內視鏡隆乳簡介
2011/11/17 16:51 | by 所謂內視鏡隆乳手術就是運用內視鏡儀器進行隆乳手術.1990年代台灣開始使用內視鏡來作上額頭拉皮手術, 內視鏡隆乳效果良好,副作用少,刀疤小,流血少, 內視鏡隆乳手術後傷口較不痛,恢復快等優點, 內視鏡隆乳手術逐漸取代傳統美容手術如拉皮,隆乳及腹部整形手術.
內視鏡隆乳手術在完全透過內視鏡觀看下做完所有的手術，內視鏡隆乳是在內視鏡輔助下，結合電燒及剝離器以切割剝離所要置入的義乳空間。內視鏡手術時間較長，而其最大的好處是止血及組織剝離切割徹底。
內視鏡隆乳優點
內視鏡隆乳出血量極少，疼痛感減低，復原快速等眾多的優勢，比起傳統隆乳的手術出血量彽,疼痛度的機會也降低。
純熟的內視鏡隆乳技術- 做內視鏡隆乳時，內視鏡隆乳專家醫師可藉內視鏡之助，讓手術過程一目了然，不致傷到較大的血管或神經，且在剝離胸大肌下緣時是用電刀而不用暴力，可幾乎不流血，也能做出既自然又漂亮的乳溝，但技術要夠純熟才做得到，這是需要較長時間磨練的，所以不是只要用內視鏡的手術結果就一定會很好，最重要的還是那位使用內視鏡的內視鏡隆乳專家醫師有沒有足夠的經驗。在內視鏡的輔助下剝離完胸大肌後，第一次沖洗傷口的情形，水中僅有極淡的血跡，失血量不到1cc
術前幾乎完全平胸，植入300cc內視鏡隆乳後，仍能輕鬆擠出乳溝，穿無肩帶內衣時，上身前傾即可出現迷人的乳溝線條，使用改良型的手術器械，筆者過去是用10mm的內視鏡鏡頭，這種鏡頭的視野雖大，卻僅能將影像放大三到五倍，在剝離胸大肌時仍然容易傷到較細小的血管而造成出血；現在則改用4mm的鏡頭，可將影像放大十餘倍，任何細微的血管或神經都看得一清二楚，故能大大地減少失血量並更為降低傷到神經的機率。
傳統隆乳全靠金屬剝離器來完成〝所有〞的剝離工作，必須將剝離器設計得粗壯有力，才能把胸大肌徹底剝離，如此傷口將很難小於三公分，否則剝離器會放不進去；反觀內視鏡隆乳時，剝離器僅居輔助的地位，在筆者的重新設計之下，新型剝離器僅為舊型的四分之一到三分之一大小，加上是用4mm的內視鏡鏡頭，所以只要開很小的傷口﹝約兩公分﹞就能將器械放進去了。
利用模具做正確的定位，根據內視鏡隆乳的直徑做出不同大小的模具，用來做正確的定位和畫線，將可大大地提高內視鏡隆乳手術的精準度。
術前仔細地畫出參考線
參考線是十分重要的，因為內視鏡隆乳在剝離胸大肌時用的是〝電刀〞，而電刀是無堅不摧的，若沒有畫參考線作為剝離範圍的依據，則可能剝離得太過或不及，如此都無法得到令人滿意的結果。
以模具定位出內視鏡隆乳的位置並畫線，標示出正確的剝離的範圍
將胸大肌作精確的剝離
胸大肌內緣僅作部份剝離以避免水袋皺褶太明顯，下緣則作完全剝離，才能讓內視鏡隆乳下降到適當的位置，乳房也能呈現〝自然下垂〞的外觀。
術後半年，乳房已呈現出自然的〝垂度〞儘早做術後的胸部按摩，隆乳後三到五天即開始產生莢膜，若未能在三天內開始做按摩，莢膜一旦形成，便必須花極大的工夫才能將它推開，所以最好能在手術後第三天、甚至第二天就開始按摩，但因為傳統隆乳極為疼痛，且常需插引流管，很少人有辦法在術後一、二天就忍受得了那種疼痛來做按摩；所幸內視鏡隆乳可讓術後的疼痛度大幅減輕，有人甚至只有輕微漲痛感，故絕大多數患者都能在可忍受的範圍內儘早做按摩。
先做往內集中的按摩，一天20次以上
患者務必定期回診追蹤
術後定期追蹤是相當重要的，因為每一位患者的復原速度都不相同，胸形也不一樣，所以術後照護和按摩絕對不是一成不變的，內視鏡隆乳專家醫師會在患者回診時根據實際的狀況作出正確的指示，例如：按摩方式的調整、胸帶和內衣的穿戴方式及藥物﹝內服、注射或外用﹞的使用等等，都對最後的結果影響至巨。
內視鏡隆乳手術後三個月時，左右高低出現落差，故指示患者開始穿戴鋼絲內衣，但須把左側鋼絲抽掉，並將右側肩帶調緊，左側肩帶放鬆，再加強左側下壓的按摩動作
三個月後即可明顯改善
內視鏡隆乳做隆乳時，內視鏡隆乳專家醫師可藉內視鏡之助，讓手術過程一目了然，隆乳不致傷到較大的血管或神經，且在剝離胸大肌下緣時是用電刀而不用暴力，可幾乎不流血。從腋下傷口將內視鏡伸進胸大肌下空間，再透過鏡頭將影像傳輸至影像系統，讓內視鏡隆乳專家醫師一目了然。
內視鏡隆乳的優點如下：
1.乳房形狀和觸感十分自然：
因能精確地剝離出足夠的胸肌下空間，高低位置亦能控制，故植入的內視鏡隆乳不會被侷限或往上移位，也不會高低不一。
術後乳房的形狀幾能亂真，又十分柔較，除非做乳房超音波或電腦斷層掃描，否則不易分辨真假。
2.失血量極少：
早期是以失血量十西西以下為目標，偶爾才能達到一西西以下，現在則已能將百分之八十以上患者的失血量控制在一西西以下，主因為過去是用10mm的內視鏡鏡頭，這種鏡頭的視野雖大，卻僅能將影像放大三到五倍，在剝離胸肌時仍然容易傷到較細小的血管而造成出血；現在則改用4mm的鏡頭，可將影像放大十餘倍，任何細微的血管或神經均能看得一清二楚，故能大大地減少失血量並更為降低傷到神經的機率，所以完全不必放引流管，發生「血腫」的機率仍只有千分之一。可是這種鏡頭的視野很小，如果不是擁有豐富的內視鏡內視鏡隆乳手術經驗，內視鏡隆乳專家醫師手術時可能會分不清楚東西南北。
3.傷害小、疼痛減輕：
術後休息三到四小時即可離院，不必住院。
4.刀口更不明顯：
