掌握人體結構,抽脂更安心 我們全程有麻醉專科醫師麻醉監控 包含麻醉醫師及所有醫護人員皆有專業執照認證 量身定製體雕療程,給您最精準的建議 24小時專業護理師團隊照護 舒適的專屬病房,術後完善休養 抽脂手術的原理是什麼? 抽脂(liposuction),是指利用醫療儀器將多餘的脂肪抽出體外,達到大範圍雕塑身材或局部部位精雕的目的。 其原理是將不銹鋼探針(Canula)深入皮下脂肪層,糜化脂肪,再藉由負壓引流技術抽出體外,減少皮下的脂肪量,重新雕塑出身體的線條與曲線。 常見的抽脂方式 什麼是威塑抽脂? 威塑抽脂是以特殊超音波技術將脂肪組織震碎、乳化及抽吸到體外。 原理是利用36,000Hz(赫茲)超音波能量去震碎脂肪細胞,隨後將分離的脂肪抽吸出來。且不破壞手術部位周圍的神經、血管和結締組織。 專一頻率只破壞脂肪細胞,是市面上具有「脂肪選擇性」的抽脂技術,保留結締組織,過程出血量低,降低術後不適感及瘀血較少。 中文名稱:威塑超音波手術吸引系統; 英文名稱:Vaser 2.2 Lipo System|024844 號 腰、腹、臀、腿為何特別容易胖?脂肪細胞會一直增加嗎? 在青春期以前,我們的體內會快速生成許多脂肪細胞,這些脂肪細胞數量的增長到青春期後趨於穩定,會變胖、變瘦是因為身體脂肪細胞體積的改變。尤其現今社會常常因為生活、工作壓力及近幾年疫情關係多數人經常待在家,攝取過多的食物又缺乏運動,讓脂肪細胞體積跟著變大,身形也隨之改變,肥胖問題變得更普遍。脂肪分布在我們身體各個部位,又分為「淺層脂肪」及「深層脂肪」,然而腰、腹、臀、大腿有較多的深層脂肪細胞,所以特別容易有脂肪的囤積。 局部肥胖的人,很難透過一般性的減肥如:節食、運動、健身達到想瘦那裡就瘦那裡的目標,抽脂手術便是針對局部脂肪凸出、想要有更好身形的人最好的選擇。隨著抽脂手術不斷的進步與推新,搭配不同類型的抽脂方式,能同步改善多處肥胖與皮膚鬆弛等相關問題。 抽脂手術是如何進行的? 在進行抽脂手術前會注入含有局部麻醉劑、止血劑等成分的混合液(Tumescent solution),有止痛、軟化脂肪和降低出血量等作用,並透過3mm-5mm的抽脂管深入到皮下組織的脂肪層中,藉由真空抽脂機將大部分深層脂肪抽出來。 抽脂手術完皮會鬆鬆的嗎? 如果是肥胖者,抽脂之後腹部的皮膚會有一些鬆弛,尤其是特別胖的人, 一般可以加做整形術,來切掉多餘的皮膚。但如果不是很胖,皮膚彈性還可以,抽脂時既抽深層脂肪,也抽淺層脂肪,可使腹壁下的脂肪抽取比較均勻,90%的人在抽脂後會恢復得不錯。如果在手術時適當用彈力加壓,則更有利於腹壁、手臂、大腿的回收。因此,並非每個接受抽脂手術的人都會有皮膚鬆弛的問題出現。 現在抽脂技術,大都比較不會破壞脂肪周圍的纖維締結組織,脂肪抽出後肌膚較能維持平滑緊緻,不易過度鬆垮。為了最佳品質效果,避免抽脂手術後皮瓣鬆脫或下垂的問題發生,我們建議病人術後穿塑身衣1~3個月,將皮膚脂肪層固定在適當的位置,加強塑形的作用,可盡量減少位移、避免下垂、皮膚鬆垮的問題發生。 抽脂後還會再復胖嗎? 