在安德森內搜尋：

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！ 好評如潮！鄭院長新作《脂肪魔術師》 榮獲博客來暢銷第一！ 院長多年研究不藏私～來看看脂肪是怎麼成為寶藏的呢？ 現在到博客來把書帶回家，即享有特別優惠哦！ 立即購買 25年的手術經驗 跨足 淋巴水腫・乳房重建・醫學美容 三大領域的權威 鄭明輝教授是一位經過國際認證的整形外科醫生，專長為顯微重建手術，被列為全球顯微重建外科領域最受歡迎的整形外科醫生之一。迄今已經完成2500多個顯微手術病例，包括頭頸部重建、乳房重建、顱內外動脈血管旁接手術、淋巴管靜脈吻合術和淋巴結皮瓣移植。 鄭教授在1997年完成林口長庚紀念醫院整形外科住院醫師6年的訓練，並升任整形外科主治醫師，於1998年在德州休斯頓的MD安德森癌症中心整形外科完成顯微外科研究員的訓練。西元2003年成為美國重建顯微外科學會會員，2009年起成為美國外科學院院士，2017年獲邀為密西根大學整形外科兼任教授後，每年於美國密西根大學進行示範解剖教學，並演講指導學生。 恭喜鄭明輝院長登上 全球前2%科學家榮耀 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 塗昭江 主任醫師 週五 上午09:00-12:00

案例分享：隆乳 + 縮乳頭 ｜「胸部不腫、不痛，也有下降，感覺更自然。胸型好了，連乳頭也一起變得更美，身材好了，穿衣服更好看。」 美麗見證 2024.4.18 手術 案例分享：隆乳 + 縮乳頭 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）。 （術前產後胸部萎縮＋乳頭變形） 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。 我前前後後總共諮詢了五家大台北知名的整形外科，這5家包含網路上網友們都極推的整外名醫，從一開始的不好意思、模糊懵懂→到知道自己想問什麼、在意什麼，而不是被診所的醫生及諮詢師牽著走。 最後，我選擇了我的隆乳命定首選：安德森整形外科！ 其中有7個因素影響我最後的決定： 本身做了些功課，我傾向胸下緣開刀，鄭明輝院長是胸下外側，跟我想要的手術開法類似。 想要影響生活最小的，因為還要帶小孩也要上班，也不想讓家人知道，本身也是忙碌的一般上班族、職業婦女，不是職業網紅、也不是演藝人員模特兒。 安德森整形外科是我第5間諮詢的整形外科診所，我自己想問的、在意的地方，包括院長、麻醉醫師到整體醫療環境、診所諮詢師，都有正中我心。 鄭明輝院長很有自信，但態度沒有很自負，講話過程中沒有因為我問了蠢問題而反駁我。 診所的裝潢很溫馨自然，從首次來現場諮詢到幾次來診所看到的患者，跟我一樣都是一般老百姓，沒有看到網紅，也沒有整型到很誇張的臉。 諮詢師在見面前的電話初步諮詢聯繫跟實際預約見面後的諮詢，後續聯繫與服務態度是一致的，沒有因為我說我還要思考就愛理不理，還是抱著盡力再為我解說、說明，服務的熱忱跟態度與專業是一致的。 鄭院長是前林口長庚醫院院長，我想這等級應該很厲害。 所以最後就決定預約了手術日期。 在手術當天，當天的刀房護理師佳怡有給我很大的心理支持。 進去刀房前我還問了她說：「如果遇到地震你們會怎麼辦？🤣」 她一直安慰我說不用擔心我會好好照顧妳。 這緩和了我手術當天很大的情緒焦慮與緊張。畢竟是要手術我的心裡還是會害怕與緊張。 【手術當天】 麻醉醫師都有跟我講解細節，在麻醉過程（我清醒時）都有跟我講解，叫我要放輕鬆，不然會打不到血管喔🤣 我很想放輕鬆啊，但是我很緊張一直在發抖 我在手術台上又想哭又想笑。（很怕手術後醒不來，怕手術後很痛，但又覺得我睡個覺起來就有大奶奶了太棒了） 我當下的臉真的是哭哭又笑笑。 在我麻醉昏迷之前，麻醉醫生跟護理師都一直有在跟我講話🤣 術後麻醉的後遺症，讓我極為不適（想吐），離開開刀房後在診所也休息了一陣子，回到家很累很想睡，但也很想吐。 這時會有一個想法冒出：為了愛美讓自己這麼不舒服何必呢？ 睡覺過程沒有很安穩，但也平順度過了第一晚。 【術後第二、三天】 起不了身請老公協助，除了動作比較緩慢外，想吐的症狀沒了（麻醉代謝掉了）。除了左右側邊肋骨跟鎖骨處會有點痛痛，其他沒有什麼疼痛感（早晚都有吃止痛藥跟抗生素）。 吃東西也可以正常吃、也可以陪小孩玩玩具、胸部假體在姿勢轉換時有不舒服感覺（有東西在動的感覺）。 【術後第四天】 自己出門洗頭去、動作依然不敢太快太大、半坐躺的方式洗頭很OK，這時的我行動自如。 【術後第7天回診】 按摩的力道比我想像的大。但按摩時都不會痛。會聽到胸部內有水聲。胸部的皮膚感覺有一點鈍鈍的。冰敷時，有一種隔空的感覺 乳頭換藥有稍微一點點感覺。但不大，壓到的話會痛。 已可以正常手伸直運動，伸展時腋下會有酸拉感。 胸部乳頭部分還是沒什麼感覺、胸部開刀處沒什麼感覺。 在胸部腫脹部分；腫在胸部跟剝離範圍，沒有水腫到肚子跟其他地方。 疼痛感部分： 一開始幾天按壓胸部會覺得一點痛，在姿勢轉換時會有假體移動的瞬間麻辣感。 老公說我是天選之人，要不是他有陪我去開刀跟幫我換藥，不然一點都不覺得我有手術。 可以按摩後，就認真按（早上起床、中午吃飯、晚上睡前） 還有每次在公司上廁所時按一下，我的胸部在2個星期回診時就覺得很軟了。 目前手術快2個月： 胸部不腫、不痛，也有下降，感覺更自然。 胸型好了，連乳頭也一起變得更美，身材好了，穿衣服更好看。 先生也更喜歡這樣轉變後的自己，因為我變得更有自信，也變得更愛自己。 還在觀望的妳 推薦給大家。我的見證與分享。

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。 Gallery 成果照片分享： 治療中度至重度淋巴水腫 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) 手部 案例一 Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs This is a 61-year-old female who had suffered from breast cancer-related lymphedema of the right upper extremity for 10 years after mastectomy, axillary 19 lymph nodes dissection, and radiotherapy. With the combined use of compression garments and the treatment of complete decongestive therapy, she had developed 2 episodes of cellulitis per year. At 2- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 27% and 10% above and below the elbow, respectively. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At 12- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 36% and 15% above and below the elbow, respectively. The skin paddle in the wrist was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 and 27 months. At 36- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 60% and 10% above and below the elbow, respectively. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At 72- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 50% above and below the elbow, respectively. At 75- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 40% above and below the elbow, respectively. 案例二 Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At 3- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 38% and 25% above and below the elbow, respectively. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At 6- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 32% and 15% above and below the elbow, respectively. At 12- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 30% and 15% above and below the elbow, respectively. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs The skin paddle in the wrist was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 months. At 18- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 90% and 40% above and below the elbow, respectively. At 22- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 35% above and below the elbow, respectively. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At 36- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 85% above and below the elbow, respectively. 案例三 Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs A 56-year-old patient with grade IV breast cancer-related lymphedema of the left upper extremity for 36 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 5 episodes of cellulitis per year and was refractory to conservative decongestive therapy. At 12- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 40% and 15% above and below the elbow, respectively. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs The skin paddle in the wrist was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 months. At 21- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 70% and 30% above and below the elbow, respectively. At 29- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 65% above and below the elbow, respectively. 案例四 Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs A 70-year-old patient with grade III breast cancer-related lymphedema of the left upper extremity for 36 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 1 episodes of cellulitis per year and was refractory to conservative decongestive therapy. At the 6-months follow-up, vascularized submental lymph node flap transfer to the wrist had significantly improved the patient’s symptoms and extremity tightness. The circumferential reduction rate was 20% above the elbow and 15% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At the 24-months follow-up, the reduction rate was 60% above the elbow and 50% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At the 33-months follow-up, the reduction rate was 50% above the elbow and 25% below the elbow without the use of a compression garment. 案例五 Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs A 59-year-old patient with grade II breast cancer-related lymphedema of the left upper extremity for 12 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 2 episodes of cellulitis per year and was refractory to conservative decongestive therapy. At the 3-months follow-up, vascularized submental lymph node flap transfer to the wrist had significantly improved the patient’s symptoms and extremity tightness. The circumferential reduction rate was 22% above the elbow and 25% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At the 6-months follow-up, the reduction rate was 35% above the elbow and 25% below the elbow without the use of a compression garment. At the 12-months follow-up, the reduction rate was 30% above the elbow and 20% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs The patient received a revision surgery consisting of the de-epithelialization of the skin paddle in the wrist and liposuction for the left upper medial arm 14 months after surgery. At the 24-months follow-up, the reduction rate was 35% above the elbow and 30% below the elbow without the use of a compression garment. At the 38-months follow-up, the reduction rate was 35% above the elbow and 30% below the elbow. The patient was satisfied with the functional and cosmetic outcomes and did not wear a compression garment. 