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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 Lymphovenous Anatomosis (LVA) Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Lymphedema A common problem cancer survivors face is post-operative lymphedema. Lymphedema is caused by excess fluid that collects in the body’s tissue, causing swelling (edema). The symptoms are typically swollen limbs due to lymphatic circulation blockage. Some patients may also experience skin problems (eczema, rough skin, unidentified protrusion), repeated cellulitis or toe mold infection. Award winning plastic surgeon Dr. Cheng specializes in reconstructive surgery and is an expert in the lymphovenous anatomosis (LVA) technique, a minimally-invasive microsurgery procedure that can address the symptoms of lymphedema. Since lymphedema is not always treatable with non-surgical rehabilitation, LVA surgery can greatly improve the condition. 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 57-year-old female with left upper limb lymphedema for 12- months Before Surgery: This is a 57-year-old female with left upper limb lymphedema for 12- months after left mastectomy and radiation. After Surgery: At a 15- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 86% and 100% above the elbow and below the elbow, respectively. 56-year-old female with right upper limb lymphedema for 10- months Before Surgery: This is a 56-year-old female with right upper limb lymphedema for 10- months after right mastectomy and axillary 31 lymph nodes dissection and radiation. After Surgery: At a 36- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively. 39-year-old female with left upper limb lymphedema for 6- months Before Surgery: This is a 39-year-old female with left upper limb lymphedema for 6- months after left mastectomy and axillary 31 lymph nodes dissection and radiation. After Surgery: At a 3- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 35% and 60% above the elbow and below the elbow, respectively. Before Surgery: This is a 64-year-old female with left upper limb lymphedema for 12- months after right mastectomy and axillary lymph nodes dissection and radiation. After Surgery: At a 36- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively. At a 36- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively. Candidates for LVA Cancer patients that have had lymph nodes removed due to the disease Patients who have not experienced relief from non-surgical therapies Cheng’s grading I, and early grade II lymphedema Partial obstruction on lymphoscintigraphy Patent lymphatic ducts on ICG lymphography Determining a Treatment Plan For patients with grade I to IV lymphedema, an individualized treatment plan is determined based on imaging studies. Patients with grade I and early II lymphedema will undergo a lymphodynamic evaluation by indocyanine green (ICG) lymphography. The ICG injection allows Dr. Cheng to evaluate the presence and location of open, functioning lymphatic channels or dermal backflow (obstruction of lymphatic flow). This type of image study is performed via injections into the second and fourth web spaces of the fingers or toes. Images are obtained at 5 minutes, and then again after 20 hours. These image studies enable Dr. Cheng to create a customized treatment plan for each patient depending on their degree of lymphedema. How Does LVA Surgery Work? The most advanced, minimally invasive super-microsurgical techniques relieve lymphedema through small incisions (around 3cm). Preoperatively, ICG lymphography is used to map the lymphatic system on the skin and locate the incisions. Once the lymphatic channel and a suitable vein have been identified and prepared, a connection between them is created to give the lymphatic fluid an alternative route to escape from the affected area. The lymph fluid will then drain effectively through the vein. Surgical Techniques If LVA surgery is chosen for a patient, Dr. Cheng’s preference is to perform one or two Side-To-End (lymph-to-vein) anastomosis. Using super-microsurgery techniques, Dr. Cheng performs the LVA surgery so that the lymph can drain into the vein from both proximal and distal directions. Into the planned incision, allowing the lymphatic channels to be easily detected. The can then be seen draining from the lymphatic channel into the vein, confirming LVA surgery success. ICG fluorescence may also be used to verify a successful LVA surgery. Side-to-end (Cheng’s Technique) End-to-end (Koshima’s Technique) End-to-end (A and B) end-to-side (C and D) anastomosis are shown. The decision to perform one versus another is based on the intrinsic functionality of the native lymphatic and the inherent pumping mechanism. If the venous pressure is greater than the lymphatic pressure, the blood is