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I Had Another Go At Nose Fillers And I Am Happy With The Result

nose filler patient

Nose filler is a well-known non-surgical procedure, otherwise known as rhinoplasty, which uses injectable fillers to make the nose appear higher and more pointed. This is a common procedure among many Asians for cosmetic enhancement. The Asian facial structure has a flatter nose as compared to Westerns, which makes this a popular cosmetic procedure. Nose fillers were initially popularized in Korea and Taiwan, but now more and more Asian countries adapt to this procedure mostly because of its non-surgical nature.

Dermal fillers may vary on how long it can last depending on the contents of the filler used. For nose fillers, the common duration lasts about 11 to 14 months, or about year, depending on the metabolism of your body and processing the tissue-filler agents.

nose filler patient

I already had a nose filler job done more than two years ago. Dr. Israr Wong, my trusted cosmetic doctor, used Restylane® for my nose filler. It had a good effect on me and I was satisfied with the result. It added a natural lift to my nose and with the botox done to my jawline, I was happy with the overall result.

The Restylane® filler lasted its effects for about nine to ten months. After that, the body’s metabolism started melting away the fillers, but it was gradual and I initially did not notice the changes. I am very keen on the possible painful effects but I knew the results that I wanted to see after the nose filler job.

Dr. Wong fully understood my concern and was very supportive. He shared that many of his patients have the same fear of pain and downtime after a nose filler procedure. Dr. Wong added that chances of pain and downtime after the session is very minimal to non-existent. He assured me and made me feel comfortable throughout the session. This is when Dr.Wong introduced the Ellansé™ Dermal Fillers brand as a nose filler product.

before-after nose fillers

How Nose Fillers are Administered

Generally speaking, nose fillers are administered by injecting the filler using a fine needle along the bridge of the nose. Numbing cream is applied before the injection so the as not to feel any pain or discomfort. On that note, should there be any pain, it is very much tolerable and minimal. Nose filler is a lunchtime type of cosmetic procedure. This means you can basically get it done in less than an hour and there is no downtime after the procedure.

You should be able to see results right after the session, but it can be gradual as the fillers will settle with your tissues in the next days. Optimal results should be visible about a week after the session. Should you experience unbearable pain that does not go away, itching on the area or uneven results, see your cosmetic doctor immediately to have it treated right away.

Who can get the Ellansé™ Dermal Fillers treatment?

Ellansé™ is a well-known dermal filler product used by many Singapore cosmetic doctors. The Cosmetics Europe association has certified and approved this filler brand in 2009, which makes it a world-class product not only used for nose fillers but also chin lifting and face lifting.

The eye-catching feature of Ellansé™ that makes it a good choice is its variety of formulations at how long they can last. Their variations are:

  • S, can last for one year
  • M, can last for two years
  • L, can last for three years
  • E, can last for four years

Ellansé™ brand is appealing, but there are still considerations on who can use this product for its best optimal results. It is more suitable for:

  • If you already know what result you want to see after the procedure, provided that these results are achievable by a nose filler job (to be determined by your doctor)
  • If you have a trusted cosmetic doctor that knows your history and cosmetic experiences. This is important so as to prevent skin reactions that your skin is not accustomed to.
  • If you have an experience or have gotten a nose filler job before
  • If your previous nose filler job is not effective anymore and if it is longer than a year
  • If you prefer a longer-lasting effect on nose fillers and you do not want to undergo the treatment every year

Costs and Recommendations

Ellansé™ price range depends on the variation you prefer or from a doctor’s recommendation. Price range may vary from $1,200 to $1,700. This may seem like a more pricey cost as compared to other nose filler products, however, you can take into consideration the lasting effects and the efficiency of the product.

In my opinion, Ellansé™ is much preferable because of its quality which has passed world-class standards. In the subject of costs, Dr. Wong recommended this product because it may seem like a pricey investment at first, but the lasting effects and variation means it actually costs less. The L and E variations which can last three to four years means you do not have to re-do your nose filler job every year, which takes off cost annual costs of the procedure and, in some minimal instances, recovery treatments.

recovery treatments

Why Ellansé™ Dermal Fillers are the best choice for nose fillers:

A successful nose filler job has several factors to consider: (1) using the best or most recommended dermal filler product, (2) working with your doctor who knows what you want and can give you a comfortable procedure, (3) you know what you want to achieve, and (4) the nose filler results are exactly what you had in mind.

Ellansé™ Dermal Fillers are highly recommended by many cosmetic doctors in Singapore. Its world-class quality is an important factor for consideration. This product is used in many other Asian countries, and even in Europe. Ellansé™ Dermal Fillers are the best choice is you want to have a re-do of your nose filler job because of its long-lasting effects which can last for up to four years, and because it is more practical. Be sure to talk to your cosmetic doctor and discuss the use of Ellansé™ on your next nose filler session.

Dr Israr Wong’s credentials are impressive. He is the first accredited Ellanse trainer from Singapore, and one of the pioneering members of the first and only Ellanse Asia Advisory Board (other members include the famous Dr Lin Shang Li from Taiwan!).

Ellanse trainer

Ellanse Asia Advisory Board

He is also the first South East Asian doctor to win the Ellanse + Silhouette Soft Combination Therapy award in World Experts Meeting in Barcelona in 2018.

Soft Combination Therapy award

He holds many Ellanse and Silhouette Soft workshops in Singapore, Malaysia, Philippines regularly and is an international speaker for Sinclair Pharmaceuticals.

Dr Israr Wong is definitely the go-to man for Ellanse and Silhouette Soft in Singapore!

These are some of his before after photos of nose Ellanse taken from his Instagram:

Ellanse nose augmentation

The Only Guide You’ll Need to Hair Transplants in Singapore

Six months after hair transplant

Chances are, you’re going to experience some hair loss during your lifetime. It’s a condition dreaded by every middle-aged person, male and female. It’s this dread that fuels the demand for miracle hair growth solutions. You know the ads - Those glitzy animations of hair follicles sprouting out of nowhere like magic beanstalks. Here’s the truth of the matter; most of these elixirs and creams have very little if any scientific research to back their efficacy up. In fact, I’d say much of the anecdotal evidence my patients feed me is generally negative.

Here’s one procedure that’s actually guaranteed to work – Hair transplants. If you’re considering getting one done, here’s a quick primer on what you need to know before you go through with it.

What causes hair loss anyway?

Genetics, really. Male pattern baldness affects about 19 out of every 20 Singaporean males who experience hair loss. Other causes of hair loss include:

  • Illness
  • Ageing
  • Hormones
  • Stress
  • Deficiency in Nutrients
  • Excessive Pulling
  • Side Effects of Medication or Hair Products

It’s imperative that you get an actual diagnosis from a doctor about the cause of your hair loss. The cliché that prevention is better than cure is actually really accurate. For example, if you’re losing hair mainly due to stress, then I’d strongly urge you to address that issue instead first before considering an actual transplant. Any hair loss treatment that doesn’t address the actual cause is potentially a huge waste of time and money.

What is a hair transplant?

Hair transplantation steps

A hair transplant is a surgical procedure that takes hair from one part of your body and transplants it to a  different part of your body. The first hair transplant was done in Japan in 1939 using individual scalp hairs.

Which type of hair transplant is best for you?

There are two types of hair transplant available in Singapore: follicular unit extraction (FUE) and follicular unit transplantation (FUT).

Follicular Unit Extraction

FUE involves the surgeon shaving the back of your scalp, after which he/she will remove hair follicles individually from it. This area of your scalp will heal in time with some minimal scarring, which almost always will be obscured by the existing hair in that area.

After the extraction, the surgeon prepares the grafts and will create holes with a scalpel on the target transplant area. He/she will then insert each graft in the holes carefully. This is a long and delicate process which will take approximately 5 to 8 hours to finish, depending on the size of the transplant area.

Generally, FUE is generally more in demand due to it not requiring invasive scalp removal.

Follicular Unit Transplantation

In a FUT hair transplant, the surgeon removes a 6- to 9-inch strip of scalp from the back of your head. He/she will then set this strip aside and will sew your scalp closed.

After this, the surgeon and his/her team will divide the removed scalp into 600 to 2000 grafts, each containing 1 to 3 hairs. The procedure after this is then identical to a FUE where the surgeon carefully inserts each graft into the target transplant area. This whole process will take about 5 to 8 hours.

FUT is not as popular as FUE due to Asian skin being thicker and tighter compared to Caucasians, which makes it more prone to scarring. Hence, for the purposes of this article, I’ll be primarily discussing the FUE method only.

Are you a suitable candidate for a FUE hair transplant?

I usually recommend a hair transplant to my patients who:

  1. Have had a bad, ineffective or unsatisfactory experience with other hair loss treatments.
  2. Have hair loss on the front of the scalp or on the temples.
  3. Desire more facial hair, such as a fuller beard or thicker eyebrows.

Suitable candidates for a hair transplant procedure are those that:

  1. Have no major medical conditions
  2. Have a healthy donor area with enough hair for extraction
  3. Have a target transplant area with healthy blood vessels

What things should you expect from an FUE hair transplant procedure?

hair transplant

First of all, one thing you should remember before undergoing the procedure is that it will take a long time. As I’ve previously stated, the whole FUE hair transplant process will take about 5 to 9 hours in total depending on the size of the transplant area and other factors. One reason why it takes so long is because each hair follicle must be extracted individually by hand.

There are many steps to the procedure, but the whole process can be divided into 4 general steps:

  1. Shaving and Anesthesia

The procedure starts by shaving off the hair from the donor area to at most 1mm in length. Possible donor areas for hair include the back or sides of your head, underarms, and other parts of the body with hair.

After this, an antiseptic solution is applied to cleanse the area followed by a local anaesthetic to numb the area for extraction. This is the only part of the procedure that you will a bit of pain.

  1. Hair Follicle Extraction

The surgeon uses a special pen (diameter of about 0.6 mm) to extract the individual hair follicles. These hair grafts are then dipped in a special solution and stored for use later in the procedure. There will be some mild discomfort during the process but should be completely painless.

  1. Hair Follicle Inspection

The surgeon and his/her team will inspect each hair follicle using a microscope. They will then choose the best and highest quality hair follicles to ensure their survival after the transplant.

  1. Planning and Hair Follicle Implantation

The surgery team will then plan on which hair grafts will go into which part of your scalp. This is to make sure that the resulting hair will look as natural as possible. The surgeon will create holes with a scalpel on the target area and will carefully insert each of the good-quality hair follicles.

After the procedure, you might feel some burning sensation on your scalp for 1 to 3 days. This can be easily managed by taking some painkillers. There will also be some scabbing that will happen on the donor and transplant area but will usually fall off and disappear after a few weeks.

When will you expect your hair to start growing?

Six months after hair transplant

After the hair transplant procedure, don’t panic when the implanted hair starts shedding. This is a normal result of stress during the surgery and your hair will start growing back gradually about 3 months after surgery.

You will experience natural-looking hair about 5 to 7 months after surgery, where you should have a good amount of hair growing on your scalp. The best results happen in about 9 months, where you should a full head of hair due to the hair follicles developing fully.

If you have an important event coming up, make sure to have your hair transplant surgery at least 6 months before it.

Is a hair transplant procedure completely safe?

