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真實的故事和經驗分享來自於接受過我們服務的病患。透過他們的感言，您可以了解手術過程、恢復體驗以及最終結果，這些都將幫助您在考慮整型手術時更加安心與自信。我們以病患的滿意為榮，期待成為您變美旅程中的夥伴。 WSLS 2024 Learn more

安德森整形外科使用通過衛福部檢驗，來自於人類臍帶幹細胞分泌的外泌體。這些外泌體具有分子小、純度高的特點，免疫排斥反應的風險較低，安全性更高。 革新醫療： 外泌體讓你健康與美麗兼得 Exosomes 外泌體的廣泛應用 再生醫學：外泌體在促進組織修復和再生方面具有巨大的潛力，已廣泛應用於創傷修復、骨再生和心臟修復等領域。 抗衰老：外泌體含有豐富的生物活性分子，能夠促進皮膚細胞更新和修復，改善皮膚質量，減少皺紋，延緩衰老。 免疫調節：外泌體能調節免疫系統，對抗炎症反應，有助於治療自體免疫疾病和慢性炎症性疾病。 安德森整形外科的 外泌體優勢 安德森整形外科使用通過衛福部檢驗，這些外泌體具有分子小、純度高的特點，免疫排斥反應的風險較低，安全性更高。 邀請您體驗外泌體的奇蹟 外泌體，這一細胞間通信的微小信使，正帶領我們進入醫療科技的新時代。安德森整形外科邀請您共同來體驗外泌體帶來的健康與美麗，見證更多奇蹟與希望。

鳳凰電波特色、探頭比較 ｜需要幾次療程？｜鳳凰電波與電波的差異｜術後保養和注意事項 ｜ 立即預約 與我們聯絡

揮別壓力衣！鄭教授的獨門顯微手術，改善淋巴水腫帶來的不適，了解不同淋巴水腫治療方式的比較及安德森的專業

瞭解更多安德森整形外科近期的新消息，包括活動資訊、各式療程的知識分享、醫師資訊及其他有關診所的重要資訊 ! Widget Didn’t Load Check your internet and refresh this page. If that doesn’t work, contact us.

了解更多有關術後照顧的重點，患者不再需要穿戴壓力袖套、襪，但建議患者在術後接受3~6個月的復健，需要積極治療。 Post-Operative Care Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Post-Operative Rehabilitation The A+ Surgery Clinic provides comprehensive and extensive medical services before and after surgery. It is recommended that lymphedema patients receive post-operative rehabilitation for a period of 3- 6 months. It is most noteworthy that patients no longer need to wear compression garments after Dr. Cheng’s Side-to-End Lymphovenous anastomosis and vascularized submental lymph node flap transfer to distal recipient site for post-operative rehabilitation. It is recommended to massage from the proximal limb to the distal site for 15 minutes 3 times a day one month post-operatively for 3 to 6 months to further improve lymphatic drainage. Post-Operative Follow-Up The lymphedema of both upper and lower extremities can cause pain, discomfort, fibrosis, cosmetic problems, and mobility restraints for patients. It is common that lymphedema patients develop various degrees of depression due to physical discomfort, disfiguration, and emotional distress. With an average of a 2-year follow up after undergoing microsurgical microsurgery including Side-to-End Lymphovenous anastomosis and vascularized lymph node flap transfer to distal recipient site, the affected limb become softer overtime. 90% of lymphedema patients have seen size improvement with a mean circumferential difference of 50%. With the physical improvement, patients are subjectively pleased to resume daily activities and life styles they used to have. After vascularized submental lymph node flap transfer, you are asked to comply with the rehabilitation program, which includes progressive lower limb muscle strength training and reverse manual proximal (groin) to distal (ankle) lymphatic drainage. You are encouraged to gradually massage the flap, scar, and control body weight control starting after discharge. Reverse manual lymph drainage and flap massage are performed for 15 minutes/time, 3 times daily. You are advised to return to normal activity gradually as tolerated, and all other physiotherapy and compression wrapping are discontinued. Vascularized submental lymph node flap is placed on the wrist in accordance with the “pump” mechanism and effects of gravity. You do not need to wear a compression garment or bandaging after surgery but are allowed to wear a wrist brace or wrist support to hide the scar on the wrist after the wound complete healed. Another revision surgery to remove the skin paddle and superficial fat of the transferred flap to improve the cosmetic appearance and simultaneous liposuction of the thigh to decrease the production of lymph is recommended after 1 year of vascularized submental lymph node flap transfer. 1. Reverse manual lymph drainage: Time: Performed for 15 minutes/time, 3 times a day, from groin to flap. Method: Medium strength massage that compresses the skin, subcutaneous, fat and muscle in proximal (groin) to distal (flap) direction. This helps encourage drainage of the lymph drainage through the lymph flap and appropriate channels. 2. Flap massage: For increasing the venous drainage of lymph node flap pumping Time: Performed for 15 minutes/time, each 3 times daily. Method: Medium strength massage to pump lymph node flap and the scar around flap. 3. Body weight control: Time: Check body weight every day. Lighten your weight if your Body Mass Index(BMI) over 25. 4. Infection/cellulitis prevention and control: Most healthcare-associated infections are preventable through good hand hygiene. It’s important to identify and treat cellulitis early because the condition can spread rapidly throughout your body. Red area or “New red spots” of skin that tends to extend from distal to proximal Swelling Tenderness Pain Fever over 38.5℃ After the initial postoperative period, you are seen on a monthly basis by sending images. You may use any communication apps, such as Line, WhatsApp, Skype, e-mail or WhatsApp. Surgical outcomes are evaluated by your subjective improvement, circumferential measurements, the frequency of cellulitis, and via patient reported health-related quality of life outcome metrics. We will arrange ultrasonography, CT, and lymphoscintigraphy for checking the number of the lymph node on the flap, lymph node function and volume of the arm after one year.

