Dr Chung King Lueh's MSc Aesthetic Medicine & MSc Dermatology Course Overview & Case Studies
注:術前必須由醫生佩戴上一副激光手術專用的隱形眼鏡,以確保不會因為意外傷害到眼球。
如果因為貪平而去找非專業醫生做此等手術而弄盲就真的得不償失。
使用激光去除眼瞼邊緣的皮膚墨痣,由於靠近眼球且周圍組織極為脆弱,需具備高度精準度及嚴格的安全規範。以下是必須遵守的主要安全措施:
1️⃣ 眼球內部防護罩的使用
-必須在眼球表面放置不鏽鋼製的內部眼罩,以保護角膜和鞏膜免受雷射意外照射。
-此防護罩會在點上潤滑眼藥水後,由醫生小心地放置,避免造成不適或刮傷。
2️⃣ 由合資格的醫生操作
-此手術應由具備皮膚科及美容醫學正式訓練(醫學碩士以上學歷)的醫生執行,並且最好具備眼周激光手術的經驗。
3️⃣ 分段式激光技術
-對於較大或較深的眼瞼墨痣,建議採用分段式二氧化碳激光處理:
-墨痣會分兩次或多次移除,間隔約兩個月或以上,讓皮膚在治療間有時間癒合。
-此方法可減少傷口深度,降低疤痕或眼瞼變形(如眼瞼外翻或內翻)的風險。
4️⃣ 激光後的傷口縫合
-對於較大的痣,激光後可能留下較深且較寬的傷口,可能需要縫合以避免明顯疤痕。
-縫合亦有助於預防術後眼瞼外翻(ectropion)或內翻(entropion)。
5️⃣ 術後傷口護理
-傷口需保持清潔與濕潤,使用醫生處方的眼藥水。
-患者應避免揉眼、曝曬及使用化妝品,直到完全康復。
-定期回診非常重要,以監察癒合情況並預防感染或色素沉澱等併發症。
6️⃣ 避免非專業人士操作
-選擇非專業人士進行眼瞼墨痣激光去除,可能導致不可逆的傷害,包括眼瞼無法完全閉合、角膜乾燥,甚至視力受損。
Removing a skin mole on the eyelid margin with laser requires exceptional precision and strict safety protocols due to the proximity to the eye and the delicate nature of the surrounding tissue. Here are the key safety measures that must be followed:
1. Internal Eye Shield Placement
A stainless steel internal eye shield must be placed directly over the eyeball to protect the cornea and sclera from accidental laser exposure.
This shield is inserted after applying topical lubricating drops and is carefully positioned by the doctor to avoid discomfort or abrasion.
2. Performed by a Qualified doctor
The procedure should only be done by a doctor with formal training in both dermatology and aesthetic medicine, (Master of Science or above qualifications) ideally with experience in periorbital laser surgery.
3. Segmented Laser Technique
For large or deep moles near the eyelid, a staged CO₂ laser approach is recommended.
The mole is removed in two or more separate sessions, spaced about two months apart, allowing the skin to heal between treatments.
This reduces wound depth and minimizes the risk of scarring or eyelid distortion, such as ectropion (eyelid turning outward) and entropion (eyelid turning inward)
4. Suturing of the wound after laser cauterisation of the mole
For larger moles, the resulting wounds may be deeper and wider, and suturing may be necessary to prevent unsightly scarring. Sutures may also help prevent ectropion and/or entropion following laser surgery.
5. Postoperative Wound Care
The wound must be kept clean and moist using prescribed eyedrops.
Patients should avoid rubbing the eye, exposing the area to sunlight, and using makeup until full recovery.
Follow-up visits are essential to monitor healing and prevent complications like infection or pigmentation changes.
6. Avoiding Unqualified Practitioners
Choosing a non-professional for eyelid mole removal—especially with laser—can result in irreversible damage, including incomplete eyelid closure, corneal dryness, or even vision loss.
Cosmetic procedures near the eye demand medical-grade precision, not salon-level equipment or techniques.
術後把眼內金屬眼罩以吸盤取出(並非同一個案)
剛脫墨之後的傷口呈現一個深洞,但是傷口癒合後深洞隨即消失。
激光脫墨後一個多禮拜復原,傷口不明顯。
位於左眼下眼皮邊緣的墨痣。
激光脫墨前。
主診醫生:鍾經略醫生 Chief surgeon: Dr Chung King Lueh
監督及指導機構 – 英國倫敦大學皮膚科碩士 (MSc Clin Dermatology) 及英國倫敦瑪麗女皇大學美容醫學碩士 (MSc Aesthetic Medicine)
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美容皮膚科醫生常見皮膚問題 – 激光去除眼瞼邊緣的皮膚墨痣 Aesthetic Medicine case study: Laser removal of skin mole on the margin of eyelid