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Ellanse Filler Guide – Singapore Aesthetic Clinic Prices & Choices

Facial ageing

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Ellanse fillers treatment in Singapore cost around $1,200 and above for one treatment. The price may vary in accordance to a few factors, such as the clinic or doctor you choose to do your procedure with. Doctors that use this filler are expected to have knowledge and experience in using collagen-stimulating fillers and facial anatomy, so make sure that your doctor is Ellanse certified before you choose to have them operate on you.

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

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Acne treatments in Singapore cost around $50-300, depending on the treatment. A typical course of antibiotic creams will cost around $50-100 depending on the brand. Intralesional steroid injections cost around $120-200 per injection. Low-level light therapy costs around $200-300 per session and may require a few sessions to be effective.

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.

Eye Bag Removal / Dark Eye Circles Treatment Clinic Prices in Singapore

eye bag problem

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Eye bag removal treatment in Singapore ranges from $600 to $1,000 depending on the type of procedure. There also are certain factors that influence the price, like the brand of the filler product, for example. Generally speaking, vitamin C-infused monofilament threads run around $800 to $1,000 for one session. Tear trough fillers are slightly cheaper and cost around $600 to $1,000 per treatment.

Have you ever been asked whether you have gotten a good night’s sleep despite completing an 8-hour sleep cycle? A big chunk of patients that come to seek medical aesthetics treatments have gotten tired of being mistaken as “haggard” or “tired,” when in reality they are feeling very well.

What makes people comment about their appearance this way? Most will look at their reflection in the mirror and, maybe, confuse themselves whether they are actually seeing their own reflection or that of a panda. Dark circles and eye bags are the usual suspects in this case.

If you are searching for treatments to get rid of your eye bags, you have come to the right place. In this article, we present to you the facts you need to know about those annoying eye bags and dark circles, plus the different treatments to improve your eyes’ condition that are available in Singapore.

Fast Facts About Eye Bags and Dark Circles

eye bag

Eye bags can be classified into two types: real eye bags and “fake” eye bags. To identify which of these you have, let us look closely at the description of each.

  • TEAR TROUGH EYE BAGS. Also known as the fake type, this one makes the orbital septum, or the under eye area, appear sunken. Aside from the loss of volume of the skin below the peepers, deep lines are also visible. This can be treated with the use of dermal fillers.
  • REAL EYE BAGS. Misplaced fats that usually end up in the area under the eyes cause real eye bags. The eyes look puffy, as the skin below them looks like stuffed pillows. To remove this type of eye bags, patients can choose between two treatments: fillers or eye bags surgery.
  • Fillers, which are a non-surgical eye bag removal procedure, can be used to fight eye bags, although patients should expect only an approximate of 30% to 50% improvement. The administration of fillers should be handled by an experienced doctor to achieve optimum results. It should be pointed out that this manipulation works best for mild to moderate eye bags. Note that it is not able to remove excess skin, which sometimes is a necessary step. Of course, every case is different, so you should explore all options before you take the plunge.
  • Eye bag removal surgery is a much effective treatment to address the issue. It is known as lower blepharoplasty and it does not affect the upper eyelid in any way. This invasive treatment involves removing excess fat that is stored in the pockets of the skin just below the eyes through incision. The good news is that it should not leave any visible scars. Other surgical options involve filling in the depressed segments by means of fat grafting. The biggest advantage of plastic surgery is that once you undertake it, your eye bags will never reappear. The outcome is tightened and firmed skin.

Types of Treatments Available to Treat Dark Circles

Dark circles can be divided into two kinds. Below is a table that shows the kinds of a dark circle as well as the treatments available at aesthetic clinics to best address these conditions.

KIND OF DARK CIRCLESTREATMENTS AVAILABLE
Tear Trough Eye Bags
  • Belotero Soft
  • Restylane Vital Light
  • Teosyal Redensity II
Pigmented Dark Circles
  • Monofilament threads with imbued Vitamin C
  • Vitamin C and Glutathione imbued Teosyal Redensity II

Do note that tear trough eye bags are very tricky to treat. It is highly recommended the doctors handling the treatment have the right skills and years of experience in managing the procedure.

Note: Many people resort to eye creams to improve the appearance of the area under the peepers, however, they are barely effective if the problem is persistent.

How Does the Vitamin C-imbued Monofilament Threads Address Dark Circles?

Vitamin C-imbued monofilament threads work by lessening the dark pigmentation around the eyes. The threads, inserted under the skin, promote collagen stimulation. In addition, the threads pull the tissue under the area of the skin that is being treated hence improving the appearance of the under the eye. This treatment is one of the most popular choices to treat dark under eye circles in Singapore.

Expected Results With the Use of Fillers on Eye Bags

Dark eye circles treatment BEFORE and AFTER

The table below shows what patients can expect when fillers are used to treat dark circles:

KIND OF DARK CIRCLESEXPECTED RESULTS
Tear Trough Dark CirclesEffects of dermal fillers on tear trough dark circles are noticed instantly once the substance is administered in the right way by a skilled medical professional.
Pigmented Dark CirclesEffects of dermal fillers on pigmented dark circles are seen immediately after a treatment. Patients are usually surprised with the instant results that improve the appearance of the under eye region by reducing the dark pigmentation and puffiness of the skin, successfully taking away the tired and haggard look from the face.

Risks or Side Effects Caused by Filler Treatments on Dark Circles

Of the two conditions, treating the tear trough dark circle is much more complex. The treated area is prone to swelling after the manipulation, so the liquid is not injected fully into the area. The inflammation of the skin is a normal reaction and is brought about by the water retained by the filler, which is made up of hyaluronic acid. When done seamlessly by a skilled doctor, patients can expect to see about 70% to 80% improvement in their dark circles. This side effects can be expected to subside in 2 to 3 days following the procedure.

Patients may also experience bruising on the treated areas. It can be concealed with makeup. This side effect is commonly developed when the treatment is conducted by doctors who do not have proper training and enough experience in performing the procedure. The whole healing process may last up to a week.

Two of the most common side effects are called the Tyndall’s Effect and Sausage Bump.

NAME OF SIDE EFFECTDESCRIPTION
Tyndall’s EffectWhen placement of the fillers is shallow, the skin appears to be tinted with a faint bluish color. This indicates that the kind of fillers injected to the targeted area is not the appropriate product for the condition.
Sausage BumpWhen the injected liquid supersedes the right amount needed, a bump that is similar to the shape of a sausage forms in the under eye area, making the current condition worse.

