7/23/2021 0 評論 民視樂活醫學堂錄影 您有做對防曬工作嗎?預防勝於治療,防曬是抗老化、抗斑、預防皮膚癌的關鍵策略。可是該怎麼挑選防曬乳、怎麼做防曬才有效呢? 防曬乳的發明史與未來趨勢為何? 聽聽張宜菁主任的分享。 民視樂活醫學堂節目,主持人王暐婷,來賓陳亮穎。 7/22/2021 0 評論 如何正確攝取維他命D呢? 聽聽美國皮膚科醫學會的建議與實證點選美國皮膚科醫學會AAD原文連結: https://bit.ly/3y8kLPn
美國國家醫學科學院(NAM)根據目前鈣和維生素D在骨骼健康的科學實證,建議每日維生素D的膳食攝取量(RDA):國際單位(IU)
(每個人從太陽接受的維生素D量並不一樣,而紫外線又有導致皮膚癌的風險,因此NAM的RDA是基於接受最少或沒有陽光照射的人的建議。) 參考資料 : Related AAD resources 1 U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program. Report on carcinogens, 14th ed: Ultraviolet-radiation-related exposures. 2016. 2 ARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 100D. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Lyon (FR): International Agency for Research on Cancer; 2012. 3 O'Sullivan DE, Brenner DR, Demers PA, et al. Indoor tanning and skin cancer in Canada: A meta-analysis and attributable burden estimation. Cancer Epidemiol. 2019;59:1-7. doi:10.1016/j.canep.2019.01.004 4 Colantonio S, Bracken MB, Beecker J. The association of indoor tanning and melanoma in adults: systematic review and meta-analysis. J Am Acad Dermatol 2014;70:847–57. 5 Boniol M, Autier P, Boyle P, Gandini S. Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis. BMJ. 2012 Jul 24;345:e4757. 6 Arnold M, Kvaskoff M, Thuret A, Guenel P, Bray F and Soerjomatarm I. Cutaneous melanoma in France in 2015 attributable to solar ultraviolet radiation and the use of sunbeds. J Eur Acad Dermatol Venereol. Published online April 16, 2018. https://doi.org/10.1111/jdv.15022 7 Arnold M et al. Global burden of cutaneous melanoma attributable to ultraviolet radiation in 2012. Int J Cancer. 2018 April. https://doi.org/10.1002/ijc.31527. 8 Parkin DM, Mesher D and Sasieni P. Cancers attributable to solar (ultraviolet) radiation exposure in the UK in 2010. British Journal of Cancer. 2011. 105 (S66–S69). doi: 10.1038/bjc.2011.486. 9 Goulão B, Stewart F, Ford JA, MacLennan G, Avenell A. Cancer and vitamin D supplementation: a systematic review and meta-analysis [published correction appears in Am J Clin Nutr. 2020 Mar 1;111(3):729-730]. Am J Clin Nutr. 2018;107(4):652-663. doi:10.1093/ajcn/nqx047 10 Freedman DM, Looker AC, Abnet CC, Linet MS, Graubard BI. Serum 25-hydroxyvitamin D and cancer mortality in the NHANES III study (1988- 2006). Cancer Res 2010;70(21):8587-97. 11 Pilz S, Kienreich K, Tomaschitz A, Ritz E, Lerchbaum E, Obermayer-Pietsch B, Matzi V, Lindenmann J, Marz W, Gandini S, Dekker JM. Vitamin d and cancer mortality: systematic review of prospective epidemiological studies. Anticancer Agents Med Chem. 2013 Jan 1;13(1):107-17. 12 Bjelakovic G, Gluud LL, Nikolova D, Whitfield K, Krstic G, Wetterslev J, Gluud C. Vitamin D supplementation for prevention of cancer in adults. Cochrane Database Syst Rev. 2014 Jun 23;6:CD007469. 13 Mondul AM, Weinstein SJ, Layne TM , Albanes D. Vitamin D and Cancer Risk and Mortality: State of the Science, Gaps, and Challenges. Epidemiologic reviews 2017:1-21. 14 Ross AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, et al. The 2011 Report on Dietary Reference Intakes for Calcium and Vitamin D from the Institute of Medicine: What Clinicians Need to Know. J Clin Endocrinol Metab Nov 29 2010 (epub ahead of print) 15 Institute of Medicine. 2011 Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: The National Academies Press. 7/22/2021 0 評論 美國皮膚科專家發現民眾有過度使用果酸保養品問題文/北醫美容醫學中心主任 張宜菁醫師 兩位美國專攻美容醫學的皮膚科女醫師Dr. Lily Talakoub與Dr. Naissan O. Wesley近期發現,一般市售的果酸美容保養品濃度不能高於30%,但在網路上卻可能直接買得到專業使用的、甚至濃度快高達70%的果酸產品。不當使用下,民眾的皮膚陸續出現許多問題! 若過度使用果酸產品、會對皮膚造成什麼影響?
