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

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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  

Clinical Case Essay: CO₂ Laser Mole Removal on the Chin

Introduction Facial mole removal is a common dermatological and aesthetic procedure. The case presented here demonstrates the removal of a raised, deep brown mole located on the right side of the chin using CO₂ laser evaporation. The progression from the pre-operative to the post-operative stage highlights both the technical considerations and the healing process associated with this treatment.

Pre-operative Condition In the “before” image, a prominent, raised mole is visible on the patient’s chin. Its depth and pigmentation make it a noticeable lesion with potential cosmetic concern. Such moles, depending on their histological characteristics, may require careful removal to minimize scarring and preserve facial aesthetics.

Procedure and Surgical Considerations CO₂ laser evaporation was chosen for this case due to its precision and ability to ablate tissue with minimal collateral damage. However, one critical factor in mole removal is the depth of the wound created. If the ablation extends too deeply, the risk of an unsightly scar increases. In cases where the wound depth is significant, surgical suturing is often employed to approximate wound edges, promote better healing, and achieve a finer, more cosmetically acceptable scar.

Post-operative Outcome The “after” image, taken two months following the procedure, shows a small depressed area at the site of the mole. Importantly, the scar is inconspicuous, blending well with the surrounding skin. The residual redness indicates ongoing remodeling and vascular activity, which suggests further improvement in scar appearance is expected over time. As the scar matures, the redness will fade, and the depression will likely become less noticeable, resulting in an even more aesthetically pleasing outcome.

Conclusion This case illustrates the effectiveness of CO₂ laser mole removal in achieving a cosmetically favorable result. While careful attention must be paid to wound depth to avoid unsightly scarring, the current outcome demonstrates that even without suturing, the scar can be subtle and well-camouflaged. Continued improvement is anticipated as the healing process progresses, underscoring the importance of both surgical technique and patient follow-up in optimizing results.

臨床案例論文：下巴痣的二氧化碳雷射去除

引言 臉部痣的去除是常見的皮膚科及醫學美容手術。本案例展示了利用二氧化碳（CO₂）雷射蒸發技術，去除位於下巴右側的一顆隆起、深棕色痣。從術前到術後的過程，突顯了此治療的技術考量與癒合過程。

術前狀況 在「術前」圖片中，可以看到患者下巴有一顆明顯隆起的深色痣。其深度與色素沉著使其成為顯眼的皮膚病灶，並帶來美觀上的困擾。此類痣依其組織特性，若需去除，必須謹慎操作以減少疤痕並維持臉部美感。

手術過程與考量 本案例選用 CO₂ 雷射蒸發，因其精準度高，能在最小化周邊組織損傷的情況下進行切除。然而，痣去除的關鍵在於傷口深度的控制。若蒸發過深，疤痕可能變得不美觀。對於較深的傷口，通常會採用縫合方式，以幫助傷口邊緣貼合，促進更佳的癒合並形成更細緻、美觀的疤痕。

術後結果 「術後」圖片拍攝於手術後兩個月。可以看到痣的位置留下了一個小小的凹陷，但疤痕非常不顯眼，與周圍皮膚自然融合。疤痕仍呈現紅色，顯示其仍在修復與血管活躍期，這意味著外觀仍有進一步改善的潛力。隨著疤痕成熟，紅色會逐漸消退，凹陷也可能更不明顯，最終達到更理想的美觀效果。

結論 此案例顯示 CO₂ 雷射去痣在美觀上能取得良好成果。雖然必須謹慎控制傷口深度以避免不良疤痕，但即使未縫合，術後疤痕仍能呈現自然、低調的效果。隨著癒合持續進行，外觀預期會進一步改善，凸顯了手術技術與術後追蹤在優化結果上的重要性。

一個星期後傷口癒合，近鏡觀察。傷口已經變得不明顯。而且此等微細的疤痕會隨著時間，進一步減淡。

近鏡觀察脫墨後的傷口。傷口明顯塌陷下去，

近鏡觀察。脫墨前

脫墨後一個月。傷口已經變得不明顯。

脫墨前

主診醫生：鍾經略醫生

監督及指導機構 – 英國倫敦大學皮膚科

臨床皮膚科醫學照片版權所有，不得複製

美容皮膚科醫生常見皮膚問題 – 激光脫墨

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