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上述各種問題,是很多人在後台私訊,或是診間提出的問題。確實,舒顏萃(又稱Sculptra、3D聚左旋乳酸)和大家熟悉的玻尿酸,有很大的不同,不管是在使用上、效果呈現層面上。這也就是為什麼林亮辰醫師,花了許多時間、心思,鑽研舒顏萃的注射技巧、術後追蹤,乃至於各種文獻研讀、相關學術研討會與其他醫師得交流、經驗分享,為的就是讓術後效果呈現更接近理想的狀態。
舒顏萃,主要成分為PLLA聚左旋乳酸(又稱3D聚左旋乳酸),以能夠「刺激自體膠原蛋白增生」為特色,術後效果更精緻、自然,因此廣泛運用於抗老拉提、臉部年輕化的治療。
五月初林亮辰醫師參與「舒顏萃大師進階班」,並獲邀擔任講師,與來自北中南各地的皮膚科醫師交流、分享、切磋,因為要達到醫師、患者雙方的目標、期待,這之中有許多環節都必須注意。畢竟就醫師注射層面來說,和以往的填充材質(如玻尿酸),是完全不同的概念及思維,因此為了讓產品優勢發揮得更淋漓盡致,廠商也都會定期舉辦各種講座、教育訓練課程,集結台灣各地優秀、使用經驗豐富的醫師,交流、討論。
影響效果三個關鍵環節
![](https://1.bp.blogspot.com/-9Yz3nF2gmIY/WzMyEFcL8_I/AAAAAAAABPc/q7Bo7ZC4U_oVKW1nQWH83HUtfIlnztVzwCEwYBhgL/s1600/3D%25E8%2581%259A%25E5%25B7%25A6%25E6%2597%258B%25E4%25B9%25B3%25E9%2585%25B8%25E6%2595%2588%25E6%259E%259C%25E5%2587%25BA%25E7%258F%25BE%25E6%2599%2582%25E9%2596%2593sculptra%25E8%2588%2592%25E9%25A1%258F%25E8%2590%2583%25E6%25B6%25B2%25E6%2585%258B%25E6%258B%2589%25E7%259A%25AE%25E7%25AB%25A5%25E9%25A1%258F%25E9%2587%259D%25E6%2589%2593%25E5%25A4%259A%25E5%25B0%2591CC%25E8%25B2%25BB%25E7%2594%25A8%25E5%25A4%259A%25E5%25B0%2591%25E9%258C%25A2%25E5%2583%25B9%25E6%25A0%25BC%25E6%2596%25B0%25E7%25AB%25B9%25E6%258E%25A8%25E8%2596%25A65.jpg)
「術後效果」除了是患者最在意、期待的部分,更是醫師們追求的目標。要達到醫師、患者雙方的期待,從一開始的溝通到注射完畢,每一個地方都是關鍵,每個環節都不能馬乎。
材料配置準備
舒顏萃(3D聚左旋乳酸)原為粉末狀,注射前需與無菌的注射專用水調配靜置,待粉末完全泡開,並且均勻地分佈在水中(至少靜置兩小時) ,才能注射。且稀釋不同的濃度、注射在不同的部位,都會有不同的效果。而醫師則是必須有著相當的經驗,藉由術後追蹤、錄,累積大量的資料、數據,歸納演繹出「最接近期待的效果」的注射方式。
評估美感
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除了看起來年輕,「好看、漂亮又自然」當然也是重點,畢竟年輕、漂亮又自然的臉蛋,並非只是毫無皺紋如此單純。好看的輪廓,並非三庭五眼、黃金比例,或是教科書上那公式化的簡單,大部分的人在意自己「看起來老態」,因此最終目標是讓自己「看起來變年輕」。在評估上要往這個目標邁進,這時候填平皺紋、凹陷,不是最終目標,而是途徑之一。因此在溝通諮詢時,就必須釐清求診者希望改善的問題、最終期待的目標,接著依照「老化的現況」,如各種紋路、凹陷、下垂,以及「期望改善的幅度、目標」,如皺紋、凹陷的改善,皮膚緊實,視覺上更顯年輕,氣色更好,卻不失自然,且依然是自己,並非變成別人,量身打造屬於自己的治療計畫。
![](https://4.bp.blogspot.com/-nDrdKiB-czw/WzMyGRsHx3I/AAAAAAAABPg/Sjyj2Rcqn9YTdfvd73oLhDUsBwtaQUl9QCEwYBhgL/s1600/3D%25E8%2581%259A%25E5%25B7%25A6%25E6%2597%258B%25E4%25B9%25B3%25E9%2585%25B8%25E6%2595%2588%25E6%259E%259C%25E5%2587%25BA%25E7%258F%25BE%25E6%2599%2582%25E9%2596%2593sculptra%25E8%2588%2592%25E9%25A1%258F%25E8%2590%2583%25E6%25B6%25B2%25E6%2585%258B%25E6%258B%2589%25E7%259A%25AE%25E7%25AB%25A5%25E9%25A1%258F%25E9%2587%259D%25E6%2589%2593%25E5%25A4%259A%25E5%25B0%2591CC%25E8%25B2%25BB%25E7%2594%25A8%25E5%25A4%259A%25E5%25B0%2591%25E9%258C%25A2%25E5%2583%25B9%25E6%25A0%25BC%25E6%2596%25B0%25E7%25AB%25B9%25E6%258E%25A8%25E8%2596%25A68.jpg)
