青春光耀BBL
青春光耀BBL®—高科技的光波技術治療多種肌膚問題
什麼是青春光耀BBL®？
青春光耀BBL®是市面上高科技的光波技術。屬於非侵入性的光療法。使用多種波長的強脈衝光搭配多種智能濾片，改善多項肌膚問題：斑點、血管絲、酒糟、光老化、細紋、肌膚粗糙。
光所產生的熱能可以消除發紅的細小血管，並減少不需要的黑色素。你的肌膚會感覺更光滑，細紋和毛孔會變得沒那麼明顯，臉上斑點暇疵與膚色黯沉也會得到改善。
青春光耀BBL®改善肌膚多種暇疵
BBL屬於光波技術，與雷射的單一波長不同的是，BBL有廣泛的波長，使用不同智能濾片，過濾掉不必要的波長傳輸，單一療程即可治療不同肌膚問題：
●420 – 青春痘。
●515 – 斑點，如雀斑、曬斑、老人斑。
●560 – 紅痘疤與臉部可見小血管。
●640 – 色素問題
●SkinTyte™ (590ST、695ST、800ST)肌膚緊緻模式，使用紅外光能深度加熱真皮層的膠原蛋白模式。
青春光耀BBL®濾片介紹：
BBL治療特色：
●午休療程，幾乎沒有恢復期：患者可以立即恢復正常活動。
●幾乎不痛：光會在肌膚產生溫熱感，疼痛感不強烈。
●非侵入性治療：高級光療法，不須敷麻藥。
●解決多種問題：斑點、血管絲、酒糟、老化、細紋、肌膚粗糙。
●快速治療時間：全臉平均治療時間為 15-20 分鐘。
●所有身體部位：面部、頸部、胸部、手臂都可以施打。
術前術後案例：
▼臉上有色素、斑點問題，可以用BBL搭配其他雷射治療。
▼因老化導致臉部鬆垮，治療後讓臉部線條看起來較平滑、順暢。
▼肌膚質地想要再更好，使用BBL美白模式施打。
▼當肌膚出現細紋及毛孔、老化問題，可以用BBL ST模式改善。
▼用BBL治療妊娠紋（建議在疤痕呈現暗紅色時開始治療，是黃金的治療時期。）
大部分的醫美療程只針對一種肌膚問題，青春光耀BBL® 將光能引導到肌膚中，搭配不同智能濾片，可以過濾不必要的波長傳輸，並且應用在不同的肌膚問題。光能到達目標時會轉化為熱能。這些目標可以是黑色素、血管甚至是引起痤瘡的細菌。
通常患者在第一次青春光耀BBL®治療後，可以看見肌膚改善，並且在4到6次治療後達到極佳的效果，之後每年建議至少進行2-3次的保養維持治療。
安全、幾乎沒有恢復期的午休美容療程！
青春光耀BBL®方波脈衝輸出能量均勻一致，不會產生能量浪費而且也不會造成表皮層的損害，達到高效的結果。同時，透過藍寶石晶體溫控冷卻技術，將熱能溫度控制0~30度C。
大限度減少肌膚組織損傷造成的副作用如反黑、長期泛紅或水泡。部分的人除了輕度發紅之外沒有不適感。幾乎不需恢復時間。
多少次BBL治療會有更佳結果？
大多數客戶平均需要 3-6 次治療， 越嚴重的病人需要的次數越多。每次治療需間隔 4-6 週。BBL治療對幾乎所有的肌膚類型都是安全的，可以在需要改善的身體部位進行。
需要多長時間恢復期？
青春光耀BBL®是一種溫和的治療，在大多數情況下，可以立即重返工作崗位並恢復正常活動。如果能量比較強，可能會有1~2天的腫脹，也可能會結痂、脫皮，少數會有起水泡的情形發生。
肌膚敏感、又有酒糟，我適合做青春光耀BBL®嗎？
適合，青春光耀青春光耀BBL®其中一個強項是治療紅色的血管，不論是血管絲、酒糟泛紅、血管瘤都可以治療，治療次數約需要4~5次。
青春光耀BBL®能治療痘痘嗎?
BBL恆淨痘痘模式420濾片適合正在爆發的青春痘、長痘痘後留下的色素沉澱與紅色痘印，再搭配多種協同式痘痘治療像是光動力一起對抗痘痘問題。
BBL恆淨痘痘模式420濾片
為什麼要選擇專業的醫師操作青春光耀BBL®療程?