Is There a Way to Reverse a Botched Dark Circle Treatment?

eye bag problem

Hyaluronidase is a solution that is used to reverse the effect of a failed dark circle treatment with dermal fillers. It is injected into the affected area and dissolves the fillers that were initially inserted. The reversal does not happen overnight. Patients who undergo this procedure should expect to swell in the treated regions as a result of the reaction between the chemicals. About a week is allowed to pass before a much-experienced doctor can administer the correct dosage and treatment of dermal fillers to address dark under eyes.

Results Duration From Successful Treatments

Generally, results from a successful procedure can be fully enjoyed by patients from six to nine months. However, this may differ per patient. At the same time, some external factors and the person's lifestyle can contribute to the longevity of the treatment’s results. For example, people who practice a healthier lifestyle by sleeping earlier, avoiding smoking, and skipping saunas can expect their fillers to last longer.

Cost of Getting a Treatment of Tear Trough Fillers

The cost of tear trough fillers varies depending on the type of treatment that a patient chooses to undertake. Also, there are certain factors that can contribute to the price of the procedures, like the brand of the filler product.

Here is a glimpse of how much a patient will need to prepare for a dark circle treatment.

  • Vitamin C-infused monofilament threads – The price ranges from $800 to $1,000 for one session.
  • Tear trough fillers – This type of treatment costs $600 to $1,000 per session.

Hair Loss Treatment in Singapore (from a doctor’s viewpoint)

hair loss

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For less severe cases, light therapy or non-surgical treatments can work. Although each session might cost only a few hundred dollars, a complete treatment that nets satisfactory results usually costs between $3000 to $5000 at aesthetic clinics and hair doctors. More severe cases require surgical hair transplant, which is priced by grafts (each small area containing 2-7 individual strands). Hair transplant prices have been dropping over time and now costs between $6 to $8 per graft in Singapore. A full treatment of 1000-2000 grafts will thus cost between $6000 to $16,000.

A lot of Singaporeans believe in the myth that hair loss is permanent. Yes, you heard that right. It is a myth, and there are actually ways to reverse hair loss and grow your hair again!

One common mistake that a lot of Singaporeans do is to not immediately go to a doctor for hair loss treatment. Often times, people would get swayed by hair loss treatment advertisements they see on TV or the internet.

Unfortunately, most of these advertised treatments are not backed by scientific research and often just rely on the power of marketing to get their customers. What’s worse, the agents selling these products have a way of persuading their customers to believe in the effectiveness of their products even if no visible effects are achieved. They often have a company spiel ready whenever they are asked why their product isn’t working, such as “Maybe you’re not using enough of the product” or “You probably need to get this higher, more expensive tier of our product to get results”.

It is sad to see a lot of people in Singapore prioritize these deceptive hair loss treatments instead of going directly to a licensed doctor that has the expertise, experience and scientific knowledge to tackle their problem.

There is still so much I want to say about hair loss that you will never learn from those short commercials you see on TV. I hope that the article I’ve written here would reach a lot of Singaporeans to help them make the correct decisions and avoid the traps of the hair loss treatment industry.

Hair Loss has a Negative Impact on Your Psychological and Social State

Humans are naturally social creatures and buried deep within our history as a species is the need to be noticed and acknowledged by our peers. Unfortunately, a side effect of this need is the urge to judge other people through their physical appearance.

It is why the term ‘first impression” is a thing. We judge a person’s whole being based on the first thing we will notice from them – not their personality or actions, but on how they look.

This is why hair loss is a very sensitive topic for a lot of people, especially famous people who put a great deal of importance on their appearance. Even Lebron James, one of the most famous basketball players in the world, has said that he feels insecure about his hairline.

Scientific research has shown that hair loss results in low self-esteem because of the belief that their attractiveness has fallen. Men, in particular, are 75% less confident if they suffer a form of hair loss.

Losing Hair is Normal… to a Certain Degree

hair loss worry

According to science, it is normal to lose 100 to 150 hairs each day. In fact, the amount of lost hair per day is not the correct indication of whether or not it is normal. In fact, if you constantly lose an almost constant amount (even if it’s more than 150) of hair per day it is still considered normal as long as there is no drastic increase in the rate of hair loss.

If there is a drastic relative increase in the rate of hair loss (like 70% or more increase), then that is when you start to worry. For example, if you normally lose about 30 strands of hair each day but then suddenly lose 60 strands per day, you might want to talk to your hair doctor.

Thus, don’t focus too much on the amount of hair loss, but rather on the increase in the amount.

Hair Loss Treatments Not Backed by Medical Professionals and Science are Most Likely a Sham

Going back to the issue of advertised hair loss treatments, one good way to verify if a certain treatment is effective or not is by checking if it is backed by registered doctors that are specialized in the area of hair loss. More often than not, the hair loss treatments you see in advertisements are not backed by science and use a lot of buzzwords to confuse and deceive their customers.

Don’t be swayed by their celebrity endorsers. Most of the money spent by the hair loss treatment company is used on marketing and endorsers, instead of medical research on their treatment.

I cannot stress this enough: Always seek professional medical help for your hair loss.

What You Need to Do First if You Experience or Feel that You Have Hair Loss

If you experience hair loss or even if it’s just a hunch that you have hair loss, you should consult a dermatologist to diagnose your condition. There are several causes of hair loss and determining the root cause of your condition is essential in its proper treatment.

Your doctor will ask you for some information, such as your medical history, your lifestyle and family. He/she will also inspect your scalp and look for signs of hair loss. You may also be subjected to some tests that can help in the diagnosis.

Once the doctor gathers enough information, he/she will be able to give you an accurate diagnosis of the root cause of your hair loss. Once you know this cause, you can now start to get a treatment that is catered for your specific case.

Don’t Wait Too Long to Get Treatment!

It is very important that you do not delay medical treatment for your hair loss. The longer you start treatment, the lesser the chance that you will be able to recover hair that you already lost.

If you have hair loss, a process called miniaturization happens to your hair follicles that cause the hair’s diameter to shrink and makes if look thinner. Another side effect of miniaturization is that your hair will also be shorter compared to before.

Finally, if you wait too long, your hair follicles will shrink to a very small size wherein hair will stop growing entirely.

The Several Causes of Hair Loss

Hair analysis. Trichological examination.

Before you can start treatment for your hair loss, it is vital that an accurate diagnosis is made with regards to its cause. Hair loss can be caused by several factors, namely:

  • Genetics
  • Illness
  • Ageing
  • Hormonal Changes
  • Stress
  • Nutrient Deficiency
  • Excessive Pulling
  • Hair Product Side Effect
  • Medication Side Effect

A lot of times, hair loss is caused by a combination of these and will make it more challenging for treatment. Don’t worry though, because there are effective treatments for each of these causes.

Before we proceed with the different types of treatment though, let me first tackle one of the most common types of hair loss – male pattern hair loss.

