在安德森內搜尋：

皮秒雷射+防曬肌密評比，去除斑點、痘疤、胎記、刺青，告別小花臉，找回淨白無瑕高光美肌，不需遮瑕、不必修圖、不怕素顏見人！享受輕透裸妝感 除斑淨膚療程 Spot removal and skin clearing treatment 想要「修修臉」，哪種效果最好!? 皮秒雷射+防曬肌密評比 去除斑點、痘疤、胎記、刺青 告別你的小花臉~~找回淨白無瑕的少女感美光肌 不用遮瑕~不必修圖~不怕素顏見人~ 享受輕透裸妝感 皮膚的黑色素細胞組織受到環境、紫外線及內分泌等影響，就會讓膚色變黑，產生各種不同的斑點。各種斑點形成的原因不同，在皮膚呈現的深淺度也不同，醫師會根據病灶成因選擇適合的雷射機種來治療。 常見形成斑點的原因 1.紫外線曝曬，皮膚超級虐 太陽光的照射是造成斑點的頭號殺手，當肌膚受到紫外線長時間的照射時，就會啟動黑素細胞活性，進而產生黑色素(Melanin)保護肌膚。健康的肌膚狀況能隨著新陳代謝而淡化，但是當黑色素的生成平衡遭到破壞，或肌膚更新速度異常，導致黑色素過度製造及分布不均時，就會留下斑點或暗沉。 2.女性賀爾蒙黃體期，特別容易長斑 女性都有經期週期，每月排卵期到生理期來的這一段時間也稱之為黃體期（又稱分泌期），這時候身體會分泌大量的黃體素(Estrogen)，黃體素主要由下丘腦和腦垂體所控制，下丘腦和腦垂體除了分泌黃體素之外，也會伴隨分泌雌激素，雌激素是一種製造黑色素的賀爾蒙，因此當女性處於黃體期時，體內會分泌大量的黑色素，因此防曬就變得更為重要，一旦忽略，會比平時更容易黑色素沉澱形成斑點；懷孕的婦女受到賀爾蒙的影響也容易長斑，尤其在乳暈、腋下、鼠蹊等處，特別容易發生黑色素沉澱。此外，口服避孕丸及停經婦女，因為體內賀爾蒙發生變化，也容易造成黑斑或黑色素在皮膚生成。 3.皮膚受傷後的色素沉澱 當肌膚受到傷害處於發炎的狀態，此時體內會分泌大量的免疫激素來啟動防禦機制，許多研究已證實免疫激素如白介素-1(IL-1)、白介素-6(IL-6)及腫瘤壞死因子(TNF-α)等，都會刺激黑色素的活性，產生過量的黑色素就稱為發炎後色素沉澱Post Inflammatory Hyperpigmentation (PIH) ，當肌膚受傷或發炎，這時候此區域就會出現斑點，外觀多為棕色、褐色或深褐色，一旦忽略防曬、重複發炎或不治療，可能會永久存在且惡化。常見的PIH症狀如：蚊蟲咬傷造成「紅豆冰」、痘痘發炎擠壓造成痘疤、皮膚癬菌或病毒性發炎、接觸性皮炎引起的色素沉澱。 我的膚色比較暗沈，可以如何改善呢？ 脈衝光(IPL)或彩衝光是全方位的高能量光能照射治療法，它可以治療皮膚暗沈、改善膚色不均、淡化斑點、減弱細紋、縮小毛孔，使皮膚更緊實細緻，療程相對溫和，獲得許多女性的喜愛。 另一個選擇是皮秒雷射(Pico way)，主要是透過不同波長的雷射能量，改善像是黑色素沉澱、膚色不均、痘疤或深淺層斑點等問題。治療無開放性傷口，可快速修復。 我有雀斑，在兩邊顴骨應該如何處理？ 雀斑常見在眼睛下方、兩側顴骨處，較常發生在年輕女性，可以使用銣雅鉻或皮秒雷射治療，它可以震碎色素斑點，而黑色素代謝也較快。 長期曬太陽造成的曬斑，可以徹底清除嗎? 曬斑一般與陽光的照射及紫外線有關，常發生在臉部或手臂上。可以使用脈衝光、銣雅鉻或皮秒雷射治療。雷射後建議要做好防曬，包含物理性及化學性防曬，以避免反黑。 隨著年紀增長，臉部開始出現茶褐色老人斑，會越老越嚴重嗎? 老人斑又稱脂漏性角化症，是型態較多樣化的皮膚症狀，有深淺、平凸不同的呈現，常發生在中年時期，會發生在臉部或手上，可以使用鉺雅鉻雷射治療，或二氧化碳雷射處理，通常需要1~2次的治療，約一週雷射傷口就可復原。若是有單一顆或較大體積的老人斑，建議手術切除，專科醫師若懷疑老人斑合併惡性變化時，會建議使用手術切除並送病理化驗。 臉上長出大片肝斑，該怎麼辦? 肝斑好發於年輕、懷孕後女性，因為內分泌、荷爾蒙或壓力等問題，常見於額頭、顴骨、臉頰兩側等位置，為黃褐、暗褐色的大區塊片狀斑，邊界常不明顯、形狀不規則，呈對稱分佈。雷射可以用來治療很多色素斑點疾病，但對於肝斑的治療效果有限，在雷射部分可以使用脈衝光或皮秒雷射來淡化斑點，但雷射後容易反黑，需要小心防曬。目前的肝斑治療都只能控制，並無法完全根除肝斑。最重要的是要防曬以及維持健康的飲食作息。 臉上有「紅色血管瘤」好困擾，能根治嗎? 血管瘤外觀看起來是紅色的腫塊，主要是因為血管內皮細胞異常增殖以及血管結構異常所產生，可以使用染料雷射治療，有冷卻系統配合比較不痛，此方法也可以用來治療臉上微血管擴張造成的血管絲及改善黑眼圈，是目前血管雷射治療的最佳選擇。 雷射術後「不反黑」的保養秘訣 1.溫和清潔 雷射手術後角質會變得較敏感，對於空氣中的髒污及塗擦防曬產品，還是需要確實的清潔。但因為雷射手術後有可能會有一些微創傷口，建議選擇敏感肌膚使用的卸妝水和不含皂鹼的洗面乳，溫和的清潔肌膚。 2.鎮定舒緩 可以使用許多醫美品牌所推出的「礦泉噴霧」當作化妝水使用，因為活泉水中有含豐富的礦物質，可以讓肌膚退紅且鎮定舒緩，肌膚感到乾燥時就可以隨時拿起來使用，相當方便 3.保濕修護-精華液 雷射手術後的保濕、修護相當重要，選擇含有保濕修護功能的精華液，可以有效幫助肌膚修護再生，使肌膚復原得更加快速。 4.長效鎖水保 濕 使用保養品前可以先敷生物型保濕面膜，能使肌膚加快吸收保養品。再使用乳液或乳霜這類保濕成分較高的產品，不只保濕還可以鎖水，把所需要的營養鎖在肌膚裡。 5.防曬一定要做好 此段時間的肌膚較敏感，受紫外線刺激可能會產生大量的黑色素，造成手術後的所謂「反黑」問題。因此防曬相當的重要，依據肌膚狀況使用不同的方式做防曬，如使用物理性防曬或防曬產品，也請不要讓肌膚直曬太陽。 雷射術後避免使用的保養品 1.抗痘效果的保養品 2.各種酸類保養品，例如：杏仁酸、果酸、水楊酸等成分 3.有煥膚功能的保養品 4.美白成分的保養品 5.含酒精成分的保養品