案例六 Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs A 51-year-old patient with grade II breast cancer-related lymphedema of the left upper extremity for 6 months after mastectomy, axillary lymph node dissection, and radiation. She developed 1 episodes of cellulitis per year and was refractory to conservative decongestive therapy. At the 12-months follow-up, the reduction rate was 50% above the elbow and 33% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At the 12-months follow-up, the reduction rate was 50% above the elbow and 33% below the elbow without the use of a compression garment. At the 20-months follow-up, the reduction rate was 50% above the elbow and 77% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At the 20-months follow-up, the reduction rate was 50% above the elbow and 77% below the elbow without the use of a compression garment. The patient received a revision surgery consisting of the de-epithelialization of the skin paddle in 24 months after surgery. At the 36-months follow-up, the reduction rate was 50% above the elbow and 50% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs The patient received a revision surgery consisting of the de-epithelialization of the skin paddle in 24 months after surgery. At the 36-months follow-up, the reduction rate was 50% above the elbow and 50% below the elbow without the use of a compression garment. At the 40-months follow-up, the reduction rate was 70% above the elbow and 75% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At the 40-months follow-up, the reduction rate was 70% above the elbow and 75% below the elbow without the use of a compression garment. 案例七 Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs A 59-year-old patient with grade II breast cancer-related lymphedema of the left upper extremity for 18 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 2 episodes of cellulitis per year and was received non-vascularized lymph node transfer by other doctor on left elbow, and refractory to conservative decongestive therapy. At the 3-months follow-up, the reduction rate was 10% above the elbow and 23% below the elbow without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At the 10-months follow-up, the reduction rate was 20% above the elbow and 30% below the elbow without the use of a compression garment. The skin paddle in the middle forearm was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 months. At the 20-months follow-up, the reduction rate was 100% above the elbow and 42% below the elbow without the use of a compression garment. 案例八 Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs This is a 46-year-old female who had suffered from breast cancer-related lymphedema of the right upper extremity for 2 years after mastectomy, axillary lymph node dissection, and radiotherapy. She developed one episode of cellulitis per year with the use of compression garments. At 3- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 20% and 15% above and below the elbow, respectively. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At 24- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 37% and 20% above and below the elbow, respectively. At 38- month follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 40% and 25% above and below the elbow, respectively. Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs At 70- month follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 75% and 50% above and below the elbow, respectively. 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) 腳部 案例一 Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs A 65-year-old female with grade IV left lower limb lymphedema for 3 years after cervical cancer and radiation. At the 3 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 30% above the knee and 40% below the knee without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs At the 9 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 10% above the knee and 85% below the knee without the use of a compression garment. 案例二 Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs A 67-year-old female with grade IV right lower limb lymphedema for 8 years after cervical cancer and radiation. She was refractory to conservative decongestive therapy. At the 6 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 15% above the knee and 5% below the knee without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs At the 67 months of follow-up, after flap revision and right lower limb liposuction. The circumferential reduction rate was 62% above the knee and 50% below the knee without the use of a compression garment. 案例三 Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs This is a 15-year-old patient with left lower limb congenital lymphedema for 2 years. At the 24 months of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms. The circumferential reduction rate was 10% above the knee and 30% below the knee without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs At the 36 months of follow-up, after flap revision. The circumferential reduction rate was 10% above the knee and 30% below the knee without the use of a compression garment. 案例四 Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs This is a 5-year-old patient with right lower limb congenital lymphedema for 2 years. At the 15 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 20% above the knee and 15% below the knee without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs At the 13 months of follow-up, after flap revision. The circumferential reduction rate was 25% above the knee and 20% below the knee without the use of a compression garment. 案例五 Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs This is a 40-year-old patient with left lower limb congenital lymphedema for 15 years. At the 6 months of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms. The circumferential reduction rate was 5% above the knee and 23% below the knee without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs At the 36 months of follow-up, after flap revision and left lower limb liposuction. The circumferential reduction rate was 55% above the knee and 56% below the knee without the use of a compression garment. 案例六 Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs This is a 52-year-old female with grade II left lower limb lymphedema and grade I right lower limb lymphedema for 5 years after cervical cancer and radiation. At the 1 month of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms and extremity tightness. right lower limb was received lymphaticovenous anastomosis without the use of a compression garment. Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs At the 19 months of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms and extremity tightness. right lower limb was received lymphaticovenous anastomosis without the use of a compression garment.

