Dr. Roye Tsai

Dr. Roye Tsai

Special face shape sculpture: face cut bone, chin surgery, eye shaping, nasal plastic surgery and microplastics.

When skilled, since it is not limited to technology, the assessment can be more comprehensive, with the most beneficial to the customer's point of view design surgery, so that customers with minimal sacrifice to obtain a safe and beautiful appearance.
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Introduction to Sculpture

Having an oval face is the dream of many people's minds; but pie face or square face is the usual face shape Oriental has, especially with the northern national origin of Mongolia and Korea, the rate is very high; in Taiwan, the square face is less than Korea, but the tall cheekbones or square jaw bone is very common to see.
 
People with particularly developed cheekbones, the cheeks will be relatively large and slightly raised to the front, the so-called "pie face".
People with developed jaw bone, face shape will be particularly square and large, side view there will be an unexpected angle, called "square face".
 
Facial face can be divided into the following categories:

Oval face Oval face
Diamond face Diamond face
Round face Round face
Pear-shaped face Pear-shaped face
Short square face Short square face
Rectangular face Rectangular face

Side:
 

凸嘴 凸嘴
凸嘴下顎內縮 凸嘴下顎內縮
凸嘴長臉 凸嘴長臉
下顎整體凸出 下顎整體凸出
後縮下巴 後縮下巴
戽斗下巴 戽斗下巴

By changing the sleeping posture to improve the shape of the skull, only one year old infants and young children have effect; in the period of children to teenager fastest growing development, face shape with bucket or buck-tooth, you can correct with dental treatment in advance to prevent or improve; but there is no way to prevent square face or pie face. In general, after 16 years of age, facial bone has completely developed, intend to change, have to rely on plastic surgery to reach the goal.

The basic elements that make up the face shape include hard tissue (bone) and soft tissue (skin, fat, muscle), so the method of changing the face shape is also divided into "bone surgery" and "soft tissue surgery", according to the different needs, choose their own way:
Bone surgery - bone is the basis of the face shape, skeleton plastic surgery is the best of all with the best results, and even change face.
Soft tissue surgery - soft tissue is the appearance of the face, but also the place for important nerve and vascular tissue pass through; the effect of soft tissue plastic surgery is not obvious, can be used to improve the appearance, but not easy to have the effect of change face.
 
People need to change or intend to completely change the face, choose bone surgery.
→ Related articles: facial bone sculpture methodzygomatic arch osteotomy pushjaw angle excisionchin surgery
 
People do not dare to try hard plastic or just need a small improvement, choose soft plastic. Soft plastic surgery is divided into injection of botulinum, autologous fat transplantation, facial liposuction.
→ Related articles: fine talk about soft plastic surgery and surgical methods
 

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Scarf Sculpture Method
Facial bone surgery is the cosmetic surgery developed from the craniofacial reconstruction surgery, the two operating skills are similar, the biggest difference is that the former pay more attention to the beauty and visual effects, so the results will be different.
 
Related to the face shape include: cheekbones, jaw bone and chin.
Other facial operations include: forearm bone, brow and nose bone. Is also a common facial bone sculpture surgery.
The good and bad of the face shape, in addition to the difference between the size and width, the difference produced by the visual effects actually more important. Good visual effect is usually to increase the three-dimensional, which is the goal for the face shape sculpture to pursue. Changing the bone is more likely to achieve this goal than changing the soft tissue, because the shape of the bone is fixed and it is easy to do the visual effects required by the surgical design. Relatively, the soft tissue shape is not fixed, often do not get a good visual effect, sometimes it is worse.
Cheekbones, jaw bone, chin Forearm bone, brow, nose bone 
Surgery must consider other factors:
  1. Whether symmetrical or not
    The probability for the square face both sides of the jaw bone to develop asymmetry is high. Before surgery must be correctly diagnosis, to distinguish the problems belongs to the bone or soft tissue, choose surgery to be amended.
  2. Whether the masticatory muscles are overweight
    People with simple masticatory muscles overweight, can choose to inject botulinum, but only temporarily; you can also choose osteotomy, get permanent effect. Surgery does not need to remove the muscle, because the muscles will naturally shrink after surgery, but it takes 3 to 6 months for face shape to be completely fixed down.
  3. Full and hypertrophy face shape
    Can also do facial liposuction surgery or remove part of the oral wall fat. The ratio of the chin must also be considered, square face people often have too short jaw problems, can do the chin plastic surgery, to strengthen the overall coordination.
  4. Whether the face skin is loose
    People with loose cheek, after the cheekbones bone grinding surgery, may deteriorate, can consider doing pulling surgery at the same time. If it is to do zygomatic reduction and zygomatic arch shift surgery, there will be no such consideration.
  5. Are there any other requirements for plastic surgery?
    The most common surgery for face-shaped sculpture surgery is double eyelid and nasal plastic surgery.
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Soft Plastic Surgery and Surgical Methods
Soft Tissue Sculpture Method: Soft tissue includes skin, fat and muscle. Reduce the volume of subcutaneous fat or masticatory muscles can improve the face shape. Methods as below:
  1. Masticatory muscle injection of botulinum
    Botulinum can reduce the volume of masticatory muscles, very helpful to improve the jaw curve.
    ◆ Method: direct injection in the masticatory muscles
    ◆ Time: the first week of feeling bite strength reduction, the obvious effect appeared after a month, the effect lasted for six months (favor to bite hard food time will be shortened). Recommended injection once every 6 to 8 months .
    ◆ Effect: masticatory muscle hypertrophy effect is obvious, bite force reduction, can improve the night molar or migraine symptoms, no effect on the mature skeletal shape, (mature bones are not affected by botulinum injection, but after six months of bone surgery recovery period, the injection of botulinum can prevent bone regeneration) must be injected regularly to maintain the effect.
    ◆ Advantages: simple and safe treatment, no recovery period, eliminating the fear of surgery
    ◆ Disadvantages: the effect is often not as expected, the cost is not cheap and must be regular injection, poor economic efficiency
    ◆ Applicable: good skeleton condition, but people with masticatory muscle hypertrophy affect the jaw curve, after the bone sculpture, the prevention of bone regeneration, people with night molars or tension type migraine symptoms.
     
  2. Face fat plastic surgery
    Fat has always played a very important role in the face, its quantity, health or not, deeply affect the aesthetic feeling. Fat is also an important structure that protects vital organs from the maintenance of young skin and supports elastic fullness is definitely not the general imagination of the rubbish. So, unless necessary, do not change it in any way.

    2-1 Autologous fat transplantation: Many people have cheek depression troubles, because it looks haggard old, most people intuitively think of "make up fat", that the depression can be filled to improve, but sometimes got the disappointed result, because the face becomes larger. This is because there is no proper distinction between "true" and "false" cheek depression before surgery. This idea must be clarified first in order to choose the correct surgical method.
True cheek depressionFalse cheek depression
There is no prominent problem for skeleton, simply created because of subcutaneous fat atrophy (too little fat or thinner to make the cheek depression), then you should choose fat transplant surgery.Cheek depression is caused by prominent facial skeleton, mainly cheekbones and jaw angle. Although the fat transplant surgery can improve the depression, but the face becomes larger; choose facial bone sculpture surgery, can change the face shape, also can improve the cheek depression.