抽脂手術不等於是減肥手術,會因每個人的身體狀況來決定需要抽脂的量,過度抽脂容易造成血液與身體水分的流失,需要經過專業醫生的評估,才能決定抽去多少的脂肪。最多建議不超過抽脂5000cc。抽脂不代表不會復胖,不過增胖的空間有限,只要不要暴飲暴食,並搭配適量的運動,通常都不會復胖太嚴重。 抽脂手術有沒有後遺症?後遺症有哪些? 抽脂是許多女生想做的項目,卻也有不少人擔心抽脂失敗或是發生抽脂後遺症,譬如說血壓下降、出血不止、低體溫、電解質不平衡、麻醉藥劑量過高、脂肪栓塞、肺栓塞、腹膜炎、腹部腸子受傷等可能發生的併發症。也會有抽脂失敗出現生命危險、抽脂術後凹凸不平,或者是抽脂的局部比例效果不佳、異常腫脹等問題,導致穿衣服感到沒信心,所以,選擇專業有經驗的醫師及醫療機構院所是很重要的。 另外抽脂如果局部抽的太薄(淺層),有可能影響皮下血管的微循環,導致皮膚色素沈澱,或呈現暗紫色好像凍傷的情形,這都是因為抽脂抽的過薄所導致的一些血管循環問題。 不論是腿部抽脂肪後遺症或是其他部位,最怕的就是選錯抽脂方式導致效果不好,例如:運用傳統抽脂方式,在三角肌部位(肩膀外側部分,很多人以為是肌肉,其實還是脂肪囤積),第二就是如果抽得技術水平不好,就容易凹凸不平,或者運用儀器不當造成燒傷,尤其在手臂內側皮膚薄,更容易明顯看出不平整。 如何才能避免抽脂後遺症的風險發生呢? 抽脂通常沒有很大的副作用,在選擇上要尋求有合格認證及專業有經驗的醫師。抽脂術後照顧是否有專業團隊的協助與指導,以及術後是否有遵從醫師及護理師做適當的冰熱敷和按摩、傷口的照顧,這也會影響到手術後的恢復狀況和成果,這些都是需要特別注意的部分。 臀部抽脂會不會痛? 恢復期久嗎? 臀部抽脂有幾種方式,通常瘀血較腹部多,疼痛感會較久,基本上出血越少的抽脂方式,術後的疼痛感越低。恢復期在前1~2週腫脹會比較明顯,大概1個月左右就會明顯看到效果。 抽脂費用怎麼計算? 抽脂手術的費用會因為不同的手術方式而有價錢差異,也會因為部位的大小而影響價格,面積大小、難度高低、抽脂的量等因素都會影響抽脂費用,可在門診評估治療方式後一併諮詢。 術後注意事項有哪些? 1.穿著塑身衣褲 若您在手臂、大腿、臀部或者腹部接受抽脂手術,請穿著塑身衣、塑身褲1~3個月(可壓迫手術部位,有效減少術後腫脹和增加舒適感,並使抽脂後皮膚與脂肪間空隙縮小,減少皮膚鬆弛)。 •術後第1週需穿著24小時(除洗澡外) •第2週白天穿著,晚上脫除,並維持1個月 •下巴抽脂需戴頭部護套24小時,維持2~3天 2.使用引流管 在手術後,為了縮短術後恢復期,可能會放置細小的引流管。引流管將會排出注入的麻醉液、乳化的脂肪和血水,請依照護理人員指示,定時更換吸水厚棉墊。 3.傷口護理 術後約1週內可用擦澡方式清潔身體,傷口勿碰水,需保持乾燥以防止傷口感染。 4.活動限制 術後2週內應避免吃力活動,以免影響傷口癒合。如:搬重物。 5.避免陽光照射 避免傷口受太陽照射,直到傷口完全癒合。 相關推薦 鄭明輝教授最新著作《脂肪魔術師》 不只是教你怎麼「變瘦」,更要教你如何「變懂自己」,當你懂得與脂肪共存,你將會發現自己已能重新掌握身體健康、自信的主導權

