自體脂肪隆乳

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[不指定 2011/11/17 16:52 | by admin ]

這種手術又分普通自體脂肪隆乳和新維度自體脂肪細胞豐胸普通自體脂肪隆乳:這種隆胸方式是把自體脂肪堆積部位的細胞移植到胸部,移植後胸部可以生長成脂肪細胞,自體脂肪隆乳從而使胸部增大,這種在減肥的同時達到隆胸效果,這種自體脂肪隆乳方法被稱為綠色隆胸。 這種自體脂肪隆乳方式一舉兩得。 是安全而更符合生理特性的新隆胸方法。 技術要求:中等,整形醫院都能做; 手術效果:一舉兩得。 除了豐胸,還可以減肥; 手術方式:抽脂,注射。 需多次注射。 新維度自體脂肪細胞豐胸:首先採集豐胸者全身各部位多餘脂肪,新維度的特點是經精選活化後植入胸部,由於自體脂肪無排異,所以無需心理負擔。自體脂肪隆乳技術要求:高級,只有傲洛斯GMP才能培養活性脂肪細胞;自體脂肪隆乳手術效果:一舉三得。 除了豐胸,還能減肥,更能塑形,塑造完美身段;自體脂肪隆乳手術方式:針對需減肥部位抽脂,減肥塑形一步到位,一次注射就可完成適用範圍: 自體顆粒脂肪注射移植豐胸術適合於乳房小、乳房輕度萎縮、對乳房體積、增加要求不大的患者,且自身其他部位有足夠量的脂肪以供採用。
何謂自體脂肪隆乳:
自體脂肪隆乳更是最適合人體的填補物質。將身體某部份多餘的脂肪抽出,利用離心純化過濾等動作能得到純度極高的健康自體脂肪細胞。運用這項技術來豐胸,就能改善胸部線條,自然如同自身發育一樣,不遺留人工痕跡。

自體脂肪隆乳的好處:
1. 安全恢復快
2. 手術後不出現排斥反應
3. 外形自然
4. 手感好,伴侶易接受

既改善了身體不好的曲線,又使胸部得到了豐滿。

自體脂肪隆乳移植不是一個新的動手術項目。由於自體脂肪隆乳貨源充足甚至嫌太多,可以藉由抽脂動手術輕易取得,而且是本身的組織沒有排斥、過敏的問題;加上現今可以安全注射的人造填充材質如玻尿酸和微晶瓷等,雖然使用方便且標榜沒有術後恢復期,但不僅價格昂貴,且都有維持期限的問題,必須反覆接受注射;因此,自體脂肪隆乳移植還是一直被廣泛應用於顏面及身體曲線的暇疵,例如因為消瘦或老化軟組織萎縮所引起的臉頰凹陷、太陽穴凹陷和眼窩凹陷,經由自體脂肪隆乳注射可重建其輪廓的飽滿度;或因為外傷、燒傷所造成之疤痕攣縮、凹陷變形等,經由自體脂肪隆乳注射可使攣縮、凹陷的組織重建其彈性及柔軟度。

 由於自體脂肪隆乳注射也伴隨一定比例的併發症,例如:脂肪吸收的比例不確定、發炎感染、脂肪壞死、液化囊腫、鈣化硬塊等問題;但隨著自體脂肪隆乳移植觀念及技術的改進,包括脂肪吸取的壓力控制、經過離心篩選出純化的脂肪顆粒,及多層次、分散的注射方法使脂肪顆粒可以得到充分的血液循環,以提高脂肪的存活率等,在在都使得這些併發症的比例已大大的降低。因此,現在整形醫學界公認自體脂肪隆乳移植仍是相當有效的整形動手術之一。

 自體脂肪隆乳移植現在最常被應用於臉上局部凹陷的填補,也被應用於如豐臀等需較大量注射的部位,都可以得到不錯的效果;唯獨對於胸部乳房的自體脂肪隆乳移植,卻一直躑躅不前。
 胸部乳房的結構絕大部分即為脂肪組織,根據組織移植的定律: like tissue for like tissue(以類似的組織來填補相近的結構),脂肪是很適合作為胸部乳房填充物的。的確,以腹直肌皮辦(構成的組織即為皮膚和脂肪)轉移重建乳癌術後的缺損,重建的胸部乳房在外觀和觸感上確實得到相當好的結果。更何況利用抽脂動手術,可以輕鬆的經由一個小洞,將身上多餘的脂肪抽出來,再經由一個小傷口打入胸部乳房,不僅去掉過多的贅肉,更可以實現豐胸的夢想,正是化腐朽為神奇!再說,自體脂肪隆乳移植隆乳不僅觸感自然,更不必為了隆乳在身體內擺一個義乳袋,不但擔心會被發現是假的,術後還需勤作按摩,也可能因義乳袋的莢膜攣縮或破裂而需接受另一次動手術。種種的推論似乎都顯示自體脂肪隆乳的合理性,那,為什麼不贊成在胸部乳房打脂肪呢?

