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Skin Concerns
FIND OUT WHAT TREATMENTS YOU NEED

MELASMA & PIGMENTATIONS

TROUBLED BY PIGMENTATION ISSUES?

Menopausal women worry about melasma on face.

WHAT CAUSES PIGMENTATION?

Pigmentations are generally caused by complex interplay of excessive ultraviolet or sun exposure, age, genetics, hormonal influence and even post skin injury.

WHO ARE MORE PRONE TO PIGMENTATION?

Asian women and darker skin types are more prone to suffer from pigmentation issues, and those with excessive ultraviolet or sun exposure can certainly further aggravate the pigmentations.

WHAT ARE THE COMMON TYPES OF PIGMENTATION?

Different types of pigmentation have their own unique characteristics and response to treatments, so each would require its own methods of treatment. Therefore there is no “one-size fits all” pigmentation treatments or even laser treatments.
MELASMA
  • Symmetrical dark brown patches on both sides of the face or forehead
  • Usually in middle aged Asian women of darker skin types
  • Factors due to age, genetics, hormones (eg contraceptive pills, pregnancy), vascular and chronic sun/UV exposure
  • Can look like “boundaries of a country” on your face
FRECKLES
  • Multiple tiny discrete brown spots over the cheekbones and nose
  • Usually in the younger age group e.g. adolescents, young adults
  • Can look like “dashes of pepper scattered on the face”
SOLAR LENTIGO
  • Singular or a few dark spots
  • Spots are usually roundish, discrete and uniform in color
  • Usually occurring in those with chronic sun exposure.
  • Can look like the “a bronze coin”
HORI'S NAEVUS
  • Cluster of dark greyish deep roundish pigmentations on the cheekbones, nose, or forehead
  • Usually in middle aged Asian women
  • Family members may also be affected
POST INFLAMMATORY HYPERPIGMENTATION (PIH)
  • Feathery looking pigmentations with blurred out margins
  • Occurs after skin injury, inflammation or infections (eg. cuts and abrasions, acne breakouts, inappropriate squeezing of pimples, post skin procedures, unsuitable cosmetics, etc)
AGE SPOTS (SEBORRHEIC KERATOSIS)
  • Multiple, rough warty-looking, brown bumps with a “stuck-on” greasy appearance.
  • Usually in the older age group, or runs in the family.
  • Often mistaken as pigmentations or moles
  • These bumps can be felt with your fingertips
UNEVEN SKIN TONE
  • Uneven skin tone refers to dull discolorations or blotches on the skin.
  • It can be associated with skin dehydration, resulting in dry and flaky patches.
  • Skin may appear tired, lackluster, and devoid of a healthy glow.
  • Causes of uneven skin tone can include inadequate skincare practices, aging, excessive sun exposure, or smoking.
Menopausal women worry about melasma on face.

WHEN TO SEEK HELP?

  1. Bigger brown patches on both sides of the face
  2. Brown spots on face not getting better with over-the-counter remedies or beauty treatments
  3. New brown marks developing after recent treatments on face
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Acne & Marks

TROUBLED BY ACNE ISSUES?

WHAT IS ACNE?

Acne is a clinical term to describe the spectrum of skin diseases that arise from oil glands in the skin. These include:

  • Excessive oiliness

  • Comedones (clogged pores eg blackheads and white heads)

  • Inflamed, red and painful acne papules and pustules (“pimples” or “zits” in laymen term)

  • Inflamed, red and painful acne nodules and cysts (more severe and deeper “pimples”)

  • Acne marks and scarring

WHAT IS ACNE CAUSED BY?

Acne is caused by a complex interplay of genetics, hormonal influence (eg androgens), excessive sebum (oil) production, formation of comedones (blackheads and whiteheads), inflammation and infection from bacteria (p. acne) in the oil glands of the skin of the face, chest, and back.

OTHER FACTORS THAT CAN AGGRAVATE ACNE FURTHER:

  • Inappropriate squeezing at the acne

  • Stress

  • Peri-menstrual flares for ladies above 30 years old

  • Prolonged mask wearing

  • Unsuitable cosmetics (thick, greasy, comedogenic)

  • Diets that are high in sugar and dairy products

  • Hot humid climate

  • Certain medications (topical or oral)

WHO ARE PRONE TO DEVELOP ACNE ISSUES?

Acne is a very common skin concerns, and can still occur in middle-aged adults, especially in ladies above 30 years old onwards, so it is not just only confined to teenagers and adolescents, contrary to popular belief.

WHEN TO SEEK HELP?

  1. Red, inflamed painful superficial pimples (with or without pus), or deep-seated ones
  2. Multiple comedones (blackhead and whiteheads) or persistent oiliness
  3. Persistent acne marks (red or brown)
  4. Acne pitted scarring associated with above acne related issues
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Anti-Ageing

TROUBLED BY SAGGY SKIN OR FINE LINES?

facial aging 1

WHY DO WE WANT TO TREAT FACIAL AGEING ISSUES?

No one can reverse the clock of ageing, but with an appropriate clinical skincare regimen and aesthetics procedures, one can slow down the clock to maintain a youthful and rejuvenated look.

AT WHICH STAGE IN LIFE DO AGEING ISSUES APPEAR?

As we age with time (above 35 years old), our face will start to show signs of ageing eg lax & saggy cheeks/jowls, and wrinkles (crowfeet, forehead & frown lines) from loss of collagen and elasticity in our skin. Volume loss (fat, muscle and bone mass) from our facial structures can result in loss of youthful contours on the face and appearance of sunken areas eg deepening of laugh lines, marionette lines, tear trough, and hollowing of the temples and foreheads.

An analogy will be that the youthful face is akin to an inflated balloon, while the aged face is akin to a deflated balloon. Slowing of skin cells’ metabolism can also result in dull, uneven dry skin. All the above ageing signs are much more apparent and accelerated especially for the below.

  • Ladies after menopause in their 50’s, due to reduced female hormones level in the body, the skin tends to be drier with more wrinkles and feels less supple

  • Chronic and excessive sun exposure causes photodamages to the skin

  • Smoking

WHEN TO SEEK HELP?

  1. Droopy lax skin on face for the middle-aged group or older
  2. Visible expression wrinkles on forehead, corner of eyes and between the eyebrows
  3. Persistent dull, uneven and dry skin
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