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290篇文章-肋骨隆鼻手術再進階—碎骨隆鼻手術(案例分享)

肋骨隆鼻手術再進階—碎骨隆鼻手術(案例分享)  
作者:曾文尚醫師  
 
隆鼻手術一直是非常熱門的整形美容手術,鼻模觀念和技術一直在推陳出新,從18年前雅丰剛開業時以L型矽膠鼻模為主,再來是片狀Goretex,而後卡麥拉鼻模、Bistool鼻模到一體成形的Goretex鼻模陸續上市;自體組織的利用從鼻中膈軟骨、耳朵軟骨、筋膜到自體肋骨;當然也有異體肋骨,異體筋膜引進到台灣。  
 
大家一定很難想像,現在肋骨隆鼻手術是一項非常普遍的手術,病人自己上網搜尋隆鼻的資訊後,如果是短鼻子或是感染後攣縮的鼻子,來門診諮詢時大多會主動談到肋骨隆鼻手術。  
 
肋骨隆鼻手術是一個很好的選擇,肋骨的支撐力強,量又多,但是肋骨隆鼻手術最大的缺點就是肋骨會有彎曲的問題(Warping),而碎骨隆鼻剛好可以解決肋骨彎曲的問題。  
 
小瑄因為隆鼻後感染造成鼻子攣縮,朋友介紹來找曾醫師求診,經詳細的諮詢評估以後,建議小萱做肋骨的碎骨隆鼻手術  
 
碎骨隆鼻手術的重點:  
(1)徹底放鬆攣縮鼻子的疤痕組織(releasing the scar)  
(2)結構式隆鼻手術:用肋骨來延長鼻中膈,並撐起鼻頭,達到延長鼻子的效果  
(3)將肋骨用特殊器械裁成碎骨,顆粒小於1mm,將碎骨擺在鼻根和鼻樑處。
 
...full story ››

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