Skin Treatment
頭髮醫學療程
HAIR TREATMENT
因應頭皮病理、髮線後移、頭髮稀疏等問題,
利用外科植髮手術及配合醫學治療脫髮,制定
合適而個人化的治療方案。
Telogen Effluvium
休止期脫髮
休止期脫髮是指處於正常生長期的頭髮,因受到某些因素刺激和損傷,促使頭髮提前進入休止期而造成短時間內大量脫髮,受影響多為中年女士。常見的誘因包括產後、內枓疾病、大型手術後失血過多、厭食及發高燒,同時有部份處方藥物亦會引致休止期脫髮,頭頂整個位置會呈現稀薄現象,受影響的範圍佔全頭頂面積約50%左右。休止期脫髮可分為急性、慢性兩大類,急性形休止期脫髮通常有明顯誘因;而慢性形休止期脫髮誘因則不一定能查出,通常會持續達6個月以上,患者一般會發現於淋浴或梳頭後出現大量脫髮狀態,而脫髮量足以引起患者產生不安與憂慮,相信是因為整體性毛囊生長期縮短,而非單單處於生長期及休止期的毛囊比例上失衡所造成。

Telogen Effluvium is resulted from normal growing hair sudden switched to telogen (shedding) phase under presence of either physical or psychological stresses, leading to transient massive hair shedding, this condition seems to affect middle aged women more. Common triggering factors include post-delivery, medical diseases, post major surgery or massive haemorrhage, anorexic or high fever condition, also some prescriptive medication can also lead to this condition. It involves mid-scalp and crown area resulting detectable thinning to the affected area and can affect more than 50% of the scalp. Telogen Effluvium can be either acute or chronic. Acute telogen effluvium usually has a clear triggering factor while chronic telogen effluvium lasting for more than 6 months may not have a definite triggering factor. This condition can create tremendous psychological stress to sufferers especially when they see massive hair shedded after showing and hair brushing.
Eyebrow Sparse / Loss / Hypotrichosis
眼眉毛稀疏 / 缺失
眉毛位處面部較正中的位置,眼眉稀疏或缺失,相信都會對容貌造成影響。導致失去眼眉毛的原因有很多:
1) 當中最常見的是自行拔除(Self-plucking),例如在修飾眉毛的過程中拔走原有的眉毛。
2) 有部份女士因紋眉後的顏色逐漸減褪,利用激光清洗餘下的顏色時,傷及毛囊導致部份眉毛不再生長。
3) 其他的外部創傷,例如交通意外、燒傷、外科手術、電療或化療等。
4) 其他身體疾病如甲狀腺病變、生理老化現象也會令眼眉毛逐漸脫落。
5) 另外斑禿 (Alopecia Areata) 除了影响頭髮外,亦會影响眼眉及眼睫毛生長。
6) 而較為少見的是精神科强迫症中的拔毛症等。

Eyebrow is placed in the center of face and has an important role at framing the face. There are many causes leading to loss of eyebrow hair:
1) The most common one is self-plucking especially when trimming the shape of the eyebrow, over plucking can lead to permanent loss of eyebrow hair.
2) Some Asian ladies may lose their eyebrow during laser tattoo removal for their eyebrow tattoo or emobroidery.
3) Other causes include accidient, burn injury, surgery, thyroid dysfunction, radiotherapy or chemotherapy.
4) Normal physiological aging can lead to gradual thinning and falling out of eyebrow hair.
5) Alopecia Areata can affect eyebrow hair apart from scalp hair.
6) There is also rarer psychological cause such as trichotillomania.
Eyelash Sparse / Loss / Hypotrichosis
眼睫毛稀疏 / 缺失
眼睫毛本身具遮擋眼睛免受沙塵及碎石傷害之功能,它亦有助修飾眼部儀容。有部份人因交通意外、工傷意外、化學品、燒傷、紋眼線或過份使用假眼睫毛等而令眉毛缺失,因手術後疤痕形成(如眼瘡、切除眼癦手術等)都能失去眼睫毛,而電療或化療亦能造成暫時性或永久性失去眼睫毛。同時,其他皮膚病如嚴重的斑禿「鬼剃頭」
亦會影响眼睫毛脫落。

Eyelash has a function to protect eyes, it also helps to frame the eyes. There are many causes leading to loss of eyelashes, such as accident, chemicals, burn injury, eyeliner tattoo, excessive use of fake eyelashes, post-eye lid surgery and etc. Chemotherapy or radiotherapy can both lead to transient or long term loss of eyelash. Alopecia areata can also affect eyelashes.
Sideburn Sparse / Loss / Hypotrichosis
腮鬢稀疏 / 缺失
腮鬢是耳前端由額角延長下來的一部份,它有著改善外觀的作用,腮鬢稀疏或缺失會令外觀美感大打折扣。

亞裔人士偏向較稀少腮鬢毛髮,一般求診者多屬於拉面皮手術後或因意外創傷或燒傷而引致腮鬢毛髮缺失。

Sideburn is the extension of the frontotemporal part of hairline and it can frame the face and add definition to facial contour, absence or sparse sideburn can no doubt affect the facial aesthetics. Asian tends to have lesser sideburn than Caucasian, and some patients requesting sideburn transplant after face lift surgery, accidental trauma or burn injury.
療程建議
Sideburn Transplant
Mustache Sparse or Loss / Hypotrichosis
鬍鬚稀疏 / 缺失
鬍鬚與頭髮毛囊的最大分別為,前者較為粗糙,鬍鬚多由單毛髮形成,而其濃密程度則會因應不同國藉而有所同,一般而言,印度或中東裔人士會較為濃密,鬍鬚與頭頂毛囊的最大分別為,前者較為粗糙。導致鬍鬚稀疏或缺失的原因可以是先天性稀疏或缺失、過份自行拔除、激光脫毛治療後、因意外創傷或兔唇收補手術等。

