臨床特徵：右側面部兩顆痣
患者資料
- 65 歲女性
- 病灶位於右側面部：一顆在鼻樑旁，一顆在眼下顴部。
鼻樑旁的痣
- 顏色：較淺的棕色。
- 大小：相對較大，因位置靠近鼻樑而更顯眼。
- 形態：圓頂狀，輕度隆起。
- 表面：光滑，邊界清晰。
- 臨床意義：因位置居中且體積較大，美容影響顯著；切除時需注意避免鼻樑輪廓不規則。
眼下顴部的痣
- 顏色：較深的棕色。
- 大小：相對較小，但仍為突起性病灶。
- 形態：結節狀，表面光滑。
- 臨床意義：位於眼下美容敏感區域，若切除過深可能導致凹陷性疤痕或局部輪廓變形。
總體臨床特徵
- 兩顆痣均為突起性黑色素痣，臨床表現良性，無潰瘍、出血或顏色不均。
- 美容考量是主要切除原因。
- 解剖挑戰包括皮膚薄、區域活動度高，術中需精準控制深度，以避免凹陷性疤痕。
Clinical Features: Two Moles on the Right Side of the Face
Patient Information
- 65‑year‑old female
- Lesions located on the right side of the face: one beside the nasal bridge, and one on the cheek beneath the eye.
Mole Beside the Nasal Bridge
- Color: Lighter brown.
- Size: Relatively larger, more noticeable due to its central facial location.
- Morphology: Dome‑shaped, mildly raised.
- Surface: Smooth, with clear borders.
- Clinical Significance: Prominent because of its size and position; excision must be carefully performed to avoid irregularity of the nasal bridge contour.
Mole on the Cheek Beneath the Eye
- Color: Darker brown.
- Size: Relatively smaller, though still protruding.
- Morphology: Nodular, smooth surface.
- Clinical Significance: Located in a cosmetically sensitive area under the eye; overly deep excision may result in depressed scarring or local contour deformity.
Overall Clinical Features
- Both lesions are protruding melanocytic nevi, clinically benign with no ulceration, bleeding, or irregular pigmentation.
- Cosmetic concern is the main indication for removal.
- Anatomical challenges include thin skin and high mobility in these regions, requiring precise depth control during excision to avoid depressed scarring.
鍾經略醫生以 CO₂ 雷射切除痣的臨床過程
患者右側面部的兩顆突起性痣由 鍾經略醫生以 CO₂ 雷射進行切除。手術過程中，醫生以控制性的汽化方式逐層去除病灶，直至 連同根部完全清除，以確保美容效果並避免復發。
由於缺損位置較深，且位於美容敏感區域（鼻樑旁與眼下顴部），手術後立即進行 縫合。醫生使用細緻縫線精準對合傷口邊緣，減少張力並降低凹陷性疤痕的風險。
術後過程：
- 拆線：術後 2 週拆除縫線，傷口已穩定癒合。
- 癒合情況：過程順利，無感染或傷口裂開。
- 最終結果：術後 6 個月，疤痕幾乎肉眼不可見，與周圍皮膚自然融合，無凹陷。
此病例顯示，透過 精準的 CO₂ 雷射深度控制與細緻縫合技術，即使在面部這樣的高美容需求區域，也能獲得近乎完美的美容效果。
CO₂ Laser Excision by Dr. Chung King Lueh
The two protruding moles on the right side of the patient’s face were excised using a CO₂ laser. The laser was applied in a controlled ablative mode, carefully vaporizing the lesions layer by layer until the roots were completely removed. This ensured both cosmetic improvement and prevention of recurrence.
Because the defects were moderately deep and located in cosmetically sensitive areas (near the nasal bridge and beneath the eye), the wounds were sutured immediately after laser excision. Fine sutures were used to approximate the wound edges precisely, minimizing tension and reducing the risk of depressed scarring.
Postoperative course:
- Sutures were removed 2 weeks after surgery, once the wounds had stabilized.
- Healing progressed smoothly without infection or wound breakdown.
- At 6 months post‑operation, the scars were almost invisible to the naked eye, blending naturally with the surrounding facial skin and showing no evidence of depression.
This case highlights how precise depth control with CO₂ laser combined with meticulous suturing can achieve excellent cosmetic outcomes, even in high‑visibility areas of the face.