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 原發性淋巴水腫 原發性淋巴水腫症狀 原發性淋巴水腫是淋巴水腫的存在或發展的原因，與任何潛在的醫學病症無關。原發性淋巴水腫的發病率約為每100,000名新生嬰兒中有1~3位罹患，其中女性居多，男性佔世界比例3.5：1。在北美洲，原發性淋巴水腫的發病率在每100,000名新生嬰兒中約有1.15例。 原發性淋巴水腫通常是與生俱來或原因不明的發生。當原發性淋巴水腫在成年期出現症狀時，這些患者通常已經具有淋巴水腫的長期病史，這與淋巴管的破壞有關。脂肪組織的脂肪生成或增殖與緻密纖維化相結合，通常導致嚴重的肢體淋巴水腫或更嚴重的症狀。長期淋巴水腫導致嚴重的纖維化，這是由於間質空間中富含蛋白質的液體積聚，再加上蜂窩性組織炎反復的發作。 原發性淋巴水腫可根據患者的發病年齡進行分類： 嬰兒期（出生至1歲），兒童期（1-8歲或9歲），青春期（9-21歲），成年期（21歲之後）。 原發性淋巴水腫診斷方式 術前淋巴攝影(Lymphosintigraphy, LG)和循血綠（Indocyanine green, ICG）淋巴管攝影，可用於檢測任何完整淋巴通道的存在。如果在淋巴管攝影中可以看得到淋巴管，則適合進行淋巴靜脈吻合術（Lymphaticovenous Anastomosis, LVA）；而沒有暢通的淋巴管的患者，則用於顯微淋巴結皮瓣移植（Vascularized Lymph Node Flap Transfer, VLNT）。如果淋巴攝影(LG)顯示完全阻塞，則直接向患者提供顯微淋巴結皮瓣移植的治療方案。超音波用於評估近端部位是否有血管病變。單光子電腦斷層掃描（Single-photon Emission Computed Tomography, SPECT）適用於疑似伴隨乳糜腹水的患者。如果需要執行顯微淋巴結皮瓣移植，會再執行MRI（Magnetic Resonance Imaging, MRI）評估頸部供體部位淋巴結的顆數及血管的位置。 淋巴攝影 電腦斷層掃描 循血綠 原發性淋巴水腫治療方法 顯微淋巴結皮瓣移植（VLNT）和淋巴管靜脈吻合術（LVA）均已被證實可有效治療繼發性淋巴水腫。顯微淋巴結皮瓣移植術是將含淋巴結的皮瓣以顯微外科技術移植至淋巴水腫遠端肢體（手腕或足踝），淋巴液從患側肢體流動到移植的淋巴結中，並透過顯微吻合的靜脈通道引流至靜脈系統。 在原發性淋巴水腫方面，我們已經發表了一篇文章比較顯微淋巴結皮瓣移植和淋巴管靜脈吻合術治療淋巴水腫的結果：80％的原發性淋巴水腫需要顯微淋巴結皮瓣移植才能改善，20％可能需要淋巴管靜脈吻合術。 平均追蹤20個月，患者肢體（手臂或腿圍）周長平均減少和蜂窩性組織炎發作次數，顯微淋巴結皮瓣移植和淋巴管靜脈吻合術組分別為3.7±2.9 cm和1.9±2.9 cm；5.1±2.8次/年和4.2±0.5次/年（p = 0.7）。在顯微淋巴結皮瓣移植組中，淋巴水腫生活質量問卷（LYMQoL）總分（從3.9±1.2到6.4±1.1，p <0.05）的改善具有統計學顯著性差異（從3.0±1.4到5.0±2.4，p = 0.07）。顯微淋巴結皮瓣移植和淋巴管靜脈吻合術手術均可有效治療原發性淋巴水腫患者，顯微淋巴結皮瓣移植中患肢周長、體重、蜂窩性組織炎發作次數和生活質量的改善顯著，所有患者術後均未再使用壓力袖套/襪！ 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。 相關推薦閱讀文章 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 us 鄭教授是美國重建顯微外科學會的成員，在國際上被公認為頂尖的淋巴水腫專家，有豐富的治療經驗，可以根據您的具體情況討論治療方案。 如果您患有乳癌相關淋巴水腫（BCRL）並希望了解更多有關最先進的治療方式，歡迎線上諮詢。 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 ! Widget Didn’t Load Check your internet and refresh this page. If that doesn’t work, contact us.

