2015 保時捷賽道日 大鵬灣賽車場

保時捷賽道日 大鵬灣賽車場 2015 台灣(ㄧ)

去年參加過,今年是第二次參加。報到地點、住宿和去年一樣。但是東方度假酒店的水池都是乾的,少了一些舒適感,難道是因為景氣變差的關係嗎?

 

與去年不同,第一天下午四點左右,先帶大家去熱熱身,開開go-cart。開著大車去開小車?感覺有點怪。心想應該是給第一次參加的人練習一下放鬆心情,以免明天一下場就開快車會適應不良吧?

與去年不同,第一天下午四點左右,先帶大家去熱熱身,開開go-cart。開著大車去開小車?感覺有點怪。心想應該是給第一次參加的人練習一下放鬆心情,以免明天一下場就開快車會適應不良吧?

 

很漂亮的卡丁車,據說一台也要好幾十萬。

很漂亮的卡丁車,據說一台也要好幾十萬。

 

參加過很多地方的go-cart,終於有一個像樣的小型賽車場了。這可能是台灣最漂亮的小型賽車場。

參加過很多地方的go-cart,終於有一個像樣的小型賽車場了。這可能是台灣最漂亮的小型賽車場。

 

說這是全台灣最大的小型賽車場,當之無愧。

說這是全台灣最大的小型賽車場,當之無愧。

 

在「大鵬灣小型賽車場」外留下一張照片。

在「大鵬灣小型賽車場」外留下一張照片。

 

以前曾想買一台這種賽車,可以經常練習高速過彎的技術。但是不喜歡聞到前車排出的廢氣,想想也就算了。

以前曾想買一台這種賽車,可以經常練習高速過彎的技術。但是不喜歡聞到前車排出的廢氣,想想也就算了。

 

晚餐前的驚喜!空軍儀隊操槍表演,個個體格挺拔,臉帥不帥?遠遠的看不清楚,但是軍服穿起來就是好看。

晚餐前的驚喜!儀隊操槍表演,個個體格挺拔,臉帥不帥?遠遠的看不清楚,但是軍服穿起來就是好看。

 

 

跟著儀隊走進「大鵬灣文史館」,這是晚餐地點。大鵬灣在日據時代是神風特攻隊的根據地,也是日軍的水上飛機和潛艇基地。二戰後國民政府接收,將「大潭」改名為「大鵬灣」,交給空軍後設置了空軍幼校、空軍醫院和空軍參謀大學。

跟著儀隊走進「大鵬灣文史館」,這是晚餐地點。大鵬灣在日據時代是神風特攻隊的根據地,也是日軍的水上飛機和潛艇基地。二戰後國民政府接收,將「大潭」改名為「大鵬灣」,交給空軍後設置了空軍幼校、空軍醫院和空軍參謀大學。

 

空軍儀隊的身高至少180公分,我這個老頭也來跟這些小鮮肉照個相。

儀隊隊員的身高至少180公分,我這個老頭也來跟這些小鮮肉照個相。

 

晚餐前總是會有合作廠商介紹相關商品,通常都是不同的酒廠介紹他們的威士忌或紅酒。我不喜歡喝威士忌,所以對此沒有什麼感覺。

晚餐前總是會有合作廠商介紹相關商品,通常都是不同的酒廠介紹他們的威士忌或紅酒。我不喜歡喝威士忌,所以對此沒有什麼感覺。

 

晚餐是自助餐形式,還算豐盛。吃完,當然就是散步回酒店洗澡睡覺囉,晚安~

晚餐是自助餐形式,還算豐盛。吃完,當然就是散步回酒店洗澡睡覺囉,晚安~

 

 

 

 

Autologous Fat Grafting for Breast Augmentation in Underweight Women

ABSTRACT

Background: In recent years, there have been reports of success with autologous fat grafting to the breast for cosmetic breast enhancement. However, the procedure is generally contraindicated in women who are underweight (body mass index [BMI] <18.5).

Objectives: The author sought to determine the safety and success rate of autologous fat grafting for breast augmentation in underweight women.

Methods: Patients who underwent breast augmentation with autologous fat grafting and had adequate follow-up time (≥12 months) were assigned to group A (BMI >18.5) or group B (BMI ≤18.5; underweight). A retrospective analysis was performed to compare the safety and effectiveness of fat grafting between the study groups.

Results: Relative to group A, patients in group B were younger and had smaller differences in breast circumference (BCD) both pretreatment and posttreatment. The volume of injected fat was significantly smaller in group B. The differences in posttreatment complication rates and changes in BCD were not statistically significant between the study groups.

Conclusions: The same degree of breast enlargement was achieved in both study groups after autologous fat grafting for breast augmentation. The rate of posttreatment complications was not higher for underweight women. Therefore, it appears that BMI ≤18.5 is not a contraindication for this procedure.