As long as you choose an experienced surgeon to do the transplant, the whole procedure should be safe. Hair transplanting has existed since the 40s and several breakthroughs have been made since then that has made it a very safe and reliable procedure. Just make sure that your doctor has the credentials and experience to perform the procedure and you’ll be safe in his/her hands.

There are risks only if the procedure is done by inexperienced hair technicians. Avoid them as much as possible as the procedure could lead to some bleeding, pain, and infection.

How can you manage your transplanted hair?

It is of utmost importance that you take good care of your hair in the first 14 days after the surgery. This will help prevent infection and also lessen the chance of your hair falling out.

Here are a few tips in managing and caring for your transplanted hair:

  • Wait a few days before washing your hair. Recently transplanted hair and scalp will be very delicate so let your scalp heal first before you start washing your hair.
  • Wash your hair very gently and use a mild shampoo to avoid damaging your hair.
  • Avoid swimming and exposing your hair to the sun.
  • Don’t brush or comb your hair for about 3 weeks. Mild pulling of your hair follicles can cause them to dislodge from your scalp.
  • Avoid dirty and sweaty environments, as they can infect or irritate your scalp.
  • Avoid wearing hats or hoodies until your doctor tells you it’s ok.
  • Stop exercising until about a week after the procedure.
  • Avoid smoking and/or drinking alcohol. These substances reduce the blood supply to your scalp, which can slow or stop hair growth.

How much does FUE hair transplant procedures cost in Singapore?

You have two options when it comes to FUE procedures, either a manual FUE (done by a surgeon and his/her team) or the ARTAS Robotic FUE (done by a machine). ARTAS costs a bit more, about 50% higher compared to a manual FUE.

In general, a hair transplant in Singapore will cost you from $6000 to $12000. Other factors that influence the cost of the procedure are:

  • The total number of hair grafts ($5 to $12 per graft) needed
  • The surgeon’s fee

How do you find the best doctors for hair transplants in Singapore?

  • The most important contributing factor to the success of your hair transplant is the doctor that will assess, diagnose and operate on you. It is important that the doctor you choose for your hair transplant has experience and expert knowledge on hair loss treatments and has a portfolio of past patients who have experienced success in his guidance.
  • Look for doctors who have built a degree of trust with his/her patients and who have a good track record when it comes to hair transplant procedures.
  • You should also ask the total cost of undergoing an FUE hair transplant procedure under him/her and compare it with other doctors. If you have a GP that you trust, you can also ask him/her if he/she has any recommendations for a good hair doctor. It is up to you to weigh the pros and cons to the best of your ability.

Are Thread Lifts that painful? – A Singapore Doctor explains

thread lift lines on face

In Singapore, thread lifts are one of the sought-after cosmetic treatments for a wide range of skin conditions as well as for its aesthetic purposes. There are many things to consider when picking a clinic for your thread lift – materials used, specific techniques, overall procedures, etc. Even patients who have gone for thread lifts rarely understand the pertinent aspects of these differences.

Based on my many years of experience, there are patients who had bad accounts of their thread lift procedures that were very painful. They even developed swelling and bruising afterwards. Painful thread lifts are one of the major concerns that patients raise during consultations and one of the factors that patients consider before committing to the treatment.

Over my many years performing thread lifts for all variety of patients, I’ve encountered first hand many of the concerns that inevitably arise during such a procedure. I’m writing this in hopes that I’ll be able to clear up many of the clarifications that patients commonly have and help demystify this particular procedure for all of you guys.

What are thread lifts?

thread lift

Thread lifts are non-surgical, minimally invasive cosmetic treatments that use dissolvable sutures or “threads” that slightly pull the skin back thus creating a visible “lifted” or a tightened appearance on the skin. These threads also increase collagen production in the target areas where the threads were inserted resulting in tightening and rejuvenation of the skin.

This cosmetic procedure has become increasingly popular because it saves you a lot of procedure and recovery time. Compared to surgical facelifts, thread lifts are:

  • More cost-effective – Surgical treatments require general anaesthesia and extra care from your doctor, which translates to higher costs
  • Safer – By nature it is a non-invasive procedure which does not require going under the knife.
  • Produces more natural-looking results

What do thread lifts treat?

Although there is a wide range of skin conditions that are treated with the use of thread lifts, one of the most common conditions is saggy skin. These skin condition may be caused or influenced by a lot of factors such as:

  • Ageing
  • Weight Loss
  • Genetics
  • UV rays from the sun
  • Unhealthy lifestyle practices
  • Pollution and other factors from the environment

Usually, thread lifts are the top choice for patients who do not want to go under the knife. In addition, thread lifts also tend to be more effective than Thermage, HIFU and Ultherapy treatments that are machine assisted procedures.

What are the different types of thread lifts that are available in Singapore?

In Singapore, there are several types of thread lifts available. Depending on the type required or the available type used by your doctor, the threads can be barbed or non-barbed.

Threads can also come in different thickness and length—all these qualities affect the strength; effectiveness and the cost of the thread lift treatment.

What is the recommended size of threads?

thread lift lines on face

Thread size is highly dependent on doctor preference and size of your brows. Here are some important determining factors -

  1. Smaller and Thinner Threads

Pros:

  • Can effectively induce collagen production
  • Easier to inject because of its size
  • May only require numbing cream to ease discomfort
  • Minimal downtime and aftercare is needed

Cons:

  • More number of threads are required to achieve the desired results
  • Can not be very effective in lifting skin with heavy sagging
  1. Larger and Thicker Threads

Pros:

  • Can be effective in lifting skin with heavy sagging
  • Minimal threads are needed to lift the skin
  • Can be combined with threads with barbs and hooks for better strength

Cons:

  • Can cause dimpling and tethering if not inserted correctly
  • May damage the deeper layers of the skin because of deep placement
  • Requires proper anchoring technique from the doctor

Important to Know:

Different types of threads may be applicable to patients and most of the time may vary depending on your doctor. The key is to have a proper consultation with your doctor so he/she can assess your condition properly.

What is the best thread lift material for me?

Typically, threads are made from different materials such as Polydioxanone (PDO), Poly-L-Lactic Acid (PLLA), polycaprolactone (PCL).  These materials are biocompatible with human tissue and can be easily absorbed by the body over time.

  1. Polydioxanone (PDO)

PDOs have similar material with sutures—the threads used for stitches during surgical operations. Therefore, PDOs are safe and have been used and tested for many years already.  From experience, PDO threads can effectively and safely improve the contour of the face, lift the skin in the face, jowls, neck and also increase collagen production in the injected area.

  1. Poly-L-Lactic Acid (PLLA)

PLLAs are made of a biodegradable material that can be easily absorbed by the body making them a medically safe option. PLLA is a newer option for thread lift material and from experience, I have not really seen a lot of PLLA thread lifts studies and clinical trials yet.

  1. Polycaprolactone (PCL)

Similar to the other two materials, PCLs are also easily absorbed by the body therefore can be safely used for thread lift procedures. Like PLLA, this material is also a relatively newer option and there have not been a lot of reports to support its effectivity to compare with the well-established material like PDO.

Personally, I advise my patients to go with the more established and scientifically proven material like PDO as their top choice for their thread lifts. Practice-wise, there is more familiarity with PDOs compared to newer options therefore, best results can be achieved without the risk of complications.

How are threads injected into the skin?

Typically, your doctor injects the threads into the skin (usually the face) with the use of a:

  • Sharp long needle
  • Blunt cannula
  • Cannula with a rounded tip

What to expect during a thread lift procedure?

The procedure aims to lift the skin and add contour to the face. A general step by step thread lift procedure are as follows:

  1. First, the treatment area will be carefully cleaned, and numbing cream will be applied to the treatment area.
  2. Then, your doctor will inject localized anaesthetic on the treatment area.
  3. The thread will then be injected into the subcutaneous layer of the skin under the dermis.

Overall, depending on the number of threads to be inserted, the whole procedure takes less than an hour to be completed.

Are thread lifts painful?

Even though it just really comes down to a person’s individual pain threshold, I personally do not recommend general anaesthesia for thread lift procedures because of the inevitable risk profile involved with GA, not to mention the costs.

Generally, an injection of local anaesthesia is sufficient for a painless and comfortable procedure.

When will I see results?

An immediate facelift result can be observed right after the procedure—a similar outcome without going into surgery in an operating theatre and general anaesthesia at a fraction of the price and with zero to minimal downtime.

Optimal results can be observed a few weeks later after the procedure to give time for the new collagen to be produced. Best results will give you a tighter, firmer and rejuvenated skin.

How long will results from thread lift last?

The visible effects of the thread lifts can last from 6 months up until 2 years and it is advisable to undergo thread lift treatment again when you start to feel the effects wear off as your skin will continue its natural ageing process.

How much does thread lift cost in Singapore?

thread lift cost

Typically, the cost of thread lifts in Singapore can range from $1,500 - $4,500.

The cost thread lift treatments may vary depending on different factors such as the type and brand of threads, the material of threads, number of threads required to achieve the desired results, doctor’s professional fee and post-treatment medication.

How do I make the best of thread lift treatment?

  1. Combine Thread lifts with other non-surgical procedures.

Due to the fact that thread lifts are so low-risk and have zero to minimal downtime, they can be combined with other non-surgical procedures to achieve over-all, satisfying results. Ask your doctor what other safety procedures can be used in combination with your thread lift without having to endure the recovery time brought about by surgery.

  1. Pick the right doctor.

In Singapore, there are a lot of doctors and clinics that offer thread lift treatments. Before committing to one, make sure you are well-informed about the procedure and the doctor has a credible background and extensive training on the procedure. Keep in mind that the success of your thread lift procedure depends mainly on your doctor’s skills and expertise.

A Short Guide to Finding Your Dermatologist in Singapore

choosing dermatologist

We, dermatologists, have a shared identity – as your first step forward in the long, winding road of skin care. This is true especially here in Singapore, where skin care is a necessity thanks to the tropical climate, which often leaves our skin feeling dry.

Dermatologist Specialist Training in Singapore

I was pretty excited to have finally graduated from med school – until I realized that to specialize in dermatology here in Singapore, it requires at least 6 years of specialist training post-graduation. That’s 3 years of training in internal medicine plus another 3 years of advanced dermatology specialist training. This means that nearly all dermatologists in Singapore have trained at the National Skin Centre (NSC) for at least a few years. Once specialist training for dermatology is completed, they are now recognized as associate consultants in dermatology.

Choosing a Private or Public Dermatologist

Pros and Cons

In choosing a dermatologist in Singapore, you have two options – whether to see a dermatologist in private practice or go and consult with a dermatologist in a public hospital such as the NSC. Each of the two options have their pros and cons, specifically in the aspects of cost, time, and convenience.

If you decide to go the private route, the one advantage is that it much, much easier and quicker to see a dermatologist in private practice. In these clinics, usually, an appointment can be given in as fast as 1 to 3 days. There are even doctors who accept walk-in patients as long as it can fit in their schedule. The only downside is that private doctors usually charge more for their services (as much as 2 to 4 times more) than doctors in public hospitals. If money isn’t much of an issue, or if you value your convenience and time more, then finding a dermatologist in private practice is your best bet.

