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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
 
雅丰麗緻診所 APHRODITE RITZ CLINIC
地址: 台北市忠孝東路四段220號4樓(阿波羅大廈)
預約專線:02-87735308
客服專線:0800-005-868
 
雅丰美膚診所 APHRODITE BEAUTY CLINIC
地址:台北市忠孝東路四段222號4樓(阿波羅大廈)
預約專線:02-8773-5306
客服專線:0800-005-868
 

 

 

 

 

 

Fri, 12 Apr 2019 16:49
第263篇文章-雙胞胎姊妹的結構式隆鼻手術
談雙胞胎姊妹隆鼻手術的趣味事
 
作者:曾文尚醫師  
 
 
 
之前有一個來自新加玻的客人,來找曾醫師做隆鼻和雙眼皮手術,手術後過了一個月,這位客人的雙胞胎妹妹也從新加玻飛過來台灣,要曾醫師幫她做隆鼻和雙眼皮手術,我問她為什麼,她回答說:「我也要跟姊姊做一樣的手術,因為我們是雙胞胎姊妹,長的要一樣阿!」,這個回答讓我好開心,這麼妙的回答讓曾醫師非常難忘。  
 
這一次又有一對雙胞胎姊妹同時來雅丰時尚診所找曾文尚醫師諮詢,這對姊妹的穿著比較時尚前衛。在姊姊諮詢的時候,妹妹會幫忙詢問;換妹妹諮詢的時候,姊姊也會幫忙詢問,真的是一幅非常有趣的畫面。經過諮詢評估後,姊妹都決定接受結構式隆鼻手術。  
 
雙胞胎決定安排在同一天手術,因為她們是同一天出生的,雖然無法同時手術(因為曾醫師只有一雙手),但至少是同一天手術。手術當天我讓她們姊妹決定誰先手術,妹妹說:「姊姊比較怕痛,怕等太久會更害怕,所以讓姊姊先做手術」,真是貼心的妹妹阿!  
 
這對雙胞胎姊妹做的是結構式隆鼻手術,曾醫師採用I型Gortex鼻模墊高鼻根鼻樑;用異體肋軟骨做鼻頭的延伸(projection),再用耳朵軟骨做鼻頭的雕刻手術(tip definition)。雙胞胎姊姊希望擁有立體、高挺又微翹的鼻形,曾醫師認為她們的臉型輪廓適合,所以努力為這對雙胞胎姊妹創造出微翹的鼻型(Supra-tip elevation)。  
 
 
 
術後雙胞胎姊妹也是一起回診所換藥打消炎點滴,回診也在同一天,看著這一對雙胞胎姊妹鼻子的變化,真的好有趣。  
 
讓我們來看一下雙胞胎姊妹術前與術後一天的變化吧!  
 
 
 
 
 
 
 
接下來是雙胞胎姊妹術前與術後二個月的差別!  
 
 
 
 
 
 
 
恭喜她們同時擁有好看而立體的鼻子!  
曾醫師心裡有個小小的疑問:「不知雙胞胎姊妹會不會同一天結婚?」  
 
Mon, 17 Dec 2018 16:29
第262篇文章-曾醫師受邀參加第六屆全球華裔整形外科醫師大會
曾醫師受邀參加第六屆全球華裔整形外科醫師大會暨2018亞太整形外科論壇暨台灣整形外科醫學會107年度年會,並於大會中擔任座長,也發表了演講。  
 
本次大會手冊封面  
 
 
擔任座長的證書  
 
 
大會議程  
 
 
曾醫師的演講題目是:  
Open Structure Rhinoplasty for Asian Nose  
 
英文大綱:  
The concepts and techniques of open 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. We name the operation as ( Open Structure Rhinoplasty for Asian Nose ). 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 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. 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 , specific to each patient’s anatomy and desires. Pre-operational consultation, detailed operation, and post-operational care are all important.  
 
演講簡報(節錄):