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\u591a\u91cd\u7642\u7a0b \u67d3\u83cc\u721b\u81c9<\/p>\n

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\u6587\uff1a\u8a31\u671d\u8335<\/p>\n

\u5716\uff1a\u8a31\u671d\u8335\uff0cPoike\u3001f11photo@iStockPhotot<\/p>\n

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\u7de8\u8f2f\uff1a\u738b\u7fe0\u9e97<\/p>\n

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【明報專訊】近年發生幾宗美容事故，甚至出現死亡及永久傷殘的個案，令人關注醫學美容的安全性。<\/p>\n

「微整形」近年大行其道，毋須開大刀，一支針即可提升「顏值」，大受歡迎。然而，針藥如錯打入血管或神經線，可致臉癱、重影、失明、傷殘甚至死亡。愛美之心人人皆有，扮靚絕非壞事，但扮靚之前，宜先了解這些醫學美容有何風險？如何避免事故發生？<\/p>\n

微整形，以針劑及能量機器為主，在身體及臉部作微調，熱門部位包括眼、鼻及臉。整形外科專科醫生張永融表示﹕「現時社會對微整形的接受程度高了，因為過程快捷、安全有效及方便，而且復元時間短。例如注射針劑後，病人只須護理針口一兩天。有些簡單的注射，只需午飯時間或放工後已可處理，一個周末便可康復。」年輕人以修飾輪廓為主，年長人士大多想改善膚質及收緊肌膚，常見療程包括肉毒桿菌及透明質酸，前者可用於臉部，例如處理魚尾紋及虎紋，或注射在身體上塑造線條；後者則可改善臉形、輪廓及皺紋，部分透明質酸也可改善黑眼圈。<\/p>\n

眼部風險高 阻塞血管可致失明<\/p>\n

世界各地的微整形日漸普及，雖然香港暫時未有相關的統計數字，但參照美國數字，美國一個整容組織The American Society for Aesthetic Plastic Surgery的統計，微整形人數由1997年的74萬多人，上升至2016年的1100萬多，升幅約15倍；而手術形式整形的人數，則由1997年的90萬人，上升至2016年的197萬，升幅只約1.2倍。<\/p>\n

明顯地，微整形愈來愈受歡迎。很多人認為這些微整形毋須開刀，以為沒有風險，但張永融指出，當中潛在不少危機，出錯情况常見是針藥塞了血管，以及藥物壓着血管，後果嚴重。<\/p>\n

接收過不少「執手尾」個案的張永融表示，病人大多是在美容院接受療程，也有由家庭醫生主理；但病人沒有搞清醫生的資歷，甚至不知道自己究竟接受哪一種療程。他強調﹕「任何針劑也有風險，不當使用能量機亦會造成傷害，不時有病人因微整形出問題而來求醫。」<\/p>\n

以針劑為例，很多人希望改善眼紋、黑眼圈、淚溝，甚至針對眼袋的溶脂針；但眼部是高風險部位，任何針藥一旦錯打入血管，藥物隨血液流動，可進入視網膜的血管，阻塞血管，引致失明。張永融便曾聽聞有類似個案，要到香港眼科醫院接受治療。除了打錯血管，落針位置、深淺度和注射的分量如有差池，藥物亦會滲透至眼部。尤其注射過程愈複雜，風險愈高，例如﹕同時注射肉毒桿菌及透明質酸兩種物料，有可能令眼皮下垂及出現重影，影響外觀及功能。此外，如注射在臉部也有可能傷及神經線，導致歪臉。<\/p>\n

隆鼻失敗 一日內壞死<\/p>\n

另外，微整形隆鼻亦是高危。張永融見過有人打針隆鼻後，鼻樑太闊猶如「阿凡達」，唯有打溶解劑，但有時病人注射的位置太多，難以全部溶解。此外，亦有更嚴重的個案，有名40歲菲律賓女士在美容院接受針劑隆鼻後，鼻子一半發炎變黑，皮膚壞死。「注射時若即時發現不合比例，或有痛、麻痺、皮膚轉白，已屬嚴重併發症，即使即時處理，但如果操作人員欠缺相關醫學知識，讓病人回家後，情况就會進一步惡化。」張永融指出，當持續痛楚，膚色由白變瘀甚至變黑，過程可在短短一日內發生。最後，患者須接受溶解劑，或以藥物擴張血管，減少感染風險，但最後該女士鼻子仍有疤痕。<\/p>\n