Your other option is to look for a dermatologist in a public hospital or clinic, such as the NSC. The total costs for appointment and treatment are subsidized, which means that costs are about 40 to 60% cheaper compared to private clinics. The downside is that wait times are longer. Appointments are usually set a month or more after and they don’t accept walk-in patients. Because of this, one tip I give my patients and friends is to take a picture of the skin condition when it appears. There are times where a patient’s skin will look perfectly normal during the appointment day but then show up again afterwards. It is important to collect as much information as you can for you and your dermatologist’s convenience.

There is the option of setting up an appointment with an NSC dermatologist (or any other public dermatologist) without the subsidies and it’s pretty much an identical process.

Consultation, Medication and Other Fees

dermatologist consultation

Private Route

For a first-time consultation with a private dermatologist practice, it costs about $110 to $150. Follow-up consultations cost cheaper at about $100 to $140 per follow-up appointment. Including medication, a visit to a dermatologist in private clinics will cost you about $300 or more in total.

Public Route

If you’re consulting with a dermatologist in a public hospital such as the NSC, due to subsidies it would cost you about $35 to $60 for a first-time consultation. Follow-up consultations cost about $3 to $5 cheaper. Drugs and medication are also subsidized by the Ministry of Health (MOH) and would cost you a fraction of the price compared to buying from a private pharmacy or clinic. Total costs of consultation plus medication would be about $100 to $200.

Procedure and Treatment Costs

Whether or not you are eligible for subsidies or Medisave claims on skin procedures and treatments depends on the assessment of your problem. Unfortunately, if it is deemed a purely cosmetic procedure by the MOH, you will not be given any subsidies. This drives the costs of procedures and treatments up and would almost always comprise the bulk of your total costs. The procedure or treatment cost difference between a public or private dermatologist is negligible. My best advice is to choose a hospital or clinic that has a good and proven track record with the procedure of your choosing. These procedures or treatments include:

However, if your procedure is deemed by the hospital or clinic to be a necessary one, then subsidies and claims may be given on a case to case basis.

Obtaining Subsidies for Public Dermatologists

There are two requirements for you to be qualified for medical subsidies in Singapore:

First, you must be a Singaporean citizen or a permanent resident (PR). Secondly, you have to acquire a referral letter from a polyclinic.

If you are:

  • a foreigner,
  • referred to consult with a specific dermatologist, or
  • referred by a private doctor, hospital or clinic

then you do not meet the requirements for medical subsidies.

Polyclinics and polyclinic GPs (general practitioners) are equipped to treat and manage common skin disorders such as allergies, acne and eczema. They also usually have the proper medication needed to treat these skin conditions.

For more serious skin conditions (e.g., skin cancers or melanoma) however, the polyclinic may refer you to consult with an NSC dermatologist. The National Skin Centre are much more experienced in dealing with skin diseases and conditions and can offer treatments and procedures that are unavailable in polyclinics.

Types of Dermatologists in Singapore

type dermatologists

There are 2 main categories of dermatologists here in Singapore:

  1. Dermatologists that focus on medical dermatology. These dermatologists are the ones that have a lot of knowledge and experience when it comes to diagnosing, managing and treating skin diseases and conditions such as:
    • Melanoma
    • Skin Cancers
    • Acne
    • Psoriasis
    • Eczema
    • Pediatric Dermatology
    • Skin allergies
    • Autoimmune skin disorders
    • Hair loss
  1. Cosmetic Dermatologists. These dermatologists focus on providing cosmetic procedures and treatments for various aesthetic problems. Usually, their clinics provide at least one of the following services to their clients:
    • Botox
    • Thread Lifts
    • Fillers
    • Excision Surgery
    • Laser Surgery

Usually, there is a lot of overlap between these two categories, with a lot of dermatologists being able to help with skin disorders or cosmetic skin matters. More often than not though, doctors specialize in one of these to be able to give their patients the best care and treatment for the patient’s specific problem/s.

Dermatologists at the National Skin Centre usually belong to the first category, but a lot of them also provide cosmetic services for their patients. Dermatologists in private practice are more varied with plenty of them offering both services to their clients.

Tips in Choosing the Right Dermatologist for You

So now that I’ve introduced some general heuristics towards understanding dermatologists in Singapore, such as their specialization training and their categories, here are a few tips to help you to find a dermatologist suitable for you:

  • Determine whether the doctor is, in fact, a dermatology specialist. There are some doctors that have a Diploma in Dermatology, which is different from having a specialist qualification. Becoming a dermatology specialist requires a lengthy training period. One way to check is by going to the Dermatological Society of Singapore website and looking for the doctor’s name in their list of members.
  • Weigh the pros and cons of choosing a public vs. a private dermatologist. Make a decision about which of money or time/convenience is more important to you. If you value money more, then check if you are qualified for subsidies and set up an appointment with public dermatologists. If you prefer more convenient and faster appointments, you might prefer a dermatologist from private practice.
  • Determine whether you need a cosmetic dermatologist or a medical dermatologist. Depending on your purpose for looking for a dermatologist, choose one who has specialized experience. There are a lot of cosmetic dermatologists if you want to have better skin, whereas if you need to manage a specific skin disease or disorder you have to search for doctors who have a history in dealing with the specific skin problem.
  • Choose a dermatologist whose clinic offers the skin procedure that you need. Dermatology clinics offer a variety of different skin treatments and procedures, but not all of them have the specific treatment or procedure that you want. Call their clinic or check their website if they offer the type of treatment you require.
  • Choose a dermatologist that you can communicate well with. During a consultation, observe if your dermatologist can talk to you easily about advice and can also listen well to your needs. It is important to form a good rapport with each other to build trust. This is probably one of the most important albeit underrated traits that a person needs from his/her dermatologist (or any doctor in general) – an ability to communicate well with his/her patient.

That’s basically it. Hopefully, you’ll be more than equipped with the requisite info to find the dermatologist who can solve all your skin care needs!

Cost of Mole Removal in Singapore (by aesthetic doctor)

laser mole removal

Recently, a couple of patients of mine were concerned about their moles and were thinking of having their moles removed. I told them that it’s perfectly normal for any person to worry about moles as there are times where they could be a health risk and/or symptom of deadly diseases such as melanoma, which is a form of skin cancer. Thankfully, there are a couple of indications that can tell us whether a mole may be a risk or not. Moles are mostly harmless, but it can never hurt to have them checked.

There were also a lot of patients that wanted to have their moles removed for cosmetic reasons. A lot of them told me that they’ve struggled with their self-confidence and were insecure about their appearance because of their moles. I reassured them that there’s no need to worry since there are several procedures they can choose from here in Singapore if they want to have a safe and successful facial mole removal.

Whatever your concern is about moles, it is important to stay informed and be able to make the correct decisions. Keep reading to learn more about moles, their risks and how you can get them removed.

The ABCDE Rule

Moles are caused by a high concentration of melanin produced by melanocytes on a specific spot of your skin. They come in a variety of shapes and sizes, but there are indications when a mole is abnormal or dangerous. One rule that doctors follow to identify potentially dangerous moles is the ABCDE rule. It stands for:

A – is for ASYMMETRICAL. Using a pen or any straight implement, try to line it up on top of your mole so that it divides the mole into two equally shaped albeit flipped parts. If you can’t, then your mole might be dangerous, and you should have it checked.

B – is for BORDER. Your mole should have a border that is a well-defined, continuous line with no irregular pattern. If your mole has a scalloped border, it may be a symptom of a skin condition such as melanoma.

C – is for COLOR. Each mole normally has a single, even colour – usually brown, tan, black, blue, red or pink. It is not normal to have different colours in a single mole. Have your mole checked if it exhibits multiple colours, or if its colour changes over time.

D – is for DIAMETER. Moles are usually small, with diameters of less than 6mm. If your mole is unusually large, it may be a good time to talk to your dermatologist.

E – is for EVOLUTION. Usually when a mole forms, its appearance is set and does not change drastically. This is why if a mole’s appearance ‘evolves’ over time, and changes size, colour, shape or height, it may be potentially dangerous. Have it checked immediately as this can indicate melanoma.

If your family has a history of skin cancer, have yourself checked as well, no matter the appearance of your moles. Some dangerous moles can appear normal and harmless.

Monitoring and Managing Moles

Protect yourself from the sun!

applying sun lotion

One thing I always preach to my patients is to always have a form of sun protection. The sun is a giant ball of light and energy that stimulates your melanocytes to produce more melanin which in turn causes moles to appear. It also radiates harmful ultraviolet (UV) light that can cause skin cancer.

Make sure to always wear sunscreen (SPF 30+) and bring an umbrella or hat when you go outside. People with light skin complexion are more prone to sun damage and would need extra care.

Check and monitor your moles periodically.

If you are especially concerned about your mole/s and are planning to have it checked, one thing you can do is to monitor and take photos of your moles. At least once a month, check for new moles and if there are changes in size, shape, and colour on your preexisting moles. This data will be especially valuable for your dermatologist and can assist in getting an accurate diagnosis.

Home Remedies that Might Help in Facial Mole Removal

None of these home remedies have been shown to be effective by scientific research, but a lot of people swear on their effectiveness. It wouldn’t hurt to try these out and see if they work:

  • Apple Cider Vinegar – Apply a few drops of apple cider vinegar on your mole using a piece of cotton. Also, apply some petroleum jelly on the skin surrounding your mole to protect from the acidity of the vinegar. Set the cotton in place using some tape and let it soak for 1-2 hours. Do this 3 times a day for 4 weeks or more.
  • Garlic Paste – If you don’t have any apple cider vinegar lying around in your house, you can alternatively use crushed or ground garlic paste. Apply petroleum jelly around the mole and wrap a bandage around the paste to secure its position. Leave the bandage on for 3 to 4 hours before you remove it. Do this once a day for 3 weeks or more.
  • Banana Peel – Cover your mole with a banana peel and secure it with some bandage or tape. Do this every night until the mole’s appearance becomes lighter.

Again, I do not claim that these remedies will work for you. If you’re looking for a sure and permanent solution to mole removal, then there are multiple options available right now.

Mole Removal Procedures in Singapore

Mole Removal

Before you proceed with any of these procedures, make sure that you consult your dermatologist so that he/she can suggest the best options for you.

Surgical Options

If you’re considering surgery, your dermatologist may subject you to a series of tests to ensure you are healthy and able before clearing you for surgery. There are three main surgery options for mole removal available right now:

  • Shave Excision Surgery

This procedure is usually done if the mole protrudes or looks like a bump on the skin’s surface. A local anaesthetic is first applied to the mole’s surrounding area. The doctor then uses a small scalpel to ‘shave’ off the mole from your skin until it becomes flat and level with the rest of your skin’s surface. Some bleeding will occur, and your doctor may apply some pressure and topical medicine to stop it.

  • Punch Biopsy

If your mole is small, circular and its pigmentation goes under the skin, then your doctor may recommend a punch biopsy. Local anaesthesia is applied using injection on the surrounding area. This may cause a mild burning sensation on your skin for a few seconds. The doctor will then use a circular tool that “punches out” a small area of your skin that includes the mole the underlying layer of skin. Some stitches may be needed, after which a dressing or bandage is applied over the site to protect the wound from bleeding. Some scarring will occur but will disappear eventually.

