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<p><span style="font-weight:bold;font-family:新細明體;">別名：</span><strong><span lang="EN-US"></span></strong></p> <p></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">黃褐斑、胎斑、孕斑或蝴蝶斑。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><strong><span style="font-family:新細明體;">發生原因：</span></strong><strong><span lang="EN-US"></span></strong></p> <p class="a" style="margin-bottom:8.55pt;"><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">大約是亞洲女性最痛恨的肌膚問題。根據調查，同樣黃皮膚的墨西哥裔婦女中，</span><span lang="EN-US">80%</span><span style="font-family:新細明體;">有</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的困擾。白種人的侵犯率大約為</span><span lang="EN-US">50~70%</span><span style="font-family:新細明體;">；據此推估，至少</span><span lang="EN-US">50~60%</span><span style="font-family:新細明體;">的亞洲女性深受其害；</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">比較嚴重患者的共同特徵是「黃膚色，黑頭髮」。男性的罹患率大約是女性的十分之一。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">確切的發生原因仍舊不清楚</span><span lang="EN-US">—</span><span style="font-family:新細明體;">已知的因素包括遺傳、紫外線甚至是可見光的照射、環境的熱效應、懷孕時女性荷爾蒙增加、口服避孕藥或停經症候群的荷爾蒙補充式療法、甲狀腺的自體免疫反應、不良保養品成分與使用光敏感性或抗癲癇藥物等。其中<span style="color:fuchsia;">紫外線曝曬與遺傳因素是影響最明顯的二個因素</span>，主要影響為黑色素細胞的增長，酪氨酸酶活性增加與黑色素顆粒製造及轉移的強化。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><strong><span style="font-family:新細明體;">組織病理發現：</span></strong><strong><span lang="EN-US"></span></strong></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">病理切片顯示</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">患者的表皮層中，所有表皮細胞（五層結構）都出現黑色素顆粒含量變多的情形。基底層的黑色素細胞數量與製造活性也有明顯增加。真皮部位出現許多日光引發彈性纖維傷害的痕跡，而且許多真皮內巨噬細胞都飽含黑色素碎片。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">更放大地看，基底層黑色素細胞的粒線體、高爾基氏體與粗糙內質網及核醣體數量均明顯上升，顯示遺傳體質對於黑色素細胞基本結構產生影響，使這些黑色素細胞更容易製造出黑色素顆粒。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><strong><span style="font-family:新細明體;">命名由來：</span></strong><strong><span lang="EN-US"></span></strong></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">就西醫來說，</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的命名純粹因為「顏色長得像煮熟的豬肝」，<span style="color:fuchsia;">與「肝功能不佳」是沒有任何關係的</span>。換句話說，「</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">」與「黃褐斑」這兩個名稱都來自顏色的形容。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">另外，</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">發作機轉本就與荷爾蒙變動密切相關，當然好發於懷孕（懷胎）後的三至九個月期間</span><span style="font-family:新細明體;">。因此才有「胎斑」與「孕斑」的時間描述。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">經常發作於臉頰、顳部、鼻樑、口周及下頜等處，嚴重時甚至會融合，呈現「蝴蝶展翅」的形狀，所以才有「蝴蝶斑」的形狀形容。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><strong><span style="font-family:新細明體;">臨床表現：</span></strong><strong><span lang="EN-US"></span></strong></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">如同名稱的描述，</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">多發生在臉部，呈現黃褐或淺黑色的雲霧狀色素沉著，形狀與週界都不清楚。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">目前皮膚專科醫學界對於</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的認知是將</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">分為表皮型</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">與真皮型</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">。前者非常容易治療，卻也容易再發。後者相對難以治療，仍舊容易再發。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">對於皮膚專科醫師來說，這樣的分類屬於「病理性分類」，在臨床實務中的實用性並不高。依照臨床的經驗來看，</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">的最主要原因其實就是「黑色素細胞非常肥大活躍」</span><span style="font-family:新細明體;">。