Mustache has a relatively thicker texture than scalp hair and is formed mostly by single follicle, density would be varied among different races, generally speaking, Indian and Middle East races have relatively high density. Sparse or Loss of mustache can be caused by congenital loss, over plucking, post laser hair removal treatment, trauma or post cleft lift repair surgery.
療程建議
Mustache Transplant
Seborrhoeic Dermatitis
脂溢性皮膚炎
脂溢性皮膚炎是一種頗普遍、慢性炎發性丘疹鱗屑性的皮膚病症,由一種酵母菌 (Pitydrosporum yeast)誘發而起。若同時患有神經系統性疾病(如頭部創傷、脊髓受傷、柏金遜病、腦中風者) 或患有後天免疫力缺乏症者,脂溢性皮膚炎的程度亦會較為嚴重。患處丘疹可呈透明至黃色油質脫皮屑,甚至出現紅色斑塊,可以出現廣泛現象,但多出現於頭皮髮線邊位、臉部中央及胸囗位置,特徵患處包括眼眉毛位置、眼睫毛底部、虎紋、鼻翼及外耳道。

Seborrheic Dermatitis is a common, chronic, papulo-squamous skin disease and is triggered by yeast (Pitydrosporum yeast). It can occur concomitantly with neurodegenerative disease (eg head injury, spinal cord injury, Parkinsonism , stroke) or those with AIDS. For those with AIDS, seborrheic dermatitis will appear to be more severe.
The affected areas will present with moist, transparent to yellow, greasy and scaling, among coalescing red patches and plaques. It may be diffuse, but mostly seen at scalp margins, central face and presternal areas. Characteristic locations are the eyebrows, the base of eyelashes, nasolabial folds and paranasal skin and external ear canal.
Tinea Capitis
頭癬 (真菌感染)
頭癬是由頭皮表面及髮幹受皮膚癬菌入侵所引致,可經由人同人接觸或通過共用患者的帽、梳等途徑傳染,亦有因為頭
皮創傷而引致皮膚癬菌入侵。誘發病原菌常見為 Microsporum 和 Trichophyton,當中的90%頭癬是經由Trichophyton species引致的,常見於兒童個案。

Tinea Capitis is resulted from invasion to hair shaft by fungal infection, it can be transmitted via direct contact or hat sharing, comb and etc. It can also be through wound on skin. The causative agents are commonly Microsporum and Trichophyton. 90% of Tinea Capitis is due to Trichophyton species, and commonly see in children.
Anagen Efflvium
生長期脫髮
生長期脫髮是一種非疤痕性、非發炎性、及無特定形式而廣泛性的特發性脫髮,由毛囊內的代謝及分核活動受到干擾而形成。在正常情況下,生長期的毛髮,每天均在不停地生長,但當受到某些藥物(如化學性抗癌藥物治療、物理因素及精神因素的影響時,會使生長期的毛髮在短期內大量脫落,一般於使用抗癌劑後7-14日後出現,大遍幅而明顯的脫髮則於1-2個月後出現。但此乃可逆轉性脫髮問題,一般會於停用化療藥物後慢慢愎原,但有時於使用高劑量化療或骨髓移植後,會出現永久性頭髮不再生長情況。

Anagen Effluvium is non-scarring, non-inflammatory and non-patterned diffuse hair loss, and is due to interruption of normal dermal papillary cell division and follicular metabolism. Under normal condition, scalp hair will continue to grow during Anagen phase, however when it is inhibited by mostly chemotherapy, the Anagen phase hair follicles will be switched to Telogen phase, then hair shedding will then follow (normally occurs 7-14 days post-chemotherapy).
Hair Line Going Up
髮線上移
髮線上移是個髮量問題。我們的專業團隊可助你解決。
Atopic Dermatitis of the Scalp
頭皮濕疹
頭皮異位性皮炎是一種慢性痕癢發炎性皮膚病變,常見於頭皮部位,反覆痕癢及抓癢以致表皮脫落會發展成慢性單純苔癬。此類皮膚病變影響10-15%的人口,而當中的30%是屬於遺傳性。除了頭皮外,身體其他地方亦會受到影响,常見於關節的彎曲皮膚表面,最常見出現於紅皮濕疹(Erythrodermic atopic dermatitis),患處會呈現痕癢、帶皮屑鱗片狀皮炎,重複不斷的抓癢除了會損害髮幹之外,更會令患處皮膚角質厚化,由於皮膚出現破損,會引致傷患受到細菌或受泡疹病毒感染。

Atopic Dermatitis of the Scalp is a chronic inflammatory skin disease, intensive itchiness resulted repeated scratching, leaving thick lichenification over the affected areas. This skin condition has been affecting 10-15% of the population, among those 30% is of hereditary. Apart from scalp skin, it can also affect other body parts, commonly seen over the extensor surfaces of limbs. Erythrodermic atopic dermatitis is the common clinical presentation, where the affected area will be intensely itch, with scaling inflammation, and repeated scratching, not only causing damage to hair shaft, but also leading to focal thickening of skin (lichenification). If scratching is vigorous, it can cause wound to skin surface and resulted bacterial or herpes simplex infection.
Weathering / Hair Breakage
髮幹風化現象 / 髮幹折斷
髮幹風化現象 / 髮幹折斷 (Weathering / Hair Breakage) 一般出現於過度使用美髮產品後,不論是化學性或物理性,而引致的髮幹結構問題,於風化現象中,受損害的毛髮表面毛鱗層會導致髮髓失去保護而變得容易折斷,一般風筒的熱力已經足夠燙傷頭髮面表,引致起水泡,繼而令其變得脆弱、乾旱,而最後易於折斷。

Hair Shaft Weathering or Fracture is the hair shaft structural damage result from overusing either chemical or physical hair cosmetics. During the process of weathering, the surface of hair shaft was damaged leading to exposure of underlying core layer, and causing easy breakage. Overheating hair blow drying can also cause burn injury to the hair shaft, resulting fragile, dehydrated hair shaft, and finally easy breakage.
Scalp Psoriasis
頭皮牛皮癣
頭皮牛皮癬是一稱多重基因遺傳慢性炎發性丘疹性鱗屑皮膚病變,常見於影响頭皮處,患處會呈現界線分明紅色皮鱗狀呈銀色的皮屑斑塊,當抓去表面銀色皮屑時,低層會有出血情況,痕癢程度則因人而異。部份牛皮癬患者會同時影響頭皮,很多時此乃牛皮癬最早期的表現徵狀,病發早期患處只呈現一小撮頭皮皮膚或廣泛性皮膚泛紅,一層厚厚的皮屑會繼而形成且包圍頭髮髮幹,情況惡化下去會伸廷出髮線以外,頭皮任何位置也會被影響,患處頭髮因而變得稀薄,而部份牛皮癬患者亦會有血清陰性關節炎症。