◆ Method: extract the thigh or abdominal fat, after centrifugal screening, and then inject a good fat to fill deep under the face skin. Each site filled with 10 ~ 20cc.
◆ Time: part implanted fat will be decomposition and absorption, about 30 to 50% survived to become a stable support force. All need two to three months. Sometimes in order to get the desired outcome of the operation, the physician will deliberately implant more fat then after the absorption the left amount of fat just meet the needs, before that, surgery patient must tolerate the cheeks up the temporary sequelae, need for three to six months. Sometimes the fat will gather to form fibroids, will touch the lumps, to wait patiently and massage. Will gradually disappear, take more than six months.
◆ Effect: Successful surgery will make face look better, younger. Often need more than two operations to maintain good results. The results of surgery will change with the change of body fat and thin.
◆ Advantages: simple and safe surgical methods, cheap, less sequelae.
◆ Disadvantages: physicians are not easy to accurately control the number of implanted fat, often need a second operation, causing unnecessary distress. Facial lines change flat, little visual effect (less three-dimensional change ). Surgery results will change with the body fat and thin, persistent uncertainty.
◆ Apply: true depression, including: cheeks, temples, eyes, tears. Face other fill, including: the front jaw, chin, nose.
 
2-2 Facial liposuction surgery: Many people complain that the face is too big, want to face-lift, intuitive think that liposuction surgery can change face shape, but often only get disappointed. Because the face of the main culprit is the bones, just by removing the fat cannot get the satisfy results. Sometimes, in order to get better results, fat pumping too much, so the skin loss saturation, instead get the result of aging feeling. Before do facial liposuction, should determine whether the shape of face is good or bad with the skeleton, but also to avoid excessive fat, so as to avoid the occurrence of aging sequelae. Method:
Traditional: the face dedicated lipstick tube to extract the subcutaneous shallow fat, deep fat, too close to the nerve cannot extract.
Shock type: relatively new liposuction tools, you can extract more deep fat.
◆ Time: just finished surgery because of swelling cannot see the effect. Be patient for three to six months
◆ Effect: can improve the face shape, but the change is limited.
◆ Advantages: simple and safe method, people with full subcutaneous fat is very effective.
◆ Disadvantages: physicians are not easy to control the precise amount of extraction, and occasionally need second surgery can only improve the face shape, visual effects are not ideal, usually only as a result of adjuvant surgery, the result will change with the body fat and thin, persistent uncertainty.
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Brachial Arch Osteotomy
Zygomatic arch contains part of the cheekbones and part of the temporal bone, two bone junctions is nature weakness, a good place easy to break bone.
Zygomatic arch osteotomy within the push surgery, change the visual angle is the focus of this operation, not just change the size of it.
There are many different cutting methods:
  • I-Cut Method  
  • L-Cut Large  
  • L-Cut Method
  • L Cut + Truncate can zoom in and out
 
 Brachial arch osteotomy 正面顴骨位置
 Brachial arch osteotomy 側面顴骨位置
many different cutting methods 數種切割法

Zygomatic arch push principle:
(Figure 1) the widest point of the face shape is in the temporal bone arch back, zygomatic arch push to effectively narrow the face shape.
(Figure 2) zygomatic arch push, the back more than the front end, visual angle changes then can meet the narrow demand.
(Figure 3) zygomatic arch inside only adipose tissue and temporal muscle, adipose tissue can be compressed, therefore, can do the zygomatic arch push.
(Figure 4) zygomatic arch after the push will leave a small part of the prominent, it is the teeth joints, must be retained.

 Brachial arch osteotomy
 Brachial arch osteotomy
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Chin surgery

臉形雕塑講究的是視覺重組的概念 ,醫師在每個人不同的基礎條件下,做出最恰當的專業判斷和技術支持,透過調整比例和線條,提升立體度。術前和醫師的溝通很重要,是因為「 工作關係」呢,還是個人單純的「追求美麗」,不同的需求會有不同的作法,如:

  • 職業因素,需要上鏡頭的話,可以強調線條感。
  • 非職業需求的考量,我們就讓線條符合自然。除此之外,想要偏成熟感呢或是可愛感,也都會有不同的作法。
U形下巴 U形下巴
菱角下巴 菱角下巴
Positive short chin 短下巴
Positive short chin 長下巴
Positive short chin 標準下巴
不對稱下巴 不對稱下巴
後縮下巴 後縮下巴
標準下巴 標準下巴
戽斗下巴 戽斗下巴

下巴整形在臉形雕塑裡扮演著很重要的位置,下巴的調整可以達到較大幅度的視覺假象,雕塑臉形未必只能靠減法,如:臉太圓,除下顎骨的削骨外,也可以是透過下巴延長手術,去調整臉部比例 。下巴手術是例用手術縫線控制下巴外形,在不影響正常功能的情況下,將肌肉固定在我們希望的活動範圍內,不讓它外擴。手術方法分為以下幾種:

  1. 磨骨(改善有限)
  2. 人工骨填充
  3. 截骨手術(延長、縮短或縮窄)
  4. 下巴肌肉縫合
* 人工骨填充示意1
* 人工骨填充示意2
* 人工骨填充示意3

Chin osteotomy can be used to extend the chin, shorten the chin or narrow the chin.
Will horizontal truncate the chin bone, do the appropriate move, before, after, up, down or compound mashup move to reach the chin push forward, backward , elongate, shorten purpose.
Common cutting method - large angle short axis cutting method, is in accordance with the guidance of textbooks, large angle, short axis cutting, technology is simple, fast, but easy to leave a clear fault, not easy to polish, resulting in appearance defects and problems.
Cai Zongru physician innovation breakthrough, exclusive cutting method - small angle long axis cutting method, switch to small angle, long axis cutting method, can completely eliminate the fault defect, so that the results close to a perfect perfection, but the higher difficulty, unskilled physician is not easy to use.
General common cutting method
下巴截骨手術 Dr. ZongRu Tsai physician innovation breakthrough
Small angle long axis cutting method
Full titanium staple fixation
Do not use bone graft to fill the gap
下巴截骨手術 General common cutting method
Large angle short axis cutting method
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Surgical design principle of jaw angle
The principle of the mandibular sculpture is simple, that is, to minimize the prominent part of the bone to both sides, or to properly cut the prominent part to create a beautiful arc.
 
The mandibular bone is a skeleton of a three-dimensional U-shaped structure. The detailed structure includes: the lower arch, chin, jaw body, jaw angle, jaw branch and temporomandibular joint condyle. Among them, the closely related part to the face shape: chin, jaw angle and the jaw body.
(Anatomical illustration of the jaw bone)
 
The jaw angle can be divided into many different types, including: oblique square, round square, square, and square.
Jaw angle can also be in accordance with its three-dimensional structure tendency to divide into "outer type" and "inverted type."