這當然是表皮型</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的主要特色，然而所謂「真皮型</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">」，很可能是該患者的基底膜（表皮與真皮間屏障）破損的結果</span><span lang="EN-US">—</span><span style="font-family:新細明體;">可能的破損原因包括了遺傳上的特別脆弱、陽光</span><span lang="EN-US">/</span><span style="font-family:新細明體;">雷射過度或者不良化學成分</span><span lang="EN-US">/</span><span style="font-family:新細明體;">藥品破壞。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">無論如何，「<span style="color:fuchsia;">調節黑色素細胞過度的活性</span>」以及「<span style="color:fuchsia;">協助過度活躍的黑色素細胞排除過多黑色素顆粒</span>」一定是</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">治療的最重要原則。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><strong><span style="font-family:新細明體;">醫學美容治療</span></strong><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><strong><span style="font-family:新細明體;">的優缺點：</span></strong><strong><span lang="EN-US"></span></strong></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">由於表皮型</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">具有「<span style="color:fuchsia;">淺層、非常容易治療但也非常容易再發</span>」的三個特色，皮膚專科醫師對於</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">治療的共同策略是「<span style="color:fuchsia;">使用能力較弱，刺激性也較弱，但可以長期使用的治療方式，逐漸除去色斑，並且避免刺激黑色素細胞的活性</span>」。目前皮膚醫學界對於</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">治療的共識大約包括了：</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>l<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><strong><span style="font-family:新細明體;">低刺激性的光電治療：</span></strong><span style="font-family:新細明體;">像是</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E9%9D%9A%E9%A1%8F%E5%85%89&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">靚顏雷射</span></span></a></span><span style="font-family:新細明體;">、</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E6%B7%A8%E8%86%9A%E9%9B%B7%E5%B0%84&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">淨膚雷射</span></span></a></span><span style="font-family:新細明體;">、</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%84%88%E8%A1%9D%E5%85%89&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">脈衝光</span></span></a></span><span style="font-family:新細明體;">等。這項治療的<span style="color:fuchsia;">優點</span>是「色素清除速度甚快」；缺點則是「<span style="color:fuchsia;">當醫師操作經驗不足時</span>，非常容易引發反黑，甚至<span style="color:fuchsia;">使容易處理的表皮型</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">，轉換成相對棘手的表皮型與真皮型混合</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">」。因為後者的風險甚高，部分皮膚專科醫師甚至大力反對使用雷射治療</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>l<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><strong><span style="font-family:新細明體;">低刺激性的酸性煥膚：</span></strong><span style="font-family:新細明體;">這項思維源自</span><span lang="EN-US">1970</span><span style="font-family:新細明體;">年代</span><span lang="EN-US">Dr.Kligman</span><span style="font-family:新細明體;">所設計的「三合一藥膏」，到了</span><span lang="EN-US">1980</span><span style="font-family:新細明體;">年代果酸發明之後，整個治療原則底定。這種治療的思考方式與上述光電治療類似，但手法不同</span><span lang="EN-US">—</span><span style="font-family:新細明體;">光電治療著重於燒除黑色素顆粒，酸性煥膚則為加強角質溶解脫離，幫助表皮代謝增快的結果，囤積於表皮內的黑色素顆粒逐漸清除，色斑因此變淺。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;"><span style="font-family:新細明體;">這項治療的<span style="color:fuchsia;">優點</span>是「色素清除速度幾乎與光電治療接近」，缺點是「<span style="color:fuchsia;">操作不當產生的傷害與副作用，也與光電治療不相上下</span>」。