Scalp Psoriasis is a hereditary chronic inflammatory papulo-squamous skin disease. It can be seen at scalp where there is well demarcated reddish scaling lesions, when the thick surface scaling being forcefully removed, the underlying skin will have mild bleeding. Itchiness can be of different intensity. Most of the time, it started insidiously at one spot of the scalp and can slowly progress to extend beyond the hairline area, the thick scaling may be peeled off together with hair shaft, resulting extremely thinning out over the affected area.
Female Pattern Hair Loss
女性型脫髮
女性型脫髮又稱「女性遺傳性雄激素形脫髮」,脫髮的原因相對於男性有很大程度上的分別,其中由20-30%左右由遺傳因素所致。導致女性脫髮的原因,可分為「內在」及「外在」因素,雄激素水平過高,缺乏鐵質,內分泌失調、免疫系統疾病及甲狀腺素問題等皆會引致脫髮。此外,口服藥物如降膽固醇藥、降血壓藥及暗瘡藥等也有機會引致脫髮,有部份女士會在接受手術、發高燒、生育或因減肥過度後而出現短暫性脫髮。而「外在」因素與精神壓力、過度漂染頭髮、電髮及束辮子等有關;有些個別脫髮原因是由強迫性「拔毛症」疾病所造成。女性形脫髮不如男性形脫髮般明顯,出現時並無病徵,常見於頭頂分界位置開始由厚變薄,由密變疏,有部份情況須作血液樣本檢查或頭皮組織檢查。

Female Pattern Hair Loss (FPHL), also known as Female Androgenetic Alopecia, has quite a different underlying cause as compared with Male Pattern Hair Loss, only 20-30% is hereditary. Many other conditions can lead to female hair loss, intrinsically, hyperandrogenism, iron deficiency, endocrine disease, autoimmune disease or thyroid dysfunction can all lead to excessive hair shedding. Oral medications such as lipid lowering drugs, anti-hypertensive or vitamin A deriatives can also induce acute transient hair shedding. Extrinsically, psychological stress, excessive cosmetic hair treatment, perms, colouring etc. Patchy hair loss can be resulted from psychological disorder such as trichotillomania (excessive pulling on hair).
Female Pattern Hair Loss is also a clinical diagnosis by exclusion. It usually starts unnoticed from progressive thinning part line to the crown area, and laboratory tests are required to rule out other underlying organic causes, especially to those with acute hair shedding developed less than 6 weeks.
Male Pattern Hair Loss / Androgenetic Alopecia
男性型脫髮
男性型脫髮又稱「遺傳性男性型脫髮」是一種出現於受遺傳性影响的男性早期頭髮毛囊萎縮現象,一般出現於青春期後,由前額角髮線開始後移,逐漸至後期形成所謂的「M」字額及「地中海」,原因受體內的雙氫睪固酮 (Dihydrotestosterone / DHT) 影響頭髮毛囊生長周期,令毛囊逐漸縮短及萎縮。當到達50歲左右,情況一般會穩定下來,這是因為男性睪固酮的製造減少而令DHT的水平下降,對頭髮毛囊的影響相對減少所致。男性形脫髮並無任何病徵,亦無任何化驗程序可以確診,但可由臨牀診斷或家族歷史作診斷參考。

Male Pattern Hair Loss (MPHL), also known as Androgenetic Alopecia, is a hereditary condition affecting scalp hair follicles leading to early follicular degeneration. It mostly occurs after puberty and started affecting frontal hairline, then progress to affect the mid-scalp and crown area sparing temple and back of head area. It is due to Dihydrotestosterone (DHT) which inhibits the normal growing (anagen) phase of scalp hair follicles and resulted progressive shrinking down of hair follicles. The condition will usually stabilize around the age of 50 owing to reduced level of DHT. MPHL is a clinical diagnosis, with neither clinical symptom nor laboratory confirmation.
Alopecia Areata
斑禿(鬼剃頭)
斑禿俗稱「鬼剃頭」是一種常見的非疤痕性急性脫髮問題,患處會出現一個或多個呈圓形的缺髮情況,一般不太容易被察覺,除非所牽涉的範圍較明顯或出現大範圍的缺髮,部份人士甚至出現全頭禿 (Alopecia Totalis) 的現象,以兒童或少年出現此情況者較多,但出現全身禿 (Alopecia Universalis) 的情況則比較罕見。

成因包括 : 免疫系統出現紊亂現象,即T淋巴免疫細胞攻擊毛囊髮幹組織,令其無法正常生長。
精神或生理壓力是重要的誘因之一,但有部份患者則誘因不明。

Alopecia Areata is a common non-scarring hair loss problem, it presents normally with a round or oval shape bald patch on scalp, incidentally detected by family members or hair stylists. It can progress to involve bigger areas, and small portion of patients can progress to involve the whole scalp hair loss (Alopecia Totalis), more commonly seen in adolescence.

