2025 年 02 月 24 日

女性胸部往往成為衡量魅力與身材好壞重要參考,如何擁有美麗性感乳房,是隆乳的目標,但不是「大就是好看」,兼具「美感」、「動感」、「手感」三者,對隆乳術後非常重要,首先從隆乳美學談起。

目前隆乳方式,包括假體隆乳和自體脂肪移植隆乳,甚至需要假體後,配合自體脂肪增加軟組織厚度,修飾輪廓,增加對稱度,對於術後美學具有重要意義,隆乳美學黃金標準,乳房的理想位置應為整體位於第2-6肋間,基底直徑為10-12公分,基底面到乳頭的高度為5-6公分,乳頭位於第四肋間(約上臂1/2處),鎖骨中線凹陷處和兩個乳頭三點連接呈等腰三角形,兩乳頭的間隔大約20公分,如果用假體隆乳,達到這個美學標準,先保證下半球美學,讓下半球的弧度盡量是一個正圓形的半圓,讓乳頭盡量在這個半圓的圓心,然後在此基礎上,根據患者需求確定上半起飛點的高度,大部分人這個點的界定不是特別清晰,而且也可以靠脂肪填充改變,或是水滴型假體。假體隆胸,下皺襞一旦確定,很難改變,以下半球為優先考慮因素,就要從評估、設計、假體選擇、手術技術與術後照顧。

假體隆乳手術對於美學影響
幾乎適合於每個要隆乳的人,且相對安全,不影響生育和哺乳,假體置入手術切口常用有三個,分別是腋下切口、乳暈切口、乳房下切口,假體隆乳常用假體植入層次:雙平面(假體上半大部在胸大肌下、下半部分在乳腺后)、乳腺後、肌膜下。

假體材料以矽膠為主,假體形狀有圓形與水滴形
圓形:圓形假體使用較多,假體呈半球形,做完後上極挺立豐滿,適合人群:對皮膚的彈性和張力要求高。 因此要求上極要求飽滿求美者,適合選擇這款假體。
水滴形:水滴形假體,假體是仿照水滴的形狀做出來的,符合自然生理曲線,上極斜率顯更加自然,適合人群:對皮膚的彈性和張力要求較低,因此上胸較平、皮膚略鬆弛的求美者,適合選擇這款假體。

自體脂肪移植隆乳是將身體上多餘脂肪移植注射到胸部,使乳房豐滿、有形。 自己的脂肪細胞移植,不存在排赤反應,保障了手術的安全性,是較理想的隆乳方案。 但是由於注入后脂肪有一定成活率,可能需要2-3次手術。

總結:隆乳手術已普遍,但是想要達到最佳美感效果,圓形圓挺,水滴形自然,可以配合脂肪填充,先保證下半球美學,讓下半球的弧度盡量是一個正圓形的半圓,讓乳頭盡量在這個半圓的圓心,然後在此基礎整形醫師經過評估與討論,制定合適的手術方案.

作者:黃維超醫師

 

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