這是一個值得正視的問題。大家本來希望用果酸產品來幫助去角質與美白。倘若過度使用、或用了高濃度的果酸,恐怕會導致皮膚的傷害,例如乾屑脫皮、紅腫發炎、刺痛敏感,與黑色素沉澱、留下疤痕!尤其許多民眾並不瞭解自己目前的皮膚,是否處於乾燥受損的狀態,甚至還合併使用含A酸、對苯二酚、與其他的酸類產品,更可能讓上述情況雪上加霜 ! 什麼是果酸(α-hydroxy acid)? 它對皮膚保養的功效為何? 果酸是一種帶有羧基的有機酸。其種類眾多,含羧酸、乳糖酸、杏仁酸、酒石酸、檸檬酸等。果酸可以鬆開表面的角質細胞、增進其他保養品成分的吸收,也可以抑制細胞內的酪胺酸脢、以減少黑色素生成,它也有刺激真皮的膠原蛋白新生的功效。因此,被廣泛應用在改善皮膚老化、皺紋、粉刺、青春痘、黑斑、暗沉與粗糙上。 果酸造成皮膚脫皮的程度,會跟其濃度、成分、酸鹼pH值有關。 我該如何正確使用果酸保養品? 首先,國內衛生福利部針對果酸化妝保養品,訂定明確的規範、把關管理,大家也可以上政府網站查詢。在國外網路商店販售的保養品,比較難了解各國政府對於市售保養品成分、pH酸鹼值、包裝、效期等相關規定。 建議大家在使用果酸等酸類保養品之前,先確實做好日常的溫和清潔、保濕工作,並跟專業醫師討論自己的黑斑、暗沉問題,是否適合使用果酸。若您的膚質真的不適合用果酸產品,醫師也可能建議您運用皮秒雷射、淨膚雷射、彩衝光、非剝皮式的飛梭雷射等療程,或其他具美白成分的家用保養品、如左旋維生素C、麴酸、甘草根提取物、鞣胺酸等。最後也提醒大家,使用果酸的期間,也要注意防曬,避免黑色素沉澱的發生。 台灣衛生福利部關於果酸保養品之公告:https://www.mohw.gov.tw/cp-3200-22170-1.html |
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、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、泡疹復發等副作用。 玻尿酸注射後可能瘀青、紅腫、腫塊、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)張醫師美容診位在台北市中心3個分點✔️北醫美醫中心門診、痘疤毛孔療程:
(週一&週五下午、週二&週六上午) 預約請來電:(02)6636-7135 或 LINE: tmuhbeauty 傳訊息:www.facebook.com/drchangskinlaser 美醫諮詢(非當天治療)也可掛皮膚科門診: 點這裡掛號 台北市信義區吳興街252號2樓第三醫療大樓2樓皮膚科 No 252 Wuxing Street Sinyi District Taipei MRT: 淡水信義線: 世貿101站步行10分鐘,板南線: 市政府站(北醫接駁車) Red line (Taipei 101 station), walk for 10 minutes Blue line (Taipei City Hall station), take TMUH shuttle ✔️佳醫美人診所全方位美容診:
(周六下午特約、週四上午) 微整形、電音波、雷射、體雕、護膚、靜脈曲張 預約請傳訊息:www.facebook.com/drchangskinlaser EMAIL:changskinlaser@gmail.com 台北市大安區仁愛路四段66號2樓 2F No 66 Sec 4 RenAi Road, Da-An disctrict, Taipei MRT: 板南線: 忠孝敦化站12號出口步行至仁愛圓環 Blue line: ZhongxiaoDunhua Station Exit 10 or 12, walk to RenAI circle 停車: 由四維路進入至大樓後方春申食府停車場,或至仁愛路上台北市立聯合醫院 仁愛院區嘟嘟房停車場 ✔️綺顏診所美容門診:
(週三下午) 預約請傳訊息:www.facebook.com/drchangskinlaser 台北市大安區仁愛路四段109號2樓 2F No 66 Sec 4 RenAi Road, Da-An disctrict, Taipei MRT: 板南線: 忠孝敦化站6號出口步行至仁愛圓環 Blue line: ZhongxiaoDunhua Station Exit 6, walk to RenAI circle |
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. 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! Henry Hsu 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. 張宜菁醫師網站QR
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