regurgitated and causes the anastomosis thrombosis (B and D). Bidirectional lymph will flow into the vein in a side-to-end fashion (C and 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 63. Patency test of the side-to-end lymphovenous anastomosis using indocyanine green lymphography (right) and patent blue (left) Q1 What does the lymphatic system do? The lymphatic system is vital to ensure a healthy body. It is responsible for circulating protein-rich lymph fluid though the body. During this process, it collects bacteria, viruses and waste. The fluid gets carried through the lymph vessels to the lymph nodes where the waste is filtered out by infection-fighting cells. The lymphatic system is part of the body's immune system and a crucial aspect of a person's health. Q2 What are the causes of lymphedema? Lymphedema occurs when your lymphatic system is unable to properly drain lymph fluid. While primary lymphedema occurs on its own, secondary lymphedema, which is more common, is caused by a disease or condition. Secondary lymphedema is usually seen when the lymph nodes are removed, oftentimes as part of a cancer treatment. Lymphedema can also be caused by damage to the lymph nodes, from radiation treatment or infection. Should there be a blockage in the lymphatic system, the lymph fluid will not drain well. This leads to fluid buildup and swelling, which generally occurs in the arms and legs. Q3 How can LVA surgery improve lymphedema? LVA surgical approaches, like Dr. Cheng's advanced LVA technique, are effective in reducing or eliminating lymphedema swelling and discomfort. The LVA method directly connects the lymphatic vessels in the affected area to nearby veins. This allows the built-up lymph fluid to drain, which improves the fluid circulation in the body. Typically, LVA is an outpatient procedure, with most patients returning home the same day as the surgery. 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

認識更多原發性淋巴水腫的存在、發展的原因，診斷方式、治療方法，以及為何專業的安德森診所是你最好的選擇。 Primary Lymphedema Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Symptoms of Primary Lymphedema Primary lymphedema is the presence or development of lymphedema without any relation to any underlying medical condition. Primary lymphedema has a quoted incidence of approximately 1-3 births out of every 100,000 births, with a particular female preponderance to male ratio of 3.5:1 worldly. In North America, the incidence of primary lymphedema is approximately 1.15 births out of every 100,000 births. Primary lymphedema can be classified depending on the age of onset of the patients: at infancy (birth to 1 year), during childhood (1-8 or 9 years), during adolescence (9-21 years), and lastly during adulthood (after 21 years). Mutations in VEGFR3 (Milroy disease), CCBE1 (Hennekam syndrome), SOX18 (hypotrichosis-telangiectasia-lymphedema), and FOXC2 (lymphedema distichiasis) are several eponymous conditions that present at birth and involve the development of lymphedema. Familial lymphedema of the lower extremities that presents itself during adolescence is known as Meige disease. Its underlying genetic abnormality is not known yet, but its familial nature and presentation at adolescence are characteristics of it. Primary lymphedema often occurs at birth and for causes or by mechanisms that are unknown. When primary lymphedema becomes symptomatic in adulthood, these patients often have a long-standing history of lymphedema that is associated with the destruction of lymphatic channels. Adipogenesis or proliferation of adipose tissue coupled with dense fibrosis often results in severe lymphedema of the limb and a more severe presentation. Severe fibrosis occurs with long-standing lymphedema due to the accumulation of protein-rich fluid in the interstitial spaces coupled with inflammation repeated bouts of cellulitis. Diagnosis of Primary Lymphedema Pre-operative lymphoscintigraphy and indocyanine green (ICG) lymphography are used to detect the presence of any intact lymphatic channels. If a lymphatic duct is available at ICG lymphography, the patient is offered the lymphovenous anastomosis (LVA), whereas those without patent lymphatic ducts are indicated for vascularized lymph node transfers (VLNT). If the lymphoscintigraphy shown total obstruction, the patients are offered VLNT directly. Ultrasound Doppler is used to evaluate the concomitant vascular lesions at the proximal site. Single-photon emission computed tomography (SPECT) is indicated for those patients with suspected concomitant chylous ascites. MRI is prescribed for the evaluation of donor site lymph node basins of neck if the vascularized lymph node flap is indicated. Lymphoscintigraphy computed tomography (CT) indocyanine green (ICG) lymphography Treatment Of Primary Lymphedema Both Vascularized lymph node transfers (VLNT) and lymphovenous anastomosis (LVA) are surgical treatments that have been proven effective in treating secondary lymphedema. VLNT involves the microsurgical transfer of lymph node-containing tissue to a lymphedematous limb, which works based on the movement of lymphatic fluid from the affected limb into the transferred lymph node and drainage via the newly anastomosed venous route. We have reported a paper to compare the results of VLNT and LVA treatments of lymphedema. 