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 聯繫我們 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！ 營業時間：週一至週五 AM08:00 至 PM 18:00，六日公休 預約注意事項 若您有相關醫療資料，請提供給我們，包括淋巴水腫報告、手術紀錄、病理學報告、核磁共振、實驗室檢驗數值(特別是血小板的數值)和影像檔案...等等，例如：X光片、淋巴攝影(Lymphoscintigraphy)、電腦斷層、超音波及循血綠淋巴管 (Indocyanine Green)攝影等。 我們收到並確認了您的預約資料後，將在兩個工作日內通過電話/電子郵件與您聯繫，提供進一步的詳細訊息或醫療問題。 歡迎與安德森整形外科診所或林佳佑博士(Miffy Lin)聯繫：可以寄信至aplussurgery@gmail.com 或是 taiwanandersonclinic@gmail.com 。 根據台灣的醫療和個人資料保護法，您提供的任何信息我們將嚴格保密。 預約視訊諮詢30分鐘 治療計劃 在了解您的醫療背景後,我們的醫療團隊將請專門人員根據您的個人需求量身定制治療計劃。同時將通過電子郵件向您發送處理流程和估算成本的詳細聲明。 預約確認 一旦您確認並接受了鄭教授的治療計劃,您的醫療協調員(個管師)將聯繫您，仔細檢查並確認您之前預約的日期。國際患者我們將為您做好必要的旅行簽證準備、機場接機和酒店住宿,也會讓您與我們方便聯繫。 Address 台北市松山區復興北路337號3樓 (捷運中山國中站) 點此看路線 Phone (+886) 02-2712-3373 撥打電話 (+886) 0966-523-737 撥打電話 Email aplussurgery@gmail.com Social Media 專人服務(報名/諮詢) 您的姓名 性別 * 男 女 其他 Email 居住地 * 台灣 海外 電話 方便聯絡時段 選擇一個時段 其他 Send 預約成功！