自體脂肪隆乳─為何昔非今是(三)
 隨著陸續出爐的文獻及醫療專家經驗報告,自體脂肪隆乳也受到愈來愈多的重視及討論。美國整形外科醫學會( ASPS)也於 2007年組織了一個專案小組( Fat Graft Task Force),針對自體脂肪隆乳的適應症、可能的併發症、相關技術的安全性與可行性、及未來的研究方向作進一步的評估;他們整合查詢到有關自體脂肪隆乳的 110篇文獻報告,在 283個胸部自體脂肪隆乳移植的案例中,術後追蹤從一個月到 10年;適應症包括先天胸部乳房發育不全及不對稱、隆乳術後莢膜攣縮、乳癌切除術後重建的案例及放射治療造成的組織病變等。在這些的個案,大部分在外觀的改善都得到滿意的結果。併發症包括感染 (1.1 %)、鈣化 (4.9 %)、脂肪壞死 (5.7%) 及硬塊 (1.1 %);另有兩例在術後發現乳癌,但移植的脂肪並不影響其診斷。

 經由文獻整理及彙整專家的意見,這個專案小組於去年提出一份自體脂肪隆乳移植建議準則( ASPS guiding principles),其結論包括:
1.對於隆乳及改善其他胸部乳房的異常缺失,自體脂肪隆乳移植是可以考慮的安全選項之一;然而因醫療專家的經驗及技術的差異,結果可能會有不同,包括脂肪移植存活的時效性、可能需要多次動手術,及移植的脂肪可能因體重的變化而有波動等等。
2.可能的併發症包括感染、鈣化、脂肪壞死及硬塊囊腫,且現在仍無充分的證據來支持自體脂肪隆乳的安全性及有效性;對此,病患接受動手術前,醫療專家必須充分告知。
3.現在仍無充分的證據顯示自體脂肪隆乳是否會干擾乳癌的診斷,但對於乳癌可能發生的高危險群(包括本身或家族有乳癌的病史、或帶有乳癌的腫瘤標記 BRCA-1, BRCA-2),若欲接受自體脂肪隆乳則必須更為謹慎。
 由這份建議準則看來,自體脂肪隆乳不再被認為是一個不安全的動手術。雖文獻的報告多屬正向,但多數為個案或系列報告或專家的意見,仍缺乏進一步計畫性的研究報告及將來發生併發症的可能性。但整體而言,只要醫療專家動手術的方法正確,且對於安全性及可能的併發症有充分了解,術後輔以精密的儀器檢查及緊密的追蹤,自體脂肪隆乳仍不失為一個安全的選項,畢竟不須植入義乳袋且觸感自然還是它最大的優點。
 自體脂肪隆乳一直以來都背負著乳癌的陰影,至此,也算是還它一個公道了。
 當自體脂肪隆乳在美國獲得平反的同時,台灣的情況如何呢?
 幾年前整形外科醫學會曾去文衛生主管單位詢問自體脂肪隆乳的合法性,但一直沒有獲得正面的回應,自體脂肪隆乳也就一直處於妾身未明的地位;在學會上醫療專家們也不敢將自體脂肪隆乳搬上檯面。
 鑒於美國整形外科醫學會( ASPS)對自體脂肪隆乳態度的改變,台灣美容界外科醫學會在今年四月也針對自體脂肪隆乳舉辦了一場研討會,邀請包括衛生署醫事處周科長、北醫胸部乳房 MRI檢驗中心的黃主任及韓國脂肪隆乳經驗豐富的李喜永醫療專家,台大醫院也提出一例自體脂肪隆乳的案例分享。
 針對自體脂肪隆乳的適法性,周科長雖未正面回應,但認為自體脂肪隆乳移植屬於常規動手術,自體脂肪隆乳注射於胸部乳房也不屬於負面表列的項目,且隨著儀器、技術的進步,原本對於自體脂肪隆乳可能干擾乳癌篩檢的疑慮已大幅降低,所以認為應該還是採取開放的態度;唯醫療專家須依本身的經驗,對於可能的風險與併發症充分告知民眾。而方興未艾的幹細胞隆乳,由於其未知的風險仍高,仍屬人體實驗規範的範疇,不宜貿然使用在人體。
 北醫胸部乳房 MRI檢驗中心的黃主任本身也是胸部乳房外科醫療專家的背景,藉由他對乳癌的認知及 3D立體 MRI的專長,對於脂肪鈣化點會不會影響乳癌篩檢這個廣為爭執的重點提出了精闢的見解!透過不同的訊號設定, 3D立體 MRI可以清楚的辨識來自乳管組織的乳癌和其他動手術所造成胸部乳房組織的鈣化點。經由 3D立體 MRI的檢查,脂肪鈣化點之於乳癌篩檢的疑慮幾乎可以完全被排除,對於術前的篩檢及術後的追蹤將可以提供最精確的資訊。

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