  • Excisional Biopsy

This is similar to a punch biopsy where it targets moles that affect underlying skin layers. However, this procedure can also be used for irregularly shaped moles. Instead of using a circular punch tool, the doctor uses a scalpel and cuts off a deep lump of skin including the mole. Local anaesthesia is required to minimize the pain and discomfort felt by the patient. The wound left from the surgery will require stitches and expect some faint scarring to occur after a few days.

Surgical methods for general and facial mole removal cost around $100 to $500 per mole depending on the mole size and shape.

Non-surgical Options

  • Cryotherapy

Cryotherapy is a non-surgical procedure that involves the use of liquid nitrogen (or some other cooling substance) to freeze and destroy the skin cells on the mole. After the mole’s cells die, your body’s natural processes will eventually flush out these dead cells.

This may cause parts of your skin to peel off and will lighten the appearance of the treated mole. A single mole may require 2 or more sessions of cryotherapy before it can be fully removed and is based on a variety of factors such as skin type and mole size. Cryotherapy costs around $200 per session.

  • Electrocautery

Electrocautery is a fast, cheap, non-surgical procedure of mole removal. It works by heating the mole using a handheld device powered by an electric current. No anaesthesia is needed and is done in only a few minutes. Another advantage of this procedure is that there is almost no scarring. However, electrocautery is only effective for the removal of small, flat moles. Electrocautery costs around $100 or more for each mole being removed.

  • Laser Treatment

laser mole removal

If you want a non-surgical, and almost painless procedure then a laser mole removal treatment may be your best bet. Similar to electrocautery, laser mole removal can only be done on flat, superficial moles. The same principle is used wherein the mole is heated using a laser instead of an electric current. The heat, in turn, destroys the skin cells, which is naturally flushed out by the body during recovery. A scab will form on the area, which will eventually fall off. Each laser session will lighten the mole’s pigmentation, and 2 to 3 sessions may be required to fully remove it. Laser treatments cost about $150 to $450 per session and depends on the number, size and shape of moles to be removed.

Mole removal in Singapore can be done for a variety of reasons and there are procedures that can cater to your specific needs. Even if it’s just for cosmetic reasons, talk to your doctor first before proceeding with mole removal procedures to ensure that your needs are taken into consideration when choosing a procedure.

Local Aesthetic Doctor Answers Questions about Eczema

man with eczema

Eczema, also known as atopic dermatitis, affects about 20% of Singaporeans. It is a condition that causes your skin to itch and redden. Because Singapore is a tropical country, Singaporeans are exposed to the sun which is one possible trigger for eczema to flare up. Although it can appear at any age, it is especially common in children. For now, there hasn’t been any cure for eczema and the condition will flare up periodically throughout your life.

In this article, I have answered a few questions that my patients have often asked about eczema. Read and be informed so that you too can take the proper steps in managing the condition.

What is eczema?

dermatitis or eczema

Healthy skin is able to act as a natural barrier that helps retain moisture and protects the skin from irritants such as allergens, bacteria and other microbes.

For patients with eczema, their skin loses the ability to retain moisture as well as protection from external environmental factors resulting in skin dryness and rash (inflammation).

Eczema is characterized by red, scaly lesions covering the skin. These lesions can be persistently itchy and can sometimes cause cracks in the skin making the affected area at risk for infection.

What causes eczema?

It has been widely believed that eczema is an autoimmune disease where a certain type of gene variation makes the immune system overactive which renders the skin unable to provide a natural barrier and protection.

Eczema can also be inherited or passed on down the family line so if you have a personal or family history of eczema, allergies and severe skin dryness, you may be at high risk of developing the condition.

In which parts of the body does eczema occur?

Unlike other skin conditions which are usually confined in specific parts of your body, eczema can occur on any part of your body. It most commonly appears on the face, back of the knees, hands, wrists and feet.

Eczema produces a rash which appears very dry, cracked or scaly. The rash is itchy and can be worse at night. Some small, raised bumps can also appear, which can leak fluid when scratched.

What are the triggers for eczema?

woman scratching arm

Typically, eczema is triggered by irritants, allergens and microbes. However, eczema can also be triggered by a lot of other factors that causes the skin to become dry. These factors include:

  • Intense heat
  • Humidity (very high or very low)
  • High fever
  • Stress
  • Certain chemicals
  • Hormonal changes (especially in women)

Since Singapore is almost always basked in sunlight, heat and humidity is always part of a Singaporean’s daily life. This is also why a lot of patients have recurrent eczema outbreaks and flares triggered by intense heat. To help avoid the triggers, always make sure you have extra protection from the sun. Make sure also that you are careful with everything you touch or come in contact with because certain triggers like chemicals and irritants can be found anywhere in the environment.

How can eczema flare-ups be prevented?

Eczema can flare up when it is triggered by an external factor such as sweat and stress. Here are a few tips that you can follow to prevent these flare-ups from happening:

  • Identify and avoid the triggers that can cause eczema flare-ups. As these flare-ups are usually caused by an external trigger, the best way to prevent it is by determining these triggers and avoiding them as much as possible. Whenever you have an eczema flare-up, list down all the possible triggers (check the previous section) that you experienced before it happened.
  • Use moisturizers at least 2 times every day. Moisturizing creams and lotions are available in any pharmacy or grocery store and they go a long way in the prevention of eczema flare-ups. Dry skin is one of the possible triggers of eczema and it is important to keep your skin moisturized at all times. Always remember to moisturize your skin immediately after a bath.
  • Avoid long baths or showers. Use warm water and reduce your bath time since baths can strip your skin of natural oils which keep your skin from getting dry. The less time you spend showering or bathing, the more of these natural oils your skin can retain after.
  • Avoid harsh soaps. Instead use only gentle soaps, as antibacterial or deodorant soaps strip away more natural oils from your skin.

What are the available treatments for eczema?

exzema treatment

1. Topical Steroid Creams

My patients always became wary when I tell them that steroid creams are used to treat eczema because of these two beliefs:

  • Topical steroid creams can cause skin tightening
  • Topical steroid creams are absorbed into the bloodstream

But I always tell them not to worry because topical steroid creams have been proven to be very effective in reducing scaling and lesions caused by eczema. These creams are also safe to use given that they were properly prescribed by your doctor.

I always make sure that the appropriate strength of steroid creams are given to the patient depending on the location of the treatment area and the thickness of the patient’s skin. Typically, if the treatment area is the face, weaker steroid creams are prescribed to treat eczema while stronger ones can be prescribed to other parts of the body.

The proper prescription is very important so the risk of skin tightening is prevented. Another thing that I assure my patients is that topical steroid creams are not absorbed into the bloodstream so there is really no need to worry.

2. Oral Medication

When topical steroid creams do not work, patients are prescribed oral medication to effectively treat eczema. Usually, oral medications include antihistamines, steroids and medications for infections.

  • Antihistamines are mainly used as an anti-itch medication with no side-effects.
  • Steroids work by temporarily suppressing your overactive immune system, and help to reduce both itch and rash.
  • Antibiotics, antifungal and antiviral medications are prescribed to treat bacterial, fungal and viral infections, respectively if there are any.

These oral medications are only taken for a short duration, as prescribed by your doctor. Make sure you follow the prescribed oral medication regimen because if not properly followed and taken for a longer period, these may have severe side effects and can be very harmful for you.

Are there any ways to relieve eczema besides medication?

  • Keep your skin moisturized. Dry skin will worsen your eczema, which is why moisturizing your skin is very important. Moisture will also help in reducing the itchiness and prevent more flaking from occurring. Moisturizing creams, ointments and lotions are available in your pharmacy and do not require a prescription.
  • Avoid scratching the rash. When the rash gets very itchy, it can take a lot of self-control to avoid scratching it. One tip I give my patients is instead of scratching the rash, they can try pressing repeatedly on it. This technique relieves the itch but does less damage to your skin compared to scratching it. Another thing you can do is to cover the rash if you can’t stop scratching it. It can also help to trim your nails to lessen the damage that scratching does to your rash.
  • Cover the rash with bandages. Covering the rash will not only prevent scratching, but also protect the skin from drying or infection. Remember to replace the bandage at least once per day.
  • Use a humidifier in your home. Your skin can be sensitive to hot, dry indoor air and can intensify the itchy sensation. A humidifier adds moisture to the air and will help reduce the dryness.
  • Avoid wearing clothes that are tight, rough or scratchy. You can reduce the irritation felt from eczema by wearing clothes that are smooth and comfortable. It is important also to wear the right clothes for the season, especially during hot weather which can worsen your condition.
  • Avoid things that make you stressed or anxious. Eczema can be worsened by stress and anxiety, so it is important that you address them to also relieve the effects of eczema flare-ups.

Will avoiding certain types of food prevent eczema flare-ups?

It is true that there are some food that can trigger eczema. However these foods are specific to each person, and there is no definitive, comprehensive list of food that are known to trigger eczema for the whole population. Thus, the belief that a dietary restriction can prevent eczema flare-ups is just a myth. No scientific evidence has been found that supports this statement. Only the methods mentioned above for prevention

Will I need to be hospitalized if I have eczema?

Most skin conditions do not require hospitalization, however, eczema can become dangerous in some extremely severe cases. In these cases, the rash can appear on most of your body and can cause infection and/or loss of heat or moisture. In these extreme cases, hospitalization is needed as it can possibly threaten the life of the patient.

Is there an eczema treatment that can make it disappear completely?

My patients often asked me if there’s a way to cure eczema so that it doesn’t recur. Unfortunately, no cure has been found yet that will completely eliminate eczema. There are ways to treat it when it recurs but there is always a possibility that it recurs when you experience any of its triggers.

One of the best tips I can give when it comes to eczema problems is to always moisturize your skin. As long as you take the time to apply a moisturizer on your skin each day, there will be a small chance that your eczema will recur. Observe proper care and protection of your skin and eczema doesn’t have to be a big problem.

Singapore Doctor Shares Fractional CO2 Laser Prices

laser cost Singapore

Oftentimes, our face is always the first thing other people notice about us. Unless you are very lucky, at some point in our lifetime, we experience different skin issues that affect the quality of our skin. These may include fine lines, wrinkles, acne scars and age spots among others.

So, when it comes to skincare, it is always a goal to maintain a smooth, glowing and young-looking skin. This is why a lot of my patients take the necessary steps to take good care of their skin.

There exists a wide range of products and treatments that promise effective solutions to skin issues. Everything from simple over the counter commercial skincare products, simple topical creams and up to different medical procedures are readily available in the market and offered by a lot of clinics in Singapore.

One of the advanced technologies that are used presently is laser treatments. In this article, I will talk about a specific type of laser technology — the fractional CO2 laser.

To begin, let me answer the primary question…

What is Fractional CO2 Laser and what does it treat?

The fractional CO2 laser is a non-surgical cosmetic procedure that uses advanced skin revitalization and resurfacing laser technologies to treat a wide range of skin issues. Over the years, CO2 lasers have always been proven to be very effective and the fractional CO2 is no exception.