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) 顯微淋巴結皮瓣移植 關於顯微淋巴結皮瓣移植 對於在鄭氏淋巴水腫分期的晚期II級至IV級淋巴水腫且循血綠（(Indocyanine Green, ICG）淋巴管檢查無淋巴管功能的患者，建議進行顯微淋巴結皮瓣移植（Vascularized Submental Lymph Node, VLNT）治療。 IV級淋巴水腫患者可能需要抽脂或部分組織切除，通常在顯微淋巴結皮瓣移植（VLNT）後一年，再加做上臂或大腿的局部抽脂，以減少腫脹及產生淋巴水腫的脂肪。 安德森， 您的安心選擇 醫學中心規格設備 手術室配備全台僅四台的Mitaka顯微鏡， 具有高達1600萬像素、可光學放大42倍的功能，非常適合在0.5mm的淋巴管及靜脈接合，常用在淋巴管靜脈吻合術，如：術前評估、術中評估縫合的通透性， 使手術更穩定、安全。 案例分享 Before Surgery: This is a 61-year-old female who had suffered from breast cancer-related lymphedema of the right upper extremity for 10 years after mastectomy, axillary 19 lymph nodes dissection, and radiotherapy. With the combined use of compression garments and the treatment of complete decongestive therapy, she had developed 2 episodes of cellulitis per year. After Surgery: At 75- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 40% above and below the elbow, respectively. Before Surgery: A 53-year-old patient with grade II breast cancer-related lymphedema of the right upper extremity for 36 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 2 episodes of cellulitis per year and was refractory to conservative decongestive therapy. After Surgery: At 36- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 85% above and below the elbow, respectively. Before Surgery: A 56-year-old patient with grade IV breast cancer-related lymphedema of the left upper extremity for 36 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 5 episodes of cellulitis per year and was refractory to conservative decongestive therapy. After Surgery: At 29- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 65% above and below the elbow, respectively. Before Surgery: A 70-year-old patient with grade III breast cancer-related lymphedema of the left upper extremity for 36 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 1 episodes of cellulitis per year and was refractory to conservative decongestive therapy. After Surgery: At the 50-months follow-up, the reduction rate was 80% above the elbow and 45% below the elbow without the use of a compression garment. 顯微淋巴結皮瓣移植的適合對象 鄭氏淋巴水腫分級Ⅱ，Ⅲ，Ⅳ級淋巴水腫 淋巴水腫患者積極接受復健超過6個月而未有任何改善 發生多次蜂窩性組織炎 淋巴攝影(Lymphosintigraphy, LG)中呈現完全淋巴管阻塞 在循血綠（(Indocyanine Green, ICG）淋巴管檢查中，沒有暢通的淋巴管進行淋巴管靜脈吻合術（Lymphovenous Anastomosis, LVA）。 （見LVA部分） 顯微淋巴結皮瓣是如何運作的？ 顯微淋巴結皮瓣移植（VLNT）的來源基於患者對供體部位的選擇，可透過術前核磁共振檢查評估選定淋巴結的可用性。鑑於臨床成功經驗，顯微下頜部淋巴結皮瓣移植（Vascularized Submental Lymph Node,VSLN）是鄭教授最常用的淋巴結皮瓣。 根據“抽水馬達”機制和重力作用，我們將顯微下頜淋巴結皮瓣移植到手腕或腳踝上，手術後即可逐漸恢復正常活動。在顯微下頜淋巴結皮瓣移植1年後可進行另一次修復手術（Revision Surgery），去除皮瓣的皮膚及其淺層脂肪以改善外觀，同時透過近端大腿或上臂抽脂(Liposuction)減少脂肪體積，以減少淋巴液的產生。 顯微淋巴結皮瓣內的淋巴靜脈連接。這些連接負責將淋巴液分流到靜脈系統中，在顯微淋巴結瓣移植部位可產生局部減壓。 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） 顯微淋巴結皮瓣移植手術後的預期結果 鄭教授通過將顯微淋巴結皮瓣轉移到遠端受體部位（手腕或踝關節）的顯微技術，使患肢的組織變得更柔軟，手臂更小更輕，蜂窩性組織炎更少，美容外觀更好，功能最佳，最重要的是不需要再穿上壓力袖套/襪了非常有助生活質量的提升。 移植過來的淋巴結皮瓣看起來並不好看，但是在術後一年可以移除皮瓣的皮膚以獲得更好的美容效果。在鄭教授的經驗中，顯微淋巴結皮瓣移植的成功率為98％。在顯微淋巴結皮瓣移植手術後平均追蹤18個月，90％的乳癌相關淋巴水腫患者皆有改善，平均周圍(臂圍或腿圍)差異改善40~50％。總體而言，淋巴水腫的肢體會隨著時間越長變得更加柔軟，患者可以恢復正常的生活方式並在手術後保持信心及生活質量。 顯微淋巴結皮瓣轉移機制的證據 1. Tc-99淋巴攝影影像（Lymphoscintigraphy） 術前上肢淋巴水腫靜態圖。在注射放射性顯影劑後30,60和120分鐘拍攝上肢圖像。術前圖像（上排：A-C）和術後圖像（下排：D-F）。在術前圖像中，隨著時間的增加，淋巴水腫的前臂皮膚顯示出明顯的顯影劑累積。術後，皮膚回流在前臂（D-F）中不太明顯，並且放射性顯影劑更快地流動到遠端上臂（F中的箭頭）。 資料來源： 顯微腹股溝淋巴結移植使用手腕作為受體部位，治療乳房切除術後上肢淋巴水腫。Lin CH, Ali R, Chen SC, Wallace C, Chang YC, Chen HC, Cheng MH. Plast Reconstr Surg. 2009 Apr;123(4):1265-75. 2. 上肢接受顯微腹股溝淋巴結移植術後淋巴攝影圖像 一名68歲的女性患者是右上肢淋巴水腫的患者，將顯微腹股溝淋巴結移植至右肘（A）。術前淋巴攝影顯示前臂顯影劑堆積和右腋下淋巴結缺少（B）。在術後56個月的隨訪中，患者對右上肢柔軟感到滿意，肘部周長減少58％，肘部減少40％（C）。術後淋巴攝影顯示，肘關節移植的顯微淋巴結皮瓣對顯影劑的吸收增加，右上臂顯影劑的堆積減少（D）。 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204-5頁。 3. 上肢接受顯微下頜部淋巴結皮瓣移植術後淋巴攝影圖像 一名52歲女性右上肢淋巴水腫患者進行顯微下頜部淋巴結皮瓣移植至右腕。術前淋巴閃爍顯示前臂顯影劑堆積和右腋窩淋巴結缺少。術後淋巴攝影顯示，手腕處移植的兩個顯微淋巴結對顯影劑的吸收增加，右上臂顯影劑堆積較少。 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204-5頁。 4. 術中影像 顯微淋巴結皮瓣轉移機制的證據 循血綠淋巴管 (Indocyanine Green, ICG)攝影直接注射皮瓣淋巴結 通過顯微下頜淋巴結皮瓣（Vascularized Submental Lymph Node, VSLN）進行淋巴系統引流 資料來源： 顯微淋巴結皮瓣的建議途徑和機制。 Ito R，Zelken J，Yang CY，Lin CY，Cheng MH。 Gynecol Oncol。 2016年4月; 141（1）：182-8。 Q1 顯微淋巴結皮瓣移植手術如何改善淋巴水腫？ 淋巴系統對於保持身體健康至關重要,富含蛋白質的淋巴液在體內循環,收集細菌、病毒和廢物,由淋巴管將廢物運送到淋巴結後過濾排出。 Q2 手術後是否需要追蹤？ 當您的淋巴系統無法正確排除淋巴液時,就會發生淋巴水腫。除了原發性(先天性)淋巴水腫外,繼發性淋巴水腫更常見,多數是由疾病或其他治療引起的。 繼發淋巴水腫是接受淋巴結切除後常見的併發症,通常是在癌症手術治療及放射線治療後發生,另外,淋巴水腫也可能是由於感染引起的淋巴結損傷所致。如果淋巴系統阻塞,則淋巴液將不易排出,導致液體堆積在手臂和腿部。 Q3 為什麼選擇鄭教授進行顯微淋巴結皮瓣手術？ 鄭教授的淋巴管靜脈吻合術,可有效減少或消除淋巴水腫和不適,邊對端淋巴管靜脈吻合(Side-to-end lymphovenous anastomosis)方法效果顯著,並發表於Plastic & Reconstructive Surgery期刊上,是將患肢遠心端(通常在前臂或小腿上)的淋巴管直接接到附近的靜脈,將積聚的淋巴液透過靜脈系統排出,從而改善體內的液體循環。 Contact us 如果您有乳腺癌相關淋巴水腫並希望了解更多有關最先進治療的信息，請聯繫鄭教授。鄭教授在國際上被公認為治療淋巴水腫專家，可以根據您的具體情況討論治療方案。鄭教授是美國重建顯微外科學會的成員，對乳腺癌患者和相關淋巴水腫患者有豐富的顯微皮瓣移植手術臨床經驗。 線上諮詢