Even worse, very small percentages of patients will further deteriorate to involve whole body hair loss (Alopecia Universalis) which is very rare indeed. The pathogenesis of condition is due to T lymphocytes attacks hair shaft portion in the dermal layer, leading to hair breakage. It is believed to be triggered by psychological stress.
Hair pulling disorder
强迫性拔毛症
這是一種精神行為異常的病症,屬於行為強迫症 (Obsessive-Compulsive Behaviour) 的一種,其他常見的強迫症狀包括洗手,檢查門鎖等。患者多會在不自覺的情況下用力把頭髮不斷向外拉斷,或在不自覺下將頭髮一束束地用手指繞卷把玩,然後順勢向外拉扯,令頭髮不斷受到破壞而折斷,甚至乎眼眉或眼睫毛都會受到影響,頭頂部位會出現不規則的禿髮現象,患處周邊並無斑禿般齊整,而受影響區域則會是慣用手可觸碰到的地方,細心觀察頭皮表面皮膚時,很少會出現發炎性現象,但在嚴重個案,則會出現疤痕性的禿髮。

要治療「强迫性拔毛症」,患者必須先接受精神科醫生及臨床心理學家的幫忙,成效才能事半功倍。強迫症很多時是因為患者處於焦慮及情緒抑鬱的情況下,而不自覺地在行為上反映出來的一種病症,因此精神科醫生會處方抗抑鬱藥物用以抒緩患者的焦慮抑鬱情況,再配合臨床心理學家的認知行為治療 (Cognitive Behavior Therapy)去改變患者的行為,及自控地停止繼續拔頭髮的行為。

若能在早期時候停止拔毛行為,患處的禿髮會慢慢改善,最後頭髮能回復其正常的生長循環週期。若果,在患處已經出現疤痕性變化 (Scarring) ,表示真皮層組織以至毛囊已經被破壞及被疤痕組織所取締,患者可以考慮進行植髮手術去填補禿髮地方。

Post Traumatic Scarring Alopecia
疤痕性禿髮
創傷後疤痕性禿髮是由於頭皮創傷後而引致的一種禿髮問題,由於受傷區域的毛囊組織已經完全被破壞及變成疤痕組織,因此,植髮手術便成為可行的選擇。若果受創疤痕範圍太大,則需要考慮先把部份疤痕切除後,再進行植髮手術。
Bimatoprost Ophthalmic Solution
睫毛增長液
睫毛增長液巳獲美國食品及藥物監管局(FDA) 認可,為成年人治療眼睫毛稀少或上眼簾睫毛不足的醫生處方藥物,其主要成份為 Bimatoprost 0.3mg/ml ,在療醫學臨床上最初用於減低眼壓治療急性青光眼,其後發現它不僅能治療青光眼,更能令使用者增加睫毛處於生長期的數目,延長睫毛的生長期。一般需要連續使用4至8星期睫毛明顯改善這是基於東方人處於生長期的睫毛數目遠低於西方人,因此亦需要花較長的時間(12至16星期) 達到最佳效果。

Bimatoprost Ophthalmic Solution is the only FDA approved topical medication for clinical use in eyelash hypotrichosis (sparse eyelash), the concentration of the solution is 0.3mg/ml. Bimatoprost has been conventionally used clinically to treat acute glaucoma, the eyelash response to bimatoprost is in fact an incidental finding. Normally, eyelash lengthening, thickening and darkening can be seen around 4-8 weeks after application, however Asians may take longer to detect the effect owing to lesser number of eyelash hair follicles are in grow phase as compared to Caucasians.
Possible adverse effects with Bimatoprost include eyelid itchiness or mild erythema, congested conjunctiva or sclera, darkening to pupils and some patients may experience mild dryness to eyes. It is important to let your medical doctors know if you have any ophthalmological history or any eye surgery done.
治療須知

有可能出現的副作用如:
眼皮出現痕癢及泛紅、眼白出現紅根、上眼接觸藥物處及虹膜色素沉著及眼部出現輕微乾澀等。但如正使用眼壓藥物、或有青光眼高危因素(包括家族性青光眼病史),請於使用前告知醫生。

使用方法:

- 每晚卸妝後,掃在上眼簾邊緣。
- 需要連續使用4至8星期。
- 需要持續使以維持其效果。

Potential adverse effects of using Bimatoprost Ophthalmic Solution:
Upper eyelid skin itchiness and redness, scleral erythema, upper eyelid and iris hyperpigmentation.
Please inform medical doctor if you have been using anti-glaucoma medication or you have a strong family history or high risk group of developing glaucoma.

Instruction to use:
- Apply thinly to the upper eyelid along eyeliner after cleansing and removing all the eye make-ups.
- Need to continue to use for 4-8 weeks in order to see the effect.
- Need to be used continuously in order to maintain the result.

Bio-Cleansing Shampoo
生物洗髮乳
洗髮水的最大功效乃清潔頭皮及髮幹上的油污,令頭皮頭髮處於乾淨健康的環境。
活性生物洗髮乳能有效去除頭皮及髮幹上的多餘油脂,令其他配合其他脫髮療程的效果提高,亦能有助減少頭皮表面的 DHT水平。

Bio-Cleansing Shampoo can remove excessive sebum and DHT level on scalp skin and it helps to facilitate the effect of other hair treatment.
治療須知

> 每次洗頭前必須把頭髮先梳理,令洗髮乳能更平均分佈在頭皮及髮幹上。
> 可於接受脫髮療程前一晚或於當天早上使用,以便令治療效果事半功倍。

Eyebrow Transplant
植眉手術
植眉手術的基本原理與植髮大同小異。手術前,醫生會先溝通好所屬意的眉型及高低位置,然後用筆勾畫出眉形,女性的眉毛較為幼細而男仕的眉毛則較為粗獷,因此抽取的毛髮位置亦有差別。

在局部麻醉下,在後枕位置把一小片頭皮連頭髮毛囊取出,細少的傷口會利用Trichophytic Closure(隱形疤痕縫合法)的方法縫合,令疤痕隱藏在頭髮下,之後再將分離好的毛囊植入預先勾畫好的眼眉位置,而瘀腫則需要數天消散,縫線的位置需要由醫生或醫務人員於10天後拆線。

新植入的眉毛有部份會繼續生長,但有部份卻會於手術後兩星期脫落,並會於2至3個月後慢慢重新長出。植入的眉毛須作定期修剪以維持其在合適的長度,同時在最初期時,建議使用眉蠟以固定其形態,往後再新長出的眉毛其生長速度會續漸減慢,同時他亦會被周邊的原有眉毛所同化並模仿其生長特質。

Eyebrow transplant holds the same principle as hair transplant. Prior to surgery, doctor will communicate well with patients regarding eyebrow shape and positioning, the marking out the desirable eyebrow shape. Generally speaking, female eyebrow shape tends to be slimmer whereas male eyebrow shape tends to be broad and thicker. A small segment of skin was harvested from the back of head donor area under local anesthesia, then wound edge was approximated and closed with Trichophytic Closure.