Fractional CO2 lasers can effectively treat different skin conditions such as:

  • Age Spots
  • Blotchiness
  • Skin laxity
  • Stretchmarks
  • Fine lines and deeper wrinkles
  • Age-related pigmentation
  • Skin texture changes from sun damage
  • Acne and other trauma-related scars

Fractional CO2 technology is designed to provide better skin resurfacing and correction of different skin conditions. After just one treatment, your skin will look significantly healthier, rejuvenated, smoother and younger-looking. Studies and clinical trials have shown that fractional CO2 treatment can reduce the effects of ageing as well as reverse the existing signs of ageing. Also, fractional CO2 treatment is widely acknowledged in numerous studies as the gold standard for the treatment of acne scars.

Which leads to me to my next point…

How does Fractional C02 Laser technology work?

Fractional CO2 Laser treatment is used to treat a ’fraction’ of the skin with textural changes and severe scarring caused by acne.

It works by emitting a pattern of carbon dioxide laser beams to treat the skin below the surface. This laser energy then fractionates or pixelates into microscopic holes or shafts into the skin and induces collagen production.

This process removes the older, damaged layer of skin cells and replaced by new and fresher skin cells. This replacement of skin and collagen production lightens acne scars and smoothen skin texture over time.

Fractional CO2 laser can deliver energy to the target areas on the skin in a precise manner, therefore the surrounding skin will not be touched and damaged making this procedure more effective and safer.

In addition, compared to other types of laser technologies available in the market, CO2 lasers have the longest wavelength. Therefore, with proper adjustments in the settings, it can be safely used on a wide range of skin types.

Are curious how the procedure is performed? To help you know what to expect with Fractional C02 Laser procedure, refer to these succeeding questions: 

What should you expect BEFORE Fractional C02 Laser procedure?

  1. First, a consultation is a must so your doctor can make a proper assessment of your condition and will be able to recommend the correct treatment regimen and give you a heads up of what results to expect after treatment.
  2. After consultation, the clinic may snap pictures of you so the progress can be tracked and monitored. These before treatment pictures will help you see the difference and the effectiveness of the treatment over time.
  3. Before the start of the procedure, you or a nurse will wash and clean the area to be treated (usually your face). Then, the target area will be applied with numbing cream to help lessen the discomfort you may feel during the procedure.

As a tip, make sure that you tell the nurse to apply generous amounts of numbing cream to sensitive areas like the hairline, chin and the area around the mouth. Based on experience, I usually recommend leaving it on for at least an hour or two to achieve the best effect of the numbing cream.

What should you expect DURING Fractional C02 Laser procedure?

laser treatment

Most patients say that they experience slight discomfort and prickling sensations when the laser beams hit the skin. It may even be more painful on sensitive areas like the hairline, chin and the area around the mouth. Though this may not be applicable for everyone because tolerance for pain and discomfort can vary among different individuals. Just make sure you communicate with your doctor regarding your discomfort level so he/she can make necessary adjustments.

Also, during the procedure, you might smell some kind of burning but you do not need o worry because these are typically normal and when done by a trained professional, burning and scarring will be avoided.

The laser procedure itself is a relatively quick procedure lasting for about 15-30 minutes depending on the size and severity of the treatment area.

What should you expect AFTER Fractional C02 Laser procedure?

  1. Right after the procedure and for the next 24 hours:

Expect the treated area to feel though as it is sunburned. Also, the treated area may experience a stinging or itching sensation but nonetheless tolerable. Some patients who have high discomfort tolerance are able to drive home or come back to work without any hassle at all.

  1. After a few weeks:

During the next few weeks, your skin may start to peel and become more pinkish as the outer skin layer start to shed. During this time, consult your doctor if you can use make-up to cover up the peeling and pinkish appearance. The duration of healing will depend on how deep under the skin the laser energy has penetrated. Deeper treatments have more healing and downtime while or shallower treatments have less healing time. However, the deeper the treatment, the more effective the results are.

What aftercare tips and treatments are needed to ensure the best results?

  1. Pain Relievers

After the procedure and depending on your doctor’s recommendation, you may be given ice packs or pain relievers to help soothe the pain. If pain becomes intolerable, talk to your doctor right away.

  1. Sunblock

The most common side effects of fractional CO2 laser treatment are irritations and infections brought about by sun damage. To prevent this from happening, always protect yourself from the sun by applying appropriate sunblock (at least SPF 30) everyday especially when you are going out. If possible, stay away from direct sunlight to protect your skin from the UV rays.

  1. Moisturizer

To help speed up the recovery process and to protect your skin from irritations, make sure you moisturize your skin all the time. Ask your doctor if he/she can recommend a good moisturizer to help soothe and hydrate your skin while it repairs itself.

  1. Self-Control

During the recovery process, your skin will peel off and it may appear unflattering causing you to peel it with your own hands. If you can help it, let the natural peeling process take place to avoid scabbing and infections.

When can you see results?

Clean Fresh Skin

After each session, results are practically immediate. Noticeable improvement on skin conditions such as scars, wrinkles, age spots can already be observed. However, for best results, it may take about 3-6 months after treatment to achieve 50-70% improvement. This time allows production of new collagen to replace the damaged ones.

Fractional CO2 laser treatment produces long-lasting results and reduces the need for the use of over-the-counter topical creams and products. Over time, you will notice that your skin will become tighter, smoother, more moisturized and glowing.

Are you now sold on fractional CO2 laser treatment? Consider this last question first before getting you to make an appointment:

What are the important things that you need to know before committing to Fractional C02 Laser treatment?

  1. Make sure that you are a suitable candidate.

Though fractional CO2 laser technology is backed by numerous studies and is generally safe, you cannot just simply say that this treatment is appropriate for you. To ensure safety and effective results, it is best to know if you are a suitable candidate first. Some reasons why Fractional C02 Laser may not be suitable for you may include:

  • very sensitive skin
  • chemotherapy
  • pregnancy
  • history of delayed healing and bleeding disorders
  • use of specific medications that can cause complication with the treatment

This is why I always advise my patients to have a proper consultation first. This is to help assess each individual’s needs and help determine if the treatment will be effective for a particular case. Most importantly, consultations are very helpful to manage expectations.

  1. The cost of fractional CO2 lasers may vary.

laser cost Singapore

In Singapore, the cost of fractional CO2 lasers is around $400-700 for one round of treatment. This price might vary due to factors such as:

  • The doctor’s consultation fee
  • The size of the treatment area
  • The number of target areas (up to 2 areas at a time can be treated with varying prices)
  • The number of sessions required to achieve best results
  • Aftercare medications if complications develop

It is also important to note that since fractional CO2 lasers are considered as a cosmetic procedure, the treatment sessions will not be covered by your insurance.

During your first consultation, I strongly suggest that you get a specific quote from your dermatologist so you can already have an idea about the total cost of the treatment.

  1. Laser settings matter.

A laser with a low energy setting is not capable of reaching deeper layers of the skin rendering it less effective. Because of this, more sessions may be required to achieve optimal results.

While lasers with higher settings are generally more effective because they can reach increased depths underneath the skin resulting to lesser sessions and zero to minimal downtime.

Before committing to a clinic, make sure first that you know the different settings that they can offer. Choosing the right laser settings can really make a difference on the expected results and can save you money in the long run.

  1. Allot appropriate time intervals in-between sessions.

After every session, your skin may need time to regenerate, heal and replace the damaged skin. As a personal recommendation, only go for fractional CO2 laser treatment once every 2-3 months.

If a doctor or clinic requires to get laser too often, I would be suspicious. Trustworthy clinics and physicians will make sure you get the best treatment without compromising your safety.

  1. Your choice of doctor matters.

Before committing to any treatment, make sure first that your doctor have the necessary credentials and training to perform the fractional CO2 laser procedure.

To help you decide to choose the right doctor, make sure that he/she have the following qualities:

  • have extensive training and experience with a fractional CO2 laser procedure
  • can identify different types of skin conditions and acne scars
  • helps you understand everything you need to know about the procedure
  • able to provide you with expected results and the number of sessions required
  • willing to show you before and after photos of his/her previous work

At the end of the day, the main factor that will determine the best results for your treatment would be your doctor’s skills and experience.

Pico Laser Treatment Pricelist (revealed by Singapore Doctor)

laser skin resurfacing machine

When it comes to the world of aesthetic medicine, laser treatments have been one of the favourite go-to procedures for solving a lot of skin problems, hair removal, and spot fat reduction. One type of laser treatment that has been getting a lot of popularity recently is the “pico laser”. Pico lasers have been advertised as “faster, safer, and better” than traditional lasers and given the widespread use of laser treatments in general, several patients of mine have been curious about this great piece of technology.

But what exactly is a pico laser? Is there really any truth to the claim that it’s more effective for solving skin problems than traditional laser treatments? What exactly can a pico laser treatment do for you?

To answer these questions, here are 15things you need to know about pico laser treatment in Singapore!

1. The “pico” stands for a picosecond or 1/1000000000000 of a second

A picosecond laser, shortened as “pico laser”, is a type of laser that emits optical pulses at a speed of 1 pulse per 1 to 10 picoseconds. This means that each second, a pico laser emits 1 trillion optical pulses!

Because of its really fast speed, it belongs to a category of lasers called ultrafast lasers or ultrashort pulse lasers. It is an improved version of Q-switched nanosecond lasers, which emit 1 billion pulses per second.

2. Pico lasers have a greater advantage over traditional lasers

Compared to traditional lasers that use a single Q-Switched technology, picosecond lasers are distinctively different. Picosecond lasers can release laser energy at higher peaks and shorter pulse period, which results in more effective and safer treatment. That is why traditional lasers may require as twice the number of sessions to achieve similar results. In some cases, even after6 sessions, older technology lasers may not produce results at all.  Think of all the money and time you must spend with traditional laser treatments.

In addition, if not performed by a well-trained professional, the traditional laser may cause side-effects such as hyperpigmentation, swelling and blisters. Developing these side-effects may require you to undergo more sessions to address the issue.

3. Pico lasers are guaranteed safe

Picosecond lasers are FDA-approved and therefore, they are certified safe. For additional safety, picosecond laser technology minimizes damage to the surrounding skin by controlling the amount of heat that is discharged into the target area, thus resulting in less downtime and zero to minimal side-effects.

4. Pico laser treatments can only be performed by a qualified doctor

qualified doctor

In Singapore, only qualified doctors are permitted to treat medical concerns with the use of lasers. Be extra cautious and don’t be fooled by scams of getting pico laser services in beauty salons or spas that offer very low prices. These treatments are usually performed by a non-qualified individual. These salons and spas that offer pico laser services are doing it unlawfully and can be extremely unsafe.

5. Pico lasers are effective in treating skin pigmentation problems

One of the main selling points of picosecond lasers is their effectiveness in dealing with skin pigmentation issues such as melasma and solar lentigines.

Ultrafast lasers, in general, are great for targeting melanin (which causes the skin pigmentation) underneath the skin for two reasons:

  • The high intensity of each pulse is strong enough to destroy the melanin pigmentation in the skin. Picosecond lasers are precisely calibrated to be able to deliver the right amount of energy to be able to shatter and destroy the melanin under the skin.
  • Because pico lasers deliver pulses at ultrafast speeds, there is just enough time to destroy the melanin while keeping the surrounding tissue undamaged. A longer pulse would mean a bigger chance for a laser to damage the area around its target.

Since picosecond lasers are faster than traditional lasers, it is a safer and more effective solution for pigmentation removal.