鄭明輝教授時常受邀至世界各地的教育和醫療機構演講，分享有關淋巴水腫和乳房重建的專業手術技術及研究結果。 Presentations 國際會議 鄭院長受邀擔任IERBS Keynote Speaker 1月2日 10th World Symposium for Lymphedema Surgery (WSLS)第十屆世界淋巴水腫手術研討會圓滿落幕 2024年5月6日 「不斷進步，掌握最新的技術」鄭明輝教授受邀參加西班牙巴賽隆納第九屆世界淋巴水腫手術學術研討會 2023年7月23日

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 塗昭江 乳癌診斷治療、切片 部份切除術、乳頭保留式乳房切除術、預防式乳房切除術 化學治療、鏢靶治療。 ◎ 門診時間：每週五 上午9:00-12:00 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

鄭明輝教授發表66篇淋巴水腫論文和兩本教科書篇章，與國際學術醫界連結，為顯微重建整型外科及淋巴水腫世界權威 論文發表 鄭明輝教授發表淋巴水腫論文 鄭明輝教授發表教科書及章節 1. 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. 淋巴結移植是一種被廣泛應用於治療淋巴水腫的有效方法。傳統上，臨床多將淋巴結移植至腋下，以改善乳癌術後上肢淋巴水腫的症狀。然而，臺灣的鄭明輝教授首創性地提出將鼠蹊部淋巴結移植至手腕遠端的位置，藉此改善淋巴回流，突破過去「近端移植」的慣例。這項技術在臨床上展現出卓越成效，根據平均56個月的長期追蹤，接受手腕移植的患者其患側手臂臂圍平均縮小達50%。這項開創性的研究於2009年發表，並成為首篇證實遠端淋巴結移植具臨床療效的論文，截至目前已被 Google Scholar 引用超過439次，對淋巴結移植術的發展產生深遠影響。 Plast Reconstr Surg. 2009 Apr;123(4):1265-75. doi: 10.1097/PRS.0b013e31819e6529. https://www.ncbi.nlm.nih.gov/pubmed/19337095 2. A novel approach to the treatment of lower extremity lymphedema by transferring a vascularized submental lymph node flap to the ankle. Cheng MH, Huang JJ, Nguyen DH, Saint-Cyr M, Zenn MR, Tan BK, Lee CL. 鄭明輝教授第二篇關於淋巴水腫治療的研究展現了極具創新性的突破。他首度提出將下頷骨淋巴結移植至腳踝，用以治療下肢淋巴水腫。過去，針對下肢淋巴水腫的處理方式多限於穿著壓力襪或進行淋巴靜脈吻合術（LVA），然而對於病情較嚴重的患者，這些方法常常效果有限。鄭教授所發展的下頷骨淋巴結移植術，在臨床上展現出顯著的成效，為傳統療法無效的患者帶來了新的希望。此篇論文自發表以來，已被 Google Scholar 引用高達 330 次，顯示其在學術界與臨床實務上的深遠影響。 Gynecol Oncol. 2012 Jul;126(1):93-8. doi: 10.1016/j.ygyno.2012.04.017. Epub 2012 Apr 17. https://www.ncbi.nlm.nih.gov/pubmed/22516659 3. Vascularized groin lymph node flap transfer for postmastectomy upper limb lymphedema: flap anatomy, recipient sites, and outcomes.. Cheng MH, Chen SC, Henry SL, Tan BK, Lin MC, Huang JJ. 淋巴結移植的可靠性與治療效果如何？近心端或遠心端哪種移植效果更佳？ 在2013年，鄭教授進一步發表研究，採用顯微外科技術進行鼠蹊部淋巴結移植，以治療上肢淋巴水腫。該研究對鼠蹊部淋巴結的解剖構造、受體區域的選擇，以及整體預後表現，皆有詳盡而正面的報告。手術平均可移植超過六顆鼠蹊部淋巴結，並在平均39個月的追蹤期後，患者的臂圍減少達40%，顯示出穩定而良好的治療成效。這項研究為將淋巴結移植至遠端以治療乳癌術後淋巴水腫奠定了成功的基礎。該論文至今已在 Google Scholar 上被引用達351次，顯示其在領域內的重要影響力。 4. Preplanning Vascularized Lymph Node Transfer with Duplex Ultrasonography: An Evaluation of 3 Donor Sites. Patel KM, Chu SY, Huang JJ, Wu CW, Lin CY, Cheng MH. Plast Reconstr Surg Glob Open. 2014 Sep 8;2(8):e193. doi: 10.1097/GOX.0000000000000105. eCollection 2014 Aug. https://www.ncbi.nlm.nih.gov/pubmed/25426376 5. The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study. Dayan JH, Dayan E, Kagen A, Cheng MH, Sultan M, Samson W, Smith ML. J Reconstr Microsurg. 2014 Jan;30(1):41-5. doi: 10.1055/s-0033-1351668. Epub 2013 Sep 9. https://www.ncbi.nlm.nih.gov/pubmed/24019175 6. The mechanism of vascularized lymph node transfer for lymphedema: natural lymphaticovenous drainage. Cheng MH, Huang JJ, Wu CW, Yang CY, Lin CY, Henry SL, Kolios L. 鄭明輝教授2014年發表的重要研究：揭示淋巴結移植有效機制 鄭明輝教授於2014年在《Plastic and Reconstructive Surgery》期刊發表的研究，是刊登於整形外科領域最具權威的國際期刊之一。過去已有三篇研究證實淋巴結移植對淋巴水腫具有良好治療成效，而此篇論文更進一步深入探討「為什麼」淋巴結移植能夠有效改善淋巴水腫，並透過動物實驗與臨床手術觀察，提出科學性的解釋與證據。 在動物實驗部分，研究團隊將循血綠（ICG）注射於淋巴結皮瓣的遠端，可觀察到螢光訊號逐漸移動至連接的靜脈；若直接注射於淋巴結本體，僅需20多秒即在靜脈中出現螢光，顯示移植的淋巴結確實與靜脈系統連通，具備淋巴引流功能。 在臨床方面，當患者接受含有淋巴結的皮瓣移植時，研究顯示循血綠注射至淋巴結後，約在23秒內即可在靜脈中觀察到螢光訊號，進一步證實淋巴結具有快速將淋巴液引流至靜脈的能力。相較之下，若移植僅為皮膚組織，無淋巴結結構，則即使等待一小時，靜脈中仍無螢光顯現，進一步證明淋巴結在整個引流機制中扮演關鍵角色。 這篇具開創性的論文至今已被 Google Scholar 引用達249次，展現其在國際學術界的重要影響力，也為未來發展淋巴結移植治療提供了堅實的理論基礎與臨床依據。 Plast Reconstr Surg. 2014 Feb;133(2):192e-8e. doi: 10.1097/01.prs.0000437257.78327.5b. https://www.ncbi.nlm.nih.gov/pubmed/24469190 7. Developing a Lower Limb Lymphedema Animal Model with Combined Lymphadenectomy and Low-dose Radiation. Yang CY, Nguyen DH, Wu CW, Fang YH, Chao KT, Patel KM, Cheng MH. 過去針對淋巴水腫的研究相對有限。若要進一步發展有效的治療策略，首要之務是深入了解淋巴系統的解剖結構與生理機轉，同時掌握淋巴水腫的發病機制。具備這些知識基礎，才能建立可靠的實驗模型並推動治療方法的驗證與發展。 為此，鄭明輝教授團隊於 2014 年發表了建立小鼠下肢淋巴水腫模型的研究成果，該模型結合雙部位淋巴結切除（鼠蹊與膕窩）與低劑量放射線照射（20 Gy），成功誘發穩定且可量測的慢性下肢淋巴水腫。此模型的特點包括高再現性、低死亡率與顯著的腫脹反應，並透過 Tc-99 淋巴攝影與 micro-CT 體積量測等方式，完整呈現淋巴功能受損後的生理與解剖變化。此研究為後續評估淋巴水腫治療方式的動物實驗提供了重要平台，也為相關臨床研究奠定了基礎。 https://www.ncbi.nlm.nih.gov/pubmed/25289315 8. Vascularized lymph node flap transfer and lymphovenous anastomosis for klippel-trenaunay syndrome with congenital lymphedema. Qiu SS, Chen HY, Cheng MH. 本篇論文報導了一例罕見的先天性淋巴水腫合併 Klippel-Trenaunay Syndrome（KTS）之臨床案例。該患者表現出雙側下肢淋巴水腫及淺層靜脈血管瘤，為臨床上高度複雜且具挑戰性的病症類型。 