The harvested strip of skin will be dissected into single hair follicle under powered stereomicroscope as all eyebrow hairs are single hair follicle. The dissected hair follicles will be implanted into the marked out area at the eyebrow area. Swelling will be subsided within few days and sutured from the donor area will be removed after 10 days.

Newly implanted hair will shed as normal process 2 weeks after surgery, new hair will start growing 2-3 months after surgery. Regular trimming of newly transplanted eye is required to maintain them at desirable length and will appear more organized. Eyebrow gel or wax may be required at the beginning to fix the shape of eyebrow, but gradually over time, the growth rate of the scalp hair at the eyebrow site will slow down.
治療須知

- 新植入的眉毛有部份會繼續生長,但有部份卻會於手術後兩星期脫落,並會於2至3個月後慢慢重新長出。
- 新植入的眉毛須作定期修剪以維持其在合適的長度。


植髮 Q&A
<植髮的成效與安全 Q & A>
<植髮後的護理 Q & A>
<植髮的過程及其技術 Q & A>
<植髮收費 Q & A>

Eyelash Transplant
植睫毛手術
眼睫毛本身具備遮擋眼睛免受沙塵及碎石的傷害的功能,除此之外,他亦有助修飾眼部儀容之效。對於人的臉部輪廓,缺少眼睫毛少不免對個人的外觀會造成影響。眼睫毛是眼皮複雜組織結構的一部份,一般而言,上下眼簾分別約有100及60條相亙交錯的眼睫毛,形成視覺上濃密的效果。

用於植睫毛所用的頭髮須配合睫毛本身的粗幼,在局部麻醉下,把頭髮毛囊取出,傷口會利用Trichophytic Closure(隱形疤痕縫合法)的方法縫合,令疤痕隱藏在頭髮下,其後將分離好的單一毛囊,利用特製的儀器植入,而瘀腫則需要1星期消散,縫線的位置需要由醫生或醫務人員於10天後拆線。

有部份人手術後會感到眼皮痕癢,此情況或會持續數天,會建議帶上眼罩以防止抓癢眼皮令植入的眼睫毛脫落,新植入的眼睫毛須作定期的箝捲或用睫毛液令其順服,同時亦要作定期修剪令他保持適當的長度。

Eyelash has a protective function of eyes from environmental hazards, it also has a cosmetic function of framing the eyes. Eyelash is part of the complicated eyelid structure, and normally there are around 100 hair to upper eyelid and around 60 to lower eyelid, they are crisscrossing to create a thickening visual effect.

The scalp hair selected for eyelash transplant must be fine and curly, those selected hair will be removed as a strip of skin from donor area (back of head) under local anesthesia, the wound will be approximated and closed with Trichophytic Closure, and the resultant scar will eventually be well hidden.
The harvested strip of skin will be further dissected into hair single hair follicles, which then inset into eyelid using special instrument, swelling will take a week to subside and eye shield may be required at nighttime while sleeping to prevent incidental scratching and dislodging the transplanted hair follicles.

Newly transplanted eyelashes required regular curler and applying mascara to maintain its curvature, and regular trimming is also required.
治療須知

有部份人手術後會感到眼皮痕癢,此情況或會持續數天,會建議帶上眼罩以防止抓癢眼皮令植入的眼睫毛脫落,新植入的眼睫毛須作定期的箝捲或用睫毛液令其順服,同時亦要作定期修剪令他保持適當的長度。



植髮 Q&A
<植髮的成效與安全 Q & A>
<植髮後的護理 Q & A>
<植髮的過程及其技術 Q & A>
<植髮收費 Q & A>

Finasteride Oral Medication
非那甾胺口服處方藥物
非那甾胺口服處方藥物獲美國食品及藥物監管局 (FDA) 認可,用作治療遺傳性「男性形脫髮」的口服處方藥物。每片1mg份量的「非那甾胺」已有足夠藥力阻止或延緩大部份男性形脫髮患者,臨床研究顯示當中三分之二人士會有明顯的改善,尤其整體髮量增加,有小部份人要服用達2年之久才能達到最好的改善水平,功效於頭頂地中海位置比前額位置較為顯著,若於禿髮初期服用,效果會更為顯著。

Finasteride is the only FDA approved oral medication for treatment of androgenetic alopecia (Male Pattern Hair Loss). Once daily 1mg tablet has shown good result to prevent or slow down progression of androgenetic alopecia, 2/3 of patients taking the medication has shown significant improvement, especially hair density, some take almost 2 years to reach the optimum therapeutic effect. It works better for the mid-scalp / crown area than frontal hairline. If started early, the result will be even more obvious.
1.4% patients may experience transient adverse effects, including reduced sex drive, erectile dysfunction and reduced ejaculant (not affect sperm count and its motility). These adverse effects are temporary and reversible, normally they will disappear if continued the medication for longer time. If patients really cannot tolerate the side effects, they can simply stop the medication and the adverse effects will disappear.
治療須知

約1.4%人士服藥初期會有機會出現短暫性副作用:包括性慾下降、勃起功能障礙及精液量減少(不影響精子數量、形態及活躍程度) ,但此副作用均屬於短暫性及可逆轉的,一般繼續服用下去,便會消失,或只要停止服用,短暫性的副作用便會回復正常。另外,有一小撮患男性女乳症者,服藥初期會感到乳房有漲痛情況出現。

FUE Hair Transplant
微創植髮
植髮巳被醫學引證為有效改善頭髮稀疏的手術方法,原理是將後枕(捐髮區)健康而不受雙氫睪固酮(Dihydrotestosterone / DHT) 影響的頭髮毛囊,移植到光禿或稀疏的位置(植髮區),令頭頂、M字額、髮線及「地中海」等脫髮位置重新長出健康的頭髮。