鄭明輝院長的榮譽獎項紀錄，多次獲得國內外頂尖機構認可，其中包含：舊金山哈里・邦克學會、美國重建顯微外科學會Godina、中山醫科大學和國家新創獎等 Awards Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Dr. Cheng Is Made A Member Of The Harry Buncke Society Of San Francisco It was honored and humbled to receive a warm welcome and be made a member of Harry Buncke Society by Drs. Gregory Buncke and Bauback Safa during my visit to the Buncke Clinic. Dr. Harry Buncke is recognized as the Father of Reconstructive Microsurgery in the US. The Buncke Clinic has been at the forefront of the advancement of reconstructive microsurgery since 1970. The faculty, fellows, and residents (some from UC San Francisco) were very interested in my lymphedema researches and outcome of my speech. The canvas in the photo was entitled “The Opinion”. It illustrated a clinic of 84 plastic surgeons in an amphitheater discussing the repair of a childbirth deformity. I was told this portrait symbolizes the honor and passion of plastic surgeons that tirelessly seek for best solutions for the patients at Buncke Clinic. Dr. Cheng was honored to be selected as the 2006 Godina Traveling Fellow of American Society for Reconstructive Microsurgery Dr. Cheng was honored to be selected as the 2006 Godina Traveling Fellow of American Society for Reconstructive Microsurgery (the first one from Asia) and visited 13 top renowned institutes around the world. Dr. Cheng received the Outstanding Alumni Award from the Chung Shun Medical University and Distinguished Alumni Award from Chang Gung University in 2008 and 2013 respectively. Dr. Cheng was awarded the prestige Willian Zamboni Visiting Professor of American Society for Reconstructive Microsurgery in 2016 and had the opportunity to visit 5 more famous institutes in the United States. Dr. Cheng was awarded a top reviewer in Publons' Global Peer Review Awards 2018. Lymphedema Microsurgery Team was Awarded the 16th National Innovation Award by Research Center for Biotechnology and Medicine Policy, 2019 I want to express my sincere appreciation and hearty congratulation to our Lymphedema Microsurgery Team for winning the first place of Clinical Innovation Group at the 16th National Innovation Award by Research Center for Biotechnology and Medicine Policy, 2019. We are truly humbled and honored to receive this award. It particularly recognized our work and research in lymphedema and it’s an amazing feeling of getting acknowledged for the efforts that we put in lymphedema microsurgery over the past 20 years. It is appropriately deserved by our team who have implemented innovation, research, and practices that improve our ability to serve national and international lymphedema patients. We will maintain the same level of diligence in our work and keep creating innovative ideas in the same way for helping more patients.