至於高能量機器，由彩光、激光、射頻，至近期流行的高能量聚焦超聲波，雖然愈出愈安全，但張永融指出，這些機器能量極高，應由專業人士操作；「有傷口就有可能發炎，例如打水光槍也屬微針之一，打之前，面部清潔消毒是否足夠呢？」曾有名年輕女子做煥膚療程，但懷疑療程時間過長，導致灼傷；另有個案接受激光療程灼傷鼻子，出現疤痕令鼻翼收縮。<\/p>\n

他接受的「執手尾」個案，大都難以全身而退，始終會留有疤痕或不同問題，所以提醒大家接受微整形前，必須先了解清楚。<\/p>\n

■雞同鴨講添風險 海外整形 隆胸變膿胸<\/p>\n

現時流行海外微整形，熱門地點包括日本、韓國及台灣；不過，張永融指出，隔山微整形風險更高，單是溝通已是問題，另外，術後的後續照顧，如何跟進？曾經不少個案疑因溝通出錯，導致效果欠佳及出現併發症。<\/p>\n

曾有女病人在韓國接受自體脂肪隆胸，但回港後發燒，一邊乳腺生了瘡及含膿腫脹，前來求診。磁力共振檢查發現她植入的自體脂肪變成膿，需要用全身麻醉手術放膿；此舉亦會導致兩邊乳房大細不一。要徹底解決問題，需要植入假體如鹽水袋等，但當時她正值發炎，也不適宜再做手術。張永融說﹕「首爾有過千間整容中心，但整容專科醫生只得400人，所以大部分不是專科醫生。自體脂肪隆胸講求醫生的技術和經驗，植入時並非如一泡水放入去，應該要細緻地，如插秧般逐少植入，才可以做到效果。」<\/p>\n

多重療程 染菌爛臉<\/p>\n

另外，有名女士於日本接受自體脂肪注射，欲令面部更飽滿，懷疑溝通出錯，回港後覺得注射過量，要再接受手術抽出部分脂肪，但卻令皮膚變得鬆弛，再去做「埋線」收緊肌膚。經過多重療程後，最終疑因當中一個程序消毒欠佳，令面部受到非典型分支桿菌感染，此菌較難醫治，就算長期服用抗生素也解決不到，長出如爛肉般的爛瘡，非常礙眼。女病人因此自信心大跌，出入戴口罩，更辭去工作不願外出，幾近抑鬱，最後因要長期治療加上失業，負擔不到私家醫生開支，才轉去公立醫院求診。張永融補充﹕「很多病人出事後受情緒困擾，心情非常低落，但很多時她們都忙於處理身體問題，已無暇照顧心理問題。」<\/p>\n

■坊間醫美監管不足 應找專科醫生主理<\/p>\n

在香港，除了含有藥品或發放電離輻射的醫療儀器有監管外，暫時未有特定法例規管美容醫療儀器，亦未有立法只准專科醫生進行微整形。張永融表示﹕「微整形的效果理想與否，始終講究注射的手勢，需要極高的細緻度，注射時不可太粗暴，不適當的用力會逼走填充劑。一些高能量療程最好由接受相關訓練人士操作。」因此他建議找接受專業訓練的專科醫生主理，在網上可查閱整形外科專科及皮膚科專科醫生的名冊。<\/p>\n

文：許朝茵<\/p>\n

圖：許朝茵，Poike、f11photo@iStockPhotot<\/p>\n

統籌：鄭寶華<\/p>\n

編輯：王翠麗<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170710\/news\/_10yd101.jpg美容變毁容——很多女士不惜以微整形增加「顏值」、但選擇不合資格人士操刀，隨時扮靚變毁容。（圖：許朝茵，Poike@iStockPhotot）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20170710\/news\/_10YD001_.jpg張永融（圖：許朝茵）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20170710\/news\/_10yd102.jpg;https:\/\/health2.mingpao.com\/ftp\/Health2\/20170710\/news\/_10yd103.jpg熱門地點——韓國是其中一個整容手術盛行的國家，但到海外微整形，要承擔更多風險。（圖：f11photo@iStockPhotot）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":7004,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[739,737,625,738],"class_list":["post-7008","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-739","tag-737","tag-625","tag-738"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 12:56:49","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/7008"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=7008"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/7008\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/7004"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=7008"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=7008"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=7008"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}