  • Partial Mastectomy with Breast Reconstru | 安德森整形外科診所

    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 Congenital Breast Deficiency Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Treatment Instructions What Is Poland Syndrome? Poland Syndrome was first described in 1841 by Dr. Alfred Poland, who identified patients with an absence of the pectoralis major muscle. This syndrome is characterized by partial or complete underdevelopment of the pectoralis major muscle, often accompanied by other abnormalities on the same side, such as syndactyly (webbed fingers), digit deformities, and underdeveloped breasts. The severity of the condition can range from mild to severe and may also involve the serratus anterior, latissimus dorsi, or other muscles, as well as flattened or partially absent ribs. In some cases, it is associated with chest deformities like pectus carinatum (pigeon chest), pectus excavatum (funnel chest), or scoliosis. The incidence of Poland Syndrome in international studies is reported to be approximately 1 in 10,000 to 100,000 live births. It is twice as likely to affect the right side compared to the left, and it occurs equally in males and females. However, female patients are more likely to seek breast reconstruction from plastic surgeons. The exact cause of Poland Syndrome remains unclear. Hypotheses include abnormal vascular development, trauma during development, or genetic factors, but no definitive explanation has been established. 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. Breast Reconstruction: Improving Appearance and Addressing Complications Most patients with Poland Syndrome do not experience significant functional impairments, and hand deformities are often mild. Diagnosis involves taking a detailed medical history, including prenatal history, and performing a physical examination of the chest, shoulder, and hands. Serum immunological tests may be conducted to rule out other conditions. For patients with underdeveloped ribs, a chest CT scan is recommended. Reconstruction treatments include the following methods: Implant-Based Reconstruction The earliest treatment for congenital breast deficiency involved the use of implants, such as silicone or saline. However, the results were often suboptimal. The absence of the pectoralis major muscle frequently leads to capsular contracture, resulting in a tight, unnatural breast shape. Tissue Expander Reconstruction Another approach is to first insert a tissue expander, gradually inflating it with saline over 2-3 months to stretch the skin and create space. The expander is then replaced with a permanent implant, resulting in a more natural breast shape. However, there is still a risk of capsular contracture with this method. Autologous Tissue Flap Transfer The latissimus dorsi flap can be used for reconstruction, but in some Poland Syndrome patients, this muscle may also be underdeveloped, and its fat content may be insufficient. In such cases, an implant is often required to achieve the desired volume. Additionally, the latissimus dorsi muscle may feel firmer than natural breast tissue. Autologous Fat Transfer Using a DIEP (deep inferior epigastric perforator) flap, which transfers abdominal fat along with its nutrient blood vessels, offers a more natural result. This method avoids sacrificing the rectus abdominis muscle, is less painful, and provides permanent, soft, and natural breasts. This approach yields the highest patient satisfaction. 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