Jaw angle is the place where the masticatory muscles are attached, will be affected by the chewing habits and change the shape, so people who like to chew or like to eat beef jerky and other food, in addition to masticatory muscles will become hypertrophy and make face wide, But, also make the jaw angle more developed, so that the face is more prominent.
 
The shape of the jaw angle determines the lower arc of the face shape side view; the outer degree of the jaw angle also affects the lower part width of the face. Therefore, the removal of the jaw angle is one of the important steps to improve the face shape; however, facial nerve and jaw angle is very close, unskilled surgical techniques may hurt the facial nerve, causing serious sequelae, so the choice of physicians is very important. Jaw angle is divided into two layers of internal and external bone layer, the middle of the bone marrow cavity, surgical methods also do not need to remove the jaw angle, and only remove the jaw angle outside bone layer, to retain the bone marrow cavity and internal bone layer; some people jaw angle is not particularly developed, hoping to keep the arc of the jaw angle, and want to reduce the width, can use this method. The distance between both side jaw bodies (that is, the width of the U-shape) determines the width of the lower face, but it cannot be changed. However, the jaw body is divided into two layers, the middle sandwiched bone marrow cavity, you can use the surgical method to remove the outer layer, for more space to reduce or change the curvature of the jaw body.
 
The chin is one of the very important elements of the face shape, although it belongs to the part of the jaw bone.
The distance between the two temporomandibular joint condyle (that is, the width of the both side temporal jaw joint) also affects the width of the face shape (which is different from the width of the head shape), which cannot be changed, and the place has been cover by hair sideburns, affect the visual effect of face shape is not large.
 
Zygomatic arch is an important factor affecting the width of face shape.

The jaw bone also has an important structure, that is, "chin nerve." From the inner side close to the upper part of the lower jaw bone through bone marrow cavity, along the bone marrow cavity all the way forward and supply the lower row of teeth perception, now, it is called "lower alveolar nerve". Until close to the canine it through the nerve hole again, into the lower lip, responsible for the lower lips perception, known as the "chin nerve." It is the most important culprit caused postoperative pain after surgery, surgery will often pull it, causing lips consciousness temporary numb; if the surgery hurt it, may cause permanent perception numbness. (This is the perception of nerve, not facial nerve kind of motor nerve, after the injury will only cause numbne
ss of consciousness, and different than facial nerve injury will cause the mouth crooked and eyes oblique.)
 
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Surgical method of removal of jaw angle
Surgical are divided into three methods, in addition to the first use only grinding method, the other two are with the grinding bone and cut bone method. There are two methods of oral and oral outside surgery, both pros and cons have been controversial, but the oral surgery has been very mature, oral outside surgery has been eliminated.
(illustration)
 
1.Grinding bone surgery
This operation does not remove the jaw angle, only the jaw angle and jaw body outer bone grind off, the thickness to grind off is limited, only up to 5 ~ 6mm,the improved effect is not obvious
Advantages: technology is simple, not easy to bleed
Disadvantages: limited effect
2. Angle Splint Osteotomy (ASO)
This operation also does not remove the jaw angle, with a knife method to remove the jaw angle and the outer body of the jaw body, retaining the bone marrow cavity and the inner bone layer, so also retained the original jaw arc; only reduce the thickness of the outer bone layer, change the magnitude is not big. In addition, because the inner bone layer is still there, the masticatory muscle still have skeleton support, masticatory muscle hypertrophy problem cannot be solved, so the improvement is usually not obvious, only suitable for a few people.
Advantages: to retain the original jaw arc, suitable for people who want to narrow the width and want to keep the jaw angle
Disadvantages: the improvement is limited, only the appropriate candidates have effect. Surgery using a chopper, the risk is still there, to choose the experienced physician because the incision of the bone marrow cavity, bleeding conditions need to control, there are coagulation dysfunction, anemia, or facial hemangioma are not suitable.
3. Angle resection
This surgery will remove the jaw angle, a greater range of change; and because the masticatory muscle loss of skeleton support will slowly shrink, but also partly solve the problem of masticatory muscle hypertrophy. Jaw angle incision position must avoid the bone marrow cavity in the lower alveolar nerve, it will not cause the numbness of the numbness of consciousness. And the curvature of the incision must be done with the chin to create a beautiful and coordinated jaw arc.
Advantages: significant changes in surgical range, part of the problem to solve masticatory muscle hypertrophy, jaw arc can be re-shaped.
Disadvantages: high technical difficulty, the existence of risk, to select the experienced physician, bone marrow cavity was cut, bleeding situation to be controlled, the surgery patient must be screened.
 
  • 上切點:最高點不超過咬合面為原則。
  • 定位點:保留寬度決定了定位點;定位點決定了手術結果。
  • 下切點:不同定位點,得到不同的切點。
  • 保留寬度:建議保留1.5~2.5cm
  • 切除寬度:平均介於1.0~2.2cm

At present the mainstream approach is that the lower jaw angle surgery, combined with grinding bone surgery to moderate reduction the lower jaw body, and create a good curvature. Sometimes with the chin, to make the appropriate length and width ratio, you can get very obvious visual effects. Chewing muscles do not remove; people with rich skin fat, may also consider liposuction surgery, otherwise the effect will be worse. Most people do simple bone surgery can get good results. Single grinding surgery, the effect is very limited, poor satisfaction. Surgical risk is there, the choice of experienced physicians is very important; physicians must also do a screening check, remove those who are not suitable for surgery, in order to avoid dangerous situations.

  •  
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Face shape sculpture is suitable for age
Although many young people have been very mature in appearance, but the actual physical or psychological maturity is not necessarily mature as the appearance, so need to set the objective criteria to distinguish between appropriate age for surgery:
 
• The age of facial bone developing mature is about 18 to 19 years old, so the operation age is at least older than 18 years old, then it will not affect the normal development.
•The large-scale plastic surgery of face-shaped sculpture requires not only mature physiologic, but also need enough mental maturity to undertake the pressure and impact of surgery, although 18 years old is already a mature age of facial bone development, still there are someone advocate late surgery is better, I think the best surgery age should be 22 to 25 years old, because the school has been completed, life is about to enter the workplace of the competition, it is the best time to change a beautiful new face , and no school and work restrictions, there is enough recovery time.
• To take surgery under the age of 20 should be approved by a legal representative, that is, must obtain parents’ approve to operate.
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Does cut bone pain hurt
Many people do not dare to surgery because of fear of pain, especially after the media exaggerated rendering, causing too many unnecessary anxiety, "fear of pain" is the biggest psychological barrier of the surgeon, in fact, worry too much, near the chin surgery will be pain, "Pain or no pain" is different because of person, and related to the surgical content:
 
Where is the difference between pain and no pain?
Bones does not have perception is not aware of the pain, face shape surgery caused by the pain of two:
1. Surgical wounds - limited to oral mucosa and a small number of facial skin, the feeling of pain is not high
2. Sensory nerve - mainly the under chin nerve, its position on both sides of the chin, near the back of the canine teeth, in charge of the lower lip and chin around the skin perception, the closer the surgery to the chin has the higher chance of pulling the nerve , and produce pain, the main pain is caused by this.
 