Level of Evidence: 4

Embedded Image

Keywords

  • breast augmentation
  • fat graft
  • underweight
  • body mass index

INTRODUCTION

The interest in breast augmentation using autologous fat transplantation for reconstructive and cosmetic purposes has been increasing over the last decades. In 2005, Spear et al reported that autologous fat transplantation is a safe technique that can improve or correct significant contour deformities which otherwise would require more complicated and riskier procedures to improve.1 In recent years autologous fat grafting to the breast has been reported to be a useful procedure for cosmetic breast enhancement in many patients who desire such a procedure, although there is still skepticism about this procedure.2,3,4 Certain problems remain however, such as unpredictability and a low rate of graft survival. Besides, complications after fat grafting to the breast such as fat necrosis, cyst formation, and indurations can be seen as in any other surgical manipulation of the breast.5,6

Many innovations to overcome these problems have been reported and reviewed previously. 7-13 Modifications of fat harvesting, fat processing and lipoinjection techniques to improve the survival rate for injected fat have been attempted. In recent years, researchers has indicated that cell assisted lipotransfer (CAL) in which stromal vascular fraction (SVF) containing adipocyte derived stem cells (ADSCs) and many other regenerative components could be used to improve the survival rate of grafted fat.14 In a review article, Rosing concluded that although the methods of fat harvesting, processing, and injection all have an impact on successful clinical outcome, injection method is considered to be the most important.15 Nevertheless, in breast augmentation by fat grafting, structural fat injection still resulted in the complication rate from 10 to 16%.4, 14 In 2013, the author’s earlier result demonstrated that the complication rate could be further lowered down to 2.2% by use of the “solid injection method” in autologous fat grafting for breast augmentation. 16

Women with body mass index (BMI) under 18.5 are categorized as underweight.17 Fat ratio in these patients is relatively low and often regarded as a relative contraindication for breast augmentation by autologous fat grafting. Unfortunately women with underdeveloped breasts are often underweight. The purpose of this study was to determine the safety and successful rate of autologous fat graft in breast augmentation for underweight women.

MATERIALS AND METHODS

From May 2010 to September 2013, we performed autologous fat grafting to 339 patients. After exclusion of the patients with inadequate follow-up time (< 12 months) or lost to follow-up there were 282 patients enrolled in this study. The patients were divided to Group A: BMI > 18.5 and Group B: BMI 18.5. A retrospective analysis was made to identify the safety and effectiveness of the surgery between these two groups.

The study was approved by the institutional Review Board at the Aesthetic Department of Genesis Clinic. All patients had to sign a consent form that presented potential complications of infiltrating fat into the breast and also agree to undergo routine postoperative mammography and ultrasonography.

The difference in breast circumference (BCD) was also evaluated for each patient preoperatively and postoperatively. BCD was defined as the chest circumference at the nipple minus the chest circumference at the inframammary fold. All the patients received preoperative and postoperative examinations of sonography of their breasts. After complete examination of the breasts, measurements of the thickness at 3- and 9- o’clock direction on areolar margin of both breasts were recorded. The 4 anchoring points of thickness measurement are defined as L3, L9, R3 and R9 (Fig. 1).

The indications for autologous fat grafting to the breast included correction of contour deformities after removal of saline bags or silicon gel implants, correction of congenital asymmetry of the breasts, and cosmetic augmentation of the breasts. All the surgeries were performed by the author himself.

Adipose tissue harvesting

Potential donor sites for fat graft harvest, including the abdomen, flanks, hips, and thighs, were identified preoperatively with the patient’s consent. All procedures were performed under iv sedation and local tumescent anesthesia. Approximately 150 cc to 300 cc of tumescent anesthesia (1000 cc of lactated Ringer’s solution , 80 cc of 2 % lidocaine, and 2 cc of 1:1000 epinephrine) was infiltrated into the site for fat graft harvesting 10 minutes before initiating liposuction. A 3-mm or 4-mm aspiration cannula loaded to a low pressure suction machine (under 600 mmHg) was then used to harvest adipose tissue.

Preparation of the SVF-enriched fat graft

100 ml of the harvested fat was mixed with 1 % type I collagenase (100 mg in 100 cc normal saline solution) and transferred to an incubator. Shaking incubation under 37, 200rpm for at least 30 min to dissolve the adipose tissue was done for isolation of SVF containing ADSCs. During the isolation process, the other aspirated fat was prepared for grafting by centrifugation at 800 G for 4 min to remove free oil and bloody component. Freshly isolated SVF was then attached to the aspirated fat, with the fat acting as a living scaffold before transplantation. The SVF enriched fat was then transferred to 10-ml BD syringes and connected to a 14 G, 15 cm, single hole cannula ready for injection.

Delivery of the SVF-enriched fat graft

Injections were performed with the patient in a supine position. After approximately two-thirds of the total volume was injected, the patient was moved to a sitting position for assessment of the injection progress, then returned to the supine position for completion of the injections until the desired results were achieved. The injections were made in a fanning manner and in small aliquots through multiple passes and tissue planes to improve graft take. For patients of both groups, the fat was injected to the breast at subcutaneous, intramuscular, retromuscular, and premuscular layers. The amount of fat to be injected to the 4 layers was divided evenly but might be more or less depending upon the recipient site condition. (Fig. 2) There was no difference in the injection technique between group A and group B.