6. Pico lasers are also great for tattoo removal

laser tattoo removal

Ever regretted your decision of getting a tattoo when you were younger? Don’t worry because picosecond lasers exist and are very effective in removing tattoos. The science in skin pigmentation removal is very similar to tattoo removal and this makes picosecond lasers wonderful tools for the latter. The only difference is that instead of targeting the secreted melanin of melanocytes, a pico laser can target the tattoo ink under your skin.

7. A pico laser can also assist in treating wrinkles and scars

In treating wrinkles and scars, the usual laser treatment utilized is an ablative or non-ablative laser procedure. These laser treatments work by stimulating your skin to produce more collagen, thereby rejuvenating the skin and making it tighter and firmer.

A pico laser can be used in conjunction with these treatments to be able to reach a deeper area of skin, which can give better and more pleasing results compared to without the pico laser. When using pico lasers for treating scars and wrinkles, a higher intensity setting is used and may cause some redness to appear.

8. Pico lasers are often used in conjunction with nanosecond lasers for better results

The one advantage of nanosecond lasers over picosecond lasers is that they can target a larger area of skin in each pulse.

Thus, for larger pigment spots (such as a big solar lentigo) or tattoos a doctor can first use a nanosecond laser to dissolve the pigment or ink spots into smaller spots. Afterwards, a picosecond laser can be used to further dissolve these smaller spots into tinier pieces. This strategy can save both time and effort for the doctor performing the treatment.

9. The cost of pico laser treatments may vary

The cost of pico laser treatments in Singapore may range from $250 to $1,000 per session. These prices may vary from person to person depending on numerous factors including:

  • The number of sessions (usually 4-6 sessions)
  • The type of medical problem to be treated (e.g., pigmentation, tattoo removal, wrinkles or pimple scarring)
  • The complexity of the medical concern and the procedure to be performed
  • The patient's skin type (sensitive skin may require more treatment sessions)
  • Doctor’s fee
  • Follow-up check-ups and medications if you develop side-effects (though extremely rare)

Pico lasers are expensive for a reason. Picosecond laser technology is not only the newest advancement in the cosmetic world, but it is also one of the most effective cosmetic treatment available.

It is important to note that some clinics may charge hidden costs that are not discussed during your consultation period, so it is better to ask for a detailed calculation of your total treatment fee to avoid inconveniences in the future.

10. Pico lasers treatments have minimal discomfort

For pico laser treatments, minimal discomfort and heating sensation may be expected during the delivery of energy into the skin. The extent of discomfort really depends on the tolerance of each person.

As a tip, it is important that the patient informs the doctor if there is a feeling of discomfort, so he/she can try to address the issue and try minimizing it with available methods such as numbing cream, ice packs and anaesthetics.

After the procedure, patients may also feel some sort of discomfort, but nevertheless tolerable and will go away after a few hours.

11. Pico lasers also have minimal to zero downtime

Pico laser treatment is naturally non-invasive—meaning, there is no surgery needed therefore, patients can expect minimal downtime. Some patients even say that after each session, they can effortlessly proceed to their normal everyday routine without any experiencing any issues.

12. Minimal side-effects can be expected after pico laser treatments

Some patients report some minimal side-effects like dry skin and some hyperpigmentation after every treatment session but will soon disappear in a couple of days. With pico lasers, you do not have to worry about scarring because the risk is very low compared with conventional laser technologies.

For those who have undergone tattoo removal using pico lasers, some mild scabbing may be expected but will also go away after a few days. After pico laser treatment, make sure that you protect yourself from exposure to direct sunlight while recovering to prevent further complications.

13. Pico lasers can deliver satisfactory results

After the treatment, instant results can already be felt and after a few weeks, the effects will be more evident. After pico laser treatment, reduced wrinkles, smaller pores, lessened hollowness, lesser pigmentation and an overall tightening of the face can be expected. These effects of pico laser are long lasting and very effective.

For tattoo removal using pico lasers, 75 - 90% development in tattoo removal can be expected within4-6 sessions. Compared to pico lasers, other traditional laser machines such as Q-switched lasers or unlawfully used laser machines used in salons and spas may require twice as many sessions to achieve the same results.

For patients with acne scars, an average of 70 – 80% improvement can be expected after the treatment. The number of sessions will depend on different factors such as the severity of the scaring, the size of the treatment area and the patient’s responsiveness to the treatment. The optimum result can be achieved over a period of 2-3 months to give time to produce new collagen.

14. There are many brands of pico lasers in Singapore

laser skin resurfacing machine

In Singapore, there are several existing brands of Pico laser technology that are offered by different clinics. However, not all these brands deliver the same level of treatments. As a result of continuing advancements in technology and medical research, newer generations of picosecond lasers are now emerging.

Due to the highly technical differences between different brands of pico lasers, it can be very difficult to decide which one to choose. The best way to ensure that you are getting the correct pico laser technology for you is to discuss it with your doctor. During your consultation, you can ask your doctor about the type of brand he/she is using and what are the wavelengths available for the machine.

Usually, different brands can offer specific treatments (i.e., pigmentation treatments). Also, a picosecond laser that can produce more wavelengths will be able to treat a wider range of medical concerns.

It is also important to note if there have been published medical researches and trials with the specific brand, so you can have a better understanding of its quality and effectiveness.

15. There are numerous clinics in Singapore that offer a wide range of pico laser treatments

Before committing to doctor and clinic, remember to do your research, read reviews online, check for the doctor’s qualifications and related trainings, the type of treatments offered, the type of machine to be used and ask for opinion from other people who have tried the treatments before, so you can have an informed decision.

Keep in mind that pico laser treatments are medical procedures and require utmost care by a qualified medical professional — so it is important to choose a doctor you can trust.

Laser Pigmentation Removal Procedures Pricelist for Singapore Aesthetic Doctors

freckles

Many Singaporeans experience skin pigmentation problems throughout their lifetime. Pigmentation refers to the discolouration of the skin. One of the major causes of skin pigmentation is sun damage and typically affects the parts of the body that are frequently over-exposed to the sun’s UV rays.

In addition, certain medications and skin care products can also cause your skin to darken or develop patches of discoloured surfaces and most of the time becomes a cosmetic issue for a lot of people.

If you have been experiencing skin pigmentations problems and want to know how to get rid of them, this article will help you understand the most common skin pigmentation problems of Singaporeans, what causes these problems, the effective treatments for each skin issues and bonus practical tips on how to lessen the condition.

1. Melasma

melasma

Melasma is one of the most common skin pigmentation problems for Singaporeans, especially with women. Melasma usually appears as a brown to grey-brown patches on the face but can appear on other parts of the body such as the neck and forearms. On the face, the most common parts where melasma patches are on the:

  • Forehead
  • Cheeks
  • Nose bridge
  • Above the lips
  • Chin

Melasma is more common on women than men, particularly because it often appears during pregnancy. The increased production of hormones such as estrogen during pregnancy trigger the appearance of melasma.

Causes

90% of people who get melasma are women, and it is more common for people with darker skin. If you are related to someone who has melasma, then there’s a high chance that you have it too or will develop it in the future.

The exact causes of melasma are unknown. It is widely accepted that melanocytes (colour-producing cells in the skin) producing too much melanin is what influences the appearance of melasma.

The following events can trigger the appearance of melasma patches on your skin:

  • Exposure to UV light from the sun – Even the smallest amount of ultraviolet (UV) light can trigger your melanocytes to produce more melanin. This is why melasma is a lot more common during the summer season.
  • Hormonal changes, especially during pregnancy – Melasma is common among pregnant women, and the main culprits are the various hormonal changes that happen inside a pregnant woman’s body. Melasma on pregnant women is called chloasma or the “mask of pregnancy”. Melasma can also be triggered by birth control pills and hormone replacement drugs.
  • Skin care products that irritate your skin – Sometimes your skin is incompatible with a couple of skin care products. These products can irritate your skin and can make your melasma worse.

Tips

Dermatologists recommend the following tips to lessen the effect of melasma on your skin:

  • Using sunscreen regularly – Since UV light from the sun is the most common trigger of melasma, one reliable way to prevent melasma from getting worse is by the application of sunscreen to your skin. If you sweat or go swimming, remember to reapply sunscreen before you go out under the sun again. Choose a sunscreen that contains zinc oxide or titanium dioxide with an SPF of 30 or more to maximize your skin’s protection against UV radiation.
  • Wearing shades and sun-protective clothing when outside – Wearing sunscreen isn’t enough to protect your skin from the sun’s harmful UV radiation. If possible, also wear a wide-brimmed hat and sunglasses whenever you expose yourself under the sun.
  • Use gentle skin care products – Strong skin care products can irritate and worsen your melasma. It is recommended to use only gentle products that don’t sting or burn.

Non-Laser Treatments

Over time, melasma patches can disappear especially for those that are triggered by hormonal changes through pregnancy or birth control pills. As soon as your hormone levels return to normal, melasma patches will also usually fade.

If the patches don’t go away, there are a few options you could consider for treatment:

  • Hydroquinone – Hydroquinone is a topical skin-bleaching agent that is the recommended first line of treatment for melasma. It works by interfering with the melanin production of the melanocytes. Hydroquinone can be purchased from your pharmacy as a cream, emulsion, gel, lotion or solution. Higher concentrations require a dermatologist’s prescription.
  • Tretinoin – Tretinoin belongs to a class of medicine called retinoids, and it is mainly used for treating acne. It has been shown to be moderately effective against melasma.
  • Corticosteroids – These are a class of medication that are used to treat rashes and asthma. Research has found though that using corticosteroids with tretinoin is effective in treating melasma.
  • Chemical peels or dermabrasion – If topical medicine fails in treating your melasma, your dermatologist may advise you to undergo a procedure such as a chemical peel. Ensure that you choose a doctor or clinic that is trusted.

Laser Pigmentation Treatments

Laser treatments are one of the best ways to treat melasma as it is very quick (about 15 minutes per session) and non-invasive.

They work by changing the structure of the melanin on your skin. This will actually cause your patches to look darker than before, but there’s no need to worry. Your immune system will think that the melanin particles are foreign objects and will start dissolving them. A few days after treatment, your melasma patches will eventually scab and flake off your skin.

Usually, it takes about 4 to 5 sessions of laser treatments to achieve the best results. In Singapore, the laser pigmentation treatments cost around $1400 to $3000.

2. Solar Lentigines (Sun Spots)

sunspots

A solar lentigo, also known as sun spots, is a dark skin pigmentation caused by the exposure of skin to UV light. Unlike melasma which spread around a specific area, solar lentigines are relatively larger and can be a single spot or show up randomly as multiple spots on your skin.

It might worry you that solar lentigines are large, but they are actually benign. They do indicate that you are frequently exposed to the sun, which is a risk factor for skin cancer.

Causes

As the name suggests, solar lentigines are caused by exposure to the sun’s ultraviolet radiation. They can also be caused by artificial UV light, especially if protective gear is not worn. These sunspots can also grow over time if measures are not taken to prevent their worsening.

Tips

Since the main cause for solar lentigines is sun exposure, the best way to manage them is by limiting your exposure to the sun. Wearing sunscreen and protective gear like sunglasses can help manage solar lentigines.

If your job requires you to work under artificial UV light (such as in the laboratory), always ensure that you wear protective gear and the proper safety protocol is followed.