What is Male Pattern Hair Loss?

Among Singaporean men suffering hair loss, the most common type is androgenetic alopecia or male pattern hair loss (MPHL). It affects about 70% of men, in which the percentage increases as age increases. About 85% of men aged fifty and above have MPHL. MPHL can affect men as young as 21 years old and the hair loss usually starts on both temples and the front hairline and eventually affects the rest of your scalp except for the back of the head.

The main cause of MPHL is hormones. Men with MPHL have a genetic sensitivity to the hormone dihydrotestosterone (DHT), which causes hair thinning, miniaturization and eventually, hair loss.

Medications for Male Pattern Hair Loss

The following are FDA-approved treatments for male pattern hair loss:

  1. Oral Finasteride

This medication slows down the progression of MPHL and is particularly effective in treating hair loss over the whole scalp except for the temples. The full effects of the medication are experienced after about 3 to 6 months of continuous use.

There are some side effects though, such as a weaker sex drive and ejaculatory dysfunction. These effects will disappear once you stop medication and are not permanent.

Finasteride costs around $70 to $120 per box, which is enough for a month.

  1. Dutasteride

Dutasteride is more effective than Finasteride when it comes to hair growth. Unfortunately, the side effects are also more frequent, which leads doctors do not recommend it for all besides the direst of MPHL cases.

Dutasteride costs around $40 to $70 per box, good for 1 month.

  1. Topical Minoxidil

Minoxidil is approved by the FDA as an MPHL treatment if applied topically as a spray. It is recommended that you rub Minoxidil into the scalp after spraying for better effectiveness. It was originally used as a medication for high blood pressure but was stopped as it causes excessive hair growth in high doses. Some side effects of Minoxidil include skin irritation and tachycardia (fast heartbeat).

Minoxidil sprays cost around $40 to $100 a bottle, depending on the concentration.

General Treatments for Hair Loss

Hair Growth Laser Stimulation Treatment

  1. Low-Level Laser Therapy (LLLT)

LLLT is done via the application of low-power lasers or LEDs to the scalp. It works by increasing the blood flow in the scalp and reduces scalp inflammation.

Low-level laser therapy costs about $900 to $1250 in Singapore.

  1. Surgical Hair Transplant

Hair transplants are effective in treating almost all kinds of hair loss and is a permanent solution to increase the volume of hair. It is done by extracting hair follicles from the back and sides of the head (which are not affected by DHT) and implanting them on areas of your scalp that have hair loss. These transplanted hair follicles are still not affected by DHT even when transferred to an area of the scalp normally affected by it.

Surgical hair transplants cost about $4 to $12 per graft, which averages to around $8000 to $24000 for each treatment.

Again, Do Not Be Discouraged if You Have Hair Loss

Remember, hair loss does not need to be a permanent thing that you should just accept. Science and medical advancements have developed numerous solutions to hair loss, and it is important that you are aware of each of them. Who knows? Maybe in the future, someone can develop a solution that can prevent hair loss from even happening in the first place!

Always take note that you should be diagnosed correctly so that the proper steps can be taken for your treatment. Do not be swayed by hair loss product advertisements and instead, go directly to a licensed medical professional.

How to get rid of acne

face treatment

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Acne treatments in Singapore cost around $50-300, depending on the treatment. A typical course of antibiotic creams will cost around $50-100 depending on the brand. Intralesional steroid injections cost around $120-200 per injection. Low-level light therapy costs around $200-300 per session and may require a few sessions to be effective.

Acne can be a person’s worst nightmare. For some, the battle with acne starts early on in life. Pimples, blackheads, and whiteheads start sprouting on the face when a person reaches puberty. While some outgrow this stage, others do not. There are also those who experience this later on in life - hello, adult acne!

Having acne can cause poor life quality. A lot of acne sufferers often have very low self-esteem, as the condition is, frankly speaking, unsightly.

If you have been searching for ways to get rid of acne, you are reading the right article! Here, we dissect causes that lead to acne and provide solutions that may help in bidding those irritating pimples adieu.

What is acne?

Acne is a condition wherein the skin’s pores get infected resulting in inflammation.

How does acne look like?

Acne on face

Acne can be composed of blackheads, whiteheads, and pimples that may either be cystic or pus-filled.

What are the causes of acne?

In general, either hormones or poor hygiene can cause acne.

Hormonal acne. This type of acne is caused by an imbalance in the hormones. This mostly affects women, especially during their menstrual cycle or menopause. For the young ones, hormonal instability usually happens during puberty. Hormones can affect the production of excess oil or sebum, which can cause acne when the pores get clogged.

Poor hygiene. Acne can also develop when a person has poor facial cleansing habits. Dirt and bacteria together with the skin’s oil can cause skin irritation and inflammation resulting to acne.

Other reasons for acne are attributed to diet, citing dairy and sugar as triggers, and likewise, a medical condition called PCOS or Polycystic Ovarian Syndrome.

What parts of the body can develop acne?

Acne can develop on the face, back, chest, or shoulders.

Are there different types of acne?

Types of acne pimples
Types of acne pimples

Yes, acne has different types. They can be categorized into two: inflammatory acne and non-inflammatory acne.

INFLAMMATORY ACNENON-INFLAMMATORY ACNE
  • Cysts
  • Nodules
  • Pustules
  • Blackheads
  • Papule
  • Whiteheads

What are treatments available to get rid of acne?

face treatment

Acne can be treated using topical ointments or creams, oral medications, chemical peels, lasers, and steroid injections.

Topical ointments or creams recommended for acne are:

  • Benzoyl peroxide – This is a topical treatment that works by direct application to the infected areas. Benzoyl peroxide attacks and kills the bacteria that cause the infection and inflammation on the skin. Flare-ups are improved as the area is rid of bacteria. Benzoyl peroxide is a strong solution and may at times cause skin irritation.
  • Clindamycin – A topical antibiotic, clindamycin works by eliminating the bacteria that cause acne from multiplying. It is best applied to mild pimples to severe acne. Side effects include dry skin, skin peeling, burning or itching. Doctors may prescribe another medication together with Clindamycin in order to get optimum results.
  • Epiduo – A topical gel that is used to treat mild to moderate acne. The solution is a combination of two active ingredients: adapalene and benzoyl peroxide. It works by eliminating the dead skin, unclogging pores from excess sebum, which can be a breeding ground for bacteria. Benzoyl peroxide simultaneously works to kill the bacteria as it serves as an antimicrobial component. This treatment is good for inflamed pimples, as well as blackheads and whiteheads. Possible side effects are dryness, burning and flaking of skin.
  • Retinoic Acid – Topical retinoids may be in the form of creams or serums. Retinoic acid is extracted from vitamin A and helps in unclogging the pores. Topical retinoids are best used for closed comedones, blackheads, and blemishes that appear on the forehead or jawline. Retinoids can cause the skin to be dry, itchy, and feel prickly.