  • About Dr. Chang | 安德森整形外科診所

    ​韓式美學專家 張豫苓 主任醫師,醫學美容專長:韓式眼袋、打勾手術、鼻整形手術、內視鏡拉皮手術、輪廓埋線拉提手術、抽脂雕塑、微整型針劑注射 ​ “韓式美學專家” 張豫苓 主任醫師 |醫學美容專長| 韓式眼袋打勾手術 鼻整形手術 內視鏡拉皮手術 輪廓埋線拉提手 術 抽脂雕塑 微整型針劑注射 |學經歷 | 現任台北市醫美診所院長 韓國首爾整形醫院 國際認證醫師 韓國韓國KCCS國際美容手術醫師 韓國PASCAL國際美容手術醫師 韓國-台灣亞太國際演講受邀演講醫師 韓國ID&NaNa醫美整形集團臨床交流 韓國Lydian 整形醫院國際認證交流 韓國Jeunex 整形醫院國際認證交流 韓國Shimmian 鼻整形醫院國際認證交流 韓國首爾國際眼袋手術臨床研究交流 韓國首爾國際眼周抗衰老手術臨床研究交流 韓國首爾國際鼻整形臨床手術研究交流 韓國首爾抽脂臨床手術研究交流 韓國首爾音波抽脂雕塑國際認證醫師 韓國首爾內視鏡拉皮臨床手術研究交流 韓國世界醫學美容會議研習進修 泰國曼谷國際整形手術臨床經驗交流 美國哈佛大學麻州總醫院臨床手術研究交流 德國慕尼黑抗衰老醫學研究中心醫美整形交流 台灣顏面整形重建外科醫師 台灣亞太美容外科醫學會醫師 台北整形外科診所整形手術醫師 前台北臺大醫院醫學中心醫師 高雄醫學大學醫學系畢業 美麗見證:韓式眼袋打勾手術 受邀參與亞洲國際醫美研討會 2024 泰國曼谷 張豫苓醫師 國際認證 張豫苓醫師 Play Video Play Video 03:01 你要的隆鼻問題都在這 Play Video Play Video 02:54 眼袋手術重點問

  • Patient's Testimonials | 安德森整形外科診所

    Patient Testimonials Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery 病患感言 病患感言 Play Video Share Whole Channel This Video Facebook Twitter Pinterest Tumblr Copy Link Link Copied Search videos Search video... Now Playing Lymphedema Treatment Testimony: Canadian Patient at A+ Surgery Clinic, Taipei, Taiwan"Video Content: 09:51 Play Video Now Playing Lymphedema Treatment Testimony:In addition to excellent medical care, also enjoys Taiwanese cuisine 04:27 Play Video Now Playing Mr. William from Australia 05:50 Play Video

  • 美麗見證 | 案例分享 | 好評推薦 | 安德森整形外科診所

    鄭明輝院長投入內視鏡乳房重建領域20多年,至今已幫助超過1000多名失去乳房的女性重建乳房、找回自信。 台灣的乳癌患者切除乳房後,有1/4罹患憂鬱症,感謝勇敢的乳癌姐妹們,給自己一次機會找回人生希望,希望透過她們的分享,鼓勵乳癌姊妹們勇敢重建。 五星好評推薦 感謝每一位來到安德森的朋友 你們的回饋是我們前進的動力,我們會持續將最好的醫療服務帶給各位 素人美麗見證 選擇安德森後,她們都重新蛻變 希望與大家分享這份喜悅 隆乳+縮乳頭 案例分享 從小就是個小胸人,一直到懷孕哺乳,才體會到什麼叫胸🤣。 產後為了減肥,把剩餘僅存的胸(脂肪)都減掉了(哭哭)。 看著自己的身材慘不忍睹,進而開始尋求中醫豐胸,花了不少錢。 精神睡眠是有好一點,但胸部一點進展都沒有😭。 意外從網路得知一些隆乳的資訊,就開始做些功課。 除了上網查些相關資料,還有Line的社群可以詢問。 從開始諮詢到決定手術時間很快,因為我怕我後悔就不敢做了 既然有想法就趕快速速決定。 預防性切除+義乳重建案例分享 18歲時知道自己有BRCA1,就一直周旋醫院 每年都要去和信治癌中心追蹤 照波 粗針切片 這一來一回的好多年就這樣過去 原本其實一直想著40歲再切除 隆乳案例分享 鄭教授的淋巴顯微手術,術後不需再穿壓力衣 淋巴水腫案例分享 自然、永久、美觀,健康窈窕再現 乳房重建案例分享