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>l<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><strong><span style="font-family:新細明體;">抗氧化還原反應：</span></strong><span style="font-family:新細明體;">黑色素是酪氨酸藉由一系列氧化反應後，逐漸轉換而成。也就是說，運用維他命</span><span lang="EN-US">C</span><span style="font-family:新細明體;">、茄紅素、花青素一類的抗氧化物質，可以將黑色的黑色素逐漸還原成無色的酪氨酸。這項治療的<span style="color:fuchsia;">優點</span>是「相對上述二種治療安全且溫和，可以長期使用」，缺點當然是「過於溫和，且不具有細胞新陳代謝的促進能力，<span style="color:fuchsia;">效果非常有限</span>」</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">至於真皮型的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">，由於真皮彈性纖維受損明顯，加上黑色素顆粒位置太深；對於真皮型</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的治療策略，皮膚專科醫師們大概認為還是必須進行雷射除斑治療。至於雷射除斑熱量所導致的表皮型</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">惡化現象，必須經由事前與術中審慎控制雷射劑量加以減輕，加上術後發炎抑制、黑色素排除協助的方式預防。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><strong><span style="font-family:新細明體;">預防醫學美容的</span></strong><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><strong><span style="font-family:新細明體;">策略</span></strong><strong><span lang="EN-US">—</span></strong><strong><span style="font-family:新細明體;">彌補醫學美容不足的重要思維</span></strong><strong><span lang="EN-US"></span></strong></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">經過對於醫學美容療程的強項與缺失部份做仔細分析後，我們可以理解現今醫學美容存在著兩個主要的問題：</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>l<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><span style="color:fuchsia;font-family:新細明體;">無法預防</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">發生，或者至少降低</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">的嚴重程度</span><span style="font-family:新細明體;">，幫助患者擁有正常的每日生活。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>l<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><span style="font-family:新細明體;">無論使用光電或酸性煥膚療程，</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">治療之後無法得到良好休養，<span style="color:fuchsia;">無法減輕</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">復發的機率與嚴重程度</span><span style="font-family:新細明體;">。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">從這樣的角度出發，預防醫學美容對</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">可以產生良好而完善的治療策略：</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>l<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><strong><span style="font-family:新細明體;">預防</span></strong><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><strong><span style="font-family:新細明體;">，或者至少延緩</span></strong><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><strong><span style="font-family:新細明體;">年齡與發作程度：</span></strong><span style="font-family:新細明體;">這部份最重要的就是上述的「<span style="color:fuchsia;">調節黑色素細胞過度的活性</span>」功能；也就是「事前預防</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">出現，雷射</span><span lang="EN-US">/</span><span style="font-family:新細明體;">酸性煥膚術後修復」的思考，也是預防醫學美容最重要的精髓。除了必然要做的防曬工作之外，臨床上以「長期外用抗氧化產品或相關療程」（也就是左旋</span><span lang="EN-US">C</span><span style="font-family:新細明體;">導入等抗氧化療程）作為實施方式。消費者在選擇這項治療與產品時，應當注意避開「不良化學成分」與「過度刺激的產品</span><span lang="EN-US">pH</span><span style="font-family:新細明體;">值」二項風險。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;"><span style="font-family:新細明體;">另外，<span style="color:fuchsia;">充足的皮膚內抗氧化能力也可以幫助真皮中的黑色素碎片還原，變成無色的酪氨酸等前驅物</span>，維持甚至強化美白效果。由於</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">發病原因多與體內氧化壓力有關（包括甲狀腺自體免疫問題），「如何提高皮膚內抗氧化能力」也是預防醫學應當思考的方向。