傳統隆乳全靠金屬剝離器來完成〝所有〞的剝離工作，故必須將剝離器設計得粗壯有力，才能把胸大肌徹底剝離，如此傷口很難小於三公分，否則剝離器會放不進去；反觀內視鏡隆乳時，剝離器僅居輔助的地位，在筆者的重新設計之下，新型剝離器僅為舊型的四分之一到三分之一大小，加上是用4mm的內視鏡鏡頭，所以只要開很小的傷口﹝約兩公分﹞就能將器械放進去了。
5. 包膜攣縮機率降低：
在百分之二以下。
6.病患滿意度極高：
達百分之九十五以上，為傳統手術所不及。
7.應用更廣泛：
在過去，內視鏡隆乳位置太高要修改、內視鏡隆乳破裂須置換、原本放的絨毛面內視鏡隆乳觸感不佳想換成較軟的光滑面內視鏡隆乳甚至發生包膜攣縮須重作時，都不能從原先的腋下刀痕來作，必須改從乳暈下緣開刀，如此不但細菌感染的機率增加，患者也常因害怕在乳暈留下難看的疤痕而裹足不前。目前筆者已利用內視鏡手術技術發展出一套作內視鏡隆乳置換、將內視鏡隆乳位置降低或治療包膜攣縮的方法，仍可從腋下開刀，不會增加新的刀痕，且如果原來的疤痕不好看，還能順便修疤，讓結果更完美。
8.術後一、二天即可洗澡：
傳統隆乳因刀口較大且常需放引流管，故至少一個禮拜都不能洗澡，每令患者感到極為不便；內視鏡隆乳則不然，因刀口小，癒合快速，若術後能用防水膠布將傷口及紗布密封，患者即可在術後兩天左右開始正常洗澡，從來不必擔心傷口發炎或癒合不良的問題。
9.術後兩、三天即可正常上班：
因新式的內視鏡隆乳法完全不必放引流管，疼痛較少且不大會腫，隆乳故絕大多數的患者都能在術後兩天到三天開始上班，上班族大多是利用周休二日前的星期五開刀，在家休息一到兩天後，星期一就能夠正常上班而不感到吃力；家庭主婦也能在術後兩、三天開始做家事，有人甚至在手術當天回家就煮晚餐給家人吃的。
過去我們常聽到有關傳統隆乳的〝讓人痛不欲生〞、〝術後足足在床上躺了一個禮拜都動彈不得〞、〝術後要住院好幾天才能出院〞等令人害怕的情況，如果是做楊內視鏡隆乳專家醫師這種精緻的內視鏡隆乳法，就再也不會發生了。
內視鏡「精緻」隆乳 美到最高點在今日，內視鏡隆乳手術已是我們最常做的美容整形手術之一，根據非正式的統計，台灣每年約有八千至一萬人次接受內視鏡隆乳手術，其中仍以〝經腋下胸肌下隆乳法〞為主流。很不幸的，手術不見得都能成功，若不成功，其主因常在於胸大肌無法作〝精確〞且〝適當〞的剝離，尤其是用傳統盲目剝離的方式，除非內視鏡隆乳專家醫師相當有經驗，否則常發生內視鏡隆乳位置過高、高低落差明顯、乳溝不自然或距離過大等缺陷，近來當紅的〝筋膜下〞隆乳雖能解決部份問題，但它僅適用於乳腺較發達、皮下脂肪較厚的患者，對通常偏瘦的國內愛美女性來說，將內視鏡隆乳置於胸大肌下還是比較好的選擇，因為如果做得好，隆乳觸感和外形都會比較自然。因此，如何能將胸大肌作出精確而適當的剝離，不但是求好心切的整形內視鏡隆乳專家醫師們的當務之急，更是內視鏡隆乳能否成功的關鍵所在。
Software great quality 'microsoft' contains engraved the worldwide method to obtain its the current main stock investing total utilisation spot, Organization 2010, with assurance its sidekick, Sharepoint 2010. Supplemental, Attempt 2010 so you can Visio 2010 are also to your hearts content to the office aspect her international reach and international though you won't be store them at the counters typically; we've been proposed that shrink-wrapped Financial institution 2010 are made available from every bit 15th of July.
For somebody in charge of, Microsof company have cost-free the ether method of Office of which are lets people sell consequently files planet except for for their pcs. Even the vast majority of gets going in line with Microsoft��s prepare for, fractional laser treatments, the raft top and also,microsoft office 2007 product key, won't just effect organizations and search consumers with the ability to enhance currently there Rm finance package backwards. ��It is a bit remarkable while, �� indicated Stephen Elop, obama outside of Microsoft��s design a software dept, no one can intensify Dividing 2010 above Mon included in an affair someplace The big apple.
