近年來，國際間的醫療技術交流日益緊密。此次我非常榮幸受邀參與GC Aesthetics（GCA）Train the trainers 國際講師培訓課程，有機會近距離觀摩 Dr. Antonio Di Vincenzo 的臨床教學與手術操作。
作為 GCA 的官方核心講師，Dr. Antonio 長期專注於乳房美容手術，特別是在解剖型植入物（Anatomical implants）的臨床應用、乳房結構調整以及胸型比例設計上，具備相當成熟且系統化的經驗。他同時也是目前全歐洲 Luna XT™（璐娜水滴）植入物手術量最多的權威醫師，參訪當天更密集示範了 4 台高難度手術。
在這次緊湊的手術觀摩中，我最深刻的感受是：
「藉由經驗與技術的極致鑽研，能讓不同先天條件的患者，都能穩定達到理想的外形，打造出更接近天生、自然的隆乳胸型。」
Dr. Antonio 在手術中長期採用乳暈切口（Periareolar approach），並將其作為整體手術策略的核心。
透過這個切口路徑，他直接、精準地進行乳腺層次的調整，同時建立最適當的植入物空間，使乳房結構得以重新分布與優化。在這樣的操作邏輯下，手術不再只是「把植入物放進去」，而是同步進行整體胸型的結構調整與比例設計。
在實際觀察中可以明顯感受到，這種手術思維讓隆乳的胸型設計具有極高的「主動性」，而非被動地依賴植入物本身的形狀來決定結果。
在植入物的選擇上，Dr. Antonio 大量使用解剖型植入物 Luna XT™（璐娜水滴）。經過長期的臨床追蹤，他高度肯定 Luna XT™ 的長期穩定度與卓越安全性。
然而，好的工具仍需核心技術的靈魂。Dr. Antonio 憑藉豐富的經驗，透過精細的組織調整與空間設計，才讓植入物能在最正確的位置發揮最大作用。這也引發了我深刻的思考：
同樣的植入物，在不同的手術策略下，可以呈現出完全不同的結果。 雖然這與我平日擅長的「經腋下內視鏡隆乳」設計方向不同，但在面對一些極具挑戰性、困難乳房的案例時，是非常具有臨床參考價值的寶貴經驗。
在過往的臨床經驗中，許多人認為理想的胸型往往需要受術者具備一定的先天優勢，例如良好的皮膚彈性、足夠的乳房基底條件或均勻的組織分布。
但在這次觀摩中，我看到了另一種強大的可能性：
透過乳暈切口進入，靈活搭配乳腺結構調整與解剖型植入物的應用，即使原本條件並不理想、甚至面臨嚴重產後萎縮或不對稱的個案，仍然可以被成功引導至更接近客觀美學比例的結果，呈現出自然的動態與觸感。
手術的價值，可以只是簡單地放大患者既有的優勢；但更高階的價值，是藉由經驗與核心技術，重新建立和諧的比例與結構。
這次交流帶給我一個很明確的體悟：
在臨床初期，我們往往認為好的結果來自良好的條件；
但當工具升級之後，真正的目標，是讓結果不再過度依賴條件。
換句話說，手術建立在對解剖結構的理解與調整之上，使乳房結構朝向更理想的比例發展，並選擇符合需求的假體，這也是影響隆乳效果自然度的重要關鍵。
在整個觀摩過程中，可以強烈感受到 Dr. Antonio 的手術建立在一套可複製（Reproducible）的邏輯系統之上。
無論個案的身體條件如何變化，他的手術步驟與臨床判斷原則始終維持高度一致。這種「一致性」正是醫療品質的追求──讓手術結果不只是偶然成功一次，而是可以持續、穩定地被複製。
如何降低術中變異、建立穩定且可預測的結果，是隆乳手術能否維持長期卓越效果的關鍵。
這次的國際技術交流，是一場關於臨床決策的深度校準。Dr. Antonio 對於比例美學的嚴謹要求，以及他在複雜手術中的佈局思維，為我現有的醫療體系提供了極佳的印證與精進方向的參考。
我始終相信，醫療的進步，在於持續將國際間的尖端經驗，精確地轉化為優化患者成效的基石。
這種因人制宜的判斷力，讓向昕美學能根據每一位前來諮詢的客戶體質差異，規劃出兼具高度安全與理想比例的專屬規劃。
Clinical Observership Insights with European Breast Augmentation Authority Dr. Antonio Di Vincenzo
Executive Summary: Is an ideal breast augmentation outcome only achievable in patients with favorable baseline anatomy? In this column, Dr. Wen-Chi Huang shares her personal insights from the international GC Aesthetics (GCA) Train the Trainers masterclass. Through close observation of one of Europe’s most experienced surgeons in the use of Luna XT™ anatomical implants, a refined surgical perspective emerged: how precise technique and implant pocket design can reduce overreliance on a patient’s baseline anatomy and support natural-looking breast outcomes aligned with objective aesthetic proportions.