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;"><span style="font-family:新細明體;">除了上述的「抗氧化成分給予」之外，<span style="color:fuchsia;">強化真皮微血管，幫助真皮內過氧化廢物排除也可以提高皮膚內的抗氧化能力</span>。因此，真皮內血管通暢也是維持肌膚抗氧化一個很重要的因素。「不斷確保真皮微血管的暢通，避免因為雷射治療或其它發炎因素導致的血管內皮傷害」，也是預防醫學概念對於醫學美容、健康保養的重大貢獻！</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 24pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>l<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><strong><span style="font-family:新細明體;">協助過度活躍的黑色素細胞排除過多黑色素顆粒：</span></strong><span style="font-family:新細明體;">這部份又可以細分為二個小項：</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 48pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>n<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><strong><span style="font-family:新細明體;">破壞已經產生的黑色素顆粒：</span></strong><span style="font-family:新細明體;">這是醫學美容治療的強項，實施方式以低能量、低傷害光電療法，或適當酸性煥膚為主，這項治療的優缺點前面已經討論過了。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 48pt;"><span style="font-family:新細明體;">在這樣的術後環境提供預防醫學美容的治療角色，<span style="color:fuchsia;">可以協助延長醫學美容治療的效果；更積極與正確的肌膚新陳代謝保養，也可以預防因為光電</span></span><span style="color:fuchsia;" lang="EN-US">/</span><span style="color:fuchsia;font-family:新細明體;">酸性傷害的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">再發程度</span><span style="font-family:新細明體;">。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 48pt;text-indent:-24pt;"><!--[if !supportLists]--><span style="font-family:Wingdings;" lang="EN-US"><span>n<span style="font-family:'Times New Roman';font-style:normal;font-variant:normal;font-weight:normal;font-size:7pt;line-height:normal;font-size-adjust:none;font-stretch:normal;"> </span></span></span><!--[endif]--><strong><span style="font-family:新細明體;">避免黑色素顆粒的堆積：</span></strong><span style="font-family:新細明體;">從基底層的黑色素細胞產生的黑色素顆粒，理論上會順利地次地排除。也就是說，幫助患者表皮與真皮細胞新陳代謝正常，皮膚中皮脂腺與汗腺等分泌通暢，使得表皮的酸性保護膜完整，表皮角質柔軟潤澤，「<span style="color:fuchsia;">順利排除黑色素顆粒，降低</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">色深</span><span style="font-family:新細明體;">」的假設前提才能成立。</span><span lang="EN-US"></span></p> <p class="a" style="margin:0pt 0pt 8.55pt 48pt;"><span style="color:fuchsia;font-family:新細明體;">但是</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">的患者往往也有肌膚過度乾燥的情形。角質細胞內的黑色素顆粒明顯堆積，結果使得</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">的色素沉著更為嚴重</span><span style="font-family:新細明體;">。造成肌膚過度乾燥的原因有些是年齡因素，皮脂腺的分泌不再暢旺；最常見的因素還是過度清潔或不良保養品成分導致的肌膚傷害，使得毛孔口的角質硬化，腺管堵塞無法幫助表皮角質潤澤替換。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">預防醫學美容在此扮演的角色，就是「<span style="color:fuchsia;">讓肌膚代謝正常，主動預防</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">出現</span><span style="font-family:新細明體;">，或者降低</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">嚴重程度；使患者在還不需要強力醫學美容療程狀態下，仍舊維持正常日常生活」。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><strong><span style="font-family:新細明體;">預防勝於治療</span></strong><strong><span lang="EN-US">—</span></strong><strong><span style="font-family:新細明體;">預防醫學美容的重要貢獻</span></strong><strong><span lang="EN-US"></span></strong></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">到目前為止，皮膚醫學界對於</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的治療仍舊停留在「有問題才處理」的程度。因為</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的強烈活性，大多數的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">患者一直處於「雷射造成反黑」、「酸性煥膚只能維持一陣子」與「美白導入效果很差」的不利現狀中。