Statistical analysis

The data of patient profiles and the complication rates were analysed using SPSS software 17.0. P value smaller than 0.05 was regarded as significant.

RESULTS

From May 2010 to September 2013, 282 patients were enrolled in this study. These patients were divided into group A and group B according to their body mass index. There were 205 patients enrolled to group A (BMI > 18.5 ) and 77 patients enrolled to group B (BMI 18.5). The mean age of the patients was 34.9 (range: 18-57 years) in group A and 31.2 (range: 20-49 years) in group B. The BMI of the patients was 21.2 (range: 18.6-30) in group A and 17.6 (range: 16-18.5) in group B. Preoperative BCD was 8.0 cm (range: 2-21.5) in group A and 6.3 cm (range: 1-14) in group B. Postoperative BCD was 11.5 cm (range: 4-30) in group A and 9.9 cm (range: 2-20) in group B. The mean volume of fat grafted for each breast was 254 ml (range: 160-300) in group A and 241 ml (range: 160-300) in group B. The differences in the above data were clinical significant which meant underweight patients were younger and had smaller preoperative and postoperative BCD. The injected fat volume was significantly smaller in underweight group (Table 1).

The operative change of BCD was 3.5cm (range: 0-13) in group A and 3.6 cm (range: 0-7.5) in group B. The mean follow-up time was 23.7 months (range: 12-40) in group A and 23.0 months (range: 12-39) in group B. The differences in these data were not significant which meant although the injected volume in group B was smaller, the effectiveness of enlargement was almost the same.

During the follow-up period, some patients developed complications in their breasts. Complications included postoperative recipient site infection, fat necrosis and small areas of induration (with or without calcification). The complication rate was 6.3% (13/205) in group A and 9.1% (7/77) in group B. The average time to identify the complications was 6.8 months (range: 2-11) in group A and 5.7 months (range: 1-8) in group B. The differences in these data again were not significant which meant the complication rates were the same in both groups although that of the latter looked a little higher.

Patient 1

A 32-year-old woman with BMI 18.0 (height: 170 cm, weight: 52 kg) came to our clinic for cosmetic augmentation of her breasts. We performed autologous fat graft 280 ml to her right breast and 280 ml to the other one. After the surgery, her BCD changed from 9 cm to 14.5 cm (Fig. 3). Sonography revealed marked increase of the thickness of her breasts. Postoperative follow up showed no evidence of complication (Fig. 4).

Patient 2

A 27-year-old female with BMI 20.4 (height: 168 cm, weight 57.5 kg) came to our clinic for cosmetic augmentation of the breasts. We performed autologous fat graft 260 ml to her right breast and 240 ml to the other. After the surgery her BCD increased from 4 cm to 6 cm (Fig. 5). Sonography revealed marked increase of the thickness of her breasts (Fig. 6). However, an induration with 6.3 mm in diameter was noted over left 7- o’clock direction of left breast at 11 months (Fig. 7).

Patient 3

A 28-year-old female with BMI of 17.6 (height: 155 cm, weight: 42.5 kg) came to our clinic for cosmetic augmentation of her breasts. Autologous fat graft 250 ml in each breast was transplanted in one session.

After the surgery, her BCD changed from 5.5 cm to 9.0 cm (Fig. 8). BCD increased from 5.5 cm ( baseline) to 9.9 cm ( 38 months) after surgery. Sonography revealed marked increase of the thickness of her breasts with no evidence of postoperative complication (Fig. 9).

DISCUSSION

Autologous fat grafting to the breast is not a simple procedure and better be performed by well-trained and skilled surgeons.18 Methods of fat harvesting, processing, and injection all have an impact on successful clinical outcome, and many innovations to overcome these problems have been reported and reviewed previously. 7-13 However, there was no article discussing about the relationship between the success rate and patient’s weight to date.

Women with body mass index (BMI) under 18.5 are categorized as underweight. 17 Fat ratio in these patients is relatively low and often regarded as a relative contraindication for breast augmentation by autologous fat grafting. Unfortunately women with underdeveloped breasts are often underweight. The thickness of their breast is thin and the overlying skin is often tight. Injection of too much fat into such breast is one of the causes of graft failure.

Our results demonstrated that although underweight women had lower preoperative and postoperative BCD and the injection volume of grafted fat was significantly lower, the change of BCD was the same as compared to women with normal weight. This was due to the thinner chest circumference of underweight women and smaller amount of injected fat could make the similar degree of enlargement. Underweight was not a contraindication of autologous fat grafting for breast augmentation.