其實在與醫師的交流中發現,現在大部分的人,都希望以溫和的方式找回年輕的自己,過程與結果保留個人特色,而舒顏萃(3D聚左旋乳酸)若運用得當,可以滿足這些期待,讓自己還是那個充滿個人特色的自己,因為環肥燕瘦都是美。
針法熟練
![](https://2.bp.blogspot.com/-m16i7sFlFpg/WzMyGzmsoVI/AAAAAAAABPg/unYQk7ReKvMbeswc4GQhUCsi3Rl3zZqLwCEwYBhgL/s1600/3D%25E8%2581%259A%25E5%25B7%25A6%25E6%2597%258B%25E4%25B9%25B3%25E9%2585%25B8%25E6%2595%2588%25E6%259E%259C%25E5%2587%25BA%25E7%258F%25BE%25E6%2599%2582%25E9%2596%2593sculptra%25E8%2588%2592%25E9%25A1%258F%25E8%2590%2583%25E6%25B6%25B2%25E6%2585%258B%25E6%258B%2589%25E7%259A%25AE%25E7%25AB%25A5%25E9%25A1%258F%25E9%2587%259D%25E6%2589%2593%25E5%25A4%259A%25E5%25B0%2591CC%25E8%25B2%25BB%25E7%2594%25A8%25E5%25A4%259A%25E5%25B0%2591%25E9%258C%25A2%25E5%2583%25B9%25E6%25A0%25BC%25E6%2596%25B0%25E7%25AB%25B9%25E6%258E%25A8%25E8%2596%25A69.jpg)
在注射的技巧上,更是關鍵。畢竟舒顏萃(3D聚左旋乳酸)與玻尿酸注射是完全不同的概念(玻尿酸為凝膠狀,舒顏萃注射時為液狀),更著重於整體臉部均衡美感的拉提,視覺上年輕化。
![](https://2.bp.blogspot.com/-wAxHZSi-fKw/WzMyFiSnZDI/AAAAAAAABPc/mypLMfcgj1MnbWMvScgtGwqw2pamVrEWgCEwYBhgL/s1600/3D%25E8%2581%259A%25E5%25B7%25A6%25E6%2597%258B%25E4%25B9%25B3%25E9%2585%25B8%25E6%2595%2588%25E6%259E%259C%25E5%2587%25BA%25E7%258F%25BE%25E6%2599%2582%25E9%2596%2593sculptra%25E8%2588%2592%25E9%25A1%258F%25E8%2590%2583%25E6%25B6%25B2%25E6%2585%258B%25E6%258B%2589%25E7%259A%25AE%25E7%25AB%25A5%25E9%25A1%258F%25E9%2587%259D%25E6%2589%2593%25E5%25A4%259A%25E5%25B0%2591CC%25E8%25B2%25BB%25E7%2594%25A8%25E5%25A4%259A%25E5%25B0%2591%25E9%258C%25A2%25E5%2583%25B9%25E6%25A0%25BC%25E6%2596%25B0%25E7%25AB%25B9%25E6%258E%25A8%25E8%2596%25A67.jpg)
林亮辰醫師在會中,與來自北中南的皮膚科醫師交流,這些醫師也是3D聚左旋乳酸使用的佼佼者,大家交換心得,針對不同的案例、不同的問題,彼此在交流中學習、在分享中進步。
![](https://4.bp.blogspot.com/-lMxA2ci7omY/WzMyEhdJZDI/AAAAAAAABPg/pUOKRnqgreoPSSxGuFhZopcctB4QC4xSQCEwYBhgL/s1600/3D%25E8%2581%259A%25E5%25B7%25A6%25E6%2597%258B%25E4%25B9%25B3%25E9%2585%25B8%25E6%2595%2588%25E6%259E%259C%25E5%2587%25BA%25E7%258F%25BE%25E6%2599%2582%25E9%2596%2593sculptra%25E8%2588%2592%25E9%25A1%258F%25E8%2590%2583%25E6%25B6%25B2%25E6%2585%258B%25E6%258B%2589%25E7%259A%25AE%25E7%25AB%25A5%25E9%25A1%258F%25E9%2587%259D%25E6%2589%2593%25E5%25A4%259A%25E5%25B0%2591CC%25E8%25B2%25BB%25E7%2594%25A8%25E5%25A4%259A%25E5%25B0%2591%25E9%258C%25A2%25E5%2583%25B9%25E6%25A0%25BC%25E6%2596%25B0%25E7%25AB%25B9%25E6%258E%25A8%25E8%2596%25A64.jpg)
模擬骨骼,建立流失的骨架支撐(骨架流失是各種皺紋、下垂、鬆弛的主要原因);也可以緊實、強固韌帶,改善鬆弛、下墜的輪廓線條;填補流失的組織與脂肪,更可以使皮膚回復彈性、豐潤的Q嫩感;用於淺層更能做膚質的改善,觀察到膚質更亮透、白皙、毛孔縮小、整體更細緻。
簡言之,透過整體的分配注射,能全面拉提緊實肌膚,使肌膚重回原本的彈性柔軟、使臉蛋重回年輕時狀態。 至於哪種濃度,注射在哪個部位,會出現怎樣的效果,能否滿足你的期待,這就必須仰賴幫你治療的醫師了!