Oral medicines recommended for acne are:

  • Doxycycline – This oral antibiotic is prescribed for patients suffering from moderate to severe acne and rosacea. It works by putting bacteria under control and helps in minimising its amount from increasing. Doxycycline also reduces swelling. This antibiotic is very strong and may cause side effects like diarrhoea, indigestion, and photosensitivity (skin is more prone to sensitivity to the sun).
  • Isotretinoin – Commonly known as Roaccutane, this oral treatment is derived from vitamin A and works best in addressing severe and persistent acne. Isotretinoin helps in keeping the skin from producing excess oil and allows the skin to slough off dead cells that can cause clogged pores resulting to acne. This medication is extremely strong and a dermatologist must strictly monitor its administration. Side effects and risks include birth defects (this treatment is not recommended for pregnant women or women who are trying to get pregnant), dry and chapped lips, and photosensitivity.

Chemical peels work best for mild to moderate acne. The active ingredients in the chemical peels are alpha hydroxy acids (AHAs) such as glycolic acid and beta hydroxy acids (BHA) such as salicylic acid. AHAs aid in minimising skin swelling while BHAs help in exfoliating the dead skin from the top layer of the skin. Chemical peels also improve skin tone as it promotes the regeneration of new skin cells as the epidermis is renewed after skin exfoliation. Side effects include sensitivity to the sun’s UV rays. Patients are always advised to wear sunscreen with a high SPF in order to protect the skin from damage as it heals.

Lasers use energy-charged light beams that penetrate through the skin and target the swelling, which eventually leads to containing a possible pimple outbreak. Despite several claims of improving the skin affected by acne, doctors say that there is insufficient data to back up the claim of laser treatments. Lasers are much more recommended to treat acne scars as compared to addressing acne.

Steroid injections are best used on a single skin inflammation that is isolated. Dermatologists use steroid injections to treat large and swelling cystic pimples. This treatment works by being injected directly onto the targeted spot. The solution then reduces the inflammation and dries the pimple. Steroid injections are generally safe, although some may leave discolouration and dents on the skin.

Will my acne cause scarring?

Acne scarring is inevitable for inflammatory acne. This is true, especially for cystic acne. Likewise, the skin may not be able to recover and be restored back to its original state when the acne is recurring. The best way to avoid acne scarring is to keep your hands off the face and stifle the urge to pop your pimples. Popping pimples can worsen the state of your acne and can cause deeper damage to the skin, leaving discoloured marks and indentations on the face.

How do I know which acne treatment is best for my skin condition?

The best way to determine which acne treatment is appropriate for your skin condition is to visit your dermatologist. In this way, your skin will undergo a proper evaluation and the right treatment can be prescribed to address your acne. Remember that most of the treatments (especially the oral medications) have very strong active ingredients that will need proper supervision by dermatologists when administered, as there are major risks and side effects involved. Do not attempt to self medicate as this can only worsen your current condition. Your skin is a very delicate organ; it is important to let skilled doctors take care of its health.

How to get rid of stretch marks

Stretch marks on legs

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Stretch marks treatments in Singapore vary in price, depending on the treatment. Chemical peels have a price of around $150-300, per treatment. Microdermabrasions cost around $70 to $150 per session. Laser therapy can cost between $500-1000. Radio frequency treatment costs between $750-1000. Ultrasound treatments cost around $320-390.

Our skin is an amazing organ. The skin’s elasticity enables it to expand with weight gain without wounding the flesh. However, for some people who experienced abrupt body mass changes, they may notice a skin flaw on the parts where the skin has been extremely stretched.

Stretch marks look like discoloured squiggles on the skin and can look unappealing.

If you have been looking for ways to get rid of this skin condition, you are reading the right article. In this piece, we are giving you the facts you need to know about stretch marks and different methods that may help in getting rid of them.

What is a stretch mark?

Stretch Marks After Birth

A stretch mark is actually a form of scar that looks like a stripe or a line that appears on the skin.

How do stretch marks form on the skin?

Stretch marks develop on areas of the body where the skin is exceedingly stretched in a quick manner. This may also occur when the skin shrinks abruptly. The marks are a result of the rupture that happens in the dermis or middle layer of the skin that affects the two components which support the skin’s overall health: collagen and elastin. The middle or elastic layer of the skin tears in order to cope up to the change in the skin’s structure.

What can cause stretch marks?

There are several factors that can cause stretch marks:

  • Pregnancy – For women, this is the most common cause of stretch marks. As the abdomen stretches to accommodate the growing fetus in the womb, stretch marks can develop.
  • Puberty – Growth spurts during an adolescent’s puberty stage can cause stretch marks if the skin is subjected to rapid overstretching.
  • Weight gain or loss – Stretch marks are common especially for overweight or obese individuals.
  • Use of topical corticosteroid – Corticosteroid medications can cause the skin to thin. Extended use of these creams can reduce the amount of collagen present in the skin. Collagen is an important element as it gives skin strength and support. When the collagen reduces, the risk of developing stretch marks becomes high.
  • Breast enhancements – Enlargement of breasts with the use of implants can cause the skin to develop stretch marks.
  • Medical conditions – Certain medical conditions like Cushing’s syndrome and Marfan syndrome can cause stretch marks. Cushing’s syndrome triggers the body to create more hormones. An imbalance in the hormones may lead to weight gain and brittleness of the skin. On the other hand, Marfan syndrome weakens the skin’s pliability resulting to stretch marks.

Interestingly, the tendency to develop stretch marks is observed more on women than men. Likewise, stretch marks are common among members of a family that has a history of this skin condition.

What are the parts of the body that can be affected by stretch marks?

Stretch marks commonly on the following areas:

  • Abdomen
  • Breasts
  • Buttocks
  • Flank
  • Hips
  • Thighs

How can stretch marks be identified?

Stretch marks appear as long, discoloured streaks on the skin. Depending on a person’s skin tone, stretch marks can either be pink, purple, red, reddish-brown, or brown in colour. During its onset, stretch marks can be raised.

Over time, the colour of stretch marks can diminish. Mature stretch marks can cause minor indentations on the skin.

Can stretch marks be prevented?

Stretch marks prevent

Keeping a healthy diet and a body weight that is ideal may prevent stretch marks. Hydrating the body is also very crucial as water helps in maintaining the elasticity of the skin. Incorporating food that is rich in vitamins and minerals is also recommended. Fruits and vegetables that are high in vitamins A and C can improve the skin.