  • 縮提乳 | 安德森整形外科診所

    縮提乳手術 由院長客製化設計,找回妳最自在的模樣 『胸部太大且下垂怎麼辦? 如何讓胸部變小或縮小?』是不少胸前過大女性的困擾與疑問,卻很少人為她們解答。特別是在華人文化中,想諮詢醫師處理卻又不好意思求診,也因此許多女性同胞們, 將此問題隱忍在心中,努力用緊身衣或小一號的胸罩讓胸部看起來小一點,長久下來,讓自己非常的不舒服。 為面臨此問題女性朋友,提供為個人量身打造的處理方式。下表為各種縮乳方式比較: 縮胸手術切口分三大類 倒T切口:適合皮膚極度鬆弛的縮乳手術,特別是大量減重後的下垂。 垂直切口:適合用在大多數的縮乳與提乳手術。 乳暈旁切口:只適合稍微的提乳與少量縮乳手術。 倒T切口縮乳手術 『倒T切口』此方法首先在乳暈下開一個類似『愛迪達』標誌的切口,並將多餘的乳房組織切除,最後將乳頭-乳暈提高,並將傷口縫合成「倒T字型」;優點是塑形容易,醫師操作易上手,缺點是留下一條橫向長的乳腺下疤痕且手術後的胸形會變平較寬;「此項手術特別適合用在:1. 乳房皮膚因過度拉扯造成彈性極度鬆弛者;2. 巨乳症而單側需切除2公斤以上者」。 垂直短切口的縮乳手術 垂直短切口的手術過程與調整相對於倒T切口縮胸手術來說較為複雜,但因傷疤只有乳暈至乳下線垂直一條,是令許多患者較滿意的手術方式;此方法首先要定位新的乳頭位置,並以此新乳頭的位置,畫一個類似「雪人Snowman」或「棒棒糖Lollipop」的記號,沿此記號將多餘的乳房組織切除,最後將乳頭-乳暈提高,並將傷口縫合成一條直線;優點是疤痕較短,手術完的胸型較挺,缺點是手術時需要較多調整的時間,術後胸型自然,柔軟且疤痕並不明顯,下圖為手術前後胸型變化示意圖。 (環)乳暈切口縮胸手術 此手術方式將胸部上提與縮小的效果非常有限,只適合用胸部不會過大且只有輕微下垂的案例,但術後常見的問題則是做出的胸部形狀極不自然,且乳暈旁的疤痕因張力太大,常導致術後乳暈變大,長期的結果通常不太好看,因此不太建議。 縮胸縮乳手術可能的副作用 感染(1%),血腫(1%),乳頭循環不良(0.05~0.1%)等 手術成果 縮乳手術 (1) 縮乳手術 (2) 縮乳手術 (3) 縮乳手術 (4) 回到乳房重建中心

  • Information | 安德森整形外科診所

    GENERAL INFORMATIONS 2024 WSLS Symposium Program Venue Symposium Location: 2F, Taipei Garden Hotel (No. 1, Section 2, Zhonghua Rd, Zhongzheng District, Taipei City, Taiwan) 台北花園大酒店 Taipei Garden Hotel Learn more Taipei 101 Located in the finest district Taipei has to offer, TAIPEI 101 is the largest engineering project ever in the history of the Taiwan construction business. At 382 meters above the ground the 89F Observation Floor offers visitors a commanding view of the city and Taipei Basin at all directions. Yehliu Geopark Yehliu Geopark is truly a park of natural wonders: rocks carved by wave-cutting and weathering over years and years were formed into shapes resembling figures that are real. The most famous one is of course the Queen’s Head, among other “statues” that are named the Fairy’s Shoe, the Mushroom Rocks, the Tofu Rocks, and the Elephant Rocks, along with many interesting potholes. Do not forget to bring your camera. Sun Moon Lake The Sun Moon Lake National Scenic Area is praised for its five major recreational systems, including the lake, Shueili River, Puli, Jhuoshuei River, and Jiji. The surrounding areas stretch to cover known tourist spots including Taumi, Checheng, Jiji, Shueisheda Mountain, Sangyong Falls, Mingtan Reservoir, and Shueili River. Sun Moon Lake features the only full-range 3D tours (lake, sky and land) in Taiwan. The lake cycling trail has been recognized by CNNGO, CNN as one of the most beautiful cycling trails in the world. *Travel Visa Information : National Immigration Agency www.taiwan.net.tw Taroko National Park Taroko is famous for its spectacular mountains and marble canyons. Cliffs and canyons stretch along Liwu River. The waterfalls characterized Taroko National Park and the most famous ones are Baiyang Waterfall, Yindai Waterfall, Changchun Waterfall, and Lushui Waterfall. Swallow Grotto (Yanzikou) and Tunnel of Nine Turns (Jiuqudong) are the most impressive natural scenes in Taroko and the canyons here are the narrowest.