• which surgery will hurt?
The principle is that the closer the surgical position to the facial features:
Cheekbones surgery - because away from the facial features, almost no pain.
Jaw angle resection (without jaw body narrowing and chin shaping) - because it will not pull the nerve, nor too painful.
Jaw angle resection and jaw body narrowing (without chin shaping) - higher chance to pull the nerve, the pain is obvious.
Jaw angle resection surgery, jaw body narrowing, chin plastic surgery - the surgery chance of producing pain is high.
 
What are the pain-relieving methods? A big difference in pain sensitivity due to personal physical condition, the general practice is as follows:
1. Morphine drugs: This drug is given only after surgery and during hospitalization, usually only two days, by the medical staff injection or by the instrument control through the person with surgery to give their own, the analgesic effect is huge, but the side effects of dizziness and vomiting also often occurred, because the face shape surgery will almost all through the mouth, in order to avoid the risk of increased respiratory tract obstruction, it is not commonly used.
2. injection of non-steroidal pain drugs: this drug is also given during hospitalization, analgesic effect is small, but the use on face-shaped surgery analgesic effect is enough, will not lead to vomiting, relatively safe, usually used after the end of surgery, the next day can be replaced by oral drugs.
3. Oral non-steroidal pain drugs: most people need as long as 3 to 5 days of drugs, a small number of people does not even need drug to stop pain.
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Oral surgery or Outside?
Cheekbones and jaw bone surgery to choose oral and outside oral surgery, from the past to the present has been controversial, cheekbone surgery controversial is still large; jaw bone surgery has been certain as oral surgery, outside oral surgery should be eliminated.
 
Outside oral surgery
The biggest reason to choose oral surgery is to avoid the risk of intra-oral surgery, including: easy bleeding, surgical vision is too small, respiratory obstruction and so on, but the above problems have been overcome by technology. Many people think that outside oral surgery can avoid facial nerve injury, in fact, it is the wrong idea, in theory, the chance to hurt the facial nerve through the outside oral surgery is higher.
 
Oral surgery
The biggest reason for choosing an oral surgery is to avoid creating visible scars, but the difficulty of oral surgery is high, and physicians need to have professional training, which is the main reason that the past considered as high risk, as long as the physician take professional training then can overcome. Jaw bone surgery has been all changed to oral surgery, in addition to no visible scars, the view of surgical field even larger, can do the overall jaw bone sculpture and chin shaping, no longer just remove the jaw angle, the effect of surgery is good; cheekbone surgery is currently There are still oral surgery inside and outside the controversy, each with advantages and disadvantages, in principle:
• change the range of the larger demand for cheekbones surgery to choose oral and outside oral two ways to match.
• Change the size of the need for smaller zygomatic surgery to choose oral surgery will do.
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Possible sequelae
  • Face swells
    Continue for 2 weeks to 1 month, can prevented or slowed down by positive icing.
     
  • wound bleeding, produced hematoma or bruises on the skin
    The purpose of equipped drainage tube and the use of elastic bands is to prevent or slow down these problems. Avoid premature massage of the wound, prevent serious bleeding.
     
  • The cheek or the perimeter of the mouth is dull
    A small number of patients will have this condition, because the wound swelling after surgery, facial sensory nerve caused by oppression. Avoid overheating food and prevent accidental burns. Usually takes 2 to 4 weeks of time, wait till the wound swelling elimination then will recover. Very few cases will occur under the "lower orbital nerve" or "lower alveolar nerve" damage, resulting in oral cavity or cheek permanent perceptual paralysis. Experienced physicians can avoid such damage.
     
  • Difficulty to open mouth
    Because caused by the masticatory muscle swelling or wound swelling; after swelling elimination will slowly recover, it takes about 2 weeks.
     
  • facial nerve injury
    Temporary facial nerve palsy - caused by normal pull during surgery, or wound swelling. Zygomatic surgery may occur the phenomenon of disappearance of the nose pattern; jaw bone surgery may occur on both sides of the asymmetry phenomenon. The probability of occurrence is not high, and after 2 to 3 months will slowly recover.

    Permanent facial nerve injury - the probability of occurrence is very low, mostly related to the jaw bone surgery. Many professional design of oral surgery equipment, can avoid such sequelae. However, surgery still need for experienced surgeons to perform, to ensure that surgery is safe and effective.
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The difference between face shape sculpture and orthodontic surgery
Both surgery is complex facial bone surgery, the operation with high technical difficulty, need professional surgeons to perform. In general, the main purpose for orthodontic surgery is to rebuild the occlusal function, but also have the function to improve the beauty of mouth shape; face sculpture is a cosmetic surgery, do not involve bite function therapy, the purpose is to change the face shape.
 
Orthodontic surgery Orthodontic surgery
Face Sculpture Surgery Face Sculpture Surgery

 
 Orthodontic surgeryFace Sculpture Surgery
Surgical purposesTo correct bad teeth, reconstruction of occlusal function. Improve the gums exposed, buck-tooth, bucket. Non-surgical orthodontics can begin at the age of 8.Improve bad face shape, is cosmetic surgery.
Surgical rangeUpper and lower jaw bone and dental archjaw bone, chin, forehead, eye brow
Treatment of orthodonticsDentistry for Diagnosis and Tooth Making Design, Oral surgical or Orthopedic surgical perform surgeryOrthopedic surgical
Surgery Ageover 18 years of ageover 18 years of age
Recovery time3 to 6 months
In addition of Surgery, the need for 1 to 2 years of dental correction treatment.
3 to 6 months
Applicable to the objectgingival exposed, buck-tooth, bucketsquare face, square face, chin too long or too short, high cheekbones, cheekbones wide, high eye brow, forehead bone depression and so on
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Sew double eyelid
Sew double eyelid surgery, also known as stapler surgery, simple and effective double eyelid surgery.
Suitable for young ethnic groups and conditions appropriate light age group.
Mature age, eyelid sagging, or severe blister, not applicable.
The number of pin used about two to four, the most is five.
Non-permanent surgery, reasonable validity about three to five years.
Recovery period: fast on the day, slow for two weeks, a very small number of people need a month.
Postoperative protection: solid forming takes one to two months, should avoid rubbing the eyes.
Wear contact lenses to be gentle, should be avoided within two weeks.
 
Subcutaneous fat too much, a lower form probability, can be changed into small incision surgery, or traditional cut double eyelid surgery is appropriate.
Forming failure probability exists, can repeat surgery to improve.
If failure keep on happen, should be changed to small incision surgery, or traditional cut double eyelid surgery.
Forming too narrow, can do the second surgery, repositioning high point to improve.
Forming too wide, at the beginning still not shaped, can rubbed with hand to resolve their own.
If the shape has been formed, must use cut double eyelid surgery to improve.
Early surgery, easy to have too wide illusion, do not decide too fast, recommended waiting for two weeks.
 
