Friday, November 22, 2013

The Danger of Ignoring a Fast Growing Bleeding Eyelid Lesion

This woman saw me because of slight decrease in her vision. She had early cataracts in both eyes which did not need early intervention. But what grape my attention was a lesion in her lower eyelid which had a black centre.
 
An ulcerated, pigmented lesion in the right lower lid.
 
On further questioning, she mentioned the lesion appeared 6 months earlier and had got progressively bigger and sometime bled which she scrated it accidentally. The history and the appearance were suggestive of basal cell carcinoma. I advised her to have the lesion excised to avoid it getting bigger. However, she was reluctant to have any surgery done to her face because of fear of getting an unsightly scar. I showed her some of my patients who had ignored the lesion only to need multilating surgery later when the condition was in an advanced stage.
 
An old man who ignored a right lower lid basal cell
carcinoma until it destroyed the lower lid and the eye.

The orbital content, lower eyelid, some bones and adjacent tissues
were removed in a procedure called orbital exenternation.
 
 
Sometimes a shock tactics was needed to convey the wisdom of having a facial cancer removed early. She agreed to the surgery and the lesion was removed with 3mm of clear margin. After ascertaining the margin is clear of the tumour, the defect was closed with a skin flap.
 
Steps in excision of the tumour and reconstruction.
 
 
Appearance at 2 weeks after surgery.

Appearance at 4 weeks after surgery.
 

 
 

Monday, November 11, 2013

Photoshop assisted aesthetic procedure

This Taiwan aesthetic centre is accused of using photoshop manipulation to show how a celebrity face has been thinned after Botox treatment. It is suspected that photoshop is used to make his pre-treatment lower face broader.


群英醫美被譏「靠修圖整形」
 
曾擔任綜藝節目《大學生了沒》來賓的通告藝人麥基,最近成為連鎖醫美機構群英整形外科診所的肉毒桿菌素瘦臉見證人,但有網友發現,診所官網上麥基的術前照片明顯後製過,兩側臉頰下方多出一塊切角,質疑:「難道是用繪圖軟體整形嗎?」對此,群英醫學公司行銷部強調,麥基的確在診所進行肉毒瘦臉,但坦言後製美工出問題,已修正。衛生局指出,業者應該注意廣告正確性,避免誤解。

投訴組
台北陳先生說,最近瀏覽臉書時,發現群英整形外科診所的廣告,有許多素人及通告藝人的見證照,他覺得很有趣,點閱連結瀏覽群英的官方網站,逐一點閱分享的案例,其中有通告藝人麥基代言肉毒桿菌素消除國字臉,網頁上還註明醫師替他看診治療的經過,並張貼術前術後照片。
不過陳先生說,他在察看麥基的術前照片時卻發現,麥基左右兩側臉頰的邊緣,與左右肩頸的交界處,卻呈現被切割的不自然切角,讓兩側下顎各凸出一塊肉,他請周遭同事們察看,大家都笑說太扯,「明顯就有做過圖片後製,這樣是醫美嗎?」

美工誤裁掉下顎處
對此,群英醫學公司行銷部專員侯冠名解釋,美工人員需要把人物照片去除背景,以利圖片編輯及網站上使用,卻沒注意多切掉臉部下顎處,造成兩處切角,會盡快處理,並強調麥基的確是有接受他們診所的醫美療程。

代言人稱確有療程
麥基此次活動的聯絡人邱雨瑄代麥基接受採訪時說,確有在診所接受療程,才會接洽這活動,沒發現圖片有問題。
台北市衛生局醫護管理處副處長杜仲傑表示,民眾如果發現醫美業者的廣告有疑義,可向衛生局檢舉,會進行稽查,台北市民若接受醫美療程發生任何醫療糾紛,可向衛生局申訴:(02)2728-7080