</span><span lang="EN-US"></span></p> <p class="a" style="margin-bottom:8.55pt;"><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">確實是一場永無止盡的攻防</span><span lang="EN-US">—</span><span style="font-family:新細明體;">對於潛在</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">體質來說，只要防守得好，未必蹈入「色澤深重的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">」這樣悲慘的境界。對於已經出現明顯</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的患者，傳統醫學美容治療之外，仍舊需要日常可操作的預防措施，協助她們降低</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">再發的頻率與強度。</span><span lang="EN-US"></span></p> <div style="border-style:none none dotted;border-width:medium medium 3pt;padding:0pt 0pt 1pt;"> <p class="a" style="border:medium none;padding:0pt;margin-bottom:8.55pt;"><span style="font-family:新細明體;">從預防醫學角度，<span style="color:fuchsia;">提供</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">患者「維持肌膚正常代謝，皮脂與汗腺良好分泌，皮膚保護膜完整，真皮血管通暢，抗氧化與廢物排除正常」的生理環境，並不是非常困難的事</span><span style="font-family:新細明體;">。擁有正確的預防觀念，可以幫助家族</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">遺傳傾向的人，<span style="color:fuchsia;">降低發病機率，阻止</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">出現</span><span style="font-family:新細明體;">。對於已經出現</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">的朋友，正確的預防醫學美容，才能夠讓她們<span style="color:fuchsia;">脫離「與</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">永無休止的糾纏，從未戰勝的夢靨」</span><span style="font-family:新細明體;">。</span><span lang="EN-US"></span></p> </div> <p class="a" style="margin-bottom:8.55pt;"><span lang="EN-US">2009</span><span style="font-family:新細明體;">年</span><span lang="EN-US">2</span><span style="font-family:新細明體;">月</span><span lang="EN-US">24</span><span style="font-family:新細明體;">日</span><span style="font-family:新細明體;">補充說明：</span></p> <p class="a" style="margin-bottom:8.55pt;"><span lang="EN-US"><a href="http://www.health-world.com.tw/main/home/tw/index.html"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">健康世界</span></span></a></span><span style="font-family:新細明體;">的丁總編寫封信來，希望刊登這篇文章。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">這篇文章是</span><span lang="EN-US">2008</span><span style="font-family:新細明體;">年</span><span lang="EN-US">3</span><span style="font-family:新細明體;">月</span><span lang="EN-US">24</span><span style="font-family:新細明體;">日</span><span style="font-family:新細明體;">發表的，距今已經十一個月。幾個月來，藉由</span><span lang="EN-US">50X</span><span style="font-family:新細明體;">肌膚檢測與伍氏燈的追蹤，還有臨床經驗的積累，對於</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">有一些新的補充。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">我在</span><span lang="EN-US">2008</span><span style="font-family:新細明體;">年</span><span lang="EN-US">11</span><span style="font-family:新細明體;">月</span><span lang="EN-US">25</span><span style="font-family:新細明體;">日</span><span style="font-family:新細明體;">發表了一篇</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/article?mid=7111"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">「真正」的醫學美容</span></span>=<span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">從廣州歸來</span></span></a></span><span style="font-family:新細明體;">的文章，提出了「完整的醫學美容療程應該包含術前的肌膚檢測與評估」的觀念。這個觀念是從傳統醫學手術措施導引而來</span><span lang="EN-US">—</span><span style="font-family:新細明體;">各位可以理解，<span style="color:fuchsia;">無論手術者的技巧如何高超，儀器如何先進，術後照顧如何卓越；九十歲的阿公與二十歲的少年郎，接受同樣一種手術的預後是鐵定不相同的</span>。