[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]

筋膜下隆乳Sub-Fascial Mammaplasty

[/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]筋膜下隆乳法是近年因內視鏡被廣泛運用後所興起的新型手術，其特點是將義乳植入於胸大肌上方與乳線組織間的筋膜下層，此處的筋膜非常之薄約只有1~2mm，如不藉由內視鏡的輔助則很難進行完整撥離，因此其手術的精細度與複雜度較胸肌下隆乳來得高，可說是進階版的隆乳方式。此筋膜下層的優點是沒有重要的血管或神經分布，對於組織或肌肉的破壞性較胸肌下隆乳來得低，因此術後的恢復期與疼痛度均降低許多，適合許多對於手術疼痛感到恐懼的患者使用，屬於較符合生理特性且人性化的現代隆乳手術。

此法可以從腋下、乳暈或胸下緣切口進行手術，將義乳植入於胸大肌上與乳腺下的筋膜夾層下方，使義乳較貼近真正乳房組織的位置，不僅術後定型快，且容易塑造自然的水滴狀或垂墜感。此外筋膜下剝離手術並不需進行肌肉組織的切割或破壞，因此手術與按摩的疼痛感極低，術後照護期可縮短至3~6個月內。此法可讓義乳不受肌肉收縮的牽絆或影響，所以術後無需特別限制手部運動或負重，平均約三個月後即可穿戴正常胸罩，也不會出現乳房因肌肉用力而跳動的不自然現象。只是此手術需要遷就患者的乳房與皮膚等客觀條件限制，患者的胸前皮膚厚度必須足夠來覆蓋義乳始能達到自然的外觀與觸感，否則容易產生因植入位置較為表淺而導致觸摸得到的義乳皺褶或邊緣問題。另外義乳的尺寸選擇也需適中以免增加皮膚的負荷，造成日後乳房提早下垂或是不自然的球感乳型。[/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=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”no” 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]

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手術內容

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手術時間

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麻醉方式：全身或硬膜外麻醉
手術切口：腋下、乳暈或胸下緣
恢復期：2~3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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術後一個月內須勤做拉筋運動以避免腋下疤痕沾黏
術後一個月內須避免手臂過度施力的工作或運動
術後三個月需避免抽菸或服用膠原蛋白，Vit-C等以避免刺激莢膜的發生
術後半年內須持續且規律的做好胸部按摩以維持乳型與柔軟度

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適應對象

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原始乳房達B罩杯以上者
乳房組織厚度大於2cm者
前胸皮膚厚度大於1cm者
對於手術或按摩的疼痛有極度恐懼者
欲縮短乳房按摩照護期者

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可能併發症

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莢膜孿縮（<10%）
乳房高低邊
疤痕沾黏（腋下）
疤痕增生（乳暈）
義乳滲漏或破裂
乳頭不敏感或過度敏感（暫時性）

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手術優點

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手術無痛且恢復快
術後按摩較輕鬆且幾無疼痛感
術後按摩照護期可縮短至3~6個月
乳房定型快且自然似真
術後無特殊手臂活動或負重限制

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手術缺點

身材瘦小或皮膚單薄者不適用
皮膚條件不足者可能發生義乳邊緣或皺褶等觸感不佳問題
義乳尺寸過大可能導致球感或不自然乳型
僅適合果凍矽膠植入（鹽水袋易發生邊緣皺褶問題）
絨毛面義乳的使用可能受到條件限制

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可合併手術

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筋膜下隆乳與胸肌下隆乳的比較

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	胸肌下隆乳	筋膜下隆乳
適應對象	先天皮膚條件單薄或只有A罩杯平胸者	皮膚組織豐厚或本身已有乳房（B罩杯）者
手術方式	全程內視鏡	全程內視鏡
義乳選擇	鹽水袋或果凍矽膠皆可	果凍矽膠為佳
義乳觸感	不明顯	較明顯
術後疼痛	約2~3日	不明顯
按摩疼痛	約1~2週	不明顯
按摩療程	約需半年以上	平均3~6月
負重限制	3個月內	1個月內
穿戴胸罩	3~6個月後	3個月後
莢膜機率	較高（約15~20%）	低（約10%以下）
懷孕哺乳	可	可

手術成果

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