唇邊皺紋深肉毒桿菌可改善 Lips deep wrinkles Botox can be improved

唇邊皺紋深肉毒桿菌可改善 【施靜茹）】問：我的唇邊皺紋很深，而且隨著年紀增長，愈來愈明顯，看起來很老氣，請問有什麼方式可以改善嗎？ 答：整形外科有一個治療項目，即唇紋治療。其實，日本宮崎駿動畫電影「神隱少女」，裡面有個人物「湯婆婆」，雙唇也布滿皺紋。 會產生唇紋，主要原因是老化，或者習慣性抿嘴，也容易出現「湯婆婆嘴」。 通常可以用患者自體脂肪，注射在皺紋部位，再配合肉毒桿菌，阻斷神經通路作用；或直接注射肉毒桿菌，讓患者減少皺紋產生，但一樣也是一段時間就得再注射。 問：聽說唇色太深可漂白，是真的嗎？效果如何呢？有人有漂過嗎？ 答：坊間有標榜紋唇，或用漂白的方式改變唇形或唇色，方法有些類似刺青，都是用顏料和器械操作。 不過，醫師提醒，這類紋唇操作者技術如何，及器材消毒問題，甚至弄上去的顏色，是否會像紋眉一樣，日後後悔，都值得事先考量及評估。 問：因為出過車禍，下嘴唇會往右下斜，看過醫師，說應該是車禍後的肌肉問題，過一陣子就會恢復原狀。後來去看第二位醫師，說可能車禍傷到顏面神經，建議去復健科復健，復健後好像比較不斜了，但下嘴唇有點往外翻，該怎麼辦？ 答：顏面傷殘重建，也是整形外科醫師訓練階段必學的本事之一，對於因外傷而引起的嘴歪，在傷口治療後，會先請患者發出「依、啊、嗚」聲音，看其控制神經、肌肉是否順暢，有時可能是外傷疤痕引起的嘴歪。 如果沒有傷口疤痕，而嘴歪在嘴角外，可借助復健科的電刺激治療，有時候能獲改善；但如果是歪斜在嘴角內，已屬神經末端，復健的效果有限，就可能要等待時間，看能否慢慢恢復。 （醫療諮詢：台灣開業整形外科醫師李久恆、曾繁穎） 2008-11-23 Lips deep wrinkles Botox can be improved 【Shi Jing-Ru)】 Q: My lips deep wrinkles, but as they age, more and more obvious that the Lao Qi seems, are there any ways to improve it? A: plastic surgery to have a treatment, that is, the treatment of Chun Wen. In fact, the Japanese animation Hayao Miyazaki film "Spirited Away", there are individual objects, "Tang mother-in-law," lips are full of wrinkles. Chun Wen will have, mainly due to aging or customary Minzui also prone to "mother-in-law Tom mouth." Patients usually can be autologous fat, wrinkles at the site of injection, together with Clostridium botulinum, the role of blocking nerve channels; or direct injection of botulinum, so that patients have to reduce wrinkles, but you also have to re-injection for a period of time. Q: I heard that too Chunse can bleach, is that true? How effective is it? Some people have floated over it? A: There are patterns itself lip, or bleach to change the way lips Chun Se or, in some ways similar to the tattoos, all with color and equipment operation. However, doctors advise that this type of pattern lip technical operator, and disinfection equipment, and even get up the color, whether as Eyebrow, regret in the future, are worthy of consideration and evaluation in advance. Q: have a car accident because, under the lips will be under the right oblique, saw a doctor, said after the accident should be a muscle problem, will be a time of restitution. Then look at the second doctor, said that the accident may have facial nerve injury to the proposed rehabilitation to rehabilitation, rehabilitation after less like a ramp, but turned out a little bit under the lips, how to do that? A: The facial reconstruction of the disabled are also plastic surgeons phase of the training will learn the skills, as a result of the trauma caused by distortion of the mouth, in the treatment of wounds, patients will first call upon the issue "in accordance with, ah, Ming," the voice, see To control its nerves, smooth muscle, it may sometimes be caused by traumatic scar mouth askew. If there is no scar on the wound, and the mouth askew in the mouth, can take advantage of the rehabilitation of the electrical stimulation treatment can sometimes be improved; but if it is askew in the mouth, already nervous at the end, the effect of rehabilitation is limited, may have to Waiting time to see whether to resume slowly. (Medical Advisory: Taiwan business for a long time plastic surgeons Li Heng, Feng-Yin Tseng) 2008-11-23 View more information, see the World Journal reported that e-ePaper

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