Postoperative complications of autologous fat grafting to the breasts included fat necrosis, infection, indurations and calcifications which can be detected at routine postoperative physical examinations and Sonography of the breasts. The golden rule of fat injection was Colleman’s method (structural fat injection) in which the grafted fat should be placed in small aliquots with each pass to maximize the surface area of contact between the grafted fat and the recipient tissue.19 A large surface area of contact between the host tissues with their capillaries and newly grafted tissue promotes nutrition and reduces the number of liponecrotic cysts. However, in breast augmentation by fat grafting, structural fat injection still resulted in the complication rate from 10 to 16%.4,14

In 2013, the author’s earlier result demonstrated that the complication rate could be further lowered down to 2.2% by use of the “solid injection method” in autologous fat grafting for breast augmentation.16 In this method, the fat was injected into 4 layers of the breast. The operator used his non-dominant hand to feel the tip of the injecting cannula and help guiding the injection. The fat was only injected on withdrawal when the operator felt a solid feedback while advancing the cannula. No injection was performed when the operator feel an empty feedback from the cannula. At this moment, no fat should be injected and the cannula should be withdrew and directed to a different space. The operator was always using his non-dominant hand to compress the breast to increase the contact area with the injected fat when performing fat graft injection. At the end of fat injection, the breasts were still soft and there were no pressure leakage from the entries (Fig. 10).

In our results, the postoperative complication rates were 6.3% in group A and 9.1% in group B. The complication rate was higher in group B , however there was no clinical significance. The complication rate in group B was not higher although women in group B were significantly thinner. The reason of higher complication rates in both groups as compared to the results in the author’s previous report was because “solid injection method” was used only for the patients visited after 2012.

The time to detect the complications was 1-11 months in our cases. Indurations and/or calcifications could develop as late as 11 months after fat grafting to the breasts. We recommended that the follow up time should be 12 months at least after operation in order to get a more accurate statistical data about postoperative complications.

CONCLUSION

In conclusion, underweight women could get the same degree of enlargement after autologous fat grafting for cosmetic breast augmentation. Postoperative complications were not higher in these patients. Underweight was not a contraindication to this procedure.

REFERENCES

  1. Spear SL, Wilson HB, Lockwood MD. Fat injection to correct contour deformities in the reconstructed breast. Plast Reconstr Surg 2005;5:1300-1305
  2. Delay E, Delpierre J, Sinna R, Chekaroua K. How to improve breast implant reconstructions. Ann Chir Plast esthet. 2005;50(5):582-594
  3. Missana MC, Laurent I, Barreau L, Balleyguier C. Autologous fat transfer in reconstructive breast surgery: indications, technique and results. Eur J Surg Oncol. 2007;33(6):685-690
  4. Zheng DN, Li QF, Lei H, et. Autoogous fat grafting to the breast for cosmetic enhancement; experience in 66 patients with long-term follow up. J Plast Reconstr Aesth Surg. 2008;61:792-798
  5. Leibman AJ, Styblo TM, Bostwick JIII. Mammography of the postreconstruction breast. Plast Reconstr Suurg. 1997;99:698
  6. Danikas D, Theodorou SJ, Kokkalis G, Vasiou K, Kyriakopoulou K. Mammographic findings following reduction mammoplasty. Aesth Plast Surg. 2001;25:283
  7. Carpaneda CA, Ribeiro MT. Percentage of graft viability versus injected volume in adipose autotransplants. Aesth Plast Surg. 1994;18:17-19
  8. Coleman SR. Structural fat grafts: The ideal filler? Clin Plast Surg. 2001;28:111-119
  9. Ersek RA, Chang P, Salisbury MA. Lipo layering of autologous fat: An improved technique with promising results. Plast Reconstr Surg. 1998;101:820-826
  10. Fagrel D, Enestrom S, Berggren A, Kniola B. Fat cylinder transplantation: An experimental comparative study of three different kinds of fat transplants. Plast Reconstr Surg. 1996;98:90-96
  11. Har-Shai Y, Lindenbaum Es, Gamliel-Lazarovich A, Beach D, Hirshowitz B. An integrated approach for increasing the survival of autologous fat grafts in the treatment of contour defects. Plast Reconstr Surg. 1999;104:945-954
  12. Shiffman MA, Mirrafati S. Fat transfer techniques: The effect of harvest and transfer methods on adipocyte viability and review of the literature. Dermatol Surg. 2001;27:819-826
  13. Ullmann Y, Hyams M, Ramon Y, Peled IJ, Leiderbaum ES. Enhancing the survival of aspirated human fat injected into nude mice. Plast Reconstru Surg. 1998;101:1940-1944
  14. Yoshimura K, Sato K, Aoi N, Kurita M, Hirohi T, Harii K. Cell-assisted lipotransfer forcosmetic breast augmentation: supportive use of adipose-derived stem/stromal cells. Aesth Plast Surg. 2008;32:48-55
  15. Rosing JS, Wong G, Wong MS, Sahar D, Stevenson TR, Pu LLQ. Autologous fat grafting for primary breast augmentation: a systemic review. Aesth Plast Surg. 2001;35:882-890
  16. Chiu CH. A “Solid Injection Method” to Reduce Postoperative Complications in Autologous Fat Grafting for Breast Augmentation. Am J Cosmetic Surg. 2013; 30 (1): 1-6
  17. Flegal KM, Graubard BI, Williamson DF. Excess deaths associated with underweight, overweight, and obesity. JAMA. 2005;293(15):1861-1867
  18. Illouz YG, Sterodimas A. Autologous fat transplantation to the breast: a personal technique with 25 years of experience. Aesth Plast Surg. 2009 33:706-715
  19. Coleman SR, Saboeiro AP. Fat grafting to the breast revisited: safety and efficacy. Plast Reconstr Surg. 2007;119:775-785

DISCLOSURES

The authors have no disclosures with respect to the contents of this article.