80% of primary lymphedema required a VLNT for the functional recovery and 20% of primary lymphedema may undergo a LVA. At a mean follow-up of 20 months, mean circumferential reduction of limb circumference and episodes of cellulitis were 3.7 ± 2.9 cm and 1.9 ± 2.9 cm; 5.1 ± 2.8 times/year and 4.2 ±0.5 times/year in VLNT and LVA groups, respectively (p = 0.7). Improvements in overall score of the Lymphedema quality of life questionnaire (LYMQoL) (from 3.9 ± 1.2 to 6.4 ± 1.1, p < 0.05) in VLNT group had statistically significant difference than that (from 3.0 ± 1.4 to 5.0 ± 2.4, p=0.07) in LVA group. Both VLNT and LVA surgeries can effectively treat primary lymphedema patients. The reduction of above-knee circumference, body weight, episodes of cellulitis, and the improvement of LYMQoL was significantly greater in LVNT compared to LVA. All of the patients did not use compression garments post-operatively! 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. Recommended reading journal Vascularized lymph node flap transfer and lymphovenous anastomosis for klippel-trenaunay syndrome with congenital lymphedema. Qiu SS, Chen HY, Cheng MH. Plast Reconstr Surg Glob Open. 2014 Jul 9;2(6):e167. https://www.ncbi.nlm.nih.gov/pubmed/25289360 Successful Outcomes of Vascularized Lymph Node Transfer and Lymphovenous Anastomosis for Treatment of Primary Lymphedema. Charles, Cheng MH. Plast Reconstr Surg Glob Open. 2018 [Epub ahead of print] 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

Travel Visa What is a visa? A visa is a permission certificate or a stamp on a non-citizen applicant’s passport to enter a particular country. To apply for a visa to Taiwan, please visit a Taiwan Representative Office nearest to you. Types of Visas to Taiwan: Visitor, Business Visa: (effective for 7 to 30 days) A U.S citizen doesn’t need a visa to visit Taiwan for up to 30 days. Please apply for your visa before your arrival in Taiwan, if you are not a U.S. citizen. For most patients, a visitor visa should offer sufficient time to undergo most kinds of medical checkups, examinations, and treatments. In the event that you are required to stay for longer than one month, we will assist you in applying for a medical visa. A formal certificate of diagnosis will be provided to you for the request of time extension for a medical visa. Landing Visa / Visa Exemption Please complete the immigration card WHILE on board the incoming flight. Citizens of some countries are eligible for a landing visa or visa exemption, which permits individuals to enter Taiwan without prior visa application for a duration of 30 to 90 days. Please click on the link on landing visa for more information. Please click on the link on visa exemption for more information. Entry Permit for Certain Passport Holders For citizens of certain countries, such as Pakistan, Iraq, Myanmar (Burma), Ethiopia, Nigeria, and Afghanistan, a formal medical visa letter signed by our hospital’s doctor will be required to gain entry into Taiwan. Travel Information Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Once you have confirmed and accepted your treatment plan, we will contact you to double-check and confirm the dates of your previous appointments. We will prepare the necessary travel visa, airport pick-up and hotel accommodation for you, and also make it easy for you to contact us. Travel Destination Known as the “heart of Asia”, Taiwan is packed with exciting things to do, beautiful sights to see, amazing food to try, festivals to enjoy, and friendly people to meet. Taiwan is famous for its landscape, rich heritage, diverse folk traditions, mild climate, magnificent temples, and numerous national museums. It has become a very popular travel destination in Asia because of its convenient and efficient transportation system, safe and secured environment, kind people, and affordable cost of travel. Taiwan’s unique tourism attractions – the combination of traditional Asia and the modern world, the contrast between metropolitan and countryside, the blending cultures of the old and the new, stunning scenery of mountains, coastlines and valleys, and tasty local food and international cuisines – bring tourists back to this beautiful island year after year. 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.