Cut double eyelidSew double eyelid
Suitable for too much fat, can improve the bubble eyeSuitable for the upper eyelid thin and loose, eyes became brighter after lifting.
Suitable for young mature ethnic groupsSuitable for young ethnic groups
Permanent surgeryNon-permanent surgery, reasonable period of about 3-5 years
Surgery timeSurgery time
Recovery period of 1 week, slow for 2 months, special situation need more than 6 monthsRecovery period on the day, slow for 2 weeks, very few people need 1 month

 
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Cut double eyelid
Cut double eyelid surgery is often misunderstood, think that the probability of failure is high, in fact, it is a variety of surgery, successor not depends on physician sense of beauty and skills.
 
Recovery period: fast for one week, the slow need two months, special situation to need more than six months (for example, combined eye muscle surgery).
Early surgery illusion of too wide, or asymmetry on both sides. It is advisable to wait two months is appropriate
If need to rebuild, should be separated by more than two months.
Unless there is a obvious error situation, not too fast for second surgery.
Symmetry on both sides of the operation are common concerns, and also the trouble doctors can not completely avoid.
Some are congenital conditions, some are caused by surgery.
Please have more patient to wait for recovery period, but also positive to give doctors the opportunity to amend, then it is a win-win guarantee.
 
 
Cut double eyelidSew double eyelid
Suitable for too much fat, can improve the bubble eyeSuitable for the upper eyelid thin and loose, eyes became brighter after lifting.
Suitable for young mature ethnic groupsSuitable for young ethnic groups
Permanent surgeryNon-permanent surgery, reasonable period of about 3-5 years
Surgery timeSurgery time
Recovery period of 1 week, slow for 2 months, special situation need more than 6 monthsRecovery period on the day, slow for 2 weeks, very few people need 1 month
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Double eyelid repair surgery
Bad double eyelid cut, can it be rebuilt? The answer is: yes.
Change the fixed position of the eyelids, have the opportunity to regain nature.
This is a difficult operation, quite a test for physician technology and knowledge.
Most physicians do not touch this surgery because they are often thankless.
 
Based on the physician's duties, the clinic is willing to help the trapped women to solve the problem, but repair is no guarantee for success, the patient need to understand this possible situation. The biggest key of success or not, is it still has enough eye skin for repair? After the assessment, only the eyelid fixed position is not good, a higher chance of success; if the eyelids have been cut too much, the chance of success is reduced, the serious one may not be able to improve.
 
Repair double eyelid, some conditions need multi-stage operation, non-primary surgery can be achieved.
Success goals are defined in, natural appearance, or acceptable state. The patient need to understand some people cannot achieve the perfect condition.
 
Surgery methods include: cut double eyelid again (most people need), sew double eyelids (only a few cases of mild people appropriate), self-fat fill (need when fat removed too much), eye muscle dressing (extremely serious person need)
Repair period: fast for two weeks, the slow for two months, serious one may be more than six months to a year.
If need stage surgery, surgery should not separate by less than two months, more than six months is better.
The above is for reference only, subject to consultation with the doctor, to determine the actual situation of the individual prevail.
 
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Elderly cut double eyelids
The most important reason for elderly cut double eyelids is to improve vision, because the aging sagging eyelids, cover the top of the field of vision, long period of time eyes easy fatigue, gradually affected vision.
The biggest difference with young surgery is the incision is particularly large, the young patient incision does not exceed the side of the orbital bone, the wound is easy to cover, not easy to find; the old surgery must exceed the orbital bone, end of the scar will be exposed, after the recovery period then is not obvious.

For the mature group, already has the sagging trouble with the end of eyes and eyebrows, but not to block the degree of vision, face lift surgery is the ideal choice, but some people are afraid of face lift surgery, can choose the elderly cut double eyelid surgery, removal of drooping excess eyelids, The same to improve the end of the eye sagging, but because there is no lift eyebrow, sometimes causing eyebrows more sagging consequences, can use the eyebrow repair techniques, the eyebrows shaved off the eyebrows, use the method of thrush or tattoo to change the height of the eyebrow, can clever escape from the skin surgery, still get the effect of pulling the eyes and eyebrow tail.
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Korean rhinoplasty VS traditional rhinoplasty
 
歪鼻樑 歪鼻樑
* 鼻翼肥厚
* 寬鼻樑
The better way to saying Korean rhinoplasty should be called "structural reorganization of rhinoplasty", also known as "two-stage rhinoplasty", that is, to do the nose surgery separation and re-combination according to the tissue structure, in order to achieve the purpose of substantial transformation the shape of nose.
Traditional rhinoplasty only adds the nasal mold into the body, do not change the nose tissue structure and the change is small. It is suitable for the operation patient in good condition.

There is also a significant distinction between the two surgical techniques level
Korean rhinoplastyTraditional rhinoplasty
High technical levelLow technical level
Long operation timeShort operation time
High costLow cost
Long recovery periodShort recovery period
Change bigChange small
High stabilityPoor stability

"Two-stage rhinoplasty" in accordance with the nasal tissue structure, divided into bridge of the nose and nose two blocks, respectively, with different surgical methods to transform, in line with human structure, therefore, long-term stability. The bridge of the nose is composed of nasal bone, belong to a hard structure. Nose is composed of nasal cartilage, belong to a soft structure. The most important spirit of this operation is that different structures create by different materials respectively.
 
The nose part belongs to a hard structure, which is suitable for selection of artificial model. Model appearance appears I-shaped, so, "two-stage rhinoplasty" also known as "type I rhinoplasty." The current model used in this clinic is the Cameron model. It is a silicone core, the outer coating Gore-Tex film, belonging to the composite material model. Nose belongs to soft nature, so choose autologous cartilage to meet the nose soft features. Practices include strengthening the supportive force and modifying the nasal cartilage in two parts. Autologous cartilage is first used to strengthen the support force, not directly added to the original nasal cartilage. Autologous cartilage is used at the end of the nasal septal cartilage, as an extension to strengthen the original nasal cartilage support force, nose shape is still present by the original nasal cartilage, to achieve the natural and stable high effect. This is the closest approach, but some people nasal septum is too low, or nasal cartilage is too soft, after the end of the nasal septum is extended, not high enough, put the remaining autologous cartilage on the nasal cartilage to achieve the high purpose. In this case, the nose shape is not the original nasal cartilage appearance, shape is very dependent on physician technology and sense of beauty, so the nose good-looking or not, is the physician decision, not the material decision, the material can only determine the touch and long-term stability.

* 結構重組式隆鼻(可愛型)
結構重組式隆鼻(成熟型) 結構重組式隆鼻(成熟型)
傳統隆鼻 傳統隆鼻 
In some cases, the original nasal cartilage is too large, too round, poor lines, must modify the nasal cartilage, in order to make the nose meticulous. Structural change is the most important spirit of Korean rhinoplasty, the traditional rhinoplasty ignores these, and so have the difference.
 