Non-laser Treatments

  • Hydroquinone and/or Tretinoin – There are bleaching creams available in pharmacies that contain one of or both of these agents and can help in lightening the lentigo. These are not effective in removing the lentigines though, so consider undergoing a procedure instead.
  • Chemical peels – You can try undergoing a chemical peel to exfoliate and rejuvenate your skin.
  • Intense Pulse Light (IPL) treatment – An IPL treatment is very similar to laser treatment in that they both utilize the heat from intense light. However, IPL uses a wider spectrum of light compared to lasers which use a specific wavelength. IPL treatments are slightly cheaper but are also less effective than laser treatments.

Laser Treatment

To effectively treat solar lentigines, laser treatment is often utilized. Around 2 to 3 sessions (about one session per month) are recommended to achieve great results.

After a session, it takes about a week for scabs to form on the area where the solar lentigines are. These eventually fall off and reveal fairer skin beneath.

Laser pigmentation removal costs for solar lentigines are based on the size of the affected areas and range from $700 to $1800 per session.

3. Freckles

freckles

Freckles are small, beige or brown circular spots that form on sun-exposed skin. These are common among people with fair complexion and affect all ages.

Freckles are usually the same colour for each person and are just slightly darker than your usual skin complexion. They are about 1 mm to 2 mm in diameter and can be reddish, tan, yellow, brown or black in colour.

Freckles fade away naturally when sun exposure is minimized, such as during winter. Since Singapore is a tropical country, freckles often persist throughout the year.

Causes

Freckles are caused by a combination of genetics and exposure to the sun. Due to the sensitivity to UV rays of people with fair complexions, freckles are more likely to develop. Ultraviolet light stimulates melanocytes to produce more melanin, which develops into freckles.

Tips

Similar to a lot of skin pigmentation problems, managing freckles start from limiting your skin’s exposure to the sun’s ultraviolet rays. Use sunblock and cover your exposed skin with protective clothing. Consider bringing an umbrella whenever you go outside.

Non-laser Treatments

  • Home remedies – You can try using some lemon extract and applying it directly on your freckles. It is a strong fruit acid and is an adequate bleaching agent for lightening your skin. It won’t actually remove the freckles but will lessen the pigmentation. You can also use red onions, potatoes, cucumber and vinegar.
  • Topical creams – Look for creams that contain hydroquinone or retinoids. These can help in lightening your freckles and preventing new freckles from forming.
  • Chemical peel – A chemical peel exfoliates your skin and peels off areas that are damaged. For freckles, a chemical solution containing either glycolic acid or trichloroacetic acid is used that penetrates the middle layers of your skin.

Laser Treatment

A safe and trusted procedure for treating skin pigmentation problems is laser treatment. Studies have shown that laser treatments are especially effective in treating freckles.

There are different types of lasers used for treating freckles, and the type of laser used depends on the type of freckles and the skin type. The heat generated by the laser destroys the melanin in the freckle, which gets naturally removed by the body.

Important to Know

Most patients assume that lasers are the only treatment for skin pigmentation problems and all conditions are the same. Unfortunately, this is not true because although most skin pigmentation problems almost look similar, there are different types of skin pigmentation problems and each case has different causes and treatment regimen.

In addition to the three skin pigmentation problems mentioned, other cases like Post Inflammatory Hyperpigmentation (PIH), Seborrheic keratosis (“Pigmentation Bumps”) and Hori’s naevus (deep pigmentations) can be exhibited by the patient.

This is why, if you have skin pigmentation problems, always talk to your doctor first before getting any kind of treatment. Different methods of treatment are required for each condition.

To ensure safety and avoid major complications, make sure you have the right diagnosis first. A precise diagnosis by a qualified medical professional is the very first step towards effective pigmentation treatment.

Doctor Compares Skinbooster in Singapore to Facials (Price, Side-Effects, Before/After)

skinboosters

When skin ageing hits the face, symptoms cannot be hidden easily. Wrinkles, fine lines, and dull skin are the common skin woes that are dreaded by adults who wish to remain youthful.

A lot of patients seek help from aesthetic professionals in order to restore their face’s flawless complexion. To address their concerns, a lot of doctors recommend none other than skinboosters.

Skinboosters have become a popular facial treatment. Some patients have made it a habit to drop by their dermatologists’ clinics on a regular basis to top up and maintain the results that skinboosters have done to their face.

As much as the administration of skinboosters are done easily, patients should know that there is more to just simply injecting the product to the skin. Yes, skinboosters are able to enhance several skin conditions, however, when used improperly these can only make matters worse.

In case you are thinking of getting skinboosters for your face, but are having second thoughts, read this article until the very end to see whether you can be convinced by this treatment’s claims.

What Are Skinboosters?

Skinboosters are substances that are used to encourage the production of collagen in the skin and at the same time smoothen out wrinkles. Improvements that skinboosters claim to do are:

  • Deep skin hydration
  • Improved skin elasticity
  • Glowing skin
  • Minimised pores
  • Smoothened wrinkles
  • Tightening of skin

What Are the Recommended Skinboosters in Singapore?

skinboosters

It is important to know that despite the various benefits that a single product of skinbooster can bring, the results will not be effective in addressing each skin condition when it is not applied according to a specific technique.

Let us look closely at two brands that are popularly used in Singapore:

  • RESTYLANE – Restylane Vital/Vital light skinboosters (RV) is already a household name in the aesthetic industry. Hyaluronic acid is the main component of Restylane Vital. This substance works by giving the skin a bright glow, at the same time keeping it supple and well hydrated. Restylane Vital restores the hyaluronic acid that the body lost naturally.
  • TEOSYAL REDENSITY 1 (RD1) – This is the latest skinbooster to hit the market. Concocted all the way in Switzerland, Teosyal Redensity 1 or RD1 is composed of hyaluronic acid and a 14-compound mélange of vitamins and minerals. This powerful combination has been proven to enhance the skin’s hydration and production of collagen. Teosyal Redensity 1 also boasts of having anti-oxidant components that protect the skin.

Which of the Recommended Skinboosters Is Appropriate for My Skin Condition?

As mentioned earlier, skinboosters have the ability to address several skin condition. The tricky part to getting optimum results is the proper application of the product to the skin using the right technique.

Skinboosters can be personalized according to the needs of a patient. During the consultation, it is essential that patients know what skin flaws they want to address during their skinboosters session. Do you want supple and firm skin? Or probably a deeply hydrated one? A dewy glow, perhaps? Whatever it is, be sure to communicate this clearly to your aesthetic doctor so they know how to target your concerns.

Going back to the two brands earlier, let’s find out which skin conditions they are best used on.

RESTYLANE. This skinbooster is highly recommended for deep skin hydration that lasts for a long time. It is vital that Restylane penetrates through the depths of the epidermis. The downside to this skinbooster is the bumps that it produces as a result of injecting it closer to the top layer of the skin. This unsightly flaw can exist for months. Restylane is also not effective in making the skin glow. It is also unable to promote collagen production.

TEOSYAL REDENSITY (RD1). This skin booster is highly recommended for deep hydration as well as giving the skin a natural glow. It is safe to be injected closer to the top layer of the skin, so there is no need to worry about developing bumps, unlike Restylane. It also activates collagen production. However, Teosyal RD1’s hydration to the skin is only temporary due to its inability to cross-link.

What Then Is the Best Skinbooster to Achieve a Well-hydrated, Glowing, and Supple Skin?

We now know that there is not a single, specific product available that can be utilized to achieve all three desired results as mentioned above. To attain all three, doctors recommend combining the use of the two skinboosters. When applied with the correct technique to the specific conditions, patients can expect to see the optimal results of having a dewy glow, well hydrated, supple and firm skin.

How Many Sessions Are Needed to See Results?

Skin care

Studies done on Teosyal Redensity 1 skinboosters show that the results start to materialize collectively with succeeding sessions. On the third session, results have been noted to last at a maximum of six months. The recommended number of sessions for skinboosters is three.

What Techniques Are Used to Administer Skinboosters?

There are two techniques that are used to administer skinboosters. These are the:

  • Freehand Method
  • Injector Gun
SKINBOOSTER APPLICATION TECHNIQUEBENEFITS
Freehand Method
  • Accurate application
  • Lesser wastage of the product
  • Minimal side effects
Injector Gun
  • Prone to inaccurate application of products
  • More wastage
  • Higher probability of incurring side effects such as bruising and nodules

Global specialists endorse the technique using the freehand serial injection over other existing methods. The freehand technique is ideal to use even on the most delicate parts of the face, such as the area under the eyes. By using this method, the needle that is inserted to the deep layers of the skin are set precisely, eluding major blood vessels, as the doctor is able to manipulate the placement of the needles. In contrast, the use of an injector gun can rupture major blood vessels when placed directly on the skin.

Teosyal Redensity 1 has a special pen that can be used by doctors to better aid the proper and more accurate placement of a needle.

Is There a Downtime When Getting Skinboosters?

Normally, there is minimal to no downtime when getting skinboosters.

What Are Things to Consider When Looking for an Aesthetic Practitioner to Administer a Skinbooster Treatment Session?

Because each product addresses specific conditions and only works best when paired with the right technique during administration, patients should be vigilant in looking for an aesthetic practitioner that has extensive knowledge and experience about the product. The kind of technique that the doctor uses should also be considered. Go for doctors who are experts in administering skinboosters using the freehand technique. Although this method may take a bit more time to conduct, lesser side effects and complications can be expected.

Patients may also ask for a portfolio of the cases handled by the doctor to see the before and after photos of previous clients. This way, you can have a preview of what your face will look like at the hands of your chosen doctor after a treatment has been successfully completed.

In Conclusion

We hope this article was able to enlighten you about skinboosters. Remember that the grand results of this kind of treatment are extremely dependent on its correct application. Meaning the product is used appropriately on the skin condition it addresses best using the exact technique that can best execute its administration.

Ellanse Filler Guide – Singapore Aesthetic Clinic Prices & Choices

Facial ageing

Ageing is inevitable. With each ticking second, our body continues its depreciation. The very first obvious sign of ageing is usually noticed on our face. Here’s the tricky part: sometimes, our face even looks older than our actual age when not properly cared for. Aside from our body’s natural system, external factors also play a vital role in affecting our appearance.

There is no need to worry, as there is now a quicker alternative to restore your face’s youthful glow! You can now defy age with the collagen boosting and long-lasting power of Ellanse!

Sceptic? Read on to know more about this life-changing treatment!

Before We Dive in: What You Need to Know About Facial Aging.

No one is exempted from facial ageing. Some people’s face produces signs of ageing faster than others. This is especially true when the face is treated with a poor facial regimen. Look out for these indications to know whether your face has started to age:

  • Droopy and less-plump cheeks
  • Jowl formation
  • Nasolabial folds and creases
  • Dipped forehead and temples
  • Wrinkles
  • Broad U-shaped face instead of a V-shaped contour

The Filler That Has Taken the Aesthetic Industry by Storm

facial filler

Before the year’s closing in 2015, a brand of dermal filler was introduced in Singapore’s aesthetic scene. This product has been raved about in other popular South East Asian countries that are popular cosmetic destinations like South Korea and Taiwan. This is none other than Ellanse.

