皮膚科張宜菁醫師|前哈佛大學研究員/北醫美容中心主任 Dr. I-JING CHANG DERMATOLOGIST TAIPEI COSMETIC CLINIC
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落髮生髮專欄

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掉頭髮可以看皮膚科嗎?

答案是肯定的 ! 除了皮膚、皮膚專科醫師也診斷與治療毛髮、指甲、黏膜的問題。
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  • 落髮的原因很多,​內分泌、營養、壓力、基因遺傳、皮膚或身體的感染、自體免疫疾病等,也可能導致落髮。
  • 建議有落髮問題先尋求醫師的幫助,除了增進頭髮長回來的機會,更有可能藉此發現皮膚、甚至是健康的問題。 

何時應該看醫生?

  • 頭皮每日的落髮量超過100根以上
  • 頭皮出現疹子、疤痕、腫瘤、發炎
  • 落髮問題持續1個月以上
  • 落髮問題合併其他部位的皮膚問題、或身體其他非皮膚的症狀
  • 頭皮搔癢、腫痛等等

何時可以考慮植髮?

  • 落髮問題,應該先看過專業醫師,讓醫師幫您診斷治療
  • 落髮問題已經過長時間穩定控制,並考量落髮問題5~10年的預後情況
  • 考量病人的期待值、與植髮的需求與原因

常見的落髮原因有哪些?

造成落髮的疾病可以分成疤痕性與非疤痕性。

疤痕性的落髮因為破壞了毛囊幹細胞的部位,而無法再讓毛髮長回來。非疤痕性的落髮破壞在毛囊根部,因為沒有傷及幹細胞,通常經過適當治療,有讓毛髮長回來的機會。

臨床上大多數是非疤痕性的,疤痕性的落髮通常會合併皮膚的疹塊,也較需要做頭皮切片檢查來診斷病因。
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診斷落髮有哪些方法?

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  • 臨床檢查 
皮膚鏡、拉髮測試、理學檢查
  • 抽血檢查
落髮相關的內分泌、自體免疫、營養、賀爾蒙等問題
  • 頭皮切片檢查
較直接與準確

臨床案例

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這位阿姨兩年前來皮膚科就診,當時就是長時間黴菌感染頭皮引起的嚴重落髮,因為怕家人擔心,一直沒有就醫。

​來皮膚科門診診斷後,經過一段時間的藥物治療,她頭皮的脫皮與落髮漸漸復原。另外在落髮抽血檢查中,也發現她甲狀腺功能明顯低下,都到了日常活動很沒有元氣的狀況,整個人垂頭喪氣,講話非常緩慢低沉。轉介到內分泌新陳代謝科治療甲狀腺問題,補充甲狀腺素。

兩年後再見到她,差點認不出來,不只頭髮都長回來了,講話的精神與速度,跟之前判若兩人,面帶自信與笑容。
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治療後可能有皮膚紅腫、黑色素沉澱、單純皰疹復發、灼傷等副作用

電波或音波治療後可能有泛紅、水腫、緊繃感。少數情況有水泡、燙傷、疤痕、
神經麻痺、單純泡疹復發等副作用。

玻尿酸填充劑注射後可能有瘀青、紅腫、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。

網站目錄 (點選進入各主題) 

雷射光療  鳳凰電波  痘痘痘疤  美白抗老 

微整理念  肉毒除皺  微整案例  下巴消脂  

醫師簡介  預約門診  皮膚疾病  體雕溶脂  ​ 
到張宜菁醫師FB粉絲頁留言預約美容門診
預約綺顏診所微整形拉提門診
預約北醫美容雷射及痘疤門診 ​
book an appointment: CHANGSKINLASER@GMAIL.COM

張醫師美容門診位在台北市中心2個分點 :

1. 綺顏診所 Face Clinic

週三下午微整形拉提門診/ Wedsday afternoon Clinic

預約此門診請來信或傳訊息至張醫師FB:www.Facebook.com/Drchangskinlaser
changskinlaser@gmail.com

Booking by EMAIL: changskinlaser@gmail.com
台北市大安區仁愛路四段109號2樓
2F, No 109, Sec 4, RenAi Road, Da-an District, Taipei

捷運 MRT:
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​忠孝敦化站6號出口步行2分鐘

(Blue line to Zhongxiao Dunhua Station Exit No.6 and walk for 2 minutes)

2. 北醫美容醫學中心  TMUH Aesthetic Medical Center

週一/ 週五下午、週二/ 週六上午美容醫學門診
Mon/ Fri afternoon,Tue/ Sat morning Cosmetic Clinic  

預約此門診請來電或傳訊息至張醫師FB:
www.facebook.com/Drchangskinlaser

 (02)66367135
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Booking by EMAIL: changskinlaser@gmail.com
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台北市信義區吳興街252號北醫附設醫院第3醫療大樓2樓皮膚科門診區
No 252 Wuxing Street Sinyi District Taipei


捷運 MRT :

淡水信義線-世貿101站 
步行10分鐘達本院 
(桃園中正機場捷運可於北門站轉捷運淡水信義線)
(Red Line to Taipei 101, and walk for 10 minutes)

板南線-市政府站
搭北醫附設醫院接駁車到本院
 (Blue Line to Taipei City Hall Station Exit No 2, and take TMU shuttle bus)

公車 BUS :
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台北醫學大學站 (Taipei Medical University)
1, 22, 33, 37, 226, 266,288, 承德幹線, 藍5 

What Our Patients Are Saying
心得分享

在醫師的指導之下,可以得到最適合自己臉上泛紅跟黑斑的治療方式,亦精確了解後續雷射療程,如何作用在自己身上,過程具專業解說,後續且伴隨有效率的追蹤,讓我感覺很安心。感謝醫生及團隊。

佳莉


在醫師的巧手下,我發現微整形居然讓我找回了手機舊照片中年輕時的自己。因為是自己的樣子、不用成為別的樣子,所以現在每天照鏡子時,充滿了幸福感呢^^~

S. F.

Dr. Chang is precise and punctual. It's easy to see that her knowledge and experience is outstanding. I couldn't be in better hands. Thank you!

K. Kuo

 
"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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Mary G.

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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