Curriculum Vitae, Cheng-Hung Chiu M.D.

dr.Chiu 邱正宏醫師
dr.Chiu 邱正宏醫師
Dr. Chiu (Cheng-Hung Chiu, M.D.)

Dr Chiu CH is the founder of Genesis Clinic, a clinic that provides all types of treatments in cosmetic surgery and aesthetic medicine, with an aim to help women and men to achieve their desired physique. He had graduated with a Master Degree from National Yang-Ming Medical University.

Dr Chiu’s experience can be seen from his participations in many medical associations such as Taiwan Academy of Facial Plastic and Reconstructive Surgery, Taiwan Association of Aesthetic Medicine & Surgery, American Academy of Cosmetic Surgery, Chinese Medical Cosmetology Association… etc.

His reliability can also be seen with the publication of his thesis on international medical journals. For example, his personalized autologous fat grafting technology was shared through the Aesthetic Surgery Journal and Journal of Plastic, Reconstructive and Aesthetic Surgery. Not only that, he has also been invited multiple times to give talks in foreign countries.

In addition, Dr Chiu is also the author of many best-seller books on body slimming and weight loss treatments. His professionalism in cosmetic surgery is indeed widely recognized by many.

Present Title

  1. Founder/President, Genesis Clinic
  2. Chief, Plastic and Aesthetic Department, Genesis Clinic
  3. President of Chinese Medical Cosmetology Association

Education

  1. MD, National Yang-Ming Medical University

Professional Experience

1980-1987

National Yang-Ming Medical University

1987-1991

Medical Officer in Taiwan Air Force and Veterans Hospitals

1991-1995

Resident, Visiting Staff at Veteran’s General Hospital, Taipei

1995-present

Founder/President, Genesis Clinic

1991-1995

Lecturer of National Yang-Ming Medical College and National Defense Medical College

1995-present

National board certified specialty in otolaryngology, head and neck surgery

2011-present

Board certified specialty in facial plastic and reconstructive surgery

2008-present

Board certified specialty in cosmetic surgery and anti-aging medicine

2000-present

Board certified bariatric physician

2006-present

Board certified specialty in  acupuncture and moxibustion

2005-2007

Consultant doctor of Chinese Taipei Road Running Association

2004-present

Visiting staff of family physician department, Taipei Municipal Wang-Fang Hospital

2005-2007

Censor for Global Budgets of Primary Practice of Bureau of National Health Insurance

2007-2010

Trustee of Taiwan Society of Otolaryngology, Head and Neck Surgery

2008-2011

Executive trustee of Asian Academy of Anti-aging and Aesthetic Medicine

2011-present

Executive trustee of Taiwan Association of Aesthetic Medicine and Surgery

Memberships

Taiwan

Taipei Medical Association

Taiwan Medical Association

Taiwan Society of Otolaryngology,  Head and Neck Surgery

Taiwan Academy of Facial Plastic and Reconstructive Surgery

Chinese Taipei Association for the Study of Obesity

Chinese Medical Association of Acupuncture

Chinese Society of Cosmetic Surgery and Anti-Aging Medicine

Chinese Medical Cosmetology Association

International

American Academy of Cosmetic Surgery

American Society of Bariatric Physicians

American Tinnitus Association

World Association of Laser Therapy

Papers

Chiu CH. Correction with Autologous Fat Grafting for Contour Changes of the Breasts after Implant Removal in Asian Women. J Plast Reconstr Aesthet Surg. J Plast Reconstr Aesthet Surg. 2016 Jan;69(1):61-9.

Chiu CH. Autologous Fat Grafting for Breast Augmentation in Patients After Implant Removal. The American Journal of Cosmetic Surgery Vol. 32, No. 3, 2015

Chiu CH. Autologous Fat Grafting for Breast Augmentation in Underweight Women. Aesth Surg J. 2014 Sep;34(7):1066-82.

Chiu CH. Aesthetic Contouring of Calf Hypertrophy with Radiofrequency Volume Reduction. American Journal of Cosmetic Surgery: June 2014, Vol. 31, No. 2, pp. 81-86.

Chiu CH. A “Solid Injection Method” To Reduce Postoperative Complications in Autologous Fat Grafting for Breast Augmentation. American Journal of Cosmetic Surgery: March 2013, Vol. 30, No. 1, pp. 10-15.