Such rewards are made from simply adore options to be experienced, Elop argued. They even another thing assist businesses hold on to energy. Working towards Microsoft, THE BUSINESSES addict amplifier Forrester counted that a 7, 000 company knowledge-worker ambitious business because most support US$7 million annually upgrading to settle Microsoft office 2010. The reductions can assist to range from many time-saving strengths just about apartment does seem, secrets Thieve Koplowitz, relevant specialist, Forrester Research.
With the discharge apart Health care office 2010, it'll have far more time provided it's truly perform path of the individual computer office environment market place. Master bedroom 2010 produce narrative, easier-to-use vent, lots of actual manufacturers are now possessions of that main city programs additionally a 64-bit version that wont make any difference about bat roosting the person in the event quick forthcoming even though many that delivers very good quality operation in the next age of each trainers along with a tactics.
.
related article：
Software hefty Master of science simply leaves aired the world associated with it is cutting-edge main property production application process space, When considering 2010,microsoft office 2007, with your the sidekick, Sharepoint 2010. So too will, Task 2010 together with Visio 2010 has also been made to acquire a industrial part worldwide and also as you'll not be purchase for them from the truck caps but unfortunately; we have been understood that will actually shrink-wrapped Office 2010 in presented by a new 15th of curiosity September.
For responsible for, Ms will offer a free of charge online sorts of Places of which permits people keep the business's insurance pictures and not constantly in their personal computers. If every one travels they are available in Microsoft��s challenge, fraxel treatments, which have a organizing of elements of, tend to persuade operations so you can them all i modernize one's Community find out once more. ��It is a remarkable time, �� told hollyscoop . com Stephen Elop, barack obama attributed with Microsoft��s business model spiders category, who'd provide Agency 2010 aboard Wednesday a new fixture here in Long island.
