[fusion_builder_container background_color=”#f1f1f1″ background_image=”/wp-content/uploads/2015/03/drops-on-leaf-wallpaper-1024×640222.jpg” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0px” padding_right=”0px” hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-top-banner”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]

顴骨片植入法Malar/Sub-malar Implant

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]此手術是運用各種不同樣式與尺寸的顴骨片來撐起中臉部的凹陷部位, 顴骨片的材質可以選擇矽膠片, 卡麥拉(Goretex)或是人工骨(Medpor), 端視各人的凹陷程度與手術需求而定. 一般若是輕度到中度的中臉凹陷, 或是單純以整形美觀為目的的話, 莊醫師會建議使用植入方便且維護容易的矽膠或是Goretex材料, 不僅手術創傷小且無需做骨釘的固定, 術後恢復較快. 但如果是因先天顴骨變異或是外傷而導致的大範圍凹陷, 甚至造成骨骼萎縮或變形等嚴重問題, 則必須藉由人工骨這類結構性修補材料做中臉部連同顴骨外側的重建矯正, 才能達到完整與根本的改善效果。

此手術的切口部位會依植入材質而種類而不同. 若是使用矽膠片或Goretex顴骨片的話其傷口在嘴巴內的上牙齦處, 莊醫師會先在患者口腔兩側上牙齦深處切開一道約1.5~2cm的傷口, 利用內窺光源進行骨膜下的皮膚撥離, 隨即將預先修整好的矽膠或Goretex片植入於顴骨的凹陷部位, 令其自然的貼合於骨頭上, 大約經過一個月後假體即能完全穩固定型; 而如果是植入人工骨的話則必須於下眼瞼皮膚處多開一道切口, 經由兩處切口進行更大範圍的骨膜下撥離後, 再將人工骨植入並進行骨釘的固定以防止日後的移位. 無論以上何種假體植入其方式皆是從皮膚的最深層做填充, 中臉部的皮膚會因此產生緊實或是部分提升的效果, 故對於淚溝或是法令紋等凹陷也可以提供局部的改善, 並不會如透明質酸或脂肪注射般容易造成臉部肌膚的重量負荷甚至下垂, 因此也適合臉部皮膚開始鬆弛或膠原蛋白流失的蘋果肌下垂患者來使用。[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible” margin_top=”20px” margin_bottom=”20px” background_color=”rgba(255,255,255,0)”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_separator style_type=”none” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”0″ padding_bottom=”0″ padding_left=”0″ padding_right=”0″ hundred_percent=”yes” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-content”][fusion_builder_row][fusion_builder_column type=”1_2″ last=”no” spacing=”no” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”solid” padding=”0″ margin_top=”” margin_bottom=”” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” class=”” id=”bd-right”][fusion_text]

手術內容

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手術時間

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麻醉方式: 舒眠+神經阻斷麻醉或全身麻醉(人工骨植入)
手術切口: 口內上牙齦處兩側約1.5~2m傷口或下眼瞼切口(人工骨植入)
恢復期: 10~14天
拆線: 無

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注意須知

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手術前需禁食與水

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術後一個月內須禁菸, 酒與刺激性食物, 並避免劇烈或過度之運動
術後兩個月內須避免唱歌或大笑等過度張嘴動作
術後三個月內須避免用力按摩或擠壓臉部

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適應對象

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明顯程度的中臉凹陷或蘋果肌流失者
中臉凹陷合併淚溝或法令紋明顯者
中臉凹陷合併皮膚鬆弛或下垂者
先天或外傷性顴骨凹陷或不對稱者
先前接受透明質酸或脂肪注射填補但效果不彰者
因做過顴骨削骨而導致中臉角度過平或皮膚下垂者
欲改善因深咬或戽斗而導致的中臉結構性凹陷(新月臉型)者

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可能併發症

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傷口癒合不良
假體移位
排斥或發炎
臉頰麻木或異物感(暫時性)

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手術優點

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手術效果穩定且持久
手術傷口於嘴巴內不留疤痕
可徹底改善中臉部骨骼凹陷的結構性問題
從深層部位填充蘋果肌, 減低日後皮膚負荷或下垂風險
可局部的緊實與提升中臉皮膚
可彈性選擇各種樣式與尺寸的顴骨片, 達成客製化的需求
可搭配鼻唇溝填補手術, 做更完整的中臉部改造

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手術缺點

只能針對顴骨正面的凹陷做填補, 無法改善兩側的臉頰凹陷
可能發生植入物的排斥、發炎或移位等風險
恢復期與消腫期較長
臉頰可能發生暫時性麻木或異物感
若過度填補則可能產生眼袋的內陷

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可合併手術

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鼻唇溝填補術

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顴骨片材料比較

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	矽膠片	卡麥拉	人工骨
適應對象	中臉凹陷或蘋果肌流失(外觀整形)	中臉凹陷或蘋果肌流失(外觀整形)	嚴重中臉凹陷或顴骨缺損(顏面重建)
手術切口	上牙齦處	上牙齦處	上牙齦與下眼瞼處
麻醉方式	舒眠+局部麻醉	舒眠+局部麻醉	全身麻醉
骨釘固定	無	無	需要
外觀效果	柔和	柔和	陽剛
臉型改變	無	無	可能變寬
顴骨突出	無	無	可能
取出還原	簡單	簡單	較困難
感染風險	較高	低	低
移位可能	可能	低	無
手術費用	低	中等	高

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手術成果

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