雅丰時尚診所
APHRODITE MEDICAL CLINIC

地址:北市忠孝東路四段221號11樓
預約專線:02-2751-7700
客服專線:0809-071-700
 
雅丰麗緻美膚聯合診所
APHRODITE RITZ BEAUTY CLINIC

地址: 台北市忠孝東路四段221號5樓
預約專線:02-87735308 02-87735306
客服專線:0800-005-868

 





 

第289篇文章-曾醫師受邀至第九屆世界顏面整形大會演講

曾醫師受邀至第九屆世界顏面整形大會演講  
作者:曾文尚醫師  
曾文尚院長今年二月初受邀參加第九屆世界顏面整形大會,並在大會中發表演講,跟大家分享曾醫師針對亞洲人鼻子的手術方式,題目為:Structure Rhinoplasty in Asian Nose.  
 
大會證書、手冊  
↓演講證明  
 
↓參加證明  
 
↓大會名牌(左)、大會流程表(右)  
 
 
演講摘要  
Structure Rhinoplasty in Asian Nose.  
 
MD Wen-Sun Tseng  
Plastic surgeon and Director of Aphrodite Clinic Group  
Taiwan
 
 
The concepts and techniques of structure rhinoplasty were introduced by Calvin M. Johnson, Jr., MD and Dean M. Toriumi, MD. The objective is to build a well-formed, structurally sound nasal skeleton to give support and shape to the overlying skin-soft tissue envelope (S-STE). The stronger support, the better projection of nose tip. The corollary of weakening of the nasal skeleton will result in varying degrees of nasal skeletal collapse with poor aesthetic outcome.  
 
We use the concept of structure rhinoplasty to do the Asian Rhinoplasty. We know Orientals have flatter noses than Caucasians because of insufficient bone and cartilage support for oriental nose. The typical characteristics of the Asian nose include thick skin, abundant subcantaneous tissue, weak lower lateral cartilage, and thin septal cartilage. The surgical techniques are using structural grafting methods to strengthen the weaker cartilage framework. Their aesthetic goals are to raise the dorsum, to increase the tip projection , and to refine the tip definition.  
 
The nasal tip must often be strengthened to provide increased support using a variety of grafting techniques ,including the extended spreader graft, septal extension graft and columellar strut graft . Once the nasal tip has been stabilized, the nasal lobule can be refined using suturing techniques and tip grafts, including shield graft, cap graft, buttress graft, crural strut , and so on. We use autologous costal cartilage and irradiated homolgous costal cartilage in secondary Asian rhinoplasty .  
 
The critical point for Asian rhinoplasty is to build a structurally stong nasal skeleton to give support and shape to the overlying skin-soft tissue envelope (S-STE). Rhinoplasty is a very individualized procedure , depends on each patient’s nose structure and desires.  
 
演講簡報  
 
 
 
 

第284篇文章-自體肋骨隆鼻手術再進化-碎骨隆鼻手術

自體肋骨隆鼻手術再進化-碎骨隆鼻手術  
作者:曾文尚醫師  
 
隆鼻手術這幾年來是非常熱門的整形美容手術之一,而在眾多隆鼻的術式裡,自體肋骨隆鼻手術這幾年有明顯增加的趨勢,為什麼呢?因為自體肋骨隆鼻手術有幾個好處:  
(1) 自體肋骨不會有排斥的問題  
(2) 自體肋骨的量多,可以支撐並延長鼻頭,也可以墊高鼻根鼻樑  
(3) 自體肋骨的支撐力強,所以在延長鼻頭和支撐鼻頭有獨到的優勢  
(4) 自體肋骨隆鼻手術感染率較低
 
 
所以自體肋骨隆鼻手術這幾年來有增加的趨勢,尤其是針對感染過後攣縮的鼻子,自體肋骨隆鼻手術是最好的選擇。當然自體肋骨隆鼻手術也有它的缺點,例如:  
(1) 多一道胸部傷口  
(2) 手術中可能有血胸、氣胸的風險  
但是最為人在意的問題是自體肋骨用在墊高墊鼻根、鼻樑時,容易有彎曲的問題(wraping),在避免肋骨彎曲這個問題的方法也時常被拿來討論,像是半自肋隆鼻的作法,就是用人工鼻模來墊高鼻根、鼻樑,用以避免肋骨彎曲,然後用自體肋骨來延長並支撐鼻頭。  
 
今天曾醫師要介紹一個新方法:自體肋骨隆鼻手術的再進化-碎骨隆鼻手術在台灣的應用,它的做法就是:  
(1) 取自體肋軟骨(切口在右胸乳下腺,大約在第6、7肋骨處開劃刀,取出第6或7肋骨之軟骨部分)。  
(2) 將自體肋軟骨分為兩部分(較長的部分與較方的部分)  
(3) 將較方的部分再分成三個部分,分別用來取代鼻中膈軟骨,延長並撐起鼻頭;較小的部分來雕塑鼻頭。  
(4) 將較長的部分切成小片狀,放入軟骨碎骨器,搗碎成1mm的小碎骨  
(5) 將小碎骨放入針筒中,以注射的方式打進事先剝離好的空間,墊高鼻根、鼻樑
 
細小的軟骨能有效避免肋骨因吸收不平均而造成的彎曲問題,並有更好的塑形效果,與鼻模相比邊界也較不明顯。雅丰為此特別購入一套專門的隆鼻器具,讓客人能有更好的術後效果及醫療品質。