In addition, bridge of the nose and nose must match the facial features, face shape, skin and surgery personal ideas, in order to achieve a suitable angle and lines, not simply only increase or shrink so simple. This practice, the doctor must work hard to build the nose, in line with the nose softness, but also has the effect of support, better long-term stability. But the use of artificial models of the bridge of nose, cannot completely rule out the possibility of rejection or infection, is the only uncertainty risk sources in this operation. If the infection occurs, you must remove the model, although the bridge of the nose lost support, the nose part is still retained, the appearance of the difference is not too large, and the impact is less obvious.
 
"Traditional rhinoplasty", also known as "L-type rhinoplasty", the use of L-shaped model, create the bridge of nose and nose in one, no structural distinction. This approach, bridge of the nose and nose support all rely on the model, the physician without too much effort, how high wanted to be, how high as it has. But does not match the cartilage structure, the nose is easy to be thin by the brace of the model, in long-term has the risk of perforation, or can see the nasal mold. Some physicians will put cartilage at the tip of the L model, strengthen the resistance to stress, reduce the risk of perforation, but there are still easy to see the appearance of distress. This approach also uses artificial models, or is the risk of rejection or infection uncertainty. In case of infection, the model removed, the entire nose lost support, the large change of appearance, the impact is more obvious.
 
* 鼻翼軟骨對縫術前
* 鼻翼軟骨對縫術後

鼻中隔延長術前 鼻中隔延長術前
鼻中隔延長術後 鼻中隔延長術前

 

 
玻尿酸注射 玻尿酸注射
玻尿酸注射 玻尿酸注射

玻尿酸注射前 玻尿酸注射前
玻尿酸注射後 玻尿酸注射後

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Turbinate cartilage surgery
Nose and nose wing shape is mainly supported by the "inferior turbinate cartilage".
Change the nose shape, sometimes need to modify the inferior turbinate cartilage:
Inferior turbinate cartilage narrowing
Left and right inferior turbinate cartilage chalking
Partial resection of inferior turbinate cartilage
This is also one of the important steps of the Korean rhinoplasty.

 
鼻翼軟骨對縫 術前 鼻翼軟骨對縫
(before)
鼻翼軟骨對縫 術後 鼻翼軟骨對縫
(after)

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Nasal septum prolonged surgery
Nasal septum is a cartilage structure, located at the bottom of the nose, supporting the whole structure of the nose and segmental the left and right respiratory function. Wish to achieve the purpose of increasing the height of the nose, the first primary work stable foundation, the nose foundation is the nasal septal cartilage. Oriental nasal septum cartilage is usually not long enough, so the nose is not as straight up as the Westerners, the nasal septum extension surgery is from this concept.
 (illustration)
Nasal septal extension surgery - surgeons must have structural rhinoplasty ability, the nose structure to do the nose structure details of separation.
Nasal septal extension surgery requires the use of autologous cartilage for extension, commonly used autologous cartilage including: ear cartilage, nasal septal cartilage, and rib cartilage, physicians must be from the operation of personal conditions and subjective wishes to make the appropriate choice.
 
Ear cartilageNasal septal cartilageRib cartilage
The softestThe HardestHard enough
Enough amountEnough amountOriental people often lack of regularity
Easy to getNot easy to getinconvenient to get
Low destructiveHigh destructiveHigh destructive
High utilization rateThe lowest utilization rateUtilization rate is not high
Support not enoughThe best supportSupport is better than ear cartilage
 Short nose or overturned nose best choice 
 
鼻中隔延長手術 術前 鼻中柱加強
(before)
鼻中隔延長手術 術後 鼻中柱加強
(after)
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Autologous fat transplantation procedure instructions
Since the beginning of the 1990s, orthopedic surgeons have autologous fat transplant surgery, a great amount use on the face, breast, hands and hips cosmetic surgery, in recent years has been developed from the body fat for the healing of difficult wounds, scar repair even after radiotherapy defects (such as breast after the breast cancer radiotherapy), all have a very significant and effective help!
 
Fat transplantation, also known as fat injection, the process of surgery is a part of the body fat transplanted to another part of the body, including three steps:
  1. Lipid surgery - fat extraction
  2. Fat essence - fat purification essence
  3. Fat implantation - the essence of the body fat injects back into specific parts of the body
 
The first stage: Fat extraction
Try to use thinner and porous liposuction tube to extract fat, laser solution fat or ultrasonic liposuction, generally considered to be more likely to hurt fat cells, so it is not recommended.
 
The second stage: Fat essence
After stand still, and then centrifuged by the centrifuge machine, the excess liquid will be excluded, some doctors will use physiological saline to clean out the fat particles. This step is very important, because those poor-quality fat cells not only cannot survive after transplantation, and may even affect those good fat cells.
 
The third stage: Fat implantation
The most important step, because the need to carefully pay attention to the essential fat particles, well implanted into the area that need to implant, not only the location is important but the number and size of fat is also very important. The "fine autologous fat gun", invented by Dr. Lin's, is an important tool for dealing with this critical step, because according to the study, it is noted that the tiny fat is transplanted, the higher the survival rate, relatively to large fat particles after implantation only will be more likely to produce the phenomenon of central necrosis.

 
脂肪分佈
自體脂肪移植填補手術
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Autologous fat transplantation fill area
In 2001, the University of Pittsburgh orthopedic surgeon, first published on the study of adipose-derived stem cells, in which found that adipose tissue in the middle of the texture cells (mesenchymal stem cells (MSCs)) is 300-500 times the bone marrow tissue, therefore, fat transplantation not only can be used in cosmetic surgery, also can further used in radiation therapy of defective tissue, such as breasts, or difficult wounds, such as diabetic foot wounds.
 
Autologous fat is completely belonged to self, lipstick essence of the implant process is completely sterile, and therefore can reduce the risk of infection and rejection to a minimum. The key of constitute a successful operation interlocking, such as: preoperative assessment, anesthesia method, liposuction surgery, the essence of fat, and then use the fine autologous fat gun, to transplant these precious fats to the parts we want:
 
  • Face (10cc-100cc)
    Transplant the fat into the subcutaneous tissue location: the eye, the eye concave, tears, apple muscle, husband and wife palace, forehead, smile lines, marionette lines, bridge of nose, tip of nose, chin, upper and lower lips, neck, almost all parts of the face can use fat transplantation fill surgery to restore the appearance of youth. In addition to the increase in volume, adipose stem cells in the growth factor can also allow implantation of subcutaneous collagen regeneration, can effectively reduce the fine lines!
     
  • Breast (25cc-400cc)
    Each fat transplant can increase the breast about half to two cups, depending on the condition:
    1. The amount of fat to be transplanted
    2. The size of the area where the breast itself is available for transplantation
    In addition to beauty, for breast cancer surgery because of local or total removal of the breast caused asymmetry, or because of surgical scars caused by depression and the atrophy of the breast after radiation, also have excellent treatment results.
     
  • Buttocks (100-1000cc): peach buttocks, buttocks.
    the back of the hand, the instep: correct chicken hands, chicken feet.
 