鄭明輝教授研究團隊根據患者左右下肢病情的嚴重程度差異，採取個別化的手術策略：在症狀較輕的右側施行淋巴靜脈吻合術（Lymphovenous Anastomosis, LVA），而在病變較嚴重的左側則進行血管化淋巴結移植（Vascularized Lymph Node Transfer, VLNT）。術後結果顯著，患者雙側水腫均明顯改善，復發率低，感染次數明顯下降，整體生活品質獲得提升，展現出兩種手術技術在臨床應用上的互補性與實用性。 此案例凸顯出，先天性淋巴水腫常伴隨其他血管或器官發育異常，使得診斷與治療更加複雜。因此，治療前的精確臨床評估與完整影像學分析至關重要。對於病情複雜者，應依據病灶位置、嚴重度與組織狀態，選擇最適當的手術方式，而非僅依賴單一技術。 本研究除了提供治療複雜型先天性淋巴水腫的寶貴經驗，也體現了鄭明輝教授在臨床與影像整合診斷領域的深耕與貢獻。透過個別化手術策略的設計與應用，為具多重併發症的淋巴水腫患者，開創出更有效、精準的治療選擇。 Plast Reconstr Surg Glob Open. 2014 Jul 9;2(6):e167. doi: 10.1097/GOX.0000000000000099. eCollection 2014 Jun. https://www.ncbi.nlm.nih.gov/pubmed/25289360 9. From theory to evidence: long-term evaluation of the mechanism of action and flap integration of distal vascularized lymph node transfers. Patel KM, Lin CY, Cheng MH. J Reconstr Microsurg. 2015 Jan;31(1):26-30. doi: 10.1055/s-0034-1381957. Epub 2014 Aug 19. https://www.ncbi.nlm.nih.gov/pubmed/25137504 10. Quantity of lymph nodes correlates with improvement in lymphatic drainage in treatment of hind limb lymphedema with lymph node flap transfer in rats. Nguyen DH, Chou PY, Hsieh YH, Momeni A, Fang YH, Patel KM, Yang CY, Cheng MH. Microsurgery. 2016 Mar;36(3):239-45. doi: 10.1002/micr.22388. Epub 2015 Feb 25. https://www.ncbi.nlm.nih.gov/pubmed/25715830 11. Simultaneous Bilateral Submental Lymph Node Flaps for Lower Limb Lymphedema Post Leg Charles Procedure. Ito R, Lin MC, Cheng MH. Plast Reconstr Surg Glob Open. 2015 Sep 15;3(9):e513. doi: 10.1097/GOX.0000000000000489. eCollection 2015 Sep. https://www.ncbi.nlm.nih.gov/pubmed/26495226 12. Successful treatment of early-stage lower extremity lymphedema with side-to-end lymphovenous anastomosis with indocyanine green lymphography assisted. Ito R, Wu CT, Lin MC, Cheng MH. Microsurgery. 2016 May;36(4):310-5. doi: 10.1002/micr.30010. Epub 2015 Dec 15. https://www.ncbi.nlm.nih.gov/pubmed/26666982 13. Lymphedema surgery: Patient selection and an overview of surgical techniques. Allen RJ Jr, Cheng MH. J Surg Oncol. 2016 Jun;113(8):923-31. doi: 10.1002/jso.24170. Epub 2016 Feb 5. Review. https://www.ncbi.nlm.nih.gov/pubmed/26846615 14. Surgical anatomy of the vascularized submental lymph node flap: Anatomic study of correlation of submental artery perforators and quantity of submental lymph node. Tzou CH, Meng S, Ines T, Reissig L, Pichler U, Steinbacher J, Pona I, Roka-Palkovits J, Rath T, Weninger WJ, Cheng MH. J Surg Oncol. 2017 Jan;115(1):54-59. doi: 10.1002/jso.24336. Epub 2016 Jun 23. https://www.ncbi.nlm.nih.gov/pubmed/27338566 15. The 5th world symposium for lymphedema surgery-Recent updates in lymphedema surgery and setting up of a global knowledge exchange platform. Loh CY, Wu JC, Nguyen A, Dayan J, Smith M, Masia J, Chang D, Koshima I, Cheng MH. J Surg Oncol. 2017 Jan;115(1):6-12. doi: 10.1002/jso.24341. Epub 2016 Jun 28. Review. https://www.ncbi.nlm.nih.gov/pubmed/27353481 16. The surgical anatomy of the supraclavicular lymph node flap: A basis for the free vascularized lymph node transfer. Steinbacher J, Tinhofer IE, Meng S, Reissig LF, Placheta E, Roka-Palkovits J, Rath T, Cheng MH, Weninger WJ, Tzou CH. J Surg Oncol. 2017 Jan;115(1):60-62. doi: 10.1002/jso.24346. Epub 2016 Jun 28. https://www.ncbi.nlm.nih.gov/pubmed/27353521 17. The 5th World Symposium for Lymphedema Surgery. Cheng MH, Koshima I, Chang DW, Masia J. J Surg Oncol. 2017 Jan;115(1):5. doi: 10.1002/jso.24383. Epub 2016 Jul 29. No abstract available. https://www.ncbi.nlm.nih.gov/pubmed/27473624 18. Platysma-sparing vascularized submental lymph node flap transfer for extremity lymphedema. Poccia I, Lin CY, Cheng MH. J Surg Oncol. 2017 Jan;115(1):48-53. doi: 10.1002/jso.24350. Epub 2017 Jan 6. https://www.ncbi.nlm.nih.gov/pubmed/28058777 19. A prospective clinical assessment of anatomic variability of the submental vascularized lymph node flap. Cheng MH, Lin CY, Patel KM. J Surg Oncol. 2017 Jan;115(1):43-47. doi: 10.1002/jso.24487. Epub 2017 Jan 13. https://www.ncbi.nlm.nih.gov/pubmed/28083889 20. Greater Omental Lymph Node Flap for Upper Limb Lymphedema with Lymph Nodes-depleted Patient. Chu YY, Allen RJ Jr, Wu TJ, Cheng MH. Plast Reconstr Surg Glob Open. 2017 Apr 25;5(4):e1288. doi: 10.1097/GOX.0000000000001288. eCollection 2017 Apr. https://www.ncbi.nlm.nih.gov/pubmed/28507857 21. The surgical anatomy of the vascularized lateral thoracic artery lymph node flap-A cadaver study. Tinhofer IE, Meng S, Steinbacher J, Roka-Palkovits J, Györi E, Reissig LF, Cheng MH, Weninger WJ, Tzou CH. J Surg Oncol. 