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

（1）脫墨案例/價錢（2）脫墨影片（3）最新脫墨資訊（4）脫墨（其他題目） ( 1 ) Everything about mole removal ( 2 ) Case studies & Surgical fees of diff moles ( 3 ) Mole removal videos ( 4 ) Other topics on mole removal

臨床案例論文：眉毛痣切除與疤痕演變

引言在眉毛等高美觀敏感區域進行痣切除，需要兼顧醫學精準與美學判斷。本案例記錄了一顆部分位於眉毛內的深色痣之切除過程，並展示了手術技術、傷口管理以及三個月內疤痕成熟的演變。

術前狀況第一張圖片顯示一顆深黑色痣，部分位於眉毛內。其色素沉著、隆起外觀及毛髮生長，使其成為顯眼病灶，帶來美觀與功能上的困擾。去除此痣有助於改善外觀並避免潛在問題。

手術技術第二張圖片顯示痣已被完整切除。由於位置敏感，手術過程中特別注重減少疤痕並維持眉毛對稱。傷口以5/0 可溶性縫線閉合，此細緻縫線能降低張力，促進最佳癒合，同時避免日後拆線的不便。

切除標本外觀第三張圖片顯示被切除的痣。其呈橢圓形，表面可見毛髮生長，符合複合痣或真皮痣的特徵。完整切除可避免復發，並確保美觀效果。

術後進展

第四張圖片（術後兩週）：縫線已移除，傷口邊緣貼合良好，早期癒合明顯。未見傷口裂開或增生性疤痕，顯示閉合成功。

第五張圖片（術後三個月）：疤痕已顯著成熟，幾乎不可見，與眉毛自然融合。此低調疤痕反映了精細手術技巧與良好的癒合反應。

討論此案例突顯了眉毛區域痣切除的謹慎規劃之重要性。促成優秀美觀結果的關鍵因素包括：

精準切除，完整移除病灶並保留周邊組織

使用細緻可溶性縫線，減少張力並促進癒合

密切追蹤疤痕成熟，確保疤痕不顯眼

結論從顯眼的痣到三個月後幾乎不可見的疤痕，此案例展示了皮膚外科手術的精細技術與美學成果。透過周密規劃與精準操作，即使在眉毛這類高可見度區域，痣切除亦能達到醫學安全與美觀兼備的效果，讓患者獲得自然且令人滿意的結果。

Clinical Case Essay: Excision of an Eyebrow Mole and Scar Evolution

Introduction Mole excision in cosmetically sensitive areas such as the eyebrow requires a balance of medical precision and aesthetic judgment. This case documents the removal of a dark mole partially situated within the eyebrow, highlighting the surgical technique, wound management, and scar maturation over a three-month period.

Pre-operative Condition The first image shows a dark black mole located partially within the eyebrow. Its pigmentation, raised profile, and hair-bearing nature made it a conspicuous lesion, raising both cosmetic and functional concerns. Removal was indicated to improve appearance and prevent potential complications.

Surgical Technique The second image demonstrates the mole after surgical excision. Given the delicate location, special skills were employed to minimize scarring and preserve eyebrow symmetry. Closure was achieved using 5/0 dissolvable sutures, chosen for their fine caliber and ability to reduce wound tension. This technique promotes optimal healing while avoiding the need for suture removal.

Specimen Appearance The third image depicts the excised mole. It is oval in shape and shows hair growth, consistent with a compound or dermal nevus. Complete removal was necessary to prevent recurrence and to achieve a satisfactory cosmetic outcome.

Post-operative Progression

Fourth image (2 weeks post-op): Sutures were removed after two weeks. The wound edges were well approximated, and early healing was evident. No hypertrophic changes or wound breakdown were observed, confirming successful closure.

Fifth image (3 months post-op): The scar had matured significantly. It was almost invisible, blending seamlessly with the natural eyebrow contour. The subtlety of the scar reflects both meticulous surgical technique and favorable wound healing.

Discussion This case underscores the importance of careful surgical planning in mole excision near the eyebrow. Key factors contributing to the excellent cosmetic result included:

Precise excision to remove the lesion completely while preserving surrounding tissue

Use of fine dissolvable sutures to minimize tension and optimize healing

Close follow-up to monitor scar maturation and ensure inconspicuous healing

Conclusion The progression from a conspicuous mole to an almost imperceptible scar within three months demonstrates the effectiveness of meticulous surgical technique in dermatologic surgery. With proper planning and execution, mole excision in high-visibility areas such as the eyebrow can achieve both medical safety and cosmetic excellence, leaving patients with natural and aesthetically pleasing results.