A professional team of anesthesiologists, making surgery safer Our team is professionally licensed and every operation is fully monitored, giving you and your family peace of mind. Miffy Chia-Yu Lin Miffy Chia-Yu Lin, a Ph.D., is the lymphedema coordinator at the Center of Lymphedema Microsurgery. She is the contact person for patients to book consultations with Dr. Cheng. She can be contacted by phone, email, or WhatsApp. She is extremely knowledgeable in treating lymphedema patients and committed to strive for the continuous improvement of lymphedema care and treatment. She has been working at the center for over a decade. She is also a member of the Sigma Theta Tau International Honor Society of Nursing. A+ Surgery Clinic offers: Primary lymphedema Upper limb lymphedema following breast cancer treatment Lower limb lymphedema following gynecological cancer treatment Lower lymphedema presented after trauma or other surgeries

瞭解更多鄭明輝院長首創的淋巴水腫分級評分系統，透過客觀測量和先進的影像技術來分析症狀，能夠精準盤段及確保術後最好的結果。 Cheng Lymphedema Grading Systems Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Lymphedema Grading Systems Using physical exam findings, history of disease and imaging modalities, several classification schemes have been proposed to stage lymphedema. Perhaps the most widely used is the International Society of Lymphology staging system. But this staging system is based only the clinical symptoms, but no objective measurement or imaging assessment. As our understanding of lymphedema has evolved and technologies improved, other staging systems based on clinical presentation, circumferential measurements, objective measurements, lymphatic imaging or a combination thereof have been proposed. Effective and precise treatment A system adopted by the world At our center, we use the Cheng Lymphedema Grading system based on symptom severity, circumferential difference, and lymphoscintigraphy imaging to determine appropriate treatment, which was published on the Annals of Surgical Oncology, a renowned journal: A Prospective Evaluation of Lymphedema-Specific Quality-of-Life Outcomes Following Vascularized Lymph Node Transfer. (Patel KM, Lin CY, Cheng MH.) and book: Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015. Cheng Lymphedema Grading Chinese English 上肢淋巴水腫分期（病例） Chinese English 資料來源： Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015, page 204. 下肢淋巴水腫分期（病例） Chinese English 資料來源： Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015, page 204. Novel Taiwan Lymphoscintigraphy Staging System Dr. Cheng is the author of the Cheng Lymphedema Grading System with integration of Taiwan Lymphoscintigraphy Staging which was published in Annals of Surgery (the top Surgery Journal) in July 2018. The Cheng Lymphedema Grading System with integration of Taiwan Lymphoscintigraphy Staging, a comprehensive objective assessment tool that analyzes lymphedema symptoms with quantitative measurements and advanced imaging technology, can effectively help physicians evaluate the severity of lymphatic obstructions, determine the accurate diagnosis, select the most appropriate procedures to treat lymphedema, and ultimately ensure the favorable functional outcome and finest quality of life for lymphedema patients. Taiwan Lymphoscintigraphy Staging Chinese English 資料來源： Cheng MH, Pappalardo M, Lin C, Kuo CF, Lin CY, Chung KC. Validity of the Novel Taiwan Lymphoscintigraphy Staging and Correlation of Cheng LymphedemaGrading for Unilateral Extremity Lymphedema. Ann Surg. 2018 Sep;268(3):513-525 Partial obstruction Total obstruction Recommended reading journal A Prospective Evaluation of Lymphedema-Specific Quality-of-Life Outcomes Following Vascularized Lymph Node Transfer. Patel KM, Lin CY, Cheng MH. Ann Surg Oncol. 2015 Jul;22(7):2424-30 https://www.ncbi.nlm.nih.gov/pubmed/25515196 Validity of the Novel Taiwan Lymphoscintigraphy Staging and Correlation of Cheng LymphedemaGrading for Unilateral Extremity Lymphedema. Cheng MH, Pappalardo M, Lin C, Kuo CF, Lin CY, Chung KC. Ann Surg. 2018 Sep;268(3):513-525. https://www.ncbi.nlm.nih.gov/pubmed/30004927