  • Make an Appointment | 安德森整形外科診所

    為維護良好的醫療品質與看診舒適,本院採預約制,您可先以電話、電子郵件、LINE或填寫線上表單等方式預約,我們會盡快與您聯繫! Let's Connect How to Make an Appointment? To ensure high-quality medical care and a comfortable consultation experience, our clinic operates on an appointment-only basis. You can schedule an appointment via phone, email, LINE, or by filling out the online form. We will contact you as soon as possible! Business Hours: Monday to Friday, 8:00 AM to 6:00 PM. Closed on weekends. Notice Please download and complete the Client Information Form from our website. The information you provide will allow the A+ Surgery Clinic to select the most suitable team of specialists to assist you with your medical or personal needs. On the form, please clearly specify your preferred appointment dates as well as any special requests or personal needs that you may have. We will try our best to make you feel as close to home as possible. Please provide all detailed medical reports at least from the past 3 months, including lab or pathology reports and imaging files (X-rays, CT, MRI, Ultrasounds, Lymphoscintigraphy, etc.). If you have medical information, please provide it. Please send (1) and (2)to A+ surgery clinic at aplussurgery@gmail.com and Miffy Lin. Within two business days, A+ surgery clinic or Miffy Lin will contact you by email with further appointment details or medical questions once we receive and review your application form. Any information you provide will be kept strictly confidential under the Medical and Personal Data Protection Laws in Taiwan. Treatment Plan After gaining understanding of your medical background, our medical team will draft and present to you a treatment schedule specifically tailored to your personal needs. At the same time, a detailed statement describing the treatment process and estimated costs will be sent to you by email. Appointment Confirmation Once you have confirmed and accepted Dr. Cheng’s treatment plan, your medical coordinator will proceed to set up, double check, and confirm your previously made appointment date, as well as make the necessary travel visa preparations, airport pickup, and hotel accommodations for you, to make your stay with us carefree. Address 3rd Floor, No. 337, Fuxing North Road, Songshan District, Taipei City (MRT Zhongshan Junior High School Station) Map Phone (+886) 02-2712-3373 Phone (+886) 0966-523-737 Phone Email aplussurgery@gmail.com Social Media LINE Name Gender * Male Female Other Email Region * Taiwan Others Phone Convenient contact time 選擇一個時段 Remark Send Appointment successful !

安德森整形外科

Dr. Cheng, a world authority in micro-reconstructive plastic surgery and lymphedema treatment, provides surgical services such as lymphedema treatment, breast reconstruction, breast augmentation, double eyelids, eye bags, liposuction, wrinkle removal and lift.

 

The cases in this article have been published with the consent of the parties involved, and have signed a public authorization letter. The pre- and post-operative case photos in this article are only used as an introduction to surgical medical information. The treatment effect will vary depending on individual constitution and post-operative care.
Anderson Plastic Surgery Clinic reminds you that any surgery or medical treatment has potential risks and is not suitable for everyone. The content of this article is for reference only. The actual decision must be made by the doctor in person after evaluation and communication with you.

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