毛囊撮取技術(Follicular Unit Extraction / FUE) 俗稱「微創植髮」是一種對捐髮區創傷性較低的植髮方法,在局部麻醉下,醫生會直接在後枕捐髮區撮取毛囊,所遺下的細小傷口每個只有約1毫米,傷口會自行癒合,毋須縫線,新植入的頭髮會結痂,約數天至一星期左右會全部脫落,而瘀腫則需要數天散除。

相比FUT植髮復元速度較快,亦不會在頭皮上留下掌紋般幼細的疤痕,這是微創植髮(FUE)的最大優點,但代價是捐髮區的頭髮密度會因此而變得稀疏,情況要視乎本身的頭髮的質量及撮取的數量而建議植髮範圍相對較少的人士。

植髮雖然可以有效改善因脫髮而引起的外觀問題,但治療男性形脫髮應先著重延緩情況惡化,可能需要服用醫生處方藥物或配合其他療程。而植髮手術所需的毛囊單位數量亦會因應個人脫髮的情況、捐髮區頭髮的濃密度、髮質及對治療的期望而有所不同,大部份植入的毛囊都會繼續循環生長,但會因年紀漸長,頭髮會變得稀疏而脫落,這是正常生理老化現象。

治療須知

微創植髮為男性形脫髮患者提供了另一項選擇。

FUE 的好處:

1) 尤其適合小範圍植髮人士。
2) 將來會剷青後枕位置的個別人士。
3) 已經接受多次 FUT 手術而後枕皮膚不可能再作 FUT 手術的人士。


植髮 Q&A
<植髮的成效與安全 Q & A>
<植髮後的護理 Q & A>
<植髮的過程及其技術 Q & A>
<植髮收費 Q & A>

FUT Hair Transplant
植髮手術
植髮巳被醫學引證為有效改善頭髮稀疏的手術方法,FUT 植髮手術需在局部麻醉下進行。將頭部後枕部位取出一段預先量度好長闊度的頭皮連頭髮毛囊取出,傷口會利用Trichophytic Closure(隱形疤痕縫合法)的方法縫合,令疤痕隱藏在頭髮下,而取出的頭皮組織,會由醫護人員在高倍數顯微鏡下將頭皮組織細心切割分為單毛囊單位 (Single Hair Unit)(每單位包含一條毛髮) 或多重毛囊單位 (Micrograft unit)(每單位包含二至三條毛髮),最後移植到光禿或稀疏的位置(植髮區),令頭頂、M字額、髮線及「地中海」等脫髮位置重新長出健康的頭髮。

新植入的頭髮會結痂,約數天至一星期左右會全部脫落,而瘀腫則需要數天散除,縫線的位置需要由醫生或醫護人員於10天後拆線。

植髮雖然可以有效改善因脫髮而引起的外觀問題,但治療男性形脫髮應先著重延緩情況惡化,可能需要服用醫生處方藥物或配合其他療程。而植髮手術所需的毛囊單位數量亦會因應個人脫髮的情況、捐髮區頭髮的濃密度、髮質及對治療的期望而有所不同,大部份植入的毛囊都會繼續循環生長,但會因年紀漸長,頭髮會變得稀疏而脫落,這是正常生理老化現象。

Hair transplant has been considered as an effective surgical intervention to treat hair loss problem. It is an autologous tissue transplant by using the donor hair follicles (from back of head) which are less affected by dihydrotestosterone (DHT), then move to bald or thinning area on scalp (recipient site). It has mostly used to treat receded frontal hairline, mid-scalp thinning or even crown baldness.

For FUT, an area will be measured and marked out at the back of head and a strip of skin containing hair follicles will be removed, the wound will then be approximated on each edge and closed with Trichophytic Closure Method which will enable the resultant scar unnoticeable. Then nursing staff will dissect the harvested strip of skin with care under power microscope, to each individual follicular units containing either 1 hair, 2 hairs or 3 hairs, then these dissected follicular units will be implanted to the recipient site, namely frontal hairline, mid-scalp and crown area.
Same as FUE, newly implanted hair at the recipient site will shed 1 week after surgery, and the swelling after surgery will subside within few days depending on size of the surgical session. The wound closed at the donor required suture removal at about 10 days after the surgery.

Although hair transplant can fix the appearance resulted from hereditary hair loss, however it will not be able to stabilize the progressive deterioration to the remaining areas. Therefore, it is necessary to start before or at the same time the prescriptive medicine from doctors to stabilize the condition. It is said that the number of hair follicles required for transplant may vary individually subjected to the degree of hair thinning at time of presentation, also the density of donor hair follicles, scalp elasticity, hair texture, previous surgery and different in expectations. The hair grafts survival rate stays around 80-90% and will mostly continue their hair growth cycle, however hair growth cycle, density and even coloration may deteriorate gradually with years and this is just a normal physiological ageing process.
治療須知

手術所需之時間,要視乎植入毛囊之數量,一般畀乎於三數小時至八小時不等。
FUT 手術之好處:
1) 手術前,後枕頭髮不需要剷青。
2) 手術後,後枕位置傷口能完全被遮蓋。
3) 無論植入毛囊之數量多少,也能於當天完成。
4) 手術後,新植入的毛囊復原較快。


植髮 Q&A
<植髮的成效與安全 Q & A>
<植髮後的護理 Q & A>
<植髮的過程及其技術 Q & A>
<植髮收費 Q & A>

Hair Essence Supplement
頭髮營養素
面對女性型廣泛性脫髮問題,不論先天或後天引致的脫髮或髮幹折斷,一向是都會是治療上的一大難題,因為部份女士不太適合或不願意接受植髮手術,甚至乎植髮後出現短暫的休止期脫髮,會令情況暫時變得嚴重。頭髮營養素為頭髮生長及製造健康髮幹所需的營養要素,提供受女性型廣泛性脫髮、休止期脫髮或產後大量脫髮女士提供一項治療方案。

It has always been a great challenge when facing female hair loss or hair thinning, regardless the causes being hereditary or acquired. Not all female patients having hair loss problem are good candidate for hair transplant surgery, even so they may experience severe transient shock loss after the surgery. Hair Essence Supplement provides important ingredients for healthy hair shaft and accelerate hair growth, and is considered as a safe treatment options for those with diffuse hair loss, telogen effluvium especially after giving birth. It should be taken for 3 to 6 months as a cycle, then they can repeat the same after 3 months stopping.
治療須知

