身為一個滿是傷疤的人,開句玩笑話,心裡曾經是,身體也是,我對疤痕的治療格外感興趣,多少為一己的私心,總想著希望有一天,這些烙在身上大面積的深二度跟三度的傷疤,能夠被抹去。長年觀察著自己身上的疤,共存久了看著看著倒也就習慣,但曾經經歷過的適應期,我很是明白在青少年、青壯年、成年時期才造成的嚴重疤,對於一個人心緒的影響有多麼巨大,成功的疤痕治療,帶來的不僅僅是美的問題,還有心靈的修復。
疤痕待解決的問題,有五大面向:凹凸、色素沈澱、色素脫失(反白)、泛紅、攣縮。而更深入就凹凸做探討,疤痕還可分成:
[wp-svg-icons icon=”bullhorn” wrap=”i”]萎縮性疤痕
牽涉到底下毛囊腺體的破壞,整體膚質可供修復的幹細胞存活處變少,修復速度最慢,最典型的代表就是痘疤。
[wp-svg-icons icon=”bullhorn” wrap=”i”]凹陷型疤痕
舉凡刀疤、縫合疤、雷射術後凹疤、水痘疤等等,皮膚創傷修復好後造成的凹陷疤痕(痘疤因為病因起於毛囊,造成的幹細胞缺失過大,因而特別分列為萎縮性疤痕)。
[wp-svg-icons icon=”bullhorn” wrap=”i”]肥厚性疤痕
受傷後、縫合後,以突起作為表現的疤痕。
[wp-svg-icons icon=”bullhorn” wrap=”i”]蟹足腫
不僅僅是以突起表現為主,還會不斷擴張增生將疤痕往外蔓延的活動性疤痕。
往往醫學界,都把『凹』的疤抓去打飛梭雷射,『凸』的疤抓去開刀,不管是皮瓣移植還是疤痕切除。但對於很多擁有『凸』疤的患者來說,以疤換疤還是疤,還多挨了一刀,這就是過度專業及學術導向,跟民心人心想要的差距,很多事設身處地把自己換成患者本人,一切自然就有了答案,我自己的疤最終就是擱著,沒有做植皮,因為植完皮後的身體,足足變成兩處的疤,著實沒意思。
前些日子,診所為疤痕治療的突破,添購了專門處理肥厚性、嚴重性疤痕的UP雷射儀器,在盡量減少熱傷害的前提下,單一發就能施打至疤痕很深處,而透過我們配置的放大設備細看細打,一一瓦解肥厚性疤痕組織或是嚴重痘疤底下的纖維化結構,以往同樣穿鑿深度,要花兩三週才能癒合的傷口,在重複不斷試驗下,縮至一週甚至對修復期無感,而成效卻能媲美以往六次以上治療的成果。
買儀器不是在趕流行,而是因應治療的需求、瓶頸的突破。璞之妍除了專門治療各種凹凸疤的UP雷射,針對色素沈澱我們有淡白最快的皮秒、針對色素脫失我們有充足的色素移植經驗、針對泛紅我們有M22彩衝光、針對攣縮我們有切割設備及疤痕轉位的專精,一一擊破疤痕各個面向。
2019年最棒的事,除了璞之妍二店的成立,我相信會是疤痕治療有豐碩成果的一年。
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