Ellanse is a filler that boasts of being capable to stimulate collagen as it is injected to the skin. Aside from its collagen bio-stimulating component, Ellanse markets itself as a long-lasting filler. This is definitely good news for patients who are rundown with time but would like to frequently visit their dermatologists to top-up their facial fillers.

Over the years, Ellanse has earned the nickname 少女针. Interestingly, this moniker stuck to it as patients of one of Taiwan’s prominent doctors, Dr. Lin Shang Li, flooded the country’s media platform with jaw-dropping photos of their beauty transformation after using Ellanse. The patients’ before and after photos unbelievably showed proof of the product’s success in making the face look younger by lifting away signs of ageing of about 5 to 10 years from their current age and state. Because of the product’s innovation, its reach increased to other countries in Asia. Ellanse has multiplied its satisfied patrons, including those in China and Hong Kong.

Ellanse is CE certified, meaning it corresponds with the standards set in Europe to ensure that the products sold are safe for the consumer’s health and protects the environment. The product is manufactured in the Netherlands.

Dissecting Ellanse: What Is Ellanse Composed of?

Ellanse is basically composed of two active ingredients: Carboxymethyl Cellulose (CMC) and PolyCaproLactone (PCL). The percentage breakdown of which are:

  • 70% Carboxymethyl Cellulose
  • 30% PolyCaproLactone

Polycaprolactone is a microsphere form of biodegradable polyester or a synthetic polymer that is safely processed and fully absorbed by the body.PCL is suspended in CMC as its carrier gel. CMC is a safe substance derived from non-animal, bacterial, or human bases.

Ellanse Options: What Are the Types of Ellanse Fillers to Choose From?

Ellanse offers four types of fillers. Patients can choose the longevity of their fillers according to the following:

  • Ellanse-S – This type of filler lasts for 12 months or one year.
  • Ellanse-M – This type of filler lasts for 24 months or two years.
  • Ellanse-L – This type of filler lasts for 36 months or three years.
  • Ellanse-E – This type of filler lasts for 48 months or four years.

Ellanse Usage: Which Parts of the Face Can Ellanse Be Used on?

Ellanse places

Ellanse can be used to enhance the following:

  • Cheeks – for filling and lifting
  • Chin – for reshaping
  • Eyebrows – for lifting
  • Forehead – for augmentation
  • Marionette Lines – for smoothening
  • Nasolabial folds – for smoothening
  • Nose – for reshaping
  • Temples – for augmentation

Likewise, Ellanse can also be used to add volume to the hands.

Ellanse in Action: How Is the Treatment Administered?

Ellanse is a non-surgical procedure that is administered with the use of syringes. One set is complete with 2 x 1 ml syringes of Ellanse. The fillers are injected directly to the target areas of the face.

As Ellanse penetrates through the skin, its active ingredients work to stimulate collagen production. The fillers aid the skin to be restored to its almost natural state. At the same time, patients can enjoy long-lasting effects, as the body soaks up the Ellanse fillers.

Ellanse Effects: What Are the Expected Results of the Fillers?

face before and after

Patients can expect to see instant effects after a complete session of Ellanse. Some of the enhancements that can be anticipated are:

  • Improvement of skin folds and wrinkles
  • More defined facial contour
  • Increased volume of the skin on the area treated

Aside from the immediate results, patients can expect long-lasting effects from Ellanse.

Ellanse Risks: What Are the Side Effects of the Treatment?

Side effects on the treated areas from an administration of Ellanse may be:

  • Bruising
  • Itching
  • Swelling
  • Redness
  • Tenderness

In general, Ellanse is a safe product and is CE approved. Other concerns regarding safety can be affected by the method used by doctors in applying the treatment to patients. Likewise, the body’s reaction to the product and procedure is also a factor to consider when it comes to side effects.

Ellanse Comparisons: What Is the Difference Between Ellanse Filler and Other Collagen-stimulators?

ELLANSESCUPLTRA (Poly-L-Lactic Acid)
Does not require any massage treatment.Requires massages on the areas that underwent the treatment five days following the procedure.
Can be used for a specific area for contouring, such as the chin and bridge of the nose. Likewise, Ellanse fillers can be used to fill an area or part of the face for general collagen stimulation.Only used to fill a part or area of the face for general collagen stimulation.
Effects are immediately noticed, while the skin is producing new collagen.Effects can be seen after three to four weeks after the treatment.
Only one session of treatment is needed for effects to last from two to five years.Three to four sessions of treatment is needed for effects to last at least 2 years.

Ellanse Reapplication: How Long Does It Take Before Another Treatment Is Needed?

As mentioned previously, each product of Ellanse has its own approximate time duration. This ranges from one to four years. The duration of each product may also vary per individual. Reapplication of Ellanse for maintenance may be discussed with your doctor in order to retain your preferred appearance.

Ellanse Administration: What Do I Look for When Searching for Doctors Who Can Administer Ellanse?

Ellanse requires specific skills and technique for application. Because it lasts much longer as compared to other brands of fillers, a doctor must be well versed in its application. Doctors that use this filler are expected to have knowledge and experience in using collagen-stimulating fillers and facial anatomy.

The application of Ellanse should entail precision and accuracy in order to ensure its safe administration and achieve optimum results. This also prevents complications.

When searching for a medical practitioner for this kind of procedure, be sure to look for a doctor that is certified in providing Ellanse treatments. Uncertified doctors may only do a substandard job in managing an Ellanse procedure hence results may be compromised.

List of Certified Acne Treatments in Singapore – Compiled by a Doctor

doctor treating acne on patient

The most common skin condition that adolescents or adults of different walks of life encounter is acne. The number of acne cases done by dermatologists is probably more than any other aesthetic procedure they have delivered in their years of practice.

There are a lot of acne treatments available

The effectiveness and duration of treatments vary between patients. For some, their body’s response may be quicker as compared to others who may take a while to see improvements. But, did you know that sometimes successful and faster results may actually be caused by the state that the acne is at during the time of the treatment?

Laser acne removal

Confused? Here’s the explanation.

Let’s say you’ve had a breakout of pimples and on the first week you decided to try home or over-the-counter remedies to treat them. Chances are, these kinds of treatment may bring gradual improvement, but it will take a long time for the acne to completely clear out. You get impatient with the little improvement on your skin, so you decide to see a dermatologist the following week without knowing that your pimples are on the verge of drying out. The dermatologist then administers a certain treatment to your pimples, which response faster to the product. You might think that the treatment did all the work, but in reality, the time that it was administered (which was during the stage of the pimple’s clearing out) that enabled the acne to subside fully and quickly.

Now that you have an idea about how this factor affects the faster healing of your acne, let us take a look on the various acne treatments that have been tried, tested, and certified to give quicker and effective results.

What are the best and fastest acne treatments available in Singapore?

Among all the acne treatments being offered in the different aesthetic clinics in Singapore, the following have made their mark in claiming the top three spots in being able to treat acne in the best and shortest time possible:

TYPE OF ACNE TREATMENT

ANTIBIOTIC CREAMSINTRALESIONAL STEROID INJECTIONS

LOW-LEVEL LIGHT THERAPY

PROS
  • Uses an active ingredient called Clindamycin that works to attack bacteria that causes acne.
  • Price is very affordable
  • Results can be expected within three to five days
  • Best combined with intralesional steroid injection
 

  • Perfect treatment for cystic acne
  • Uses steroids that work by releasing components that suppress inflammation
  • When administered during the first few stages of acne, this treatment reduces possible scarring
  • Healing of cystic acne may be achieved in one to two days, as compared to its natural recovery that takes up to a maximum of three weeks
  • One treatment is needed to see immediate and effective results
  • Takes only five minutes to administer
  • Addresses all kinds of acne, but best used for mild acne that affects a greater area of the face
  • Non-invasive
  • Uses phototherapy treatment that works by hindering the skin’s swelling further
  • Procedure only takes 15 minutes to administer
  • Downtime may take less than a day
CONS
  • May cause minor skin dehydration
  • Results become slow after two treatments
  • Several injections may be needed for severe cystic acne as one treatment is only used for a single spot
  • Maybe costly, depending on the number of injections needed
  • May cause skin atrophy when extremely used
  • Phototherapy sessions are more pricey and may take more than one session to see improvements

 

Are treatments for all kinds of acne the same?

Grade of acne severity

The severity and kind of acne are not the same for everyone. Some acne may only be mild and can be treated with remedies done at home or bought over-the-counter. On the other hand, there is acne that can be widespread and severe that cannot be treated by over-the-counter prescriptions. This is where a customized treatment plan comes in.

To explain this further, let’s take one case of acne that is considered severe. Finding cystic spots of more than five can identify this kind of skin condition. Likewise, tiny pimples that are extensive and reach over a hundred can be measured as severe acne.

The treatment of this kind of acne can differ based on the current condition of the skin. During the consultation, the doctor can assess whether the acne is on its onset or may be in for a long duration already. The treatment used for each condition is not the same.

Treating severe and long-term acne also takes into consideration a patient’s medical history, habits, and lifestyle. For people whose daily routine is jam-packed with work, clinical procedures that are called “lunchtime treatments” can be prescribed as they can be easily inserted into one’s schedule. At the same time, the treatment should have less downtime, given that the patient is always on the go. The treatment should have fewer risks and side effects.

With these considerations in mind, the following acne treatments may be combined:

These treatments are done in clinics and fall under the “lunchtime” procedures, meaning the application only takes 30 minutes or less. When it comes to side effects and downtime, these are the treatments that have minor side effects, such as giving the face a reddish colour or minor dryness of skin, which subsides within a day or two.

Doctors may also prescribe some home regimen in addition to the aesthetic treatments done in the clinic. Facial washes that are infused with AHAs (e.g. Salicylic Acid), a moisturizer, and sunblock with a strong SPF are the common follow-ups that doctors ask their patients to do at home. Oral medications, like Doxycycline, Accutane, Oratane, or Isotretinoin can also be prescribed. Topical creams, such as Retinoids (Differin), that works by stopping the excessive production of sebum can also be included in the treatment.

My skin has cleared, is there any need to go back to my dermatologist for further treatment?

Woman looking at her face in the mirror

Congratulations! Your agonizing bout with acne has finally reached its end, but it does not mean that it would not recur. There is a high chance that the skin will relapse and develop acne again when proper maintenance is not followed. It is best to consult with your doctor about the treatments you can get regularly in order to keep those pesky cystic acne, comedones, and pimples at a far distance.

Doctors usually recommend the following treatments to avoid future flare-ups:

  • Chemical peels
  • Hydrafacial
  • Pico laser

The goal of these treatments is to make sure that the skin does not collect excess sebum that is usually the breeding ground of bacteria causing pimples by controlling the skin’s oil production.

How do I deal with acne scars?

Acne scars are easier to prevent rather than cure. Most patients with acne end up with a lot of scarring because they sought treatment very late. Remember that the more inflamed the skin is, the higher the chance that it is going to be deeply damaged.

Here are a few tips to avoid getting acne scars:

  1. Do get a doctor’s consultation during the onset of a pimple breakout.
  2. Avoid touching and pricking your pimples at all cost! This will only worsen the situation and may lead to deep skin scarring!
  3. Do not self-medicate. Always seek the advice of an aesthetic expert so your acne can get the best possible treatment.