美體除毛療程 Beauty treatments 體毛太多易悶熱、出汗、毛囊炎，經常要刮毛好麻煩!!! 不再毛手毛腳(~別再叫我毛怪~)雷射永久性除毛 幾乎無痛感、免上麻、療程舒適 恢復光滑肌膚一勞永逸，大方舉手露腿不怕尷尬~~ 皮膚光滑不再「毛」躁：除毛5大重點部位 1. 手腳四肢增生的體毛 2. 臉部汗毛與眉雜毛 3. 腋下、胸毛、腹部等體毛 4. 鬍鬚、落腮鬍 5. 比基尼線、私密處、乳暈部位體毛 去除體毛的方式有哪些? 1.雷射除毛 此方式獲得醫學認證，可有效破壞毛囊根部、抑制毛髮生長，省時方便，且可避免傷害皮膚表層。因毛囊有生長週期，在進行雷射時有些毛囊可能正處於休眠期，所以通常雷射需要5~8次 才能除乾淨。 ​ 2.刮毛刀 只能刮除表面毛髮，很快會再長出刺刺的「小黑頭」，且刮毛刀容易傷害到皮膚，可能造成黑色素沉澱和毛囊炎。 ​ 3.除毛膏 雖然可簡單、快速、無痛去除毛髮根部，但化學成分製品會刺激皮膚，容易造成過敏，不適合用在皮膚細緻的部位。 ​ 4.蜜臘除毛 能暫時去除毛髮的根部，平均維持3週時間，無法有效達到永久除毛的效果。 永久性除毛的治療原理 毛囊生長毛髮有一定的週期循環，稱為毛囊生長週期，分為3個階段：生長期、衰退期、和休止期。 雷射除毛是針對處於生長期的毛囊，破壞其毛囊幹細胞，達到抑制毛髮生長的效果。醫學上認定的「永久除毛」，是指以雷射連續進行6~8次的療程，可達到抑制80~90%毛髮生長，經過每次療程後，毛髮生長會變得越來越慢、越細！ 配合毛髮生長週期，原則上建議每3~4週規律的施打一次雷射。過程中會根據每個人體質狀況不同而有所調整。 雷射除毛術前須知 1.不可「拔毛」以免導致黑色素不足，影響效果或引發毛囊炎而無法進行雷射。 2.治療區域1週內避免塗抹刺激性藥品、磨砂膏、去角質霜。 3.皮膚正在過敏發炎或皮膚乾癢粗糙，應暫時避免治療。 4.治療時應於前一天將治療區域毛髮刮乾淨。 5.治療當日應著寬鬆衣物，以減少術後治療部位摩擦。 雷射除毛療程需要除毛幾次? 根據每個人的除毛部位及毛量多寡，治療次數也會有所不同。這又回到上面提到的，毛囊分為成長期、衰退期及休止期3個階段，每次雷射只對當時正在成長期階段的毛髮有作用。 雷射除毛治療一次約可減少 5~10% 生長期的毛髮，由於毛髮有週期性，每次雷射間隔的時間不宜太密集，這樣才能打到不同生長週期的毛囊，發揮較佳的除毛效果。 一般來說，配合醫師評估你的毛髮週期，約每 6~8 週做一次治療，通常雷射治療 6 次以上，毛髮會逐次逐量慢慢減少或變細，最終達到視覺上乾淨的效果，獲得治療者普遍滿意的程度。當然每個人狀況不一，建議以門診現場諮詢評估為準。 什麼樣的情況不適合雷射除毛？ 1.懷孕和哺乳 基於醫學倫理考量，由於尚未有針對孕婦及哺乳媽媽進行雷射除毛的人體實驗，因此不建議懷孕及哺乳期間進行雷射除毛。 ​ 2.正在使用某些藥物 除毛雷射前 6 個月有口服 A 酸，或正在服用光敏感藥物，或是光敏感者，需主動告知醫師，與醫師充分討論自己進行中的療程狀況後，再評估是否可以雷射除毛。 ​ 3.患特定疾病 現存癌症或有癌症病史、患有免疫抑制疾病（例如 AIDS 或 HIV），或使用免疫抑制藥物導致免疫系統受損、因病態或藥物引起的多毛症，建議優先處理病症。 ​ 4.毛髮顏色淺 白色、顏色較淺的毛髮，雷射作用效果可能較差。這也是為什麼在歐美地區，蜜蠟除毛較雷射除毛盛行的原因。 ​ 5.欲雷射部位感染中 雷射區域有任何現症感染，例如：濕疹、牛皮癬、瘡、毛囊發炎、開放性撕裂或擦傷等，不適合進行雷射除毛。 ​ 6.未受控的內分泌失調 例如：患有糖尿病、甲狀腺功能紊亂、多囊卵巢症、賀爾蒙雄性化者。 雷射除毛術後護理事項 1.治療區域1週內避免使用到各式果酸、各式美白類、各式香精類、去角質和酒精類的成分產品。 2.可使用沐浴乳或香皂洗澡，水溫宜稍低。 3.治療後不會有傷口，但偶有輕微泛紅現象，配合使用冰敷和保濕乳液，數小時到數天 內就會消退。 4.治療後患部若有黑頭毛根，約 1 週後脫落。 5.術後需加強保濕和防曬，且1週內避免高溫場所蒸汽浴、三溫暖和泳池。

