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我們討論了很久,她瘦扁的下腹部組織也勉強足夠讓我為她施行乳房重建手術,期望做出和對側乳房類似的胸型。 完全切開式手術優點是可移除多餘脂肪與皮膚,精確穩固雙眼皮皺摺;缺點是恢復期較長。 手術是在上眼皮適合的高度上劃出長約3-4 公分,再針對各人眼皮分出提眼瞼肌,用不可吸收的縫線縫合提眼瞼肌及眼皮出 雙眼皮 完整皺摺。
術後成果除了醫師注射技術外,患者本身的營養與後續照顧也會影響自體脂肪的存活率。 本院患者通常做一次就很滿意,若想要罩杯提昇更多、形狀更好看,會建議進行第二次自體脂肪隆乳,兩次手術間隔 3 個月即可進行。 皮膚內所含的膠原蛋白及玻尿酸是維持我們皮膚彈性的主成分,讓我們的皮膚能對抗萬有引力,保持Q彈。 但就如同橡皮筋一樣,過度及過久的膨脹是會使皮膚彈性疲乏的。 最常見的因素不外乎懷孕過後的肚皮,類似的過程也會見於肥胖減肥之後以及大量抽脂過後。 這時會像洩了氣的皮球一樣,呈現多餘的下垂狀。 輕度的鬆弛,我們可以適度的注射玻尿酸等原料於皮下,使皮膚恢復彈性。
抽脂手術是先用生理食鹽水注射入脂肪細胞,再將脂肪細胞用超音波或其他機器將脂肪細胞震碎,再將脂肪細胞用鋼管吸出,也有不用超音波震碎直接用鋼管吸出,不用超音波先震碎者較易流血、淤血時間會延長。 一般下腹部、兩側腰、大腿上外側、臀部、大腿內上側脂肪較多,抽脂手術的效果較好。 一次抽脂手術安全的抽出量約為3,000c.c.
骨骼缺血壞死:因骨骼切開時血液循環受損所致(發生率五千分之一以下)。 若骨頭有壞死跡象且仍有保留機會,可能需住院以藥物或高壓氧治療。 若已確定壞死則需要手術取出死骨並考慮後續重建。 顏面神經受傷(發生率千分之一以下):據文獻記載可發生於接受下顎骨矢狀劈開術的病人。
乳癌的發生多與遺傳有關,在影像學上乳房脂肪鈣化和乳癌鈣化呈現是大不相同的,目前臨床追蹤自體脂肪隆乳者術後,並沒有發生乳癌增加的可能性。 根據自身經驗,做自體脂肪隆乳的女性長期追蹤下來,也沒有因為打了自體脂肪隆乳而增加乳癌發生的機率。 臉頰皮膚感覺遲鈍:在進行上顎骨手術時非常靠近下眼眶骨神經,可能使神經暫時麻痺,影響到臉部感覺,一般都會完全恢復。
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