痣變大就是皮膚癌嗎？病毒疣硬又痛很像雞眼？皮膚疑難看過來 痣、疣、黑色素瘤到處長，應該如何處理？ 雷射、冷凍、手術切除多元治療方案，幫您徹底瓦解頑固痣細胞，杜絕癌變風險 除痣 除疣療程 Mole removal treatment 痣變大就是皮膚癌嗎？病毒疣硬又痛很像雞眼？皮膚疑難看過來 痣、疣、黑色素瘤到處長，應該如何處理？ 雷射、冷凍、手術切除多元治療方案， 幫您徹底瓦解頑固痣細胞，杜絕癌變風險 惱人的痣長在臉上好困擾，痣究竟是如何形成的? 痣的形成主要是因為黑色素細胞（也稱痣細胞）聚集而成，形成方式分為以下3種： 1.接合痣（Junctional nevus，又稱交接面痣） 痣細胞分布於表皮及真皮交接面，這個地方也稱作基底層。接合痣大概是最常見的痣，面積一般不大，且形狀扁平，顏色呈棕、黑色。 2.真皮痣（Intradermal nevus） 痣細胞分布於真皮層，通常這種痣因為基礎打得穩（從真皮長出），因此不僅體積可能較大，也可能會凸起甚至長毛。 3.複合性痣（Compound nevus） 就是以上2種痣的混合型，痣細胞的分布貫穿表皮層與真皮層，因此同時具有2種痣的特徵。 什麼樣的痣可能是惡性?「痣」我檢測4大指標 邊緣： 良性的痣邊緣通常規則且圓滑;邊緣不規則或有突出不圓滑的痣可能有問題，有時容易流血。 顏色： 顏色改變、顏色深淺不一。 大小： 太大的痣出現惡性變化的機會較大，直徑大於6毫米(mm)的痣需要特別注意。 高度： 隆起快速長大，或隆起的痣都要特別小心。 「特殊部位」與「異常徵兆」的痣要提高警覺 以下是改善皺紋問題常見的幾種治療方式： 1.長期受摩擦刺激的痣 戴胸罩處和腰部的痣，比較容易病變，發生異常變化時要提高警覺。 2.出現非 典型變化的痣 平均（雜色）、邊緣不平整或不規則、界線不明顯、左右不對稱、直徑大於0.6公分的痣都要多留意，盡速到醫院檢查。 3.單一的痣突然快速變化 如果是全身的痣因為荷爾蒙的變化而同時變化，較無疑慮，如果是單一的痣突然快速變化，就值得注意。 4. 長在特 殊部位的痣 如 長在肢端（手腳）的痣，必須注意觀察，因為這些地方的痣比較容易被忽略，也比較會長期受到摩擦刺激。 5.黏膜的痣 口腔黏膜、結膜、陰道、包皮翻出來那些部位的黑痣，比較容易發生病變。 6.指甲下方的痣 指甲出現縱向黑色條紋稱為「黑甲症」，因為痣長在指甲下面，被指甲擋住，不容易看出變化，也容易被忽略。這種情形應注意指甲鄰近的皮膚有沒有變黑，若有就要馬上就醫進一步檢查。 7.先天痣本身就具高危險 嬰兒一出生就看得到的痣叫先天痣，先天痣不多，根據統計1％的新生兒有痣，並非所有先天痣都是一生出來就有危險，大小是重要因素。一般來說越大的痣，將來變惡性的機率較大，醫師建議痣若大於10毫米(mm)時應定期檢查。 雷射除痣原理與方法 目前除痣大多都是以雷射方式來進行，原理是以特定波長的雷射機型照射痣，擊碎黑色素痣細胞，將肉眼看到的痣打掉，可以有效去除其組織。但痣的深度無法由肉眼探測，故需經過多次的治療才能徹底清除。雷射治療完畢後，再貼上人工皮以防水、避免傷口發炎或感染，傷口只要確實做好護理和防曬，就不會留下疤痕。 淺層痣和深層痣，應該選擇哪一種治療機型? 常見用來除痣的雷射機型有淨膚雷射、飛梭雷射、鉺雅鉻雷射及二氧化碳雷射 (CO2雷射)，有的醫生會使用淨膚雷射去除比較淺層、好處理的痣；如果痣比較大顆、長得比較深層，就需要使用飛梭雷射、鉺雅鉻雷射機型或二氧化碳雷射 (CO2雷射)照射治療，讓痣細胞汽化掉。 無論淨膚雷射、飛梭雷射還是鉺雅鉻、二氧化碳汽化雷射，都能淡化擊碎黑色素痣細胞，達到除痣的效果，差異在於淨膚雷射能夠以較少的次數清除淺層、較淡的痣；顏色和位置都較深的痣，則需要透過後3種機型且多次的汽化痣細胞。 哪些情況不適合雷射除痣? 以下是改善皺紋問題常見的幾種治療方式： 1.雷射可能需要多次施打 面對較大較深的痣時，手術除痣比較有機會一勞永逸；每種雷射除痣都可能需要多次施打，進行3~5次的雷射，才能確實清除。 2.還是有留疤的可能性 如果術後照護不夠完善，雷射除痣還是有可能留疤。 3.蟹足腫體質 由於雷射除痣仍有可能留疤，容易不正常疤痕增生的蟹足腫體質者，不建議進行雷射除痣，特別是除臉上的痣，建議改以手術處理。 4. 太大、太深的痣無法雷射清除 面對比較大顆、長在皮膚深層的黑痣，只能透過手術才能徹底清除。