2017 Dec;116(8):1062-1068. doi: 10.1002/jso.24783. Epub 2017 Aug 7. 22. Visualization of Skin Perfusion by Indocyanine Green Fluorescence Angiography-A Feasibility Study. Steinbacher J, Yoshimatsu H, Meng S, Hamscha UM, Chan CS, Weninger WJ, Wu CT, Cheng MH, Tzou CH. Plast Reconstr Surg Glob Open. 2017 Sep 25;5(9):e1455. doi: 10.1097/GOX.0000000000001455. eCollection 2017 Sep. https://www.ncbi.nlm.nih.gov/pubmed/29062637 23. Vascularized lymph node transfer for treatment of extremity lymphedema: An overview of current controversies regarding donor sites, recipient sites and outcomes. Pappalardo M, Patel K, Cheng MH. J Surg Oncol. 2018 Jun;117(7):1420-1431. doi: 10.1002/jso.25034. Epub 2018 Mar 24. Review. https://www.ncbi.nlm.nih.gov/pubmed/29572824 24. Vascularized Lymph Node Transfer for Lymphedema. Schaverien MV, Badash I, Patel KM, Selber JC, Cheng MH. Semin Plast Surg. 2018 Feb;32(1):28-35. doi: 10.1055/s-0038-1632401. Epub 2018 Apr 9.Review. https://www.ncbi.nlm.nih.gov/pubmed/29636651 25. Accurate Prediction of Submental Lymph Nodes Using Magnetic Resonance Imaging for Lymphedema Surgery. Asuncion MO, Chu SY, Huang YL, Lin CY, Cheng MH. Plast Reconstr Surg Glob Open. 2018 Mar 23;6(3):e1691. doi: 10.1097/GOX.0000000000001691. eCollection 2018 Mar. https://www.ncbi.nlm.nih.gov/pubmed/29707451 26. Critical Ischemia Time, Perfusion and Drainage Function of Vascularized Lymph Nodes. Yang CY, HO OA, Cheng MH, Hsiao HY. Plast Reconstr Surg. 2018 Jun 12. doi: 10.1097/PRS.0000000000004673. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/29927833 27. Correlation between Quantity of Transferred Lymph Nodes and Outcome in Vascularized Submental Lymph Node Flap Transfer for Lower Limb Lymphedema. Gustafsson J, Chu SY, Chan WH, Cheng MH. Plast Reconstr Surg. 2018 Jul 10. doi: 10.1097/PRS.0000000000004793. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30020232 28. Acoustic Radiation Force Impulse Elastography: Tissue Stiffness Measurement in Limb Lymphedema. Chan WH, Huang YL, Lin C, Lin CY, Cheng MH, Chu SY. Radiology. 2018 Aug 14:172869. doi: 10.1148/radiol.2018172869. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30106341 29. Lymph node transplantation for the treatment of lymphedema. Gould DJ, Mehrara BJ, Neligan P, Cheng MH, Patel KM. J Surg Oncol. 2018 Aug 21. doi: 10.1002/jso.25180. [Epub ahead of print] Review. https://www.ncbi.nlm.nih.gov/pubmed/30129675 30. Effectiveness of Vascularized Lymph Node Transfer for Extremity Lymphedema Using Volumetric and Circumferential Differences Gustafsson J, Chu SY, Chan WH, Cheng MH. Plast Reconstr Surg. 2018 Jul 10. doi: 10.1097/PRS.0000000000004793. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30020232 31. Lymphedema and concomitant venous comorbidity in the extremity: Comprehensive evaluation, management strategy, and outcomes. Sachanandani N S, Chu SY, Ho O A., Cheong CF, Lin CY, Cheng MH*. J Surg Oncol. 2018 Nov;118(6):941-952. doi: 10.1002/jso.25237. https://www.ncbi.nlm.nih.gov/pubmed/ ? term=Lymphedema+and+concomitant+venous+comorbidity+in+the+extremity%3A+Comprehensive+evaluation%2C+management+strategy%2C+and+outcomes 32. Outcomes of Vascularized Lymph Node Transfer and Lymphovenous Anastomosis for Treatmentof Primary Lymphedema. Cheng MH, Loh CYY, Lin CY. Plats Reconstr Surg Glob Open. 2018 Dec 20;6(12):e2056. https://journals.lww.com/prsgo/Fulltext/2018/12000/Outcomes_of_Vascularized_Lymph Node_Transfer_and.15.aspx 33. Comparisons of Submental and Groin Vascularized Lymph Node Flaps Transfer for BreastCancer-Related Lymphedema. Ho OA, Lin CY, Pappalardo M, Cheng MH. Plats Reconstr Surg Glob Open. 2018 Dec 13;6(12):e1923. https://journals.lww.com/prsgo/Fulltext/2018/12000/Comparisons_of_Submental_and_Groin_Vascularized.13.aspx 34. A Prospective Evaluation of Lymphedema-Specific Quality-of-Life Outcomes Following Vascularized Lymph Node Transfer. Sachanandani N S, Chu SY, Ho O A., Cheong CF, Lin CY, Cheng MH*. J Surg Oncol. 2018 Nov;118(6):941-952. doi: 10.1002/jso.25237. https://www.ncbi.nlm.nih.gov/pubmed/ ? term=Lymphedema+and+concomitant+venous+comorbidity+in+the+extremity%3A+Comprehensive+evaluation%2C+management+strategy%2C+and+outcomes 35. 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. doi: 10.1016/j.ygyno.2016.01.007. Epub 2016 Jan 7. https://www.ncbi.nlm.nih.gov/pubmed/26773469 36. Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction. Ho OA, Lin CY, Pappalardo M, Cheng MH. Ann Surg. 2017 Jun 7. doi: 10.1097/SLA.0000000000002322. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/28594742 37. 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. doi: 10.1097/SLA.0000000000002917. https://www.ncbi.nlm.nih.gov/pubmed/30004927 38. Dorsal Wrist Placement for Vascularized Submental Lymph Node Transfer Significantly Improves Breast Cancer-Related Lymphedema. Hattan A, Fries Charles Anton, BChir, FRCS, Cheng Ming-Huei. Plastic and Reconstructive Surgery - Global Open: 2019 Feb, 7(2): e2149. https://journals.lww.com/prsgo/Fulltext/2019/02000/Dorsal_Wrist Placement_for_Vascularized_Submental.14.aspx 39. Comparison of Outcomes between Side-to-End and End-to-End Lymphovenous Anastomoses for Early-Grade Extremity Lymphedema. Fahad K. Al-Jindan, Lin CY, Cheng MH. Plast Reconstr Surg. 2019 May 10. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/31188305 40. Factors associated with professional healthcare advice seeking in breast cancer-related lymphedema. Lin CY, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):67-74. doi: 10.1002/jso.25523. Epub 2019 Jun 18. https://www.ncbi.nlm.nih.gov/pubmed/31209885 41. Lymphoscintigraphy for the Diagnosis of Extremity Lymphedema: Current Controversies Regarding Protocol, Interpretation and Clinical Application. Pappalardo M, Cheng MH. J Surg Oncol. 2020 Jan;121(1):37-47. doi: 10.1002/jso.25526. Epub 2019 Jun 18. https://www.ncbi.nlm.nih.gov/pubmed/31209893 42. Intra-abdominal Chylovenous Bypass Treats Retroperitoneal Lymphangiomatosis. Chen C, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):75-84. doi: 10.1002/jso.25514. Epub 2019 Jul 4. https://www.ncbi.nlm.nih.gov/pubmed/31273800 43. Lymphedema Microsurgery Reduces the Rate of Implant Removal for Patients Who Have Pre-existing Lymphedema and Total Knee Arthroplasty for Knee Osteoarthritis. Voravitvet TY, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):57-66. doi: 10.1002/jso.25517. Epub 2019 Jun 13. https://www.ncbi.nlm.nih.gov/pubmed/31197837 44. Clinical Features, Microbiological Epidemiology and Recommendations of Management for Cellulitis in Extremity Lymphedema. Rodriguez JR, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):25-36. doi: 10.1002/jso.25525. Epub 2019 Jul 2. https://www.ncbi.nlm.nih.gov/pubmed/31264724 45. Delayed Primary Retention Suture: A new technique to inset Vascularized Submental Lymph Node Transfer. Koide S, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):138-143. doi: 10.1002/jso.25520. Epub 2019 Jul 5. https://www.ncbi.nlm.nih.gov/pubmed/31276208 46. Long-Term Outcome of Lower Extremity Lymphedema Treated with Vascularized Lymph Node Flaps with Venous Complications. Koide S, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):129-137. doi: 10.1002/jso.25602. Epub 2019 Jun 27. https://www.ncbi.nlm.nih.gov/pubmed/31246288 47. Summary of hands-on supermicrosurgery course and live surgeries at 8th world symposium for lymphedema surgery. Pappalardo M, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):8-19. doi: 10.1002/jso.25619. Epub 2019 Jul 16. https://www.ncbi.nlm.nih.gov/pubmed/31309553 48. Introduction of the 8th World Symposium for Lymphedema Surgery. Cheng MH, Chang DW, Masia J, Koshima I. J Surg Oncol. 2020 Jan;121(1):7. doi: 10.1002/jso.25620. Epub 2019 Jul 9. https://www.ncbi.nlm.nih.gov/pubmed/31290156 49. Impacts of Arterial Ischemia or Venous Occ.usion on Vascularized Groin Lymph Nodes in a Rat Model. Tinhofer I. E., Yang CY, Chen C, Cheng MH. J Surg Oncol. 2020 Jan;121(1):153-162. doi: 10.1002/jso.25518. Epub 2019 May 31. https://www.ncbi.nlm.nih.gov/pubmed/31152457 50. Volumetric Differences in the Superficial and Deep Compartments of Patients with Secondary Unilateral Lower Limb Lymphedema. Chu SY, Cheng MH et al. Plast Reconstr Surg. (paper in press) 51. Efficacy validation of a lymphatic drainage device for lymphedema drainage in a rat model. Cheng MH, Yang CY, Tee R, Hong YT, Lu CC. J Surg Oncol. 2019 Dec;120(7):1162-1168. https://www.ncbi.nlm.nih.gov/pubmed/?term=Efficacy+validation+of+a+lymphatic+drainage+device+for+lymphedema+drainage+in+a+rat+model 52. Institutionalization of Reconstructive Lymphedema Surgery in Austria - Single Center Experience. Tzou CHJ, Cheng MH et al. J Surg Oncol. 