Chiu CH. Reduction of Calf Muscle by Radiofrequency Technique. 3rd CSCSM Annual Congress on Aesthetic Medicine and Cosmetic Surgery. Taipei, Taiwan, September 12, 2010

Chiu CH. Laser Lipolysis with Pulsed 1064 nm Nd: YAG Laser for the Treatment of Unwanted Fat in the Face. 2nd AFPSS Congress 7th TAFPRS Annual Meeting. Taipei, Taiwan, October 8, 2011

Chiu CH. Modified Water Displacement Test in Sequential Measurements of Breast Volume. 18th World Congress on Aesthetic Medicine and Cosmetic Surgery. Beijing, China, May 14, 2011

Books

Chiu CH. 101 Scientifically based remedies for weight loss. Taipei: Soul Land Pub. Co. Ltd; 2014

Chiu CH. That’s The Way How Cosmetic Surgeries Go. 1st ed. Taipei: Soul Land Publishing Co. Ltd; 2013

Chiu CH. Slimming Peachly. 1st ed. Taipei: Mommy and Baby Publishing Co. Ltd: 2001.

Chiu CH. The Bible of Weight Loss. 1st ed. Taipei: United Publication Company; 2003.

Chiu CH. Doctor Chiu, I Want to Slim Here. 1st ed. Taiwan: Shang Yi Publishing Company, 2010

Chiu CH. Slimming For a Life Time. 1st ed. Taiwan: Han Huang International Culture Co., Ltd. 2011

裘莉想做自體隆乳被打槍 瘦子也能自體隆乳

裘莉想做自體隆乳被打槍 瘦子也能自體隆乳
裘莉想做自體隆乳被打槍 瘦子也能自體隆乳
裘莉想做自體隆乳被打槍 瘦子也能自體隆乳

[本報訊]知名好萊塢女星安潔莉娜裘莉(Angelina Jolie2年前曾做預防性割乳手術,乳房重建之餘還順便隆乳,上周她出席自導自演的新片《海邊》(By the sea),腰束奶膨,有如芭比娃娃,但消息人士指出,她想做自體脂肪豐胸,慘遭醫師打槍。 閱讀全文〈裘莉想做自體隆乳被打槍 瘦子也能自體隆乳〉

網路瘋傳的瘦臉妙方 哪些可以擺脫肥肥臉?!

網路瘋傳的瘦臉妙方 哪些可以擺脫肥肥臉?!
網路瘋傳的瘦臉妙方 哪些可以擺脫肥肥臉?!
網路瘋傳的瘦臉妙方 哪些可以擺脫肥肥臉?!

瘦臉妙方

網路瘋傳的瘦臉妙方 哪些可以擺脫肥肥臉?! 瘦臉妙方大解密 唬爛or有效?!

妙方1 聽說有效就要吃?!
妙方2 按摩運動最有效?!
妙方3 各種東西都來塗?!
妙方4 利用工具效果好?!
妙方5 跟臉無關也要試?!

聽說瘦臉有效就要吃?!

「吃東西能瘦臉」或「吃甚麼東西能瘦甚麼地方」的確很迷人,我也很希望有這種東西,但是很抱歉要告訴各位:這些都沒有科學根據。

能吃的東西一定有熱量,或多或少的問題而已,特別是賴以維生的食物熱量更高,否則人類拿甚麼活命?有熱量的東西吃進人體,不讓臉變胖已是萬幸了,怎麼可能瘦臉?食物除了熱量不同以外,還要看是固體或液體,液體食物用喝的就可以,但是進到胃腸以後消化更快,對減肥不利,對瘦臉也沒有幫助;而固體食物吃進來以後需要咀嚼,咬肌反覆收縮臉只有讓臉變得更大,更別談瘦臉了。

有些營養師在電視上談「吃東西能瘦臉」,我聽了真是傻眼,如果有醫學文獻證明吃東西能瘦臉的話我真的是要拜讀一下,受教受教。

按摩運動瘦臉最有效?

臉大有幾個原因,

  1. 骨頭大。這要削骨才有辦法瘦臉。
  2. 肌肉大。咬肌肥厚打肌肉縮小素就可以瘦臉。
  3. 臉皮下脂肪堆積。這要溶脂抽脂才有辦法。
  4. 臉皮鬆弛下垂。這要拉皮才有效。
  5. 水腫。這要消水腫才能瘦臉。
肥肥臉要怎麼瘦臉?要用科學的方法來分析
肥肥臉要怎麼瘦臉?要用科學的方法來分析

運動按摩只能改善水腫引起的肥肥臉,而且只有短暫效果。你一不繼續按摩明天就又腫回來了,如果妳臉腫的原因沒有改善的話是不可能有長久的效果的。

所以水腫引起的肥肥臉,應該先從原因去除才能瘦臉。有些人晚上經常吃消夜、睡前吃鹽酥雞或炸雞排,肚子餓了吃泡麵…等,第二天當然容易臉部水腫,有些循環不好的人甚至會腫一整天,這時按摩消水腫是會有些幫助的。

各種瘦臉東西都拿來塗?