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 Primary Lymphedema 淋巴管靜脈吻合術 術後淋巴水腫 乳癌和婦科（或男性攝護腺）等癌症存活者，面臨的最常見問題就是術後淋巴水腫。症狀包括由於淋巴循環受損導致的肢體腫脹，物理治療復健通常無法改善。一些患者還可能出現皮膚問題（濕疹、皮膚粗糙、不明突出），反復蜂窩性組織炎或腳趾感染。 鄭教授的淋巴管靜脈吻合術（LVA）技術是一種超級顯微手術，邊對端的淋巴管靜脈吻合術（Side-to-end lymphovenous anastomosis），可以顯著解決淋巴水腫的症狀。 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 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. 淋巴管靜脈吻合術的適合對象 因疾病而切除淋巴結的癌症患者 接受過非手術治療的患者 鄭氏淋巴水腫分期（Cheng Lymphedema Grading System, CLS），第一期或第二期早期淋巴水腫 淋巴攝影(Lymphosintigraphy, LG)呈現部分阻塞 循血綠(Indocyanine Green, ICG)淋巴管檢查上呈現暢通的淋巴管 確定治療計劃 基於鄭氏淋巴水腫分期Ⅰ至Ⅳ級進行淋巴水腫患者的後續檢查影像，就能確定病患個別化的治療計劃。Ⅰ級和Ⅱ級早期淋巴水腫患者將透過循血綠淋巴管檢查（ICG）進行淋巴管通道評估，這是透過皮下注射到手指或腳趾的第二和第四趾間來進行。在5分鐘時獲得影像，然後在20小時後再次獲得影像。循血綠淋巴管檢查可以評估功能性淋巴管通道的存在和位置，或真皮層的回流情況(dermal backflow)（阻塞淋巴回流）。 淋巴管靜脈吻合術如何進行？ （Lymphovenous Anastomosis, LVA，也可稱為Lymphovenous Bypass） 最先進的超級顯微外科技術是通過小切口（約3cm）緩解淋巴水腫，吻合淋巴管和皮膚下方的小靜脈。術前，循血綠淋巴管檢查用於定位皮膚上的淋巴管並定位切口。選定準備好淋巴管和合適的皮下靜脈加以吻合，就會產生淋巴及靜脈系統之間的連接，使淋巴液從受影響區域引流至皮下靜脈回到心臟，有效地繞過淋巴管損傷區域。 手術技術 如果為患者選擇做淋巴管靜脈吻合術（LVA），鄭教授的首選是進行1或2個邊對端淋巴管靜脈吻合（Side-to-end lymphovenous anastomosis），以引導淋巴液從近端和遠端方向流入靜脈（超級顯微技術）。在手術切口遠端注射的藍色染料(patent blue)可以更清楚地檢測淋巴通道，然後看到淋巴液從淋巴管排入靜脈，證實淋巴管靜脈恢復通暢。循血綠（ ICG）淋巴管影像檢查也可用於驗證LVA的吻合成功與否。 邊對端（鄭教授技術） 端對端（日本前東京大學教授Koshima的技術） 圖示為端對端（A和B）及邊對端（C和D）吻合。手術需要仔細選擇吻合的淋巴管及靜脈管大小，如果靜脈太大，吻合後可能會造成逆流，反而把靜脈的血液充到淋巴管（B和D）。雙向淋巴液將以邊對端的方式（C和D）流入靜脈。 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63頁。 使用循血綠淋巴管檢查（右）和藍色染料（左）進行邊對端淋巴靜脈吻合術的通暢性試驗 Q1 淋巴系統有什麼作用？ 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 淋巴水腫的原因是什麼？ 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 淋巴管靜脈吻合手術如何改善淋巴水腫？ 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 鄭教授是美國重建顯微外科學會的會員，以顯微外科技術聞名國際。如果您想進一步了解淋巴靜脈解剖學和顯微淋巴水腫治療方法，請聯繫鄭教授。根據您的具體情況，鄭教授將推薦最佳治療方法，以減少腫脹並改善生活質量。 如果您患有乳癌相關淋巴水腫（BCRL）並希望了解更多有關最先進的治療方式，歡迎線上諮詢。 線上諮詢