2020 Jan; 121(1):91-99. https://www.ncbi.nlm.nih.gov/pubmed/?term=Institutionalization+of+Reconstructive+Lymphedema+Surgery+in+Austria+%E2%80%93+Single+Center+Experience 53. Comparisons of Manual Tape Measurement and Morphomics Measurement of Patients with Upper Extremity Lymphedema. Horbal SR, Chu SY, Cheng MH* et al. Plast Reconstr Surg Global Open. 2019 Oct 29;7(10): e2431 https://www.ncbi.nlm.nih.gov/pubmed/ ? 54. Characterization of limb lymphedema using the statistical analysis of ultrasound backscattering. Lee YL, Cheng MH et al. Quant Imaging Med Surg. 2020;10(1):48-56. 55. Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*, Tee R, Chen C, Lin CY, Pappalardo M. Ann Surg Oncol. 2020 Jun 18. doi: 10.1245 56. ASO Author Reflection: Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Horbal SR, Chu SY, Cheng MH* et al. Ann Surg Oncol. 2020 Jul 10. 57. Lymphedema microsurgery improved outcomes of pediatric primary extremity lymphedema. Cheng MH*, Liu TTF. Microsurgery, 2020 Jul 11. 58. Chylovenous bypass for mesenteric lymphangiomatosis: A case report. Chen C,Cheng MH*. J Surg Oncol. 2020 Jul 15. 59. Staging and clinical correlations of lymphoscintigraphy for unilateral gynecological cancerrelated lymphedema. Pappalardo M, Lin C, Ho OA, Kuo CF, Lin CY, Cheng MH". J Surg Oncol. 2020 Mar;121(3):422-434. 60. Morbidity of Marginal Mandibular Nerve Post Vascularized Submental Lymph Node Flap Transplantation. Chang Tommy NJ, Lee CH, Lin Jennifer AJ, Cheng MH*. J Surg Oncol. 2020 Dec;122(8):1747-1754 https://pubmed.ncbi.nlm.nih.gov/32869304/ 61. Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*, Tee R, Chen C, Lin CY, Pappalardo M. Ann Surg Oncol. 2020 Jun 18. https://pubmed.ncbi.nlm.nih.gov/32556869/ 62. ASO Author Reflections: Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*. Ann Surg Oncol. 2020 Dec;27(13):5277-5278. https://pubmed.ncbi.nlm.nih.gov/32651692/ 63. Response to letter to the editor: Evidence of Lymph Flow Amelioration on Indocyanine Green Lymphography after Vascularized Lymph Node Transfer. Cheng MH". Ann Surg Oncol. 2021 Jun;123(7):1641. https://pubmed.ncbi.nlm.nih.gov/33825195/ 64. Retrograde Manual Lymphatic Drainage following Vascularized Lymph Node Transfer to Distal Recipient Sites for Extremity Lymphedema: A Retrospective Study and Literature Review. Roka-Palkovits J, Lin CY, Tzou CH J, Tinhofer, Cheng MH*. Plast Reconstr Surg. 2021 Sep 1;148(3):425e-436e. https://pubmed.ncbi.nlm.nih.gov/34432699/ 65. Immediate Lymphovenous Bypass Treated Donor Site Lymphedema during Phalloplasty for Gender Dysphoria. Lin W, Safa B, Chen M, Cheng MH*. Plast Reconstr Surg Glob Open. 2021 Sep 17;9(9):e3822. https://pubmed.ncbi.nlm.nih.gov/34549009/ 66. Heparin-induced thrombocytopenia and thrombosis in primary lymphedema patients who underwent vascularized lymph node transplantations. Hsu SY, Lin CY, Cheng MH*. J Surg Oncol. 2022 Feb 2. https://pubmed.ncbi.nlm.nih.gov/35107827 Book: 淋巴水腫手術與實踐 Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015. 淋巴水腫手術原理與實踐 第二版 Ming-Huei Cheng, David Chang, Ketan Patel. Paperback ISBN: 9780323694186 Book chapters: 16 1. Cheng MH, Nguyen DH, Huang JJ. Chapter 77: Vascularized Groin Lymph Node Flap for Treatment of Lymphedema. In: Perforator Flaps: Anatomy, Technique, & Clinical Applications. 2nd Edition. Blondeel PN, Morris SF, Hallock GG, and Neligan PC (Editors). Quality Medical Publishing, Inc. St. Louis, Missouri. 2013:1317-1328. 2. Cheng MH, Nguyen DH. Chapter 54: Lymph Node Transfer for Lymphedema. In: Operative Microsurgery. Boyd JB and Jones NF (Editors). McGraw-Hill, New York. 2015:672-682. 3. Tobbia D, Cheng MH. Vascularized Groin Lymph Node Flap Transfer for Post mastectomy Upper Limb Lymphedema. In Grabb's Encyclopedia of Flaps, 4th edition. Strauch B, Vasconez LO, Lee BT, and Herman CK (Editors). Wolters Kluwer, Philadelphia, PA, USA. 2015. 4. Tzou CHJ, Cheng MH. Transfer of lymph node tissue - my approach. In Oncoplastic and Reconstructive Management of the Breast: A Multidisciplinary Approach. CRC Press, Boca Raton, FL, 2015. 5. Cheng MH, Chang DW, Patel KM. Chapter 1: An introduction to principles and practice of lymphedema surgery. In Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. 2015 6. Nguyen DH, Cheng MH. Chapter 5: Laboratory study of lymphoma. In Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. 2015

​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 播放影片 播放影片 03:01 你要的隆鼻問題都在這 播放影片 播放影片 02:54 眼袋手術重點問

ＰＲＯＧＲＡＭ 2024 WSLS Symposium Program

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