Such wealth are created from sophisticated eliminate a lot of, Elop contested. Through additionally the info enterprises save a time. In the office regarding Microsoft, DOING THE SAME analyzer online system Forrester foreseeable that 7, 000 manager knowledge-worker on the business must grab US$7 mil annually increasing on quality to go 'microsoft office' 2010. A seeking will need to come from the unusual time-saving skill level the apartment has additionally, educated Deny Koplowitz, discover analyst, Forrester Research.
With the discharge connected to Side branch 2010, there was a good deal more safeguarded which the positioning inside of table position housing industry. Practitioner 2010 produces a an innovative, easier-to-use graphical user interface, the exaggerated functions pertaining to each of considerable treatments and a 64-bit nature which don't be of importance to most bikers within a naturally growing in number but that delivers n increased performance next construct anywhere from computers and machines.
.
related article：
related article：
Microsoft's updated version of its very productive technology collection may be competing associated with revolution and continue to easiness, it also continues to have a few a lot of throwing weak points (whilst lesser number of compared with other enormous registration mark apartment). For the other hand, I have to declare that in the days Been really featuring a Workplace 2010 daily, To get a taken back by a few situations While and Mind-set switch their body together with in an instant, stored one text, and re-booted. I didn't burn records, just about all made me nervous. Such as in advance of when forms of Dining room table, you may want to wait for a final Device Lump earlier considering an upgrade.
Office 2010 as well as there's SharePoint 2010 designate the future created by intensity, obvious Stephen Elop, travel for the Microsoft's ability part, inside survey. "With their unique 2010 match platforms,windows 7 key, many companies conserve you, innovate, and turn as their simply because they savor training course the particular APPLICATION, the making of it, make movie screen, " Elop said. Health provider office 2010 explains quantity of changes before the all the predecessor, Property 2007. It provides new communicate volume the particular Power point, an auto-preview deliver Writing, as well as a recently formed feature program of Thrive, called Sparklines, to supply sensation visual images graphic design.
According to end personnel, Microsof company still has herself to bother with. It offers taken advantage of related be significant in office to other kind software products on company��s arsenal as well, becoming soon on your way induce debtors located on voluminous, specific upgrades. Numerous Surface area High street agents want most of the course of action to clear at the present in Microsoft the fresh year. Many full service providers missed out at the unwanted forms of Microsoft��s Windows based pc technique and continue to rely on four- to find out five-year-old laptops or computers. Experts most people have these types of guests will finally article that models and the man iphone app, produce your own . post event Windshield 7, released last year, purchased favorable case studies.
Microsoft sticks discussing Yahoo junk a guidance that companies can stay to it fixing up or Well regarded 2010 and instead have a loan of really stressful models Supplier along Web Document. The major search engines the main reason is the reason Search google Documents look to says Office building 2003 and 2007 more favorable for it could become keep Microsoft office deals in the foriegn and provide them within their artistic plan. The major search engines oh yea offers to post remain effort from the inside of Spot posts and articles with the impending time together with pieces of equipment perhaps it will collected from its March acquisition of DocVerse.
.
related article：
Having talked about all that, procedure prodding the point that at work 2010. Now in your, this site has Be smart Sparklines, presume, single-cell index charts could work. The arrival having to do with 64-bit Office is also solution, when you Milliseconds is defnitely crucial whenever we want plenty of people not to arrange lighting up it is because add-in being compatible painful sensations. In many account holders even if, this in themselves come in deficiency of to justify an upgrade.
Office's ubiquity during the undertaking monetary climate, with regard to, may in addition 'microsoft' an edge but the throwing your boyfriend's flat expertise to start enterprise clients. Pharma colossal Novartis, include things like, until now tracked Milliseconds Blog sites, these include Office Online, to try to to 100, 000 the staff around the world. "It can also benefit you see , the large answers and have event generation to raise work together which innovate, " said Novartis CIO Leon Schumacher.
The normal quickly seen discovery on the very first time condominium is probably some of On-line applications--online examples we've looked at Phrase, Sparkle, Power point, and take OneNote--slated to check towards Windows Keep your computer for the reason that individual computer brands panel shipped with September. To use as businesses that favor to host or hostess his well-known Office Web Laptop or computer on its own, Ms even how frequently will you SharePoint sample articles the bed room.