Wed, Sep 18 | Wix Office MY EVENT This is a great place to get your guests excited by telling them a little more about this event. RSVP Time & Location Sep 18, 2024, 6:00 PM – Sep 19, 2024, 9:00 PM Wix Office, 500 Terry Francois Street, San Francisco, CA 94158 About the event Use this space to tell guests more about this event, e.g., event schedule, speakers, important info & more. To customize this text head to Manage Event > Event Details. This is a paragraph about your event. You can tell guests about the event history, background, types of participants and more. This is a great place to give guests plenty of additional information to get them excited to register. To customize this text head to Manage Event > Event Details. This is a paragraph about your event. You can tell guests about the event history, background, types of participants and more. This is a great place to give guests plenty of additional information to get them excited to register. To customize this text head to Manage Event > Event Details. Show More RSVP Share this event

All Posts Lymphedema Breast reconstruction Presentations Search 安德森整形外科診所 Apr 30, 2022 1 min 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... 0 views Post not marked as liked 安德森整形外科診所 Aug 12, 2020 1 min 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... 0 views Post not marked as liked 安德森整形外科診所 Aug 2, 2020 1 min 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... 0 views Post not marked as liked

精緻體雕療程 深層抽脂+淺層精雕 精準鎖定溶脂部位，不傷周邊組織、術後不鬆垮、不易復胖 局部/全身體雕 BMI檢測 易堆脂部位 抽(補)脂體雕塑身術 局部減脂vs全身雕塑 幫您擺脫沉重包袱，輕盈變身，再現窈窕傲人曲線 01. 我腰太粗、肚子太大、大腿太粗了！試了控制飲食、運動都沒有成效該怎麼辦？我可以抽脂嗎？ 身材的雕塑管理，是整形門診最常見的項目之一。運動健身、控制飲食只能讓全身皮下脂肪變薄，對於囤積在腹部、腰部、上臂、大腿等部位的深層脂肪是沒有明顯作用的。如果您曾經針對局部脂肪堆積也嘗試過很多方法都瘦不下來，那就可以試試抽脂手術，進行局部減脂，然後術後1~3個月穿著塑身衣，並搭配良好的運動及飲食習慣，便能維持長期良好的體態及身形。 02. 我的身材算肥胖嗎?BMI自我檢測 世界衛生組織建議以身體質量指數（BMI）來衡量肥胖程度，其計算方式是以體重（公斤）除以身高（公尺）的平方。健康署建議我國成人BMI應維持在18.5～24（kg/m2）之間，太胖太瘦皆不宜。 ​ • 過輕：BMI<18.5 • 正常：BMI 18.5~23.9 • 過重：BMI 24.0~26.9 • 輕度肥胖：BMI 27.0~29.9 • 中度肥胖：BMI 30.0~34.9 • 重度肥胖：BMI >35 03. 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。 04. 該如何選擇抽脂手術的種類? 抽脂從傳統抽脂，到現在的各種改良精進的抽脂技術：飆塑動力抽脂 、威塑抽脂 、水刀抽脂 、雷射抽脂 、超音波抽脂 、渦旋式抽脂 等，各有其不同的優缺點，但想達到最好的效果除了機器的選擇之外，也決定在有專業經驗的醫師，透過醫師的判斷，選擇最適合的抽脂方式才能達到最好的效果。 方式 圖片 原理 傳統抽脂 以手動的方式來回打散該區域的脂肪塊，再抽出小塊脂肪，若是力道掌握不當，會比較容易傷害到其他組織血管，造成出血量多，疼痛感也比較大，皮膚也比較容易凹凸不平。 飆塑動力抽脂（振動抽脂PAL） 利用每分鐘飆速4000次震盪，快速抽取脂肪組織，比較不會破壞纖維組織與微血管，減少手術過程造成的出血與腫脹，不會產生灼傷，降低抽脂手術的疼痛，達到抽脂後快速復原的效果。 水刀抽脂 是利用一條打水內管，產生扇形的水刀沖刷脂肪組織，以高壓方式軟化組織，再以負壓將軟化的脂肪吸出，達到抽脂效果。 雷射抽脂 是利用雷射技術，將0.1CM的雷射光纖探針深入皮下脂肪層後，藉由雷射的震波震碎溶解脂肪細胞的細胞膜，以減少脂肪的數量，術後可經由人體的自然代謝或經由引流技術將脂肪排出體外，又因雷射光熱的作用，激發膠原蛋白的再生，術後可提升皮膚的緊實度，因雷射光纖的探頭小，可針對局部或細小部位溶脂。 ULTRA-Z超音波抽脂 又稱黃金脂雕或Z波黃金抽脂，抽脂方式是利用超音波（26000Hz）快速震盪原理，透過抽脂儀器將脂肪組織震碎，產生乳化作用，和威塑抽脂機相比，功率是比較弱，一般脂肪乳糜化比較沒有那麼徹底，出血量也相對較多。 VaSer 2.2威塑抽脂 利用金屬探針進入施作部位並釋放超音波（36000Hz）引起脂肪組織共振，將脂肪團塊乳糜化，再藉由螺旋水流將脂肪沖散，最後利用專利引流探針將脂肪抽吸出來，與一般抽脂不同的是，一般抽脂手術只能改善深層脂肪，對於淺層脂肪的雕刻並無法做到，但威塑抽脂可以抽去身體的深層脂肪，亦可進行淺層脂肪的精雕，優點是保留神經血管的完整性，以不破壞脂肪周圍的纖維締結組織，消除不必要的脂肪，脂肪抽出後肌膚較能維持平滑緊緻，不易鬆垮，且抽出的脂肪存活率高，還可以回收再利用。 手術的出血量少，術後瘀血情形較少，恢復期和不適感也相對少。 Euromic渦旋式抽脂 以氣動600次/分的振動頻率前後的方式推動，利用平移運動、圍繞其軸的彎曲運動及旋轉運動，將部位脂肪剝離下來，並且減少了對肌肉神經等非脂肪組織的損傷，其智慧探頭僅針對脂肪組織作用，安全設計自動迴避非脂肪組織，鎖定淺、中、深層脂肪並抽引出，達到體雕塑身效果。 ​術後注意事項 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 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。 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。 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。 避免陽光照射 ​ 避免傷口受太陽照射，直到傷口完全癒合。