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

​​​​地址 香港中環皇后大道中9號嘉軒廣場

電話 Tel 23630598（注 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）脫墨須知​ （４）各種切除術的比較 （５）面部不同部位的縫合技術

 1. Everything about mole removal   2. Case studies & Surgical fees of diff moles   3. Mole removal video 

🩺 Case Study: Mole Excision Beneath the Right Eyebrow by Dr. Chung King Lueh

Focus: Optimal Skin Tension Control Around the Surgical Site

Attending Physician: Dr. Chung King Lueh

Supervising Institutions: Department of Dermatology and Department of Aesthetic Medicine, University of London

Copyright Notice: All rights reserved. 

🧑‍⚕️ Clinical Overview

In facial aesthetics, mole removal near the eyebrow demands both surgical precision and cosmetic sensitivity. In this case, Dr. Chung King Lueh successfully excised a benign mole located on the medial side of the right eyebrow, adjacent to the nasal bridge. The procedure was performed with minimal trauma, and the wound healed with an almost imperceptible scar.

🔍 Lesion Characteristics and Preoperative Assessment

The lesion was a solitary, raised, oval-shaped pigmented nevus with clearly defined borders. Over 10 thick, black terminal hairs were observed emerging from its surface. Although located close to the eyebrow, the brow hairs and follicles were not involved. Clinical evaluation confirmed the lesion to be benign and suitable for surgical excision.

✂️ Surgical Technique and Wound Closure

The procedure was performed under local anesthesia using an elliptical excision technique, which allowed for complete removal of the mole without the need for skin flap rotation or grafting. The incision was carefully aligned with natural skin tension lines to avoid “dog ears” and ensure smooth contouring.

Dr. Chung expertly adjusted the skin tension during closure, resulting in:

No puckering or wrinkling of adjacent skin
A naturally contoured wound edge
Minimal tension across the suture line

The wound was closed with two stitches using 5-0 Vicryl absorbable sutures, which provided fine approximation and reduced the risk of visible scarring. Patients were given the option to return for suture removal after two weeks or allow the sutures to dissolve naturally.

⚠️ Why Flap or Skin Grafting Was Not Used

Although flap rotation or skin grafting may be necessary for large or deep lesions, these techniques are generally avoided in delicate areas like the medial eyebrow for the following reasons:

Asymmetry Risk: The eyebrow demands high symmetry; flap movement may distort natural brow shape.
Color and Texture Mismatch: Grafted skin may differ in pigmentation, pore density, or hair distribution, affecting cosmetic outcome.
Increased Scarring: Flap techniques often require additional incisions (e.g., Z-plasty, H-plasty, A-to-T closure), which enlarge the scar footprint and prolong healing.
Uneven Tension: Poor tension control may still lead to wrinkling or dog-ear formation, compromising aesthetic results.

Dr. Chung’s elliptical excision method avoided these complications while achieving a clean, tension-free closure.

🧪 Pathological Specimen Description

The excised specimen was an oval-shaped, black skin lump with sharply defined margins. More than 10 terminal hairs were observed protruding from its surface. Histological features were consistent with a benign pigmented nevus.

✅ Conclusion

This case exemplifies the precision and aesthetic consideration required for mole removal in cosmetically sensitive facial zones. Dr. Chung King Lueh’s technique offers patients a safe, effective, and nearly scar-free solution—without the need for complex flap or graft procedures.

For more examples of mole excision techniques across different facial regions, please explore additional case studies on our website.

拆線後數個星期，疤痕逐步減退。

一個禮拜後覆診，近鏡觀察，傷口已經幾乎癒合，自溶線可以拆線或者不拆線。

切下來的墨痣。

切下來的墨痣。

墨痣切除後,以極幼 5’o Vicryl 自溶線縫合。

右邊眉毛下，靠鼻子的一粒巨大墨痣。

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碩士教授，英國倫敦大學美容醫學碩士教授
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 – 脫墨

​

🩺 鍾經略醫生眉毛內側墨痣切除案例（焦點：手術傷口附近的皮膚的張力的良好控制以減少傷口附近皮膚的皺摺）：

在面部美學中，眉毛區域的皮膚病灶處理尤為重要，既要確保病理安全，又要維持外觀自然。本案例由鍾經略醫生主刀，成功切除一顆位於右側眉毛內側、靠近鼻樑的良性墨痣，手術過程精準細緻，術後癒合良好，疤痕細小。

🧑‍⚕️ 病灶特徵與術前評估

病灶為一顆單一、隆起的黑色素痣，形狀呈橢圓，邊界清晰，表面可見超過10根粗黑終毛穿出。雖然位置靠近眉毛，但眉毛本身未受影響，無毛囊牽涉。經臨床評估確認為良性病變，適合進行外科切除。

✂️ 手術技術與縫合方式

手術採用局部麻醉，鍾醫生以橢圓形切除法（elliptical excision）完整移除墨痣，無需皮瓣轉移或皮膚移植。切口設計精準，符合皮膚張力線方向，避免產生「狗耳」（dog ears）現象。鍾醫生巧妙調整皮膚張力，使周邊皮膚不出現皺摺，整體外觀自然平滑。

為何不做皮瓣或皮膚移植？雖然皮瓣轉移與皮膚移植在某些大型或深層病灶中是必要的技術，但在眉毛內側這類細緻區域使用這些方法割除一粒「良性」癦痣可能帶來以下不利影響：

外觀可能不對稱：眉毛區域對稱性要求高，皮瓣轉移可能仍然導致眉型改變或不自然。
色差與質感差異：移植皮膚可能與周邊皮膚色澤、毛孔、毛髮分布不一致，影響美觀。
疤痕明顯：皮瓣或移植區域常需額外切口，例如Z形縫合，H形縫合，A to T 縫合等等，增加疤痕面積與癒合時間。
術後張力不均：若張力控制不佳，可能出現皺摺或「狗耳」現象，影響術後外觀。

橢圓形切除法創口極小，無出血。隨後以極幼的 5-0 Vicryl 自溶縫線進行雙針縫合，確保傷口緊密閉合並減少疤痕形成。病人可選擇於術後兩週回診拆線，或讓縫線自然吸收。橢圓形切除法加上巧妙調整皮膚張力，使周邊皮膚不出現皺摺，整體外觀自然平滑。

🧪 病理標本描述

切除標本為一橢圓形黑色皮膚腫塊，邊界清晰，表面可見超過10根粗黑終毛。病理特徵與臨床診斷一致，確認為良性墨痣。

✅ 結語

本案例展示了在眉毛區域進行墨痣切除的高精準度與美學考量。對於希望在面部敏感區域進行病灶處理的患者而言，這個技術提供了安全、可靠且近乎無痕的選擇。

如欲了解更多面部不同部位的切除技術與縫合方式，歡迎瀏覽其他案例。