Pregnant women should seek professional guidance from doctors in order to plan a healthy way of going through pregnancy without packing on weight instantly that can cause stretch marks.

What are the symptoms of stretch marks?

The skin may feel itchy during the onset of stretch marks. At the same time, the skin may appear thin and pink in colour.

How are stretch marks diagnosed?

To diagnose stretch marks, a dermatologist will need to do a thorough evaluation on the skin and a patient’s medical history.

Are stretch marks harmful to the body?

Patients seek treatment for stretch marks due to its unappealing appearance on the skin.

In general, stretch marks are not harmful to the body. More than its occurrence, doctors are most concerned about the possible medical condition causing the stretch marks, if the scarring is not brought about by weight gain or pregnancy.

Are stretch marks temporary or permanent?

Unfortunately, just like other scars, stretch marks are permanent. However, there are treatments available that can help make their appearance on the skin less obvious.

Left on its own, stretch marks can improve in its appearance and be less visible, though this may take several years to happen.

What are the available treatments for stretch marks?

Stretch marks treatment

There are several treatments available for stretch marks. Do remember that, despite some claims, there is not one treatment that can remove the existence of stretch marks completely from the skin.

The following are some treatments that may help fade stretch marks:

  • Topical creams, gels, and lotions
  • Prescription medicines
  • Professional aesthetic treatments

Topical creams, gels, and lotions. Studies have been conducted to test a wide variety of topical creams, gels, and lotions specifically formulated to treat stretch marks. Results have found out that only a handful of these actually works in fading stretch marks. Researchers noted that these solutions are better used on the stretch marks at the earliest stage of their development, as their effectiveness does not change on mature stretch marks. Pregnant women should also consult a doctor prior to using topical medications to ensure that all the ingredients of the product are safe for the infant in the womb.

Prescription medicines. Application of medicines that have hyaluronic acid and tretinoin as active ingredients have shown some improvements when used on stretch marks during the early stage. Retinol is also helpful, although this can be harmful to pregnant women.

Professional aesthetic treatments. To see quicker results in fading stretch marks, the different professional services of dermatologists can be your best option. Do note that these procedures, as proven by studies, only lighten stretch marks. Some of the treatments that dermatologists use are:

  • Chemical peel
  • Microdermabrasion
  • Laser Therapy
  • Radiofrequency
  • Ultrasound

Doctors may recommend a combination of any of the abovementioned procedures to get the optimum results. These kinds of a procedure can also expose a patient to risks and side effects. Some of which are skin bruising, inflammation, and discolouration after one session of the treatment. Patients need not worry as these side effects and risks are only temporary. They may be gone within hours or the succeeding days after the procedure done on the skin.

Final thoughts

Always remember that stretch marks are also scars. If you are self-conscious and are worried of getting stretch marks on your skin, it is advisable that you make a habit of taking precautionary measures to avoid their formation on your skin. When seeking for treatments in order to make stretch marks less noticeable, patients are highly advised to get a consultation with a dermatologist so that the proper skin care treatment can be administered to the skin.

How to get rid of cellulite

Anti-Cellulite Treatment

Cellulite is a common occurrence in the body. A lot of women are bothered by cellulite and are desperate to have them removed from their bodies permanently. Despite its unpleasant appearance, cellulite is not fatal to health.

Being physically fit does not mean a person can be exempted from developing cellulite.

Yes, you read it right. If you currently have this condition, you are not alone. Cellulite can happen to anyone and around 80 to 90% of women will come across this skin flaw in their life. Surprisingly, studies show that men are exempted from this skin condition.

Before we dive into the different treatments that are available to treat cellulite, let us look closely and see what it is composed of and how it can form in the body.

What is cellulite and how does it look like in the body?

The formation of cellulite

Cellulite is made of pockets of fat beneath the skin. The fats are squeezed together and form tiny dimples on the skin. To see whether you have cellulite, try to clench or cup a fatty part of your body. You will know you have cellulite when you see the skin form little slopes on the surface as the pockets of fats get sandwiched between strips of tissue.

There are several types of cellulite. Each type is based on how deep the dimpling of the fats in the skin goes. Mild cellulite can look like the peel of an orange, while higher stages can look like the moon with deep craters on the surface.

Why are men not affected by cellulite?

Men are not affected by cellulite because the bands of tissue underneath their skin are tougher. The composition of tissues that men have is interwoven and is able to hold the fats securely in their place. Women’s tissues, on the other hand, are positioned vertically and are much more delicate. This composition enables the fat to move and be pushed up to the skin’s surface easily forming cellulite bumps.

What causes cellulite?

Despite several kinds of research, experts have not determined the exact cause of cellulite.

One cause that some dermatologists point to is the failure of blood vessels and capillaries to bring proper nutrients to the skin. When this happens, the dermis begins to weaken and releases lymphatic fluid, which seeps into the fat cells. The fat tissues eventually crowd together as the fluid expands and forces them to form lumps on the top of the skin. In addition, the collagen, which is responsible for the skin’s elasticity reduces, as the body grows old. This occurrence triggers the skin to lose and allows the distended fat tissues to be more obvious.

Another group of dermatologists, however, say that cellulite is caused by a dysfunction in the structure of the layer of skin situated under the epidermis. Some claim that the formation of cellulite is also linked to a diet that is high in carbohydrates, fats, and salt. Hormonal imbalance and genetics are likewise thought to cause this skin abnormality.

What are the parts of the body that may develop cellulite?

cellulite comparison

Cellulite may affect the abdomen, arms, buttocks, hips, thighs, and around the back portion and inside of the knees.

What are the types of cellulite?

Cellulite has 3 types: soft, hard, and Edematous. Let’s differentiate each for proper identification.

TYPE OF CELLULITEDESCRIPTIONAFFECTED AREASFORM
Soft CelluliteThis type of cellulite is soft and causes rippling on the top layer of the skin. Soft cellulite compounds with weight gain. It is more obvious when a person is in a prone position and is more common to women in their 30s.
  • Abdomen
  • Arms
  • Buttocks
  • Thighs
Soft cellulite is gelatinous and soft. It follows the movement of the body part affected by it.
Hard CelluliteSolid cellulite is another term used for this type of cellulite. Younger women are mostly affected by this occurrence.  Hard cellulite can be permanent in the skin if it is not treated early on.
  • Outer parts of the hips and thighs
  • Back of the knees
Hard cellulite can look very similar to a dimpled orange peel. The skin affected is tight and its form does not change despite movement. Hard cellulite can bring discomfort or pain when touched.
Edematous CelluliteEdematous cellulite occurs when there is poor circulation in the areas affected and worsens with fluid retention. While this type is not common, it is the most difficult to eliminate. Edematous cellulite usually appears in women who are in between 20 to 30 years old.
  • Knees
  • Legs
  • Thighs
The texture of edematous cellulite is comparable to cork. When touched, the skin is spongy to the feel. Affected areas can be painful and have the tendency to develop inflammation, water retention, cramps, and varicose veins among others.

