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  <url><loc>https://chang-tsunghsien.liusmed.com/skin-tumor-surgery</loc><lastmod>2026-10-03T19:29:06.124Z</lastmod></url>
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  <url><loc>https://chang-tsunghsien.liusmed.com/videos/KK2I5fxbdI0</loc><video:video><video:thumbnail_loc>https://i.ytimg.com/vi/KK2I5fxbdI0/oar2.jpg</video:thumbnail_loc><video:title>玻尿酸硬塊能直接打降解酶嗎？先排除感染再評估</video:title><video:description>臉上注射玻尿酸後出現硬塊，不一定都適合直接打降解酶。張醫師說明要先排除感染，且降解酶只對玻尿酸有效；施打前需確認填充物種類、施打量與位置，資料不清楚時可用超音波定位深度與大致的量，再決定降解酶劑量。</video:description><video:player_loc>https://www.youtube-nocookie.com/embed/KK2I5fxbdI0</video:player_loc><video:duration>144</video:duration><video:publication_date>2026-10-02T06:14:33.000Z</video:publication_date></video:video></url>
  <url><loc>https://chang-tsunghsien.liusmed.com/videos/fozsBC3QihU</loc><video:video><video:thumbnail_loc>https://i.ytimg.com/vi/fozsBC3QihU/oar2.jpg</video:thumbnail_loc><video:title>每種填充劑都能用降解酶溶掉嗎？玻尿酸與增生劑的差別</video:title><video:description>填充劑大致分為玻尿酸與膠原蛋白增生劑兩類，目前只有玻尿酸有對應的降解酶。張醫師說明不同玻尿酸的交聯程度、濃度與分子大小不同，所需降解酶量也不同；膠原蛋白增生劑形成的結節無法用降解酶處理，需改用其他注射藥物或手術抽吸。</video:description><video:player_loc>https://www.youtube-nocookie.com/embed/fozsBC3QihU</video:player_loc><video:duration>84</video:duration><video:publication_date>2026-08-12T03:05:46.000Z</video:publication_date></video:video></url>
  <url><loc>https://chang-tsunghsien.liusmed.com/videos/Rz3keDasI2w</loc><video:video><video:thumbnail_loc>https://i.ytimg.com/vi/Rz3keDasI2w/oar2.jpg</video:thumbnail_loc><video:title>怕打出饅化？哪些臉型適合先從電音波拉提開始</video:title><video:description>不少人擔心填充過量造成饅化。張醫師說明並非每張臉都適合從填充開始，臉型較豐盈、下顎線不明顯的人，可先評估電波或音波等非侵入拉提；音波偏向拉提與輪廓，電波偏向緊緻膚質，部分人做完音波後頰凹可能較明顯，維持時間因人而異。</video:description><video:player_loc>https://www.youtube-nocookie.com/embed/Rz3keDasI2w</video:player_loc><video:duration>92</video:duration><video:publication_date>2026-07-22T09:29:36.000Z</video:publication_date></video:video></url>
  <url><loc>https://chang-tsunghsien.liusmed.com/videos/ugl5UMvvWGY</loc><video:video><video:thumbnail_loc>https://i.ytimg.com/vi/ugl5UMvvWGY/oar2.jpg</video:thumbnail_loc><video:title>手打水光針是什麼？可以改善哪些膚質與落髮問題</video:title><video:description>水光針是用微針把原本外用的成分直接送進皮膚。張醫師說明常見用途包括改善膚質、細紋、毛孔與斑點，可依膚況導入小分子玻尿酸、膠原蛋白增生劑、PRP 或傳明酸等；也可用於肝斑與雄性禿等狀況，實際配方需由醫師評估。</video:description><video:player_loc>https://www.youtube-nocookie.com/embed/ugl5UMvvWGY</video:player_loc><video:duration>59</video:duration><video:publication_date>2026-07-06T03:56:28.000Z</video:publication_date></video:video></url>
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