北醫美容中心 皮膚科張宜菁醫師部落格 I-JING CHANG MD DERMATOLOGIST TAIPEI
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12/7/2017 0 評論

<無傷口的除斑/血絲新利器:Nordlys魔幻極光上市發表研討會> Part 2: 不想打硬化劑,腿部靜脈血絲可以用雷射去除嗎?

文/ 北醫附設醫院美容醫學中心主任 張宜菁醫師

Nordlys魔幻極光上市發表研討會,兩岸醫師齊聚一堂了解靜脈曲張的雷射原理與應用治療。
腿部的血管擴張,讓很多人不敢穿短褲、短裙。很想好好清除這些藍藍、紅紅的血絲,醫師常會建議的治療是施打硬化劑。可是,怕打針的人、糖尿病與心血管疾病等慢性病患者,並不適合打硬化劑。硬化劑也可能導致黑色素沉澱與皮膚潰瘍問題。可以的,用1064奈米波長的Nd YAG雷射,可以跟打硬化劑一樣,有效清除寬度在3 mm以內的腿部靜脈血絲。Nordlys魔幻極光除了彩衝光外,擴建了Nd YAG的雷射探頭,讓我們先來看它治療腿部靜脈曲張的效果:
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腿部靜脈血絲若是藍色的,它多半是2mm 以上寬度。 較細的血絲,則在1mm以內。可以除血管血絲的雷射有 : 染料雷射、亞歷山大雷射、KTP雷射等。在腿部靜脈曲張血絲的治療上,Nd YAG雷射是被研究得最透徹的,我們來看它們的比較 :
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由上述比較圖可以了解,Nd YAG雷射作用的深度較深、處理的血絲與腿部靜脈較相近,因此它比其他雷射適合治療腿部靜脈曲張血絲。

以Nd YAG施打雷射治療腿部靜脈血絲後,有傷口恢復期嗎?

Nd YAG雷射術後,皮膚血管的地方會立即出現紅腫,可能局部瘀青或輕微結痂,但並不會造成明顯傷口。初步效果最快在兩週內可觀察得到。日常的沖澡可以照常進行;待痂皮脫落後,才進行游泳、泡溫泉等活動。接著可能有數週時間的泛紅,恢復期間請好好防曬,避免發生返黑。

想要達到良好療效,除了做雷射治療,腿部靜脈曲張應該盡量預防惡化。建議穿著壓力約為15~25 mmHg的醫療用彈性襪,並避免長時間站立。靜脈曲張是健康問題,拖久了更可能進展到疼痛與皮膚潰瘍、變黑、硬化等嚴重問題。千萬不要掉以輕心!


(光電美容醫學療程術後,有皮膚紅腫、灼傷、疤痕、感染、色素異常等風險,術前請諮詢專業醫師,並注重術後照護。)
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    預約張宜菁主任美容醫學諮詢與治療,請來電北醫附設醫院皮膚科(02)66367135, (02)2737218轉8215。

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美容醫學療程效果因人而異,術後可能有風險與副作用。術前請諮詢專業醫師,並注重術後照護。

雷射等美容醫學光電療程術後可能有皮膚紅腫、黑色素沉澱、單純皰疹復發、灼傷等副作用

電波療程術後可能有泛紅、水腫、緊繃感。少數情況有水泡、神經麻痺、燙傷、疤痕、單純泡疹復發等副作用。

音波療程術後可能有泛紅、水腫、緊繃感。少數情況有水泡、神經麻痺、燙傷、疤痕、單純泡疹復發等副作用。

玻尿酸填充劑注射術後可能有瘀青、紅腫、局部腫塊、單純泡疹復發、皮膚壞死、感染等副作用。

肉毒桿菌素注射術後可能有表情不自然、頭痛、眉形改變、眼皮下垂等副作用


倍克脂注射術後可能有瘀青、腫脹、疼痛、毛髮脫落、吞嚥困難、皮膚局部壞死、感染、神經受傷等副作用。

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