切除肌肉 效果最顯著The most obvious effect of muscle removed

切除肌肉 效果最顯著 　術前腿圍36.5公分 術後腿圍31公分（後視） 　術前腿圍36.5公分 術後腿圍31公分（前視） 【曾希文】花蓮慈濟醫學中心整形外科主任李俊達說，他做過減蘿蔔腿最粗的小腿圍是38公分，「比男生還粗，患者覺得很困擾 。」 抽脂 對肌肉腿沒效 常見的減蘿蔔腿方法有四，包括抽脂、注射肉毒桿菌素、接受神經切斷法或是行腓腸肌切除術。 很多人以為抽脂可以改善蘿蔔腿，其實不然，因為上門求診者的蘿蔔腿多為肌肉型，主要構造是肌肉，真正的脂肪不多，抽脂效果較為有限，如果是布滿脂肪的粗腿才較為適用。 肉毒桿菌 補打花費大 肉毒桿菌素除了用作臉部除皺，打在蘿蔔腿上，可造成肌肉麻痺，暫時萎縮。國泰醫院整形外科醫師黃繼增表示，人的肌肉「用進廢退」，打肉毒桿菌素，效果相當於「臥病在床」，減少小腿肌肉使用，達到萎縮瘦小腿的效果。 不過，由於肉毒桿菌素在體內會被吸收，約4到6個月必須補打一次，選擇打肉毒桿菌素的人需考量荷包，優點是沒有疤痕。 神經切斷法 危險性高 神經切斷法指的是切除連接蘿蔔腿腓腸肌的神經，原理一樣是讓肌肉日漸萎縮，讓小腿變細，不過一旦神經斷了恐難修復，形成永久性傷害。 腓腸肌切除 效果顯著 腓腸肌切除術是真正取出所謂擾人的「蘿蔔」，即腓腸肌。腓腸肌指的是小腿後方的肌肉，也就是俗稱的小腿肚。李俊達說，可用內視鏡從膝蓋後方的膝窩開約6公分傷口，然後操作內視鏡，切除腓腸肌，「拿出的肌肉從100多公克到400公克不等。」達到修飾小腿曲線的效果。 「術後不用拿拐杖，也不用坐輪椅。」但李俊達說，手術仍然有危險性，因小腿神經血管多，醫師必須對小腿的結構和解剖有相當的把握，術前要先測量，才能決定取出多少，以及研究怎麼切才能美觀對稱。 疤痕明顯 影響滿意度 切除腓腸肌手術的恢復期也較長，約需要一個月慢慢重拾跑跳功能，但也有人一、兩周後，就能開始運動。缺點是手術造成疤痕。少數不滿意手術結果的原因為明顯疤痕，或本身腿型，如O型腿，影響術後曲線和滿意度。 李俊達說，切除腓腸肌手術，真正取出肌肉，效果較顯著，如果擔心疤痕，除了得多多耐心照顧，等一、兩年慢慢淡化，或用淡疤美白的藥膏，減少色素沉澱。另外有蟹足腫體質的人，疤痕組織容易增生，欲動刀前更得三思。 2008-09-25 The most obvious effect of muscle removed Forelegs surgery Wai Wai legs 36.5 cm after 31 cm (rear) Forelegs surgery Wai Wai legs 36.5 cm after 31 cm (as before) Hickman has】 【Hualien Tzu Chi Medical Center, Li Jun, director of plastic surgery, said he had cut the leg turnips rough leg of the Circuit, is 38 centimeters, "than the boys still rough, the patient was very disturbed." Liposuction on the leg muscles did not effect Common radish legs by four methods, including liposuction, Botox injections, the law or accept the nerve to cut off the line gastrocnemius excision. Many people think that liposuction could improve the leg turnips, this is not the case, because the patients home the carrot-leg muscles were the main muscle structure is really not much fat, liposuction is more limited effect, if it is covered with thick fat Leg is more applicable. Botulinum up to spend big hit In addition to Botox as a wrinkle face, hit in the leg turnips, can cause muscle paralysis, and atrophy for the time being. Cathay General Hospital plastic surgeons by the same occasion that the human muscle "disuse", to fight Botox, the effect is equivalent to the "bed" to reduce the use of leg muscles to atrophy thin legs. However, due to the Botox will be absorbed in the body, about 4-6 months up to be a fight, the fight to choose Botox is required to consider the purse, there is no scar on the merits. Nerve to cut off high-risk law Neurotomy law refers to the leg turnips removed to connect the gastrocnemius nerve, so that the principle is the same as shrinking the muscles, so thin legs, but once the nerve repair broken unlikely to form a permanent injury. Gastrocnemius removal of a significant effect Gastrocnemius excision is a real nuisance out of the so-called "carrot" that is, gastrocnemius. Gastrocnemius referring to the rear of the calf muscle, which is commonly known as the small situated. Li Jun said, the endoscope can be used in the rear of the knee from the knee to open Waterloo, about 6 cm wound, and then endoscopic operation, the removal of gastrocnemius, "out of the muscle from more than 100 grams to 400 grams range." Modified to meet the curve of the lower leg Effect. "After without a cane, wheelchair-bound do not have to." Jun said, but the operation is still dangerous, as a result of the lower leg nerves and blood vessels, doctors must be on the leg of the structure and a considerable grasp of the anatomy, measured before surgery to remove the decision How much, as well as the cut in order to study how beautiful symmetry. Scar effect satisfaction Surgical excision of the gastrocnemius is also a longer recovery period, about a month running slowly regain function, while some have one or two weeks, will be able to start movement. The disadvantage is caused by scar surgery. Not satisfied with the results of the surgery a few of the reasons for the apparent scars, or their legs type, such as O-legs, and the impact Satisfaction after curve. Li Jun said, gastrocnemius resection surgery, took out the real muscle, the more significant results, worried that if the scars, in addition to a much more patient care, such as one or two years to play down slowly, or the white light scar ointment to reduce the pigment precipitation. In addition, physical keloid, scar tissue hyperplasia easy to want to have to think twice more before the surgery. 2008-09-25 View more information, see the World Journal reported that e-ePaper

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