 

What are the available treatments to get rid of cellulite?

Anti-Cellulite Treatment

There are several treatments that claim to be the best treatment to get rid of cellulite. Some may be done at home with the use of brushes or topical creams. Those kinds may take a longer time to bring results.

Here are a couple of professional treatments available to treat cellulite.

  • Acoustic Wave Therapy
  • Carboxytherapy
  • endermologie®
  • Ionithermie Cellulite Reduction
  • Laser Treatment
  • Subcision
  • Radiofrequency
  • Vacuum-assisted Precise Tissue Release

Acoustic Wave Therapy – This treatment uses a handheld device that emits sound waves and destroys the cellulite as it is administered to the affected part of the skin. Cellulite reduction can be observed after several treatments.

Carboxytherapy – This treatment uses carbon dioxide gas (CO2) that is infused into the dermis. Less cellulite has been noticed on women who underwent this treatment. Some side effects of this treatment include bruising and discomfort during the treatment.

endermologie® - This treatment uses a tool that works by giving the skin a deep massage while simultaneously lifting the skin. Results observed from this treatment varied between patients and are mostly temporary.

Ionithermie Cellulite Reduction – This treatment uses clay or algae that is applied to the area affected with cellulite. Electrodes are then applied to the clay-covered cellulite, releasing a mild electric current that targets the deformation in the skin. Patients report experiencing some discomfort and pain during the process. The treatment promotes toned skin, although the appearance of cellulite is not fully eradicated. Results are also temporary, lasting only for 18 hours at most.

Laser Treatment – This treatment uses energy-charged light beams that penetrate through the skin. The laser works to destroy the tough bands of skin that cause cellulite. It also promotes thickening of the skin, which is highly important, as cellulite causes thinning of the skin. A popular laser treatment recommended by dermatologists is called Cellulaze™. Results last longer with this treatment. Patients have observed seeing less of their cellulite for about 6 months to a year.

Subcision – This treatment uses a needle that is inserted into the skin to sever the bands of skin clumped together that causes cellulite. As a result, the dimpling on the skin reduces cellulite. Results may last approximately 2 years or longer.

Vacuum-assisted Precise Tissue Release – This treatment is similar to subcision. Instead of needles, a device with small blades is used by a dermatologist to cut through the tough bands underneath the skin that cause cellulite. As the tissues are loosed, the skin is pushed up, thus eliminating dimpling of the flesh. Patients noted cellulite reduction, which lasted for at least 3 years as a result of this treatment.

What treatment is suitable for my type of cellulite?

The best way to determine which cellulite treatment is apt to address your specific condition is to consult with a dermatologist. In this way, your dermatologist will be able to evaluate the kind of cellulite you have and recommend the right treatment, depending on its severity.

How to Get Rid of Acne Scars

Acne scars

Acne is definitely one of the most dreaded skin flaws any person would wish not to cross paths within their lives. Those blessed with great genes and well-balanced hormones are lucky enough not to encounter this, but that’s a whole new different story for those on the opposite side of the scale. A person can develop acne during the puberty stage or at a later time as adults.

Acne scars are haunting reminders that pimples, blackheads, and whiteheads once ruled over a certain part of a person’s face, neck, or back.

Thanks to advances in aesthetic medications and technology, the appearance of acne scars on the skin can be reduced, if not removed completely.

This article answers questions pertaining to acne scars and presents treatment methods that can help improve the condition of your skin. Read until the very end to know how you can get rid of those annoying acne scars!

What are acne scars?

Acne scars

Acne scars are indentations or raised formations on the skin that are a result of damage to the skin caused by acne. Generally, cystic pimples are the cause of acne scars.

What are the types of acne scars?

The following are the types of scars caused by acne.

TYPE OF SCARAPPEARANCE
BOXCAR SCARSWide and rectangular-shaped indentations on the skin that have deep and sharp edges.
ELEVATED SCARSRaised scars that can either be hypertrophic scars or keloid acne scars.
ICE PICK SCARSScars that go deep into the skin and have a tight opening.
ROLLING SARSWide indentations with round and inclined edges.

 

What is the difference between an acne scar and an acne mark?

Not all flaws on the skin following a bout with acne are scars. Some may simply be acne marks or spots that eventually fade after three to six months. An acne mark can be identified by its colour, which is usually red or dark brown.

To get rid of acne marks or spots, topical retinoid creams can be applied on the skin. Pico laser treatments can be used to achieve a much quicker way of fading the marks.

What are the acne scar treatments available?

Facial therapy treatment

There are several acne scar treatments available. Below are some of the most effective treatments.

Chemical peels.  This type of treatment use alpha hydroxy acids (AHA) and beta hydroxy acids (BHA) to treat acne scars. When applied to the skin, the active ingredients work by exfoliating the target area and removing the dead skin cells off the skin. One of the most effective chemical peels used by dermatologists is the TCA Cross. A maximum of three sessions are required to see optimum results.

Dermal fillers. This type of treatment uses elements derived from hyaluronic acid to treat acne scars. Hyaluronic acid is a component of the skin that gives it volume and keeps it hydrated. Dermal fillers are gels that are injected into a depressed scar in order to push up the skin. Some brands widely used by doctors are Juvederm, Rejuran, and Restylane.

Laser treatments. This type of treatment uses energy-charged light beams that penetrate through the layers of skin. The light beams promote collagen production, which helps in improving the appearance of scars. The following laser procedures are commonly used to treat acne scars:

  • Fractional C02 Laser – Examples of this laser treatment are Edge C02, Lumenis Ultrapulse, and Fraxel Repair. For best results, three to six sessions of fractional C02 laser are recommended.
  • Fractional Erbium Laser – Examples of this laser treatment are Cutera Pearl, Fraxel Dual, and Pixel Pro. For best results, two to five sessions of fractional erbium laser are recommended.
  • Fractional Picosecond Laser – Examples of this laser treatment are Discovery, PicoPlus, and PicoSure. For best results, two to five sessions of fractional picosecond laser are recommended.

Microdermabrasion. This type of treatment is a non-surgical procedure that uses diamond bits that differ in coarseness to gently exfoliate the epidermis from dead skin cells. With repetitive administration, the appearance of acne scars will be less noticeable.

Punch excision/grafting. This type of treatment uses a tiny puncher that cuts around the skin and removes the scar. The skin that is removed is replaced by a tiny piece of skin, usually grafted from the back of the ear. Once in place the wound is stitched closed and allowed to heal.