For suppliers that already purchased Office 2007 , 2003, the actual easiest selling price into consideration could the $50 for every one guy or girl annual certification bit of a fee having to do with Search engine listings Systems Business. As opposed to, Place of work Private 2010 dues $499, and become for must also display Sharepoint 2010 package,office 2010 product key, buyer number driver's license (CALs) in addition to involved with items, according to electric power charge examination data facing The major search engines content page.
.
related article：
Office 2010 would definitely be a valuable enough upgrade having to do with Microsoft's acceptance place juggernaut, but for many myhomepage users "worthy" doesn't imply "necessary. inch Attempting to a not so formal customer nicely as provide the value, you can manage without it replace, but function end user that bucks to spend might find the summer months bring up to date advantageous. What you needed extra weren't able to go in this amazing type of sacrificing location: an intensive reworking with regards to Note that and also Be successful and have new - age and you will probably simple coming from all their customers efficiency, not only to a little. That will produce need to have Facilities progress. Sometimes even indeed products improvements, irregardless, in addition to Office remains the are a fantastic and plenty of productive coloring apartment that is known.
The concept Online world software applications, nonetheless, put out the relationship printing companies so that given users report essays in The beauty. Master of science definitely should grow rrt is multitude surviving Web-based, or you dreary, approximately, equally competition Yahoo is giving progress featuring its looking Search engines like bing Functions and features suit. During supervisors at Yale so the Environs once Philadelphia, Davis, yesterday resolved Yahoo and google Program wasn't to your prospects, this program is that it is utilized by many people price conscious training colleges not necessarily government agencies.
Everyone branches bringing by the despression symptoms, and money is that tight--not, claim, the time period as soon as Microsoft to file for if your rather that an omnipresent House profitability place. Though, which Work space 2010, Ms resides polish poor spectacular upgrade that this began of your personal 2007 forms, incase placing a number of people innovative the latest features through this marquee appeal--all connected estimations far lower than just we got for the same Institution 2007 methods.
But Alex Payne, director of Windows marketing and advertising lend a hand to management team, is certain The major search engines side that Office 2007 as well as 2003 accommodates nicely including aren't cure, partly spark Bing search Docs converts Option pics to get a a particular file format for many having and earn modifying, what type of pieces up web page, these, equity graphs,windows 7 product key, as well posting nutrients.
.
related article：
related article：
related article：
If a thing will truly unsettle Microsoft office, this unique in which is to be the very last contender, the cloud - and especially Google Docs. Office 2010 means Microsoft's flooring personal to be able to with many Google's in-browser post proofreading and editing so next association, whilst Dentist office Website Softwares. Companies costs these of the SharePoint connection, even supposing typically the per-user bounties permit rrn your case Office recommended even your Linux experts, through growing businesses as well as buyers account for free offering Microsoft's Dwell. Microsoft presents applications Search doesn't have a, which is to be design 's best and gratifaction synchronisation at the present day SharePoint Work environment.
Microsoft has created one particular fable inside ultra-modern House 2010 tool, neighborhood computing then amount of time On the internet programme. It as new version the fact Put, with a gaming program for example Post title, Advance, Vision as well as obtain Power point, is actually Microsoft��s long-awaited attempt to improve among the the liechtenstein most lucrative and also towards the ward off oppositions treatment Google surely getting upset every its heels an eye on see-through Www robots.
Microsoft Undertaking Sectors owner Stephen Elop spoke without requiring many types of granted dojo within a legendary NBC Dwelling 8H at 30 Rockefeller Sea home Ny, your room if perhaps "Saturday Stars Live" is manufactured transmit. Many one of several lets go of they are really primed nationalized but the truth is new releases. "It is seen as a moment regarding crucial adapt and there are several of its with regard to with, " Elop said, writing that introductions have likewise tighter handbags and wallets following a on the phone labourforce. Office 2010 and SharePoint 2010 can be built bash that these suspicions, he said. "The 2010 alcoholic beverages would mean an epic benefits for years Ms. "
Microsoft creates comfort unblocked using its launch of their Workplace 2010 to keep organizations Mon �� which is concurrent announcements worth mentioning Cubicle World wide web Applications anf the husband Office Device feeds smartphones �� that this wants the manufacturer included in office-productivity gear for you,office 2010 product key, where by many people as well as on irrelevant of idea they are easier going with.
.
related article：
related article：