自體脂肪移植填補手術
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Micro-Autologous Fat Transplantation Gun
精微自體脂肪槍 MAFT-GUN® (Micro-Autologous Fat Transplantation Gun)
  1. Trace output
    The use of fine autologous fat gun, fat particles can be the smallest to achieve 1/240 ml, fat survival rate will be greatly improved!
    According to the theory of Carpaneda physician, during the fat transplantation each time the fat ball transfer into the body, its’ radius preferably less than 2 mm (1 mm ≦ r ≦ 2 mm), in order to have the best survival rate. According to this theory, each milliliter syringe filled with fat, if the injection of a radius of 1 mm fat ball, each milliliter must be injected 240 times to achieve this goal! Fine autologous fat gun can accurate and precision reach 240 times per milliliter output.
     
    Many after the fat transplant surgery, due to the implanted ball volume is too large, resulting in adjacent tissue cannot transmitted nutrition to the central part of the ball, and metabolic waste cannot be successfully discharged from the periphery, causing the so-called central necrosis, through fine autologous fat gun, necrotic situation significantly reduced, survival rate effectively improved.
     
  2. 360-degree multi-directional output
    When the doctor is doing the implementation of fat transplantation operation, often because the injection needle tip fixed opening side cannot change the direction, must always rotate the wrist angle to change the output position, effort and inaccurate! The patented syringe chuck structure of the fine autologous lip gun is not only free to adjust the direction of more than three hundred and sixty degrees, but also have the indication of the clear direction, which can provide the doctor with judgment basis to change the direction of the output, improving the efficiency of surgery, even can accurately transfer the fat to the location to be implanted!
     
  3. Impenetrability controlling reduces possible air contact and relative contamination opportunities
    Most commercially available fat grafts use their own metal push rods to replace the putters with 1 ml syringes, often causing the filled adipose tissue exposed to the air. The impenetrability controlling of the fine autologous fat gun will not cause the fat inside the syringe to be exposed, reduce the chance of fat exposure to air, and reduce the chance of contamination and infection.
     
  4. Multi-stage control
    Adipose transplantation should be with the difference of surgical site anatomical location and the individual differences of the organizational structure, to elastic adjust the amount of fat injection volume, fine control of the operation movement of each injection volume, is the key step of fat transplantation to the success or failure. The patented "multi-stage controlled injection system" of the fine autologous fat gun provides physician the choice of multi-stage adjustment of the injection volume from 1/60 ml to 1 / 90,1 / 120,1 / 150,1 / 180,1 / 240 ml, according to different needs, anatomical location and tissue structure, elastic select of the required injection of each output volume, accurate and fine injection of fat particles. 
     
  5. Stable and accurate output volume
    In some parts of the body injection site, due to the more tough subcutaneous connective tissue structure, must according to this repeated back and forth to push and pull needle action, to pound loose the tissue, so can inject microinjection of fat, injection needle repeated action (repeated back and forth to push and pull the needle) too much damage and impact, resulting in postoperative difficult to avoid the bruises and swelling. Fine autologous fat gun patented action system, with the pre-determined precision output volume and each accurate push, regardless of the size of the power of the physician, the speed of injection or not, can be deducted by each trigger action operation, each push the output volume is stable, consistent and accurate and accurate fat ball, a large number of reduced the planting area back and forth rubbing of ​​the drill hole type, so that the recovery period is greatly shortened, the patient swollen blood stasis appearance is also far less than other traditional surgical methods.

精微自體脂肪槍 MAFT-GUN® (Micro-Autologous Fat Transplantation Gun)
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Ulthera Ultherapy
Ulthera is a kind of instrument that uses the energy of the ultrasound wave to lift the skin. Before the appearance of Ulthera, the facelift instrument of micro-treatment, usually used is
  • Light waves, such as pulsed light, laser
  • RF radio waves, such as electric facelift
 
The use of thermal energy to heat the skin need to facelift and rhytidectomy, stimulate the formation of collagen. Light waves and radio waves have the same nature, that is, energy in the conduction of the skin, the closer to the depth of the treatment probe, the higher of energy, that is, the closer to the epidermis, the higher of temperature. However, the parts need to be tightened, often in the dermis layer or deeper fascia layer. When we want to give enough treatment energy to these depth tissues need to treat, but the epidermis will because of this suffer too much energy and easy to have the problems of overheating, pain, and even burns. So often someone will complain, when doing the thermae feel the pain like death, no finish effect, so, that is the reason.
The appearance of Ulthera solve this contradiction. Ulthera's principle is similar to the well-known shock wave lithotripsy, but Ulthera's energy is low and the depth of energy is shallow, both in the skin or subcutaneous tissue. So, you can avoid the risk of injury to the epidermis, and focus on the energy to be treated in the deep parts. Ulthera usually has two treatment depths, 3.0mm, for the treatment of dermis; 4.5mm, for the treatment of fascia. During the treatment, the probe can also through the ultrasound imaging function, clearly showing the depth of the skin under the depth of the organization, so the treatment can also confirm whether the depth of treatment to achieve the target tissue to be treated, can confirm the energy is not a shot in the dark, casually wasted.
 
Ulthera's design is less chance of complications than traditional light waves or radio wave instruments, and can monitor the depth of treatment at the same time, let us have a better grasp of the results of facelift treatment.
Ulthera 極限音波拉提
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Botulinum
Botulinum is a naturally purified protein, the main ingredient is highly purified botulinum type A, is a nerve blocker. By blocking the nerve end of a little secretion of acetylcholine alkaline to relax the effect of excessive active muscle, so that muscle to reduce the contractile tension, can relax the wrinkled muscles, is currently the only simple and non-surgical approach, and within a few days effectively the best way to heal wrinkles.
 
Effect maintenance: about 6 to 8 months, the time of maintenance will be different due to personal physique.
Beauty effect:
  • Heal wrinkles
    Repeat some of the expression for a long time, the surface fine lines and smooth cut will slowly show, in the time of careless, the skin of collagen and elastic fibers gradually disintegrate, the skin loses its elasticity, so that fine lines see more obvious, people look older, less vibrant, these facial expressions are called dynamic wrinkles. Botulinum has been widely used in orthopedic surgery and medical cosmetic industry, and its main uses include the elimination of wrinkled brows, headlines, crow's feet, lip lines, chin wrinkles, small wrinkles below the eyes and so on.
     
  • Modify the face contour
    More rounded or more square shape will give people the feeling of difficulty to distinguish fat and swollen, it is difficult to highlight the facial contours (commonly known as the square face), generally due to their own particularly strong masticatory muscles, support by cheeks bone on both sides of the cheek, by injection botulism in the masticatory muscles, can be temporarily contraction, so that the cheek bone flattened to achieve the modification of facial contours, soften the facial lines to improve the square face, neither bear the risk of surgery, also immediately achieve the effect of small face.
     
  • Beautify arm and calf curves
    In order to achieve the ideal for the arm muscles and calf muscles shaping effect, some people choose aerobic exercise, the results make the two muscles more developed, stout, compared to other parts of the body, arms and calves most are muscles, excessive exercise will disguise forged muscle, for the arm, calf muscles, can do botulinum to make modification, let the local lines to be more perfect.
Botox certification process
  • 1989 US FDA officially approved its medical use, so far the world has more than 70 countries approved the use.
  • In 1994, the Hong Kong Department of Health approved the botulinum toxin and was used in medical and cosmetic wrinkles.
  • In 2002, the US FDA formally approved its eyebrow wrinkle effect.
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Can botulinum change the face shape?
Injection of botulinum can improve the face shape, cannot really change the face shape.
 
