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在各類老化問題中,淚溝算是詢問度頗高的項目之一,門診中甚至有大學畢業的社會新鮮人因此求診。的確,有人稱淚溝為「累」溝,顧名思義,淚溝讓人看來兩眼無神、精神不濟,就算前一晚睡得再香再甜,隔天仍有人關切地問:「昨晚沒睡好嗎?」也因為現代人離不開3C產品,長期盯著螢幕、過度用眼下,容易造成眼周肌肉緊繃,紋路橫生,個個未老先衰,明明一朵花的年齡,卻有超齡的疲態與老態,更糟的是,淚溝通常伴隨黑眼圈或眼袋,而且比法令紋、木偶紋或臉頰鬆弛凹陷來得更早,儼然成為各年齡層的心頭之痛。
![](https://4.bp.blogspot.com/-Aj6QCibHnEs/WguqTZUqVQI/AAAAAAAAAE0/iuo4PyJVVzMl1AsefMvg1SaLzifQajeOQCEwYBhgL/s1600/3D%25E8%2581%259A%25E5%25B7%25A6%25E6%2597%258B%25E4%25B9%25B3%25E9%2585%25B8sculptra%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%25E6%25B7%259A%25E6%25BA%259D%25E8%2588%2592%25E9%25A1%258F%25E8%2590%2583%25E4%25B8%2580%25E7%2593%25B6%25E5%25B9%25BEcc%25E8%2588%2592%25E9%25A1%258F%25E8%2590%2583%25E6%258C%2589%25E6%2591%25A9%25E8%2588%2592%25E9%25A1%258F%25E8%2590%2583%25E9%25A1%258D%25E9%25A0%25AD%25E6%2596%25B0%25E7%25AB%25B9%25E8%2581%259A%25E5%25B7%25A6%25E6%2597%258B%25E4%25B9%25B3%25E9%2585%25B8%25E6%2596%25B0%25E7%25AB%25B9%25E7%25AB%25A5%25E9%25A1%258F%25E9%2587%259D%25E6%259E%2597%25E4%25BA%25AE%25E8%25BE%25B0%25E9%2586%25AB%25E5%25B8%25AB%25E6%2596%25B0%25E7%25AB%25B9%25E6%258E%25A8%25E8%2596%25A6%25E9%2586%25AB%25E5%25B8%25AB%25E7%259A%25AE%25E8%2586%259A%25E7%25A7%2591%25E9%2586%25AB%25E5%25B8%25AB%25E6%259E%2597%25E4%25BA%25AE%25E8%25BE%25B0%25E7%259A%25AE%25E8%2586%259A%25E5%25B0%2588%25E7%25A7%2591%25E8%25A8%25BA%25E6%2589%258002.jpg)
淚溝是哪裡蹦出來的?
通常,眼睛老化較早出現,眼輪匝肌萎縮、眼窩脂肪增生、眼眶骨骨架流失或其上的脂肪滑落位移,以及淚溝周邊的結締組織鬆弛等因素,導致眼周鬆弛、黑眼圈、淚溝、眼袋及印地安紋問題。
淚溝是從內眼角開始,沿著下眼瞼靠鼻側的一條凹溝,主要因為眼眶隔膜下緣的軟組織萎縮、下垂而生成。眼部皮膚較薄的人淚溝比一般人更明顯。雖然年輕人皮下脂肪豐厚、皮膚緊繃,就算有淚溝也只會有隱約的輪廓,撲點粉也許看不出來,但隨著年齡增長,眼框骨、顴骨支撐流失、眼周肌肉與皮膚失去彈性,中段臉皮下的脂肪日漸萎縮、下墜,下眼皮內側的淚溝就會變得很明顯,當眼眶內的脂肪膨出,就形成眼袋。
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填淚溝 選什麼才好?
其實玻尿酸填充淚溝,效果立即顯現,只要玻尿酸的品牌、劑型選擇正確,效果多半不錯;而近期流行的膠原蛋白增生劑如舒顏萃,主要成份為聚左旋乳酸 (PLLA),能刺激人體膠原蛋白生長,注射在不同的深度可以模擬不同的構造,如注射在骨頭上方,可以重建缺陷的眼眶骨架支撐,注射在眼眶骨韌帶,可以強固韌帶周邊支撐,緊實下墜的組織,提升皮膚緊實度與厚度,不只填平淚溝,還能顧及整體眼部年輕化,臨床上觀察到,在治療後的第25個月,效果依然維持的不錯。
舒顏萃與玻尿酸的不同之處,會是在於玻尿酸填充後,雖說原本的空間、凹陷,暫時被玻尿酸填滿,但玻尿酸會隨著時間被人體代謝,原本的空間有可能會比之前來得大,在下次注射的時候需要更多的劑量。但是舒顏萃因能刺激膠原蛋白增生,皮膚會變厚、有彈性,之後所需的劑量會更少。
值得一提的是,一般中段臉皮下組織流失後,容易形成「中臉凹陷」或「蘋果肌扁平」,讓淚溝看來更明顯,因此,除了填平淚溝,還要加強中段臉支撐,才能徹底改善問題,否則,就算淚溝被填平,看來也不會顯得年輕。
改善淚溝 醫師的技術含量是重點
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舒顏萃因為具有刺激膠原蛋白增生的優點,與玻尿酸注射概念完全不同,所以不需要「有多少補多少」,只要醫師清楚知道注射在哪個位置、構造會有如何的效果、長出多少膠原蛋白,就能輕鬆達到效果,完全是以「質」取勝,而非以「量」取勝。
不過,舒顏萃在注射時是水劑,若注射時劑量分配不均,後續長出的膠原蛋白可能「會不如想像中的漂亮」,因此,雖然可以讓皮膚更厚實、富有彈性,效果也自然,但是仍須選擇專業醫師操刀。
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▲圖為林亮辰醫師任舒顏萃認證指導
改善淚溝絕對不只玻尿酸一途,只是改善淚溝也絕對無法達到整體年輕化的效果,唯有透過專業醫師評估,才能找到適合你的治療方案。