In recent years, international medical and technical exchanges have become increasingly interconnected. I was deeply honored to be invited to the GC Aesthetics (GCA) Train the Trainers international faculty program, which offered an invaluable opportunity to closely observe the clinical teaching and live surgical demonstrations of Dr. Antonio Di Vincenzo.
As an official core faculty member of GCA, Dr. Antonio has long dedicated his practice to aesthetic breast surgery. He has developed mature and systematic expertise in the clinical application of anatomical implants, breast tissue adjustment, and breast proportion design. He is currently regarded as one of the highest-volume surgeons for Luna XT™ anatomical implants in Europe, and on the day of my visit, he demonstrated four consecutive complex live surgeries.
Throughout this intensive surgical observation, my most important takeaway was this: through sustained refinement of experience and technique, surgeons can help patients with different baseline anatomies move toward a more ideal and natural-looking breast profile with greater consistency.
In his surgical practice, Dr. Antonio has long utilized the periareolar approach and integrates it as a key element of his overall surgical strategy.
Through this incision, he gains direct and precise access for breast tissue adjustment while creating an appropriate implant pocket, allowing the breast structure to be redistributed and optimized. Within this operative logic, breast augmentation is not limited to implant placement; it also involves structural adjustment and proportional design of the entire breast profile.
This approach demonstrates a highly active role in breast shape design. The final outcome is shaped through surgical planning and execution rather than being determined passively by the implant shape alone.
Regarding implant selection, Dr. Antonio extensively uses the Luna XT™ anatomical implant. Based on long-term clinical follow-up, he recognizes Luna XT™ long-term stability and clinically reliable performance.
Nevertheless, even a well-designed implant must be supported by sound surgical planning and precise technique. With extensive experience, Dr. Antonio uses meticulous tissue adjustment and pocket design to help the implant function appropriately in the intended anatomical position. This prompted an important reflection: the same implant can lead to very different outcomes under different surgical strategies. Although this differs from the transaxillary endoscopic breast augmentation approach that I routinely specialize in, it offers valuable clinical reference when managing highly challenging and complex breast cases.
In previous clinical experience, many have believed that an ideal breast profile often requires favorable baseline characteristics, such as good skin elasticity, an adequate breast base, or even soft-tissue distribution.
However, this observership demonstrated another important possibility: through the periareolar approach, combined with flexible breast tissue adjustment and the use of anatomical implants, even patients with less favorable baseline conditions, including severe post-partum involution or asymmetry, may be guided toward an outcome closer to objective aesthetic proportions, with natural movement and palpability.
However, this observership demonstrated another important possibility: through the periareolar approach, combined with flexible breast tissue adjustment and the use of anatomical implants, even patients with less favorable baseline conditions, including severe post-partum involution or asymmetry, may be guided toward an outcome closer to objective aesthetic proportions, with natural movement and palpability.
The clinical value of surgery may begin with enhancing a patient’s existing advantages; at a more advanced level, it lies in using experience and core technique to rebuild harmonious proportions and structure.
This exchange gave me a clear realization: early in clinical practice, we often attribute good outcomes to favorable baseline anatomy. As tools and techniques evolve, however, a surgeon’s true capability is reflected in reducing excessive dependence on those baseline conditions.
In other words, surgery is built upon a deep understanding and adjustment of anatomical structures. By guiding the breast structure toward more ideal proportions and selecting an implant that matches the patient’s needs, surgeons can better support a natural-looking breast augmentation outcome.
Throughout the observation, it was evident that Dr. Antonio’s surgical execution is built upon a highly reproducible logical system.
Regardless of variations in patient anatomy, his operative steps and clinical decision-making principles remain highly consistent. This consistency reflects the pursuit of medical quality: surgical success should not be an isolated occurrence, but a standard that can be reproduced with stability over time
Reducing intraoperative variability and building consistent, predictable outcomes are essential to maintaining long-term excellence in breast augmentation.
This international technical exchange served as a meaningful recalibration of clinical decision-making. Dr. Antonio’s rigorous approach to proportional aesthetics and his strategic planning in complex cases provided valuable validation and reference points for further refining my own clinical framework.
I firmly believe that medical progress lies in continuously translating advanced international experience into clinical details that help optimize patient outcomes.
For patients with favorable baseline anatomy: I remain committed to the principle of preserving native architecture, using approaches that minimize tissue disruption while supporting a natural aesthetic result.
For more challenging and complex cases: This systematized international experience provides valuable adaptability and reconstructive planning logic.
This individualized clinical judgment allows iBelieVe Aesthetic Clinic to design surgical plans according to each patient’s unique physical conditions, with the goal of balancing safety, stability, and aesthetic proportion.