醫生必須擁有豐富經驗才能準確選擇適合的參數、智能濾片脈衝量、脈衝持續時間和冷卻的溫度。即使使用同一個參數但其他操作方式不同也可能會產生不一樣的效果。
青春光耀BBL® SkinTyte 緊膚模式（英翻中名詞）
經國外研究證實，經過青春光耀BBL®的療程，會讓肌膚細胞的實際 DNA 發生變化，如下圖所示，在青春光耀BBL®治療後，老年人肌膚的基因表達模式變得與年輕人的基因模式更為相似(註1)。
彈性組織減少和更均勻的膠原蛋白沉積，改善細紋和色素沉著(註2)。更多與衰老相關的基因被激活，肌膚的外觀發生變化。
BBL搭配590ST或695ST智能濾片，使用紅外線將快速、溫和的能量傳遞到肌膚，根據每個人的肌膚皺紋的位置，同時不損壞肌膚的周圍組織。讓肌膚的膠原蛋白基礎重建和強化，可以在四個月的時間看到肌膚緊緻效果。
青春光耀BBL®每年定期保養治療
在一項研究中³，15名 38 歲到 69 歲的患者每年至少接受一次青春光耀BBL®治療，並且持續 5 到 11 年。研究實驗邀請將近500 名人員猜測每位患者的肌膚年齡。因為細紋的改善，這些患者的肌膚被評估比實際年齡年輕 10 歲左右。
A圖為患者46歲的照片，5年過後B圖為該患者51歲的緊緻肌膚
青春光耀BBL®治療在美國已經超過20年歷史，這二十多年來，BBL 的發明者Dr. Patrick Bitter接受過近百次青春光耀BBL®治療。
現在他已經60幾歲，大家可以在他的IG中看到他的肌膚還是一樣緊緻光亮。不過，如果是嚴重鬆弛與老化問題，可以諮詢鳳凰電波或選擇填充物注射改善外觀。
減少細紋—鳳凰電波
改善臉部凹陷紋路—玻尿酸填充
Dr. Patrick Bitter的Dr. Patrick Bitter IG
青春光耀BBL®治療注意事項：
●青春光耀BBL®治療過程中，所有人都要配戴合適的護目鏡，病人需全程緊閉雙眼，避免受到光束直接照射。
●青春光耀BBL®不需要麻醉即可進行，醫師會先於治療部位塗上冰涼的專用導光凝膠，再發射治療光束於肌膚，此時將感到陣陣光束進入導熱與亮眼感。
青春光耀BBL®治療後護理：
●術後即可進行後續保養程序及防曬。(24-48小時內可以使用a醇或果酸類嗎?
●術後的微紅腫為正常現象，幾小時後會逐漸退去，若未退除可以冰敷改善。
●術後無傷口可立即上妝，馬上恢復日常作息，但兩天內避免泡溫泉、桑拿及激烈運動。
●兩天內色素斑有些微加深的情形，乃為原本潛在色素斑與光束產生的治療效應，數日後將隨老舊角質脫落消失，清洗時請輕柔勿用力摩擦。
文獻來源：
1.在老化肌膚中基因表達改變的 2265 個基因中，有 1293 個基因恢復到年輕基因表達。
Effects of broadband light (BBL) treatment on coding and noncoding RNAs in aging skin. (a) Gene expression clustering of treated aged samples is intermediate between untreated young and untreated aged samples. Transcript levels that significantly change with untreated young versus untreated aged samples, as well as untreated aged versus treated aged samples (n=3,530 total transcripts), are shown. Columns indicate single subject sample and rows indicate gene. T, aged treated; U, aged untreated; Y, young untreated. Magenta columns are visual representations of the gene distributions on the large heat map (left) as grouped by biological function. For instance, “immune response” and “translation” related genes are on the lower half of the heat map, with yellow indicating increased levels (or “up”) in treated aged and untreated young groups; the corresponding location in the large heat map for immune response and translation are blue (or “down”) in the untreated aged group. Distributions on the large heat map of rejuvenated genes (RGs; n=1,293) and “long noncoding RNAs” (lncRNAs) are shown in the first and second magenta columns, respectively. (b) The top six most significant Gene Ontology (GO) terms among RGs. (c) Examples of RGs with known aging function.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3547222/figure/fig2/
2.青春光耀BBL® 治療一名 73 歲女性（虛線部位表示治療區域）。 (b) 同一前臂經過三次青春光耀BBL® 治療後，與未治療區域相比，治療區域（虛線框）的細皺紋、色素沉著過度和紅斑減少。彈性組織減少和更均勻的膠原蛋白沉積，改善細紋和色素沉著
Clinical and histologic effects of broadband light (BBL) treatment. (a) Arm of a 73-year old female before BBL® treatment (dashed box indicates area to be treated and bandage indicates untreated skin). (b) The same forearm after three BBL® treatments with reduced fine wrinkling, hyperpigmentation, and erythema in the treated area (dashed box) compared with the untreated area. (c) Skin aging parameters show significant decreases in fine wrinkling, abnormal pigmentation, and global skin aging assessment after BBL® treatment. The P-value by two-sided t-test. (d) Histology of skin before BBL® treatment shows elastosis (original magnification × 200, hematoxylin and eosin (H&E) stain) and (e) reduced elastosis (original magnification × 200, H&E stain) after BBL® treatment. (f) Before treatment, elastosis is prominent (original magnification × 200, von Giesen stain). (g) After treatment, elastosis is less distinct (original magnification × 200, von Giesen stain). (h) Before treatment, collagen fibers appear attenuated and disordered (original magnification × 200, periodic acid–Schiff (PAS) stain). (i) After treatment, collagen fibers are more uniform (original magnification × 200, PAS stain). Bars=1 mm each.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3547222/figure/fig1/
