又來到睽違2年的巴黎，除了治安變好，街頭也變乾淨了不少，巴黎還是美麗的那個妳，但似乎很多人事都默默的變的不同。
謝謝 #BTL 的邀約，很開心分享了一場 #EMFACE#菲斯波 的演講，由於不想落於俗套，於是以自己臨床第一線曾遇到的問題，搭配近期 #饅化#填充併發症 的超音波發現，見證了不當的填充，對肌肉的收縮從來不是加分，更會嚴重造成肌肉收縮不良來說明為何所有的菲斯波的治療，都會有效，卻又有些人的效果不佳。說真的，其實是治療的順序與選擇適當接受治療的患者選擇出了問題，又缺乏期望值的管理所致。
老化的結果，從膚質變差，彈力與緊緻度下降，甚至因為饅化後的組織空洞化與支撐力被破壞，都是在年輕化的過程中必需注意的治療重點。如果單靠肌肉強化的菲斯波就妄想讓皮膚變超緊？！或因填充過度造成的垂墜組織拉回正常的位置，機率比走在路上被鳥屎擊中還低。
如同之前提過的 1)深層填充減量 2)淺皮層與深層組織緊實化 3)拉提 順序不能錯，如果一味的緊收皮膚不處理過重的問題，結果只是讓患者覺得被騙錢。
聽說今年的會議爆滿，最誇張時連走路都有困難，醫療科技進展一日千里，其實最終，都是在最低的修復期與侵入性下，達到自然回復年輕的結果。期待每個求美者，都能維持在自己最美的彼時！
Returning to Paris after a two-year hiatus, the city remains as stunning as ever. My gratitude to BTL for the invitation to lecture on EMFACE with ultrasound-driven precision effectiveness.
During my session, I addressed the clinical challenges of OverfilledSyndrome, or filler complications through ultrasound analysis and saw inadvent filler injection interfere movement of muscles. While EMFACE is a powerful tool, its efficacy is often compromised by incorrect treatment hierarchy and inadequate patient selection. Addressing filler related aging — from skin elasticity to tissue structural loss—requires a strategic 3-step approach: Volume reduction, Tissue tightening, and Lifting and the order cannot be changed.
Tightening the skin without addressing excessive weight from over-filling leads to suboptimal outcomes. As medical technology advances, the ultimate goal is achieving natural, youthful results with minimal invasiveness. It was a packed house this year, reflecting the rapid pace of innovation in our field!