面膜或面霜之類的東西,只能使臉皮的角質軟化,表皮的保水性增加,短期使用有消除細紋和亮麗肌膚的效果。但是這種效果並不能瘦臉,充其量只是讓臉皮緊實一些,而且只有短暫的效果。

如果為了瘦臉亂塗來路不明的產品,輕則接觸性皮膚炎,重則蜂窩性組織炎。冒著皮膚發炎潰爛的風險亂塗一通,實在很不可取。

各種瘦臉工具效果好?

各種瘦臉工具效果好?聽聽就好,拿來玩玩還可以,要小心別受傷了
各種瘦臉工具效果好?聽聽就好,拿來玩玩還可以,要小心別受傷了

瘦臉的產品非常多,網路和實體店鋪到處都是,從滾輪按摩到瘦臉繃帶、從熱的到冷的,五花八門不一而足。分析起來,這些瘦臉產品都是在臉上加壓,只是用力的方式不同而已。嚴格講起來,這些瘦臉產品都沒有效果,即便有瘦臉效果也只是短暫的,不可能因此而永久瘦臉的。

跟瘦臉無關也要試試?

這些方法包括泡澡、烤箱、蒸汽浴…等等,想要藉由排汗讓臉瘦一些,其實只是讓身體脫水而已。以醫學的觀點看起來,何必這麼麻煩呢?吃一顆利尿劑效果好上數倍,花的錢還更少。

瘦臉結論

肥肥臉變瘦瘦臉是許多人心中的夢想,用正確安全的分法來實現吧
肥肥臉變瘦瘦臉是許多人心中的夢想,用正確安全的分法來實現吧
  1. 骨頭型瘦臉:削骨
  2. 肌肉型瘦臉:肌肉縮小素
  3. 脂肪型瘦臉:溶脂/抽脂,雷射溶脂除了除去脂肪以外還有雷射光熱拉提的效應
  4. 皮鬆型瘦臉:拉皮
  5. 水腫型瘦臉:避免睡前的鹹食,緊急時服用利尿劑

肥肥臉變瘦瘦臉是許多人心中的夢想,用正確安全的分法來實現吧!

◆ 查看更多瘦臉相關資訊

仰臥起坐鍛鍊腹肌對於瘦小腹有幫助嗎?

仰臥起坐能瘦小腹嗎?
仰臥起坐能瘦小腹嗎?
仰臥起坐能瘦小腹嗎?

仰臥起坐可以瘦小腹

昨天參加一個電視節目錄影,內容是「有關運動減肥的錯誤觀念」,其中一個是「仰臥起坐可以瘦小腹?」,剛好最近遇到幾個小腹瘦不下去的朋友,我想用一點時間來和大家分享一下。小腹凸起腰圍變粗不但美觀扣分,健康也打折。以往我們知道肥胖的人如果胖在腰圍,表示內臟脂肪過多,對健康會有危害。最近美國的研究更發現,即便是體重正常的人,如果小腹超標,死亡率甚至更高〈圖一〉。小腹婆和大腹翁的肚子大不一定都是內臟脂肪造成的,也有可能是腹部皮下脂肪堆積、腹壁肌肉鬆弛、宿便堆積或內臟腫瘤…等等,這些都有可能使肚子突起。

瘦子挺肚早死率是肥男的2倍

如何確定小腹的肥胖是哪種?

不同的原因要用不同的方法來解決,不能一概而論。怎麼確定呢?請嘗試以下幾個方法:

  1. 皮下脂肪測試:先用掐指測試,看看皮下脂肪有沒有過多的現象〈圖二〉。如果超過4公分,代表皮下脂肪過多。

  2. 腹壁鬆弛測試:用力縮小腹再用力頂出小腹,如果腹壁的移動距離超過5公分,表示腹壁有鬆弛的現象。

  3. 內臟脂肪測試:要靠體組成分析儀〈高階體脂計〉分析內臟脂肪比例,參考該體脂計的數據就可以知道內臟脂肪是否有過多的現象。

皮下脂肪過多比較好解決,可靠抽脂吸脂,或溶脂讓下腹縮小。內臟脂肪就比較麻煩,只有靠努力減肥才有希望。

掐指測試:以拇指和食指夾住皮下脂肪,保持兩指間的距離不變,拉出來後再測量兩指間的距離
掐指試驗:以拇指和食指夾住皮下脂肪,保持兩指間的距離不變,拉出來後再測量兩指間的距離

如果皮下沒甚麼脂肪,肚子的腹壁很薄,同時又是生產過好幾胎的女性,那麼極有可能是腹壁鬆弛造成的小腹婆。腹壁鬆弛可藉由腹壁肌肉的鍛鍊,重新恢復腹部肌肉的緊實,甚至可以鍛鍊出腹肌的線條。

所以「多做仰臥起坐就能瘦肚子」對不對?根據醫學上的分析,運動腹部並不能特定的消除腹部的脂肪,不管是皮下脂肪或內臟脂肪。除非腹部運動後再控制一天的總熱量,達成熱量的負平衡,這樣是有可能受到腹部的脂肪或內臟脂肪。若是腹壁鬆弛,仰臥起坐可以讓腹肌緊實一些。

