[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]

絨毛面義乳重做Textured Implants Replacement

[/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]絨毛面義乳區分有圓形與水滴形兩種樣式，其內容物都是果凍矽膠，皆可以自由運用於各種隆乳手術中。此種義乳因容易給人球感、堅挺或觸感較硬的感受，並非初次隆乳手術的優先選擇材料，然而針對少數具有頑固性莢膜體質患者，或經過多次手術皆失敗且原因不明者，最終手段除了取出義乳並放棄再做任何假體植入手術外，就必須認真考慮更換原來的光滑面義乳材質，改用術後幾乎無須乳房按摩的絨毛面義乳來重做手術，方可讓乳房迅速定型，達到較為穩定的效果。此類義乳的表面包覆一層與人體相容較高的微細顆粒材質，可減少異物排斥或發炎反應，也間接降低莢膜孿縮的嚴重程度。特別是近年發表的新一代水滴形粗面義乳，其外型設計更符合人體乳房樣貌，改善了以往粗面圓形義乳容易產生的球感問題，且接近三角錐形的設計也有助於破壞來自體內四周的莢膜收縮力道，可有效提升頑固性莢膜患者重做的成功率，也是多次孿縮重做患者的首選材料。

此手術的做法與一般莢膜手術類似，醫師會依照患者孿縮的嚴重度先做莢膜的切開或清除，並重新撥離出適當的空間後，再更換新的粗面義乳植入。此法的優點是患者於術後無需進行胸部按摩，有效降低照顧不當或莢膜反彈的變數，且乳房的定型快，減少傳統光滑面義乳容易變形的風險。而其缺點則是義乳觸感較為硬挺，球感可能較光滑面義乳來得明顯，因此患者本身的隆乳條件須足夠才能兼顧觸感與外型的自然度。雖然此類義乳確實可以降低莢膜再發的機率但並非絕對，患者仍須於術後隨時觀察乳房的變化以確保手術的成果。[/fusion_text][fusion_imageframe lightbox=”no” gallery_id=”” lightbox_image=”” style_type=”glow” hover_type=”none” bordercolor=”” bordersize=”0px” borderradius=”0″ stylecolor=”” align=”none” link=”” linktarget=”_self” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” hide_on_mobile=”no” class=”” id=””] 絨毛面義乳重做 [/fusion_imageframe][fusion_text]

多次重做的患者應充分了解各類型義乳的優缺點，再與醫師共同討論出最佳的選擇

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手術內容

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手術時間

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麻醉方式：全身麻醉
手術切口：原切口或腋下、乳暈或胸下緣任一處
恢復期：3~5天內
拆線：7~10天

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注意須知

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手術前需禁食與水

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乳房無須按摩或僅做輕度按摩3個月
術後一個月內需避免手臂過度使力或運動
術後三個月內可趴睡以增進義乳的柔軟度
須使用胸帶或穿著特殊調整型內衣來固定乳型

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適應對象

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多次隆乳重做或頑固性莢膜體質者
懷疑對於光滑面義乳有排斥體質者
原始乳房條件達B罩杯以上的嚴重莢膜孿縮者
屢次因術後按摩不當而導致莢膜孿縮者
無法配合長期按摩乳房的二次手術者
曾因乳腺發炎而導致乳房變形者

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可能併發症

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乳房觸感不佳
外觀球感
義乳邊緣或皺褶
疤痕沾黏
義乳滲漏或破裂

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手術優點

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術後無需按摩，可縮短並簡化乳房照護工作
絨毛面義乳具抵抗莢膜孿縮能力，乳型較為穩定
避免光滑面義乳可能移位或變形的缺點，乳房定型快
水滴型義乳的形體設計可能提高隆乳重做的成功率

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手術缺點

乳房觸感較為堅硬，柔軟度不及光滑面義乳
乳房較可能呈現球感等不自然外觀
仍有莢膜孿縮的可能（二至三度）
身形單薄者並不適用此法

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可合併手術

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絨毛面義乳與光滑面義乳的比較

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	絨毛面義乳	光滑面義乳
義乳型式	圓型或是水滴型	皆圓型
內部填充	果凍矽膠	食鹽水或果凍矽膠
手術方式	全程內視鏡	全程內視鏡
植入部位	筋膜或胸肌下	筋膜或胸肌下
術後疼痛	無	約2~3日
觸感	偏硬	柔軟
自然度	球感較為明顯	似真乳
術後按摩	無	3~6個月
莢膜機率	低（約5%）	如無按摩可能產生莢膜（約15~20%）
滲漏機率	低	低
懷孕哺乳	可	可

手術成果

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