> 建議一般治療週期通常為3至6個月。
> 適合正產後餵浦母乳人士。
> 可配合其他治療方案,令效果更顯著。

Hair Fibers Powder
增髮纖維粉
增髮纖維粉是一種細小的微纖維髮,大小約0.3~0.5 mm,由跟頭髮相同結構的keratin蛋白質製造而成,不傷頭皮,不阻塞毛孔。藉由靜電效應跟頭髮緊密地結合,使細瘦的頭髮附著無數的微髮,在視覺上能造成原本細瘦的頭髮變多變粗的效果。
治療須知

使用方法:

- 使用時,頭髮必須是乾的。
- 打開罐子,對準要使用的地方,輕輕搖晃增髮纖維粉,讓纖維滑落到頭髮上。
- 使用完蓋緊蓋子,避免於潮濕處或陽光直射處貯存。
- 增髮纖維粉很輕易的移除,只要用普通的洗髮精即可洗淨。


皮膚如有過敏或發癢等症狀時,請暫停使用。

Hair Revitalizing Therapy
毛囊自生治療 賦活因子透入
是一項嶄新的養髮、健髮概念,利用有機植物所提練的賦活因子中的天然賦活及抗 DHT 功能,利用皮膚透入方法,會賦活因子直接進入皮膚底層,刺激毛囊皮脂分泌腺的毛乳突 (Bulge Area),毛乳突含有幹細胞組織,能增強毛囊的自生能力。因應頭髮稀疏問題,而混合不同劑量的賦活因子,作為個人化毛囊自生治療養髮、健髮的重要一環。

Making use of revitalizing and anti-DHT capacity from ReVitalizing Factors (RF) extracted from selected organic plants can reactivate the Follicular Sebaceous Bulge Area containing population of stem cells which can strengthen follicular papilla to produce hair. Combining various ReVitalizing Factors can achieve synergistic effect on follicular rejvenation and revilatization, dosage of various RFs will be customized and subjected to each individual candidate for different underlying causes of hair issues.
治療須知

> 建議首三個月每兩週一次,其後的九個月為每一個月一次,保養護理期為每二至三個月一次。
> 完成初步療程,建議繼續作修護保養治療。
> 情況要視乎個別患者的進度反應,而配合不同賦活因子配方。
> 就個別例子及情況,配合其他藥物治療能達到更佳效果。

> Once every 2 weeks for 3 months, then once every month for 9 months, maintence period will be once every 2-3 months.
> Continuous treatment sessions are required to maintain the result.
> Necessary adjustment to Revitalizing Factors concentration based on individual condition and responses.
> Subjected to individual case and hair loss condition, combining other medical treatment modalities is necessary for optimizing the clinical result.


毛囊自生治療 Q&A
<誰合適接受『毛囊自生治療』?>
<毛囊自生治療 之『髮』問?>

Infra-Red Laser Comb (Home Use)
激光梳(家用)
微能量激光梳治療已獲美國食品及藥物管理局(FDA) 核准用作改善頭髮稀疏幼薄及治療,所放出的激光波長為紅色光譜的 660nm,而所用的能量界乎30 至 500毫瓦特左右的强度,一般可見光譜的波長界乎紅光(750nm)至紫光(380nm),而整個紅光光譜的波長範圍為625nm 至 750nm。

它主要是藉著低能量紅外線激光能量,直接照射到達頭皮,增加其血流量及循環作用,這對於正常的毛囊生長有著重要的影響,因為這情況能加速傳送毛囊生長重要的營養元素,同時亦能將有害的物質帶離開毛囊。同時,低能量激光能亦能增加ATP 的產生,使毛囊細胞能有足夠能量提高新陳代謝,令其回復昔日正常的生長週期。

Infra-Red laser therapy has been cleared by FDA as in safe to be used as home apparatus to improve hair thinning, the wavelength of the laser is at 660 with strength of energy ranging from 30 to 500 mWatt. The mechanism of how it helps hair thinning is via improving micro-circulation to scalp skin which is important for better nutrients delivered for follicular proliferation, also helps to remove biological wastes from the follicular dermal papilla. Also, low lever energy can generate ATP which is important for follicular metabolism and normal hair growth cycle.



治療須知

低能量激光亦能增加細胞 ATP 的產生,使毛囊幹細胞能有足夠能量提高新陳代謝,令其回復正常的循環生長。
方便安全於家居使用,亦能於外遊時方便攜帶。

使用方法:
- 平常梳發那樣從前往後,略微緩慢即可。
- 每次使用5-10分鐘每周1到2次就能達到效果。

Intralesional Steroid Injection
類固醇注射
類固醇注射是將類固醇直接注入真皮層,醫生會因應不同皮膚問題及範圍大少而調節濃縮度。
皮損內類固醇消炎針常被應用於治療斑禿,俗稱「鬼剃頭」(Alopecia Areata)、疤痕増生(Hypertrophic Scar)、蟹足腫,俗稱「肉芽」(Keloid)、暗瘡、皮膚炎症等不同的皮膚或頭髮問題。

Corticosteriod is a good anti-inflammatory medication which has been used widely for many dermatological conditions. Intralesional steroid refers to directly introducing the medicine to dermal layer. The concentration used will be subjected to the area being injected, severity of the condition. Each injection will be at least 1-2 months apart. It has been used clinically in alopecia areata, hypertrophic scar, acne and granuloma.
治療須知

> 療程每次相隔約 6-8星期注射一次。
> 過量注射會出現皮膚真皮膚萎縮 (skin atrophy)現象。
> 必須諮詢醫生意見作臨床診斷及建議方案。

> Treatment interval is once every 6-8 weeks.
> Skin atrophy is a potential adverse effect of excessive injection.
> Medical advise for correct clinical diagnosis and treatment plan is mandatory before intralesional steriod injection.