Radiofrequency (RF) micro needling. This type of treatment is comparable to laser treatments, but the only difference is that it uses radiofrequency and microscopic needles to target acne scars. Examples of radiofrequency micro needling are Infini and Venus Viva.

Subcision. This type of treatment is considered to be a surgical procedure. A needle is injected into depressed scars and loosens the band of tissue that holds the skin down. As the skin is loosened, the indented scar raises and evens out at the top layer of the skin.

What is the best treatment to address my acne scars?

To know which of the treatments is the best procedure to address your acne scar a consultation with a medical professional is highly recommended. More often than not, a patient may have not only one kind but also a combination of acne scars present on their skin. A doctor may recommend a combination of procedures to treat the acne scars existing on a patient’s skin.

How many treatment sessions are needed to fade an acne scar?

The number of treatment sessions needed depends on the type, severity, and scope of area affected by the acne scarring. Multiple intensive treatments may be needed for cases that are very complicated.

What are the factors that may affect the cost of acne scar removal?

There are several factors that can affect the cost of acne scar removal. Some of these factors are:

  • Type of treatment used
  • Type, severity, and area where the acne scar is present
  • Doctor’s professional fees
  • Downtime that a patient is willing to take after a procedure

Are there ways to prevent acne scarring?

Facial skin care cream

Prevention is always a much better choice rather than getting treatments. Acne removal treatments tend to be costly. Likewise, despite the treatments, the skin cannot be restored to its original state.

Fortunately, there are ways to prevent acne scarring. For patients with acne, it is important that the skin condition is treated with the utmost care. Seek treatment earlier in order to avoid developing acne scars. Most importantly, suppress the urge to pop your pimples!

How much improvement is expected after a complete acne scar treatment?

Most patients see an improvement of up to 80% after a complete acne scar treatment. Improvement on the skin may also depend on the type of skin a patient has and the response it has to a specific treatment.

Is there a need for aftercare for acne scar removal treatments?

Certainly. The recovery period for a treated area is crucial as the skin is raw and sensitive right after a treatment. Aftercare is very important during this time. Aftercare may vary depending on the treatment used on the acne scar.

How long is the downtime needed for an acne scar treatment?

The length of downtime needed is different depending on the treatment administered on the acne scar. Generally, the maximum downtime required is five to seven days for an intense treatment.

The Basics of Breast Implants: Your Comprehensive Guide to Breast Enhancement in Singapore

Silicone Breast Implants

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Breast enhancement surgery in Singapore cost anywhere between $7,500-$14,500. There are many factors that influence the price of breast enhancement surgery, such as the doctor you choose, the anesthesiologist, choice of hospital and etc. Also, the type of breast implants you choose is an important factor in determining the final price as well. Silicone breast implants are slightly more expensive than saline breast implants, so be aware of this when deciding which ones to go with.

It is a personal decision to have breast enhancement. There are different reasons to want such a change but most commonly, some women want to achieve a more attractive body shape, while others who have gone through pregnancy seek ways to regain their original figure back. Also, the manipulation is used to give their confidence a significant boost.

Regardless of the reasons, breast enhancement surgery is one of the most sought-after cosmetic procedure because of its high satisfaction rate among patients. In fact, in recent years, the stigma around breast enhancement surgery is gradually declining as more and more women become more open about going under the knife to improve their appearance.

If you are interested in the possibility of getting such a procedure for yourself, this article will help you to have a better understanding of the process and debunk the myths surrounding breast augmentation surgery.

This article is composed of three parts:

  1. Part 1: All you need to know about breast enhancement and breast implant surgery.
  2. Part 2: Breast Enhancement Surgery Vs. Less Invasive Procedures.
  3. Part 3: Debunking myths on breast enhancement surgery.

Part 1: All you need to know about breast implants and breast enhancement procedure.

How does breast enhancement work?

Breast enhancement is a cosmetic procedure that involves the insertion of breast implants to increase the size and shape of the bust. In addition, it helps to achieve better symmetry. There are three known ways of insertion of breast implants:

  • Transaxillary incision: The incision is made under the armpit, so the function of the breast tissue will not be affected.
  • Inframammary incision: The cut is administered under the breast, so it is easier for your doctor to directly view the tissue where the implant will be placed. This type of incision has a shorter recovery time.
  • Areola incision: The incision is made around the nipple, so the scar tissue can be easily hidden after the wounds from the operation have healed.

The breast implants can also be classified depending on the location of placement:

  • Under the muscle
  • Between the muscle and tissue
  • Directly under the mammary

The type of incision and the location of placement of breast implants may influence the final outcome and the functionality of the tissue. Your doctor will be the one who will have a final say on what type of incision and where to place the implants, therefore, it is crucial that you discuss everything with them first.

What are the different types of breast enhancement surgeries?

As of date, there are three main types of breast enhancement surgeries:

  1. Fat Transfer

How it Works:

From the name itself, this procedure involves the transfer of your own fat to your breasts.  It is also commonly called fat grafting. To qualify for it, you must have enough good quality fat (at least 150-250cc) for transfer. The stomach and inner thighs are the most usual source of fats.

Pros:

  • Minimally invasive so there are less scarring, downtime, and discomfort.
  • A "natural procedure" because no synthetic material is inserted into the body.
  • Enhances breast size while reducing undesirable fats.
  • Can be used in combination with silicone gel to achieve softer breasts.
  • Smooth surface; moderate increase in breast size so it looks more natural.
  • Repeated procedures can be carried out to achieve the desired results (with a 8-12 week interval).

Cons:

  • Not suitable for women who do not have enough body fat.
  • May cost more due to the extra time and care involved in the procedure.
  • Can only increase breast cup size up to one size bigger.
  • The body may tend to absorb the transferred fat over time.
  1. Silicone Breast Implants

Silicone Breast Implants

How it Works:

Silicone breast implants are the most popular and most preferred breast enhancement procedure in Singapore because they are able to give a more definite shape and size increase. Depending on the desired size, items made of a silicone material will be placed in your breast through an incision. Cohesive gel, which is a type of silicone-based breast implants, is a lot more durable and rarely changes shape.

Pros:

  • Ultra soft and gives a natural feel.
  • Can increase breast cup size to three to four times of the original.
  • Implant rippling (folds and wrinkles) is uncommon compared to saline implants.
  • Safe and has not been linked to cancer or other diseases.
  • Firmer gels give a better shape and may last longer.

