北醫美容中心主任 皮膚科張宜菁醫師部落格 I-Jing Chang MD Dermatologist Taipei
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12/1/2016 0 評論

腋下乾爽新生活! 免開刀新技術:「微波熱能止汗術」,幫您解除腋下多汗的困擾

文/台北醫學大學附設醫院 美容中心主任 張宜菁
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根據美國統計約1.4%的人口有排汗量過多的困擾,其中腋下多汗的比例約佔73%。多汗問題帶給人在衣著清潔和社交形象上諸多的麻煩,很多人想治療,卻因為聽聞種種傳言,或怕效果不好,而猶豫卻步。治療腋下多汗症,其實自2012年美國食品藥物管理局(FDA)就已經審核通過「微波熱能止汗」的治療方法,是一個不必開刀的非侵入性的新技術「Miradry 腋淨爽」 (附圖一、二)。根據研究結果,一次的「微波熱能止汗治療」可以減少約82%的排汗量,且持續追蹤18個月後,仍維持令人滿意的效果。

各種治療腋下多汗症的方法比較:
 
(附圖三) 列出常用的止汗治療的比較,我們可以看到,術後代償性多汗問題(身體其他部位汗水分泌變多),較會在交感神阻斷手術之後發生。免開刀的非侵入性治療中,使用止汗劑只有數日效果,肉毒桿菌素注射的效果維持約4~6個月,所以微波熱能止汗這樣具長期療效、又沒有傷口的治療,才會受到歡迎。

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什麼是微波熱能止汗技術?
 
          微波的波長介於無線電波與紅外線之間,可以傳遞能量,針對目標組織做加熱破壞。皮下脂肪層含水量較少,導致電的磁性性能反射,微波能量聚集於真皮層與脂肪層交界處,而有效破壞大小汗腺。「微波加熱能止汗」是一種能穿透皮膚、精準破壞汗腺、幫病患止汗的治療技術 (附圖四)。另外還設計了精密的冷卻系統,以保護汗腺表層的皮膚。它的安全性高、術後僅約數週的局部紅腫、沒有傷口與疤痕。此外,將微波熱能集中到真皮與脂肪交界處,也能有效破壞體毛、與產生強烈異味的大汗腺,因此美國FDA也核准「微波加熱能止汗儀」治療腋下狐臭、除腋下毛髮。

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微波能量聚集於真皮層與脂肪層交界處,而精準有效破壞大小汗腺、幫助病患達到止汗效果。

我適合作微波熱能止汗嗎?

「微波熱能止汗」核准於治療腋下的「原發性多汗症」,也就是為期6個月以上,並非其他疾病導致的身體局部多汗問題。這通常在身體雙側發生,睡眠時排汗量減輕,患者常有多汗的家族史,於25歲前發作。
為了保障您的治療效果與安全,「微波熱能止汗」需尋求專業醫師諮詢與執行。若您腋下皮膚有傷口、曾經做過淋巴結等可能改變腋下皮膚汗腺結構的手術、或體內已植入心臟節律器等電子設備、需使用氧氣補充器、對局部麻醉過敏等情形的患者,並不適合作此手術。您若有正在服用的藥物與治療的疾病,也請先讓手術醫師了解與評估。

(光電美容醫學療程術後,有皮膚灼傷,腫脹,疤痕,與感染,色素異常等風險,術前請諮詢專業醫師,並注重術後照護。)

​
美國原廠Miradry微波熱能止汗的作用機轉影片,
微波能量聚集於真皮層與脂肪層交界處、破壞大小汗腺。美國FDA同時核准其治療多汗、狐臭、除毛。

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    作者

    醫美如何美感自然又安全,皮膚問題怎麼照顧,讓留學美國哈佛皮膚科的張宜菁醫師,提供您正確的醫療新知。

    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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"Dr. Chang is amazing at her work and was very attentive to my needs. I am from the United States, North Carolina, and I came to Taipei on a business trip with my husband. Dr. Chang was very informative and knowledgeable and explained everything to me in terms that I could understand. I met with Dr. Chang because of issues with fine lines and wrinkles, sun damage and an uneven skin tone. I received Fraxel Laser to my face and also Restylane injections to my chin, lips and under my eyes. I am extremely pleased with my results because they look very natural!! I would highly recommend Dr. Chang."

Theresa K.

I came across Dr I-Jing Chang's page on the Taiwan Medical University website by happy coincidence! I was looking for a good Taipei dermatology service that specialized in lip fillers, as that part of my face has lost volume as I have aged. I had a bad experience with lip filler some years ago in Taiwan at another clinic, and had since heard from other dermatologists here that fillers, especially for the lip, are not as common a procedure in TW as in the West. I had almost run out of hope that I could get a good treatment until I met Dr Chang.

From the first moment I met her, I had great confidence in her expert knowledge, her evaluation of my aesthetic needs and her true concern for patients. Now after having several treatments, including lip filler and Botox, my great first impression of Dr Chang has been more than confirmed. She is deeply knowledgeable about skin and aesthetic issues, and well trained in the US and in Taiwan. She is deeply empathetic, she is encouraging, she knows exactly what pain you might feel (and takes steps to minimize it), and she is an artist. She knows so much about what she is doing, and she truly cares about her patients.  The same goes for all her staff. The experience has been very positive, and I recommend her clinic very highly!
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Hello, I am a patient who is from California in the US. I have travelled to Taiwan for this particular skin treatment (fraxal) because the doctor is so amazing. In the past, I have tried so many luxury skincare lines, acid peels, microdermabrasion, and other such treatments for my acne and acne scarring. However, NONE of them can even compare to the wonderful effectiveness of this doctor. She has helped me so very much and I am extremely grateful. I cannot recommend her enough. She is the best and will give you the skin results you have always wanted. Definitely worth travelling around the world for! Book an appointment NOW!

Henry Hsu





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