​​​​​​​​​​​​​鍾經略醫生【皮膚科碩士 x 美容醫學碩士】課程研究

​Dr Chung King Lueh's MSc Aesthetic Medicine & MSc Dermatology Course Overview & Case Studies

​​​地址 香港中環皇后大道中9號嘉軒廣場

電話 Tel 23630598(註 6 Note 6)

Address: the Galleria, No. 9 Queen's Road Central, Hong Kong

🧪 脫墨技術的演進史:從腐蝕藥水到分段式激光

🧠 Moles and Mole Removal: From Crude Methods to Precision Treatment


墨痣,雖然在醫學上屬於良性皮膚色素,但在外貌與心理層面常被視為瑕疵。隨著審美觀念與醫療技術的演進,脫墨方法也經歷了從粗糙到精準的轉變。


🧴 第一代:腐蝕藥水與民間偏方(1950s–1980s)


在早期,脫墨多依賴腐蝕性藥水或民間偏方:

常見藥劑包括硝酸銀、強酸、草酸等,直接塗抹於墨痣上以破壞表皮。
民間偏方如「蒜頭敷痣」、「白醋浸痣」等,雖有短期效果,但風險極高。
缺點包括:疼痛劇烈、感染風險高、疤痕明顯、無法控制深度。

這些方法多在美容院或家庭中進行,缺乏醫療監管,容易造成永久性皮膚損傷。


🔥 第二代:電灼與冷凍技術(1990s–2000s)


隨著醫療儀器普及,出現了較為安全的電灼法(Electrocautery)與冷凍法(Cryotherapy):
電灼法利用高溫燒灼痣組織,適合去除表淺墨痣。
冷凍法則使用液態氮凍結痣細胞,使其壞死脫落。
優點是操作簡單、成本低,但仍可能造成色素沉澱或凹陷疤痕。
這些技術雖屬醫療程序,但在部分美容院仍被非醫生操作,存在法律與安全風險。


💡 第三代:傳統激光技術(2000s–2010s)


激光技術的引入,標誌著脫墨進入精準醫療時代:
使用如Nd:YAG激光、Q-switched激光等,針對黑色素細胞進行破壞。
能量集中、穿透力強,減少對周邊皮膚的傷害。
缺點是:一次性治療深層痣風險高,可能留疤或色素反黑。
此階段的激光技術已由皮膚科醫生主導,安全性與效果大幅提升。


🧬 第四代:分段式 CO₂ 激光(2010s 至今)


目前最先進的脫墨技術為分段式二氧化碳激光:

利用10600–10800nm波長的激光,深入真皮層,精準打散黑色素。
對於大型墨痣採用分段式治療,好像切餅的原理,每次只針對部分皮膚,減少創傷與疤痕風險。
可根據痣的大小深度與位置,分2–3次進行,避免一次性破壞過深皮層。

這項技術已成為香港醫美界的主流選擇,尤其適用於眼瞼、鼻翼等高風險部位。


🧠 技術演進背後的價值觀轉變


脫墨技術的演進,不只是儀器的升級,更反映出社會對「安全」、「自然」、「心理健康」的重視:

從「去除瑕疵」到「提升自信」
從「快速見效」到「分段修復」
從「美容院操作」到「醫生主導」


📝 結語:科技進步,審美升級


脫墨不再是粗暴的去除,而是精準的修復。選擇合適的技術,不僅關乎外貌,更關乎皮膚健康與心理安全。若你正在考慮脫墨,不妨了解不同技術的原理與風險,並諮詢具脫墨臨床經驗的醫生。

隨著 AI 技術在皮膚科領域的應用日益成熟,未來確實有可能透過 AI 影像診斷來判斷痣的性質,甚至協助分辨是否需要進行脫墨或進一步檢查。

Although medically classified as benign skin pigmentation, moles are often perceived as blemishes in terms of appearance and psychological impact. As aesthetic standards and medical technologies evolve, mole removal techniques have undergone a transformation—from crude approaches to precision procedures.


🧴 First Generation: Corrosive Solutions and Folk Remedies (1950s–1980s)


In the early days, mole removal relied heavily on corrosive chemicals and traditional remedies:

Common agents included silver nitrate, strong acids, and oxalic acid, applied directly to the mole to destroy the epidermis.
Folk remedies like “garlic paste on moles” or “white vinegar soak” showed short-term effects but carried high risks.
Drawbacks: intense pain, high risk of infection, visible scarring, and uncontrollable depth of damage.
These methods were often performed in beauty salons or at home, lacking medical oversight and frequently causing permanent skin damage.


🔥 Second Generation: Electrocautery and Cryotherapy (1990s–2000s)


With the rise of medical devices, safer techniques like electrocautery and cryotherapy emerged:

Electrocautery uses high heat to burn off superficial mole tissue.
Cryotherapy freezes mole cells with liquid nitrogen, causing them to die and fall off.
Advantages: simple procedure, low cost. However, risks include pigmentation changes and sunken scars.
Though considered medical procedures, these were sometimes performed by non-medical personnel in beauty salons, posing legal and safety concerns.


💡 Third Generation: Traditional Laser Technology (2000s–2010s)


The introduction of laser technology marked the beginning of precision mole removal:

Lasers like Nd:YAG and Q-switched target melanin cells with focused energy and strong penetration.
Benefits: minimal damage to surrounding skin.
Drawbacks: treating deep moles in one session carries risk of scarring or pigmentation darkening.
At this stage, laser procedures were primarily conducted by dermatologists, significantly improving safety and outcomes.


🧬 Fourth Generation: Fractional CO₂ Laser (2010s–Present)


The most advanced mole removal technique today is fractional CO₂ laser:

Uses wavelengths of 10600–10800nm to penetrate the dermis and precisely break down melanin.
For large moles, treatment is segmented, targeting only part of the skin each time to reduce trauma and scarring.
Depending on mole size, depth, and location, treatment is spaced over 2–3 sessions to avoid excessive damage in one go.
This method has become mainstream in Hong Kong’s medical aesthetics field, especially for high-risk areas like eyelids and nasal wings.


🧠 Value Shift Behind Technological Evolution


The evolution of mole removal reflects more than just equipment upgrades—it signals a societal shift toward prioritizing:

Safety over speed
Natural healing over aggressive removal
Psychological well-being over superficial fixes

From “eliminating flaws” to “boosting confidence” From “quick results” to “gradual restoration” From “salon procedures” to “doctor-led treatments”


📝 Conclusion: Technological Progress, Aesthetic Upgrade


Mole removal is no longer a rough elimination—it’s a precise restoration. Choosing the right technique affects not just appearance, but also skin health and psychological safety. If you're considering mole removal, take time to understand the principles and risks of each method, and consult a doctor with clinical experience in mole treatment.