仰臥起坐加上食慾控制對於瘦小腹有加成效果

小腹緊一些以後,你會發現食慾減少了,因為緊緊的腹肌會讓胃部擴張的空間變小,胃部沒有辦法在進食後擴張太多,當然食量跟著變小,長遠看來,這樣也有減肥的效果。所以,藉由仰臥起坐讓腹肌緊實之後,加上食慾稍微控制一下,慢慢的腹部脂肪也有希望跟著減少。

結論是:

  1. 仰臥起坐可以讓腹肌緊實,無法立即減少腹部脂肪。

  2. 長遠看來,加上飲食的控制,對於減肥瘦小腹有加成的效果。

  3. 運動對於健康、減肥和養生的幫助不容忽視。

 

不怕破裂風險 邱正宏醫師自體脂肪隆乳搶救NG胸型

透過自體脂肪隆乳,藉由移植自身多餘脂肪完成隆乳,不僅觸感柔軟自然,術後也沒有破裂或是莢膜攣縮的問題,因兼具自然與安全的效果
透過自體脂肪隆乳,藉由移植自身多餘脂肪完成隆乳,不僅觸感柔軟自然,術後也沒有破裂或是莢膜攣縮的問題,因兼具自然與安全的效果
自體脂肪隆乳兼具自然與安全的效果

選擇適合的隆乳方式

自古以來愛美是女性的天性,時下也有許多愛美女性為了讓胸型更加豐滿挺立,選擇藉由隆乳來為「內在美」加分,然而隆乳的方式卻也會影響術後效果與安全,不少人為了求快、在短時間內增加數個罩杯,會選擇藉由放入義乳來達到隆乳成效,然而隆乳術後必須花費較多心力保養,以避免莢膜攣縮或感染發炎等併發症,甚至有些診所以劣等材質作為隆乳植入物,增加隆乳術後病變、產生後遺症的風險。

自體脂肪隆乳有許多優點

透過自體脂肪隆乳,藉由移植自身多餘脂肪完成隆乳,不僅觸感柔軟自然,術後也沒有破裂或是莢膜攣縮的問題,因兼具自然與安全的效果,自體隆乳成為現在許多愛美女性消費者隆乳的優先選擇。景升診所醫美中心邱正宏醫師指出,縱使自體脂肪隆乳安全性較高,但仍需自體脂肪隆乳經驗豐富純熟的醫師執行,提高脂肪於術後的存活率,將脂肪注射在正確位置,才能降低自體脂肪隆乳失敗率。

沙拉式打法增加脂肪的存活率

景升診所醫美中心邱正宏醫師說明,身上多餘的脂肪可做為改善胸型的最佳材料,自體脂肪隆乳的作法是將脂肪經純化步驟後,移植放入胸部組織內,不但具有真實柔軟的觸感及視覺效果,讓隆乳效果更趨近渾然天成,自體脂肪隆乳更無須擔心義乳隆乳可能發生的併發症,而邱正宏醫師採用的分層沙拉式打法,更可讓自體脂肪隆乳術後脂肪壞死的機率下降,讓自體豐胸的成效與安全更為提升。

選擇醫師很重要

為了讓身材更具女人味,許多愛美女性消費者對隆乳相當有興趣,也因此各種隆乳方式與隆乳材質不斷推陳出新,為的便是符合不同消費者對於隆乳的期待。景升診所醫美中心邱正宏醫師也提醒,隆乳前務必選擇經驗純熟、具良好風評的專業醫師,依照個人體質與條件量身規劃合適的隆乳方式,此外與醫師溝通自己對於隆乳的需求以及胸型愛好期望,利用隆乳改善原先NG的胸型,讓胸型變美升級,搖身一變豐滿的魔鬼身材。

 

更多自體脂肪隆乳訊息請至:

自體脂肪隆乳

從「馬習會」看馬英九和習近平的衰老帥氣指數

馬習會在新加坡召開
馬習會在新加坡召開
馬習會在新加坡召開了,兩岸領導人同台出現,我們也有機會同時看看兩個人一起出現的畫面。

微整型可以讓人更年輕

馬習會在新加坡召開了,兩岸領導人同台出現,我們也有機會同時看看兩個人一起出現的畫面。

同個地點、同個時間來比較會更貼近現實面,我整理如下:

戰績:馬英九兩勝、習近平三勝!

結論:

  1. 馬英九較帥,習近平較年輕
  2. 兩個人都有染髮
  3. 馬英九去除眼袋、填補法令紋、把下臉雷射溶脂一下會更年輕;上眼窩凹陷應該補自體脂肪,看起來會更有精神。
  4. 習近平應該減肥多運動,會更健康;下巴和下溶脂會更有精神。眼皮手術把眼睛放大看起來會更仁慈,讀書看電視也比較不會有眼皮下垂的困擾。
  5. 兩個人都應該打肌肉縮小素、皮膚雷射,可以年輕5~10歲。