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 聯繫我們 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！ 營業時間：週一至週五 AM08:00 至 PM 18:00，六日公休 預約注意事項 若您有相關醫療資料，請提供給我們，包括淋巴水腫報告、手術紀錄、病理學報告、核磁共振、實驗室檢驗數值(特別是血小板的數值)和影像檔案...等等，例如：X光片、淋巴攝影(Lymphoscintigraphy)、電腦斷層、超音波及循血綠淋巴管 (Indocyanine Green)攝影等。 我們收到並確認了您的預約資料後，將在兩個工作日內通過電話/電子郵件與您聯繫，提供進一步的詳細訊息或醫療問題。 歡迎與安德森整形外科診所或林佳佑博士(Miffy Lin)聯繫：可以寄信至aplussurgery@gmail.com 或是 taiwanandersonclinic@gmail.com 。 根據台灣的醫療和個人資料保護法，您提供的任何信息我們將嚴格保密。 預約視訊諮詢30分鐘 治療計劃 在了解您的醫療背景後,我們的醫療團隊將請專門人員根據您的個人需求量身定制治療計劃。同時將通過電子郵件向您發送處理流程和估算成本的詳細聲明。 預約確認 一旦您確認並接受了鄭教授的治療計劃,您的醫療協調員(個管師)將聯繫您，仔細檢查並確認您之前預約的日期。國際患者我們將為您做好必要的旅行簽證準備、機場接機和酒店住宿,也會讓您與我們方便聯繫。 Address 台北市松山區復興北路337號3樓 (捷運中山國中站) 點此看路線 Phone (+886) 02-2712-3373 撥打電話 (+886) 0966-523-737 撥打電話 Email aplussurgery@gmail.com Social Media 專人服務(報名/諮詢) 您的姓名 性別 * 男 女 其他 Email 居住地 * 台灣 海外 電話 方便聯絡時段 選擇一個時段 其他 Send 預約成功！

真實的故事和經驗分享來自於接受過我們服務的病患。透過他們的感言，您可以了解手術過程、恢復體驗以及最終結果，這些都將幫助您在考慮整型手術時更加安心與自信。我們以病患的滿意為榮，期待成為您變美旅程中的夥伴。 WSLS 2024 了解更多

鳳凰電波特色、探頭比較 ｜需要幾次療程？｜鳳凰電波與電波的差異｜術後保養和注意事項 ｜ 立即預約 與我們聯絡

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，了解不同淋巴水腫治療方式的比較及安德森的專業

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.