3.15名年齡在 38 至 69 歲的參與者在研究期間每年至少接受 1 次青春光耀青春光耀BBL®全臉治療。雙盲評估者 (N491) 分析了第一次治療前和最後一次治療後拍攝的臨床照片，這些參與者的肌膚被評估比實際年齡平均年輕 10 歲左右。
BroadBand Light (BBL), which utilizes visible and infrared light (400–1400 nm) delivered for phototherapy, is a nonablative treatment designed to rejuvenate the skin on the face, chest, neck, forearms, legs, and hands. The objective of this retrospective study was to evaluate if participants who underwent regular treatment with BBL® over a period of 5 to 11 years looked noticeably younger than their actual age. Fifteen participants aged 38 to 69 years (median, 46.0 years; interquartile range, 19.7 years) with Fitzpatrick skin types I to IV received at least 1 full-face treatment per year with a BBL® device (BBL, Sciton, Inc) during the study period. Blinded evaluators (N491) analyzed clinical photographs taken before the first treatment and after the last treatment to estimate pretreatment and posttreatment ages of participants over 5 to 11 years. Before treatment, the median estimated age of participants was slightly lower than the median actual age, but the difference was not significant. The median estimated age at the end of the study period, which varied from 5 to 11 years depending on the participant, was significantly lower than the corresponding median actual age (P.0084). Although treated skin actually aged a median of 9 years, participants appeared to have aged a median of 2 years. Results from our study indicate that patients who maintain a regular annual or biannual regimen of BBL® treatments over 5 to 11 years can reduce and delay the long-term signs of skin aging such as photodamage, telangiectases, fine lines and wrinkles, and skin laxity in a natural-looking way.
https://www.mnfacialplastics.com/wp-content/uploads/2012/04/Retrospective-Eval-of-BBL-Patrick-Bitter-Jr-MD-Jason-Pozner-MD.pdf
4.對49名具有不同程度光老化受試者進行四次或更多次全臉治療(間隔三周)，超過 90% 的受試者中都顯示出以下這些問題的改善：皺紋、肌膚粗糙、不規則色素沉著、毛孔大小和毛細血管擴張。88%的受試者對治療的結果感到滿意。
Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments
Background: Photodamaged skin is characterized not only by rhytides, but also by epidermal and dermal atrophy, rough skin texture, irregular pigmentation, telangiectasias, laxity, and enlarged pores. There is growing interest in the development of noninvasive methods to treat photodamaged skin. Skin photorejuvenation is the visible improvement of photodamaged skin using a laser or other light source. A noncoherent, broadband, pulsed light source is effective in the treatment of vascular and pigmented lesions of the skin. This study evaluates the role of intense pulsed light in the rejuvenation of photo aged skin. Objective: The purpose of this study was to evaluate and quantify the degree of visible improvement in photodamaged skin following a series of full-face, intense pulsed light treatments. Methods: Forty-nine subjects with varying degrees of photo-damage were treated with a series of four or more full-face treatments at 3-week intervals using a nonablative, nonlaser intense pulsed visible light source. Fluences varied from 30 to 50 J/cm2. Subject evaluation and skin biopsies were used to assess treatment results. Results: All aspects of photodamage including wrinkling, skin coarseness, irregular pigmentation, pore size, and telangiectasias showed visible improvement in more than 90% of subjects with minimal downtime and no scarring. Eighty-eight percent of subjects were satisfied with the overall results of their treatments. Conclusion: Treatment of photodamaged facial skin using a series of full-face treatments with intense pulsed light is a new and effective noninvasive method of skin rejuvenation with minimal risk and no patient downtime.
https://www.mnfacialplastics.com/wp-content/uploads/2012/04/Retrospective-Eval-of-BBL-Patrick-Bitter-Jr-MD-Jason-Pozner-MD.pdf
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