Cons:

  • Since silicone implants are pre-filled, longer incisions are required.
  • Ruptures or leakage are hard to detect because the gel does not collapse.
  • For the above reason, regular follow-ups and examinations with your doctor are required to make sure that the implants are intact and functioning well.
  1. Saline Breast Implants

How it Works:

Through an incision, a silicone shell is inserted into the breast and then filled with saline or (sterile salt water). The amount of fluid to be injected will depend on your desired size. Today, saline implants are less preferred compared to silicone implants.

Pros:

  • Can be adjusted during operation to achieve equally sized breasts.
  • Can be adjusted even after the operation (usually with breast reconstruction).
  • Does not require a large or long incision.
  • Saline implants are filled with water, so ruptures can be easily detected because the water will leak out and the breast implants will deflate.
  • Can cost less than silicone breast implants.

Cons:

  • Implant rippling (folds and wrinkles) can be visible and felt.
  • Since the consistency is water-like, breasts may appear less firm.
  • Breast deflation is more like to occur when breast implants rupture.
  • Heavier compared to silicone implants.
  • Considered as old technology.

If you are wondering whether saline or silicone will be a better material for you, have a discussion with your doctor.

How much bigger can your breasts get after breast enhancement surgery?

Like any medical procedure, the final results you can get is highly dependent on the individual and can differ from person to person. The size of the breasts after breast enhancement surgery can be determined by a lot of factors such as:

  • Your desired size.
  • Your overall body frame.
  • The percentage of breast tissue you currently possess.
  • Skin laxity
  • Present breast size, shape and symmetry

Usually, doctors advise that you shouldn’t go more than twice the size of your current breast size. Going beyond this may increase the risk of complications and will require a longer downtime.

In addition to enhancing the size, depending on your doctor’s recommendations, you can choose to have a narrower cleavage, more side boob, or perkier breasts. These different factors can influence the final size and volume of breast implants.

What's the most common breast implant shape chosen in Singapore?

The two most common breast implant shapes are:

  • Round shape

These are typically recommended for women with looser tissues who want a sturdier implant that remains soft to the touch. It is important to note that round shaped breast implants may give you a fuller look but also appear more artificial.

  • Teardrop shape

On the other hand, tear drop shaped breast implants are typically recommended for women with breast tissues that are relatively tight and wish to have a more proportional and natural-looking breasts.

Also, implants with a teardrop shape are specifically designed to imitate the natural shape of the breast and are usually the most natural choice for breast implants. Yet because of that, they have the tendency to flip or turn and can sometimes produce exactly the opposite to the intended effect.

What should I expect during a breast augmentation procedure?

Breast implants surgery

Excluding consultation time, the entire breast enhancement process takes between 50 to 90 minutes. Here is the general step by step process during breast enhancement surgery:

  1. General anesthesia will be administered to your body to put you in deep sleep.
  2. Your doctor makes an incision so the breast implants can be inserted with the use of a special sleeve.
  3. The items are placed inside the tissue and properly positioned, then, the cut is closed using absorbable sutures.
  4. A specialised waterproof dressing is then placed over the wound to allow you to take a bath without getting it wet.

Will there be pain during and after breast enhancement surgery?

During surgery:

Technically, since you will be given general anaesthesia, you will not feel anything during the operation. You will be put into a deep sleep and once you awake, the procedure will have been over already.

After surgery:

Since breast enhancement is a highly invasive manipulation, you should expect discomfort and mild pain around the incision area. There is no need to worry because they are mostly tolerable. In fact, patients say that they are able to walk out of the day surgery without any help.

Note that you may experience occasional pains, swelling and bruising over the next couple of weeks while the wound is still healing and recovering. This, however, will not stop you from doing your everyday routines.

In addition, some patients also feel out of breath during the first few days every time they lie flat. Don’t worry because this is quite common due to the weight of the breast implant. You will get used to it in no time.

What postoperative care should I consider?

The following weeks post-surgery are the most important time for a better and faster recovery. Typically, patients are advised to:

  • Limit movement in their arms or move as slowly as possible shifting unexpectedly.
  • Avoid sudden irregular movements to prevent the implants from displacing
  • Practice religious disinfection on the incision site
  • Not irritate or rub in the wound
  • Take the week off to allow better recovery

How long will it take until my breast implants look natural?

Breast implants take a while to settle down. During the recovery period, they may feel firm and sit high as the skin around them will be tightly stretched. Since muscles are involved, the swelling may take a couple of months to completely subside (but it is not likely to interfere with your everyday routine).

Here are the developments you should expect over time:

  • After 2 - 3 months after the operation, the swelling would have subsided and the tightness will be reduced. Your breasts will start to settle into a natural position resulting in improved breast shape.
  • After 4-6 months after the operation, your breast should feel soft and natural-looking.

If your breasts still feel firm, unnatural, and swollen after 5-6 months, it is most wise to call your doctor as soon as possible.

How much does breast enhancement surgery cost in Singapore?

In Singapore, prices for breast enhancement surgery range from $7,500- $14,500.

The following are some of the many factors that influence cost of breast enhancement surgery:

  • Doctor’s fee
  • Anaesthetist’s fee
  • Type of breast implant
  • Brand of breast implant
  • Surgical equipment and consumables charge
  • Pre- and postoperative medications

Are breast implants long-lasting?

Thanks to technology, the new 5th generation breast implants are designed to last for a lifetime. However, items with weaker shells can only hold on somewhere between 15-20 years.

Also, in comparison to the older saline breast implants, the longevity of silicone implants are usually more superior.

Doctors usually recommend a yearly follow-up examination and screening to assess the state of the breast implants.

What side effects should to watch out for?

Generally speaking, getting a breast implant does not cause long-term side effects or adverse reactions on patients. However, you should be cautious and watch out about the following:

  • Capsular contracture: A condition where the breast implants may feel abnormally hard
  • Rupture: Though rare, if left undetected or untreated, ruptures and leaks may cause severe infections.

This is why, as mentioned above, it is important for you to have follow-up check-ups with your doctor yearly or every two years to make sure that the breast implants are still in place and have no leakage.

What can I do if I’m not satisfied with the result of breast enhancement surgery?

Once the breast implants have settled and you are not satisfied with the way it looks, it is better to talk to your immediate, so he/she can give you advice and recommendations on the next steps to be undertaken. Make sure to pinpoint what aspect you are dissatisfied with. Some of these can be fixed in a breeze. Others may require more significant interventions such as you undergoing a series of treatments.

How can I choose the best surgeon in Singapore?

Unfortunately, there is no 'perfect type' of breast implant. What looks good on your friend may not look good on you. This is why thorough dialogue with your doctor is highly encouraged. Based on your body type and physical assessment, an experienced and well-trained specialist will be able to provide quality recommendations to achieve your desired result.

To choose the right professional for you, these are the following points you should