Medicated Scalp Solution
藥用洗髮水
不同的頭髮或頭皮皮膚病患需要配合適當的藥用性洗髮或頭皮藥水,去達到理想的治療效果。常見的藥用性洗髮或頭皮藥水含有去角質、軟化角質、抗真菌、抗生素、類固醇等成份。
治療須知

必須經由醫生診斷病症,再配合適當的藥用性洗髮或頭皮藥水、濃度、劑量等去達到理想效果。

Minoxidil Foam Topical Medication
米諾地爾外塗處方藥物
米諾地爾外塗處方藥物獲美國食品及藥物監管局 (FDA) 認可,用作治療遺傳性「男性形脫髮」的外塗處方藥物。目前
無証據顯示米諾地爾液能逆轉毛囊萎縮化的過程,但它可以舒張血管,有助改善髮根毛囊微血液循環,同時它亦有助令頭髮提早從休止期進入生長期及延長頭髮生長期的時間。

Topical Minoxidil is the FDA approved for treating hereditary androgenetic alopecia, however it has not shown to reverse follicular miniaturization. But it has vessel dilation effect and can improve micro-circulation of the hair follicle. Moreover, it can prolong the anagen (growing) phase of hair follicles by shortening their telogen (shedding) phase.
Patients must use it continuously in order to maintain the desirable results. Once they stop using Minoxidil, the hair will resume their normal growth cycle, shedding may follow.
Some patients will notice more hair shedding for 2-8 weeks while they first started using Topical Minoxidil, this phenomenon is transient.

治療須知

治療的成效建基於患者必須持續使用以保持最佳治效果,若中途停止使用,之前所建立的成效可能會慢慢消失。而部份使用者,在使用初期2至8星期會發現頭髮脫落有增加的情況出現,但這是短暫性現象,原因是米諾地爾將原先處於休止期的頭髮,重新驅使進入新的生長周期所致。

Mustache Transplant
植鬍鬚手術
自體頭髮毛囊植鬍鬚手術的原理與植髮大同小異,手術前,醫生會先溝通好所屬意的鬍鬚形狀及分佈位置,在局部麻醉下,在後枕位置把一小片頭皮連頭髮毛囊取出,細少的傷口會利用Trichophytic Closure(隱形疤痕縫合法)的方法縫合,令疤痕隱藏在頭髮下,之後再將分離好的毛囊植入預先勾畫好的位置。新植入的鬍鬚會結痂,而瘀腫則需要數天散除,縫線的位置需要由醫生或醫務人員於10天後拆線。至於新植入的鬍鬚有部份會繼續生長,但有部份卻會於手術後兩星期脫落,並會於2至3個月後慢慢重新長出。

Mustache transplant shares the same principle as hair transplant. Prior to surgery, doctor will communicate with patients to mark out the desirable shape and distribution of mustache. A strip of skin from donor area (back of head) under local anesthesia, the wound will be approximated and closed with Trichophytic Closure, and the resultant scar will eventually be well hidden. The harvested strip of skin will be dissected into single hair follicle under powered stereomicroscope. The dissected hair follicles will be implanted into the marked out area at the mustache area. Swelling will be subsided within few days and sutured from the donor area will be removed after 10 days. Newly implanted hair follicles will shed about 2 weeks after surgery and regrow 2-3 months later.
治療須知

新植入的鬍鬚會結痂,而瘀腫則需要數天散除,縫線的位置需要由醫生或醫務人員於10天後拆線。至於新植入的鬍鬚有部份會繼續生長,但有部份卻會於手術後兩星期脫落,並會於2至3個月後慢慢重新長出。

植髮 Q&A
<植髮的成效與安全 Q & A>
<植髮後的護理 Q & A>
<植髮的過程及其技術 Q & A>
<植髮收費 Q & A>

Sideburn Transplant
植腮鬢手術
自體頭髮毛囊腮鬢手術的原理與植髮大同小異,手術前,醫生會先溝通好所屬意的腮鬢分佈位置,在局部麻醉下,在後枕位置把一小片頭皮連頭髮毛囊取出,細少的傷口會利用Trichophytic Closure(隱形疤痕縫合法)的方法縫合,令疤痕隱藏在頭髮下,之後再將分離好的毛囊植入預先勾畫好的位置。

新植入的腮鬢會結痂,而瘀腫則需要數天散除,縫線的位置需要由醫生或醫務人員於10天後拆線。至於新植入的腮鬢有部份會繼續生長,但有部份卻會於手術後兩星期脫落,並會於2至3個月後慢慢重新長出。

Sideburn transplant shares the same principle as hair transplant. Prior to surgery, doctor will communicate with patients to mark out the desirable shape and distribution of sideburn. A strip of skin from donor area (back of head) under local anesthesia, the wound will be approximated and closed with Trichophytic Closure, and the resultant scar will eventually be well hidden. The harvested strip of skin will be dissected into single hair follicle under powered stereomicroscope. The dissected hair follicles will be implanted into the marked out area at the sideburn area. Swelling will be subsided within few days and sutured from the donor area will be removed after 10 days. Newly implanted hair follicles will shed about 2 weeks after surgery and regrow 2-3 months later.
治療須知

新植入的腮鬢會結痂,而瘀腫則需要數天散除,縫線的位置需要由醫生或醫務人員於10天後拆線。至於新植入的腮鬢有部份會繼續生長,但有部份卻會於手術後兩星期脫落,並會於2至3個月後慢慢重新長出。



植髮 Q&A
<植髮的成效與安全 Q & A>
<植髮後的護理 Q & A>
<植髮的過程及其技術 Q & A>
<植髮收費 Q & A>

Volumizing Conditioner
髮幹修補護髮素
髮幹修補護髮素能修補乾旱受損髮絲,令頭髮本身的光澤程度增加、潤澤及強化髮幹。能有效滋潤長期受損的髮絲。使用後令頭髮感覺豐厚。

Volumizing Conditioner can repair the damaged hair shaft, restore its shininess and strengthen hair shaft.
治療須知

可於天氣乾燥的季節,於洗完頭塗抹於髮幹上,藉此增加頭髮本身的光澤程度、潤澤及強化髮幹。
若果天氣較為濕潤,則不需要每天使用。