Principle: The masticatory muscles are located on the outside of the lower jaw angle. The muscles of the chewing person are particularly well developed. As a result, the face shape becomes wider and wider. Injection of botulinum can reduce the thickness of the masticatory muscle. The face is improved, but it is well developed jaw bone is not affected by botulinum, face shape is not really changed; development or postoperative recovery period, the injection of botulinum can prevent excessive development of the jaw bone or regeneration.
Use: Masticatory muscles are large muscles, with a higher injection dose to get a significant effect, directly inject botulinum in the muscle.
Time:
  • Do not do facial massage on the day of injection
  • Injection of a week appeared to reduce the phenomenon of strength, muscle has not significantly reduced
  • Injection of a month showed significant muscle reduction phenomenon
  • The effect of maintaining six to eight months, people like to chew, time will be shortened
  • Every six months to one year repeated the injection in order to maintain the effect
Advantages:
Simple operation, high security, the effect is obvious, no recovery period

Disadvantages:
Do not change the skeleton, the effect is only muscle hypertrophy type of people, the treatment costs are expensive, and must repeat the Injection, the economic benefits are not high, may be sequelae include: facial expression imbalance, dry mouth, speak is not clear and so on.

Be applicable:
  • cannot accept face-shaped surgery, just want to improve the face shape of the people.
  • purely masticatory muscle hypertrophy type
  • masticatory muscle hypertrophy, and ready to accept the lower jaw angle surgery, early in the week before surgery can reduce postoperative swelling and pain.
  • just after the removal of the jaw angle surgery, injection can prevent bone regeneration.
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Hyaluronic acid
Hyaluronic acid has been widely used in medical cosmetic and histology since its discovery in 1999. Hyaluronic acid, also known as "Uronic acid" and "hyaluronic acid", is a transparent colloidal crystal natural polysaccharide, is also present in the dermis of the human skin moisturizing important ingredients, with strong water absorption, is the skin cells growth of the stent, and collagen can maintain the same skin elasticity, but also because with the increase in age and gradually reduced, and thus cause lack of water dry skin and aging, resulting in wrinkles, rough dull and uneven skin color and other issues.
 
Hyaluronic acid can absorb 500-1000 times water of its own, is recognized as the best moisturizing ingredients for the human skin, the main moisturizing factor, many moisturizing products will add hyaluronic acid.
 
In addition to moisturizing, hyaluronic acid can be used to fill the loss skin tissue because of its soft touch and can be maintained for several months to a year after special cross-linking (untreated hyaluronic acid for less than a week), such as tears, apple muscle, temples (husband and wife palace), edict and so on. Injection of hyaluronic acid because of the expansion of the original skin tissue, it can also stimulate fibroblast proliferation collagen, improve fine lines.
 
玻尿酸注射鼻樑
玻尿酸注射鼻樑

玻尿酸注射鼻樑術前 before before
玻尿酸注射鼻樑術後 after after

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Hyaluronic Acid Q&A
Q1: How much dose do I need to do hyaluronic acid?
Depending on the location and extent of the need to improve, in general, a part of about 1-2 cc, but still allow physicians to assess the discussion before they can be determined.
 
Q2: How long can hyaluronic acid last?
Hyaluronic acid in accordance with the different dosage forms, about 6 to 12 months, compared to small molecule usually macromolecules last for a long time, but will be due to personal physical and lifestyle effects the maintain time, such as life is not normal, often sun bath and with habits of hot spring bath, do not pay attention to moisturizers, usually maintained relatively short. Relatively not active parts, such as husband and wife palace, nose and other parts, can be maintained for a long time.
 
Q3: hyaluronic acid has a split gel and non-gel type?
Hyaluronic acid according to all kinds of different brands and production methods can be divided into granular or gel type. Granular hyaluronic acid is like a small sub-small candy, according to the size of particles classification, the bigger particles the greater power of support, the longer the maintenance. Gel hyaluronic acid is similar to glue, different particle size, mainly in the degree of cross-linking classification, the stronger the cross-linking the higher viscosity (called macromolecules), the stronger its support, the longer the maintenance. But as long as the use of properly, granular or gelatinous hyaluronic acid can create a beautiful effect, and even macromolecular hyaluronic acid can also be hit in tears, can maintain a longer period of time and get better support.
 
In general speaking, macromolecular hyaluronic acid need to hit the deep dermis or subcutaneous tissue, so as to avoid bulging granular, can play macromolecular hyaluronic acid parts of the apple muscle, husband and wife, nose, chin and other parts; small hyaluronic acid hit the shallow dermis, the appropriate parts for the tears and lips.
 
Q4: What should I pay attention to in the course of hyaluronic acid injection? Will it be painful when injected? How to take care after surgery?
Before the injection, first communicate with the doctor the expected effect and postoperative care, and confirm the complete boxed, legal hyaluronic acid.
Physicians will use local anesthetic before sowing, the process is almost no pain, only a slight sense of acupuncture and swelling.
More ice to help swelling, 3 days after surgery do not knead, massage, so as not to cause hyaluronic acid shift, about 1 week after the swelling.
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O2 High Pressure Oxygen Tank
O2高壓氧氣艙

O2高壓氧氣艙
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3D real - time image post - operation simulation
3D實境術後影像模擬

3D實境術後影像模擬

3D實境術後影像模擬

3D實境術後影像模擬



3D實境術後影像模擬
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Add:5F., No.107, Sec. 4, RenAi Rd., Taipei, Taiwan

Tel:02-2772-8887 Fax:0227725822
Wechat ID:miniface_info LINE ID:@vyl7873s

Miniface have no counselors, reply letters by the physician himself, please forgive me if the reply letter late, in general, reply time of 2 to 7 days, no patient to wait for the appointment of outpatient consultation.
Online consultant please provide the following photos: No makeup positive photo / left side 45 degrees / left side 90 degrees / right side 45 degrees / right side 90 degrees
Suggestions to add photos: makeup photo / whole body of life photos
Miniface no consultants, all professional issues answered by the physician personally. Friends or relatives can participate in the consultation, in order to maintain the quality of consultation, do not exceed three person. For special personal privacy needs, please inform the physician first. Can carry information or photos for the physician reference, discuss. The initial cost of five hundred dollars, can be deducted from the surgery fee.
Before the appointment of surgery by physician assessment, consultation method: (1) consultation physician mailbox (2) appointment outpatient consultation.
Please read the preoperative instructions and check items before surgery. After payment of the deposit, we will reserve your scheduled date of operation. "The surgical procedure need physicians with a high degree of focus and commitment, every day of surgery, every physician, only a large amount of surgery, for you to go all out." - is a micro-mini insistence. If you have any reasons need to change the date of operation, please call one day before the operation, otherwise the deposit is not refundable, please be understandable.
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