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">經過更仔細的反省，</span><span lang="EN-US">2009</span><span style="font-family:新細明體;">年</span><span lang="EN-US">2</span><span style="font-family:新細明體;">月</span><span lang="EN-US">13</span><span style="font-family:新細明體;">日</span><span style="font-family:新細明體;">的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/article?mid=7547&prev=7554&next=7541"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">關於「瑞昇」與「傳統醫學美容」</span></span></a></span><span style="font-family:新細明體;">，就是把二者的關係闡述得更清楚</span><span lang="EN-US">—<a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E7%91%9E%E6%98%87+%E6%B2%BB%E7%99%82&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">瑞昇療程</span></span></a></span><span style="font-family:新細明體;">並不是與傳統的醫學美容相牴觸的一個治療</span><span lang="EN-US">/</span><span style="font-family:新細明體;">體系。事實上，<span style="color:fuchsia;">藉由</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E7%91%9E%E6%98%87+%E6%B2%BB%E7%99%82&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">瑞昇體系</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">的思考與反省，可以補充現今醫學美容所欠缺的「術前肌膚檢測」這個重要部分</span><span lang="EN-US">—</span><span style="font-family:新細明體;">現今醫美思維仍舊停留在「技術最佳」、「儀器最新」；或者強調「術後照顧體貼、仔細」的位階。然而欠缺了「<span style="color:fuchsia;">只治療正確的受術者</span>」這樣重要的醫學思維，術後的可預測性當然會大幅下降，結果就是更多的醫病糾紛。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">也就是說，<span style="color:fuchsia;">所謂的「預防醫學美容」，至少補強了「傳統醫學美容」的「術前檢測」部分</span>。至於術後的照護與居家保養，則是</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E7%91%9E%E6%98%87+%E6%B2%BB%E7%99%82&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">瑞昇</span></span><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">系統</span></span></a></span><span style="font-family:新細明體;">的另外一項保證。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">有一個案例可以顯示「術前的檢測是如何重要」。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">這是一位四十四歲的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">患者，一年半前經醫師診斷後給予</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E4%B8%89%E5%90%88%E4%B8%80%E8%97%A5%E8%86%8F&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">三合一藥膏</span></span></a></span><span style="font-family:新細明體;">治療（輕度類固醇、對苯二酚與維他命</span><span lang="EN-US">A</span><span style="font-family:新細明體;">酸的混合物）；使用後覺得</span><span lang="EN-US">T</span><span style="font-family:新細明體;">字部位容易出油，兩頰卻出現乾燥脫皮的現象。另外一位醫師建議左旋維他命</span><span lang="EN-US">C</span><span style="font-family:新細明體;">局部導入，出現輕微刺痛現象。從此臉部開始有些緊繃，斑塊沒有改善，甚至略為變黑。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="color:fuchsia;font-family:新細明體;">第一組三張圖</span><span style="font-family:新細明體;">是初次來診時的</span><span lang="EN-US">1X</span><span style="font-family:新細明體;">、</span><span lang="EN-US">50X</span><span style="font-family:新細明體;">表皮與真皮圖。可以看到明顯的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">分布狀況與表皮毫無正常紋路，緊繃發亮的沉積點；加上真皮團狀堆積、白毛（之前雷射的結果？還是</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E4%B8%89%E5%90%88%E4%B8%80%E8%97%A5%E8%86%8F&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">三合一藥膏</span></span></a></span><span style="font-family:新細明體;">的強大殺傷力？）。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">經過約六至八個月的治療後，<span style="color:fuchsia;">第二組圖</span>是皮下污染成份大量排出時的影像</span><span lang="EN-US">—</span><span style="font-family:新細明體;">表皮的緊繃反而降低（但是</span><span lang="EN-US">1X</span><span style="font-family:新細明體;">圖看起來更為繃緊），出現些許漿狀滲泌與持續的汙染亮點。真皮的團狀堆積漸漸消失，毛髮也隨著幹細胞生長因子的使用，漸漸回到黑色狀態。真皮部位的顏色較紅，顯然還在發炎中。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">（這部份要補充一下：根據這一年多以來的經驗，無論是之前的雷射或美白藥物</span><span lang="EN-US">/</span><span style="font-family:新細明體;">產品導致，真皮部位發現白毛的朋友都不容易復原。我們使用過瑞昇</span><span lang="EN-US">PGA</span><span style="font-family:新細明體;">、</span><span lang="EN-US">EGF</span><span style="font-family:新細明體;">等淺層治療方式，表皮的代謝甚佳，但是白毛依舊存在。使用幹細胞生長因子之後，這些白毛就會漸漸地回到黑色狀態。似乎是髮髓部的黑色素細胞重新活躍起來？）</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">經過了三個月的修復治療，<span style="color:fuchsia;">第三組圖可以明顯看到</span></span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="color:fuchsia;font-family:新細明體;">的淡化</span><span style="font-family:新細明體;">。伴隨著表皮呈現稍微正常（然而還是沒有紋路）與真皮團塊的減少。隨著發炎的褪去，我們還是看到白毛，但黑毛的比例增加了。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">這使我們想到，雖然</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">是活躍性的黑色素分泌。如果我們能夠確實依據「肌膚代謝三通」的邏輯，幫助表皮細胞與角質部位的正確代謝，應該很有機會將堆積於角質區域，或是因為表皮細胞代謝緩慢產生的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">凝結現象降低，從而在「不動用雷射」的狀況下，創造出比較輕微、肉眼不明顯的</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">如果再加上左旋</span><span lang="EN-US">C</span><span style="font-family:新細明體;">一類的抗氧化療程，將黑色素生成的速率降低或逆轉，搭配</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E9%9D%9A%E9%A1%8F%E5%85%89&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">靚顏光</span></span></a></span><span style="font-family:新細明體;">的深層清除（真皮部位色素），再避免過度治療的「</span><span lang="EN-US">doct</span><span style="font-family:新細明體;">掉落（</span><span lang="EN-US">drop off</span><span style="font-family:新細明體;">）」或「反白（</span><span lang="EN-US">hypo-pigmentation</span><span style="font-family:新細明體;">）」，應該就是最理想的永久</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E8%82%9D%E6%96%91&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">肝斑</span></span></a></span><span style="font-family:新細明體;">控制方式</span><span lang="EN-US">—</span><span style="font-family:新細明體;">估計可以減少到</span><span lang="EN-US">80~95%</span><span style="font-family:新細明體;">，肉眼不易辨識的程度。</span></p> <p class="a" style="margin-bottom:8.55pt;"><span style="font-family:新細明體;">最後這個結論，雖然是個理想，極緻已經有大約八成的把握</span><span lang="EN-US">—</span><span style="font-family:新細明體;">因為</span><span lang="EN-US"><a href="http://tw.myblog.yahoo.com/doctor-skin123/searchblog?p=%E9%9D%9A%E9%A1%8F%E5%85%89&my=1"><span style="font-family:新細明體;" lang="EN-US"><span lang="EN-US">靚顏光</span></span></a></span><span style="font-family:新細明體;">的大量案例經驗，這些都是朋友們陪極緻走過的道路</span><span lang="EN-US">…</span></p> <p class="a" style="margin-bottom:8.55pt;"><span lang="EN-US">第一組圖</span></p> <p class="a" style="margin-bottom:8.55pt;"><span lang="EN-US"></span><img src="../images/19/uluCnA9psBgVbo4bj9vrMw.jpg"/><br><img src="../images/19/Irwlj39g3iKRXgqdhjghVg.jpg"/><br><img src="../images/19/52c1M3NSaxLWiC73CnigPg.jpg"/></p> <p class="a" style="margin-bottom:8.55pt;">第二組圖<br><img src="../images/19/2XhK.mcRMcppsb.JjGe7ng.jpg"/><br><img src="../images/19/jloXHauyM_D7SSLsWaYRFg.jpg"/><br><img src="../images/19/9eIUUirUwsI.EVDO0B9yIQ.jpg"/></p> <p class="a" style="margin-bottom:8.55pt;">第三組圖<br><img src="../images/19/GjdpDEuThjMs45gut4oAgw.jpg"/><br><img src="../images/19/15PP6rV4HoeSNcDZTqYQ7g.jpg"/><br><img src="../images/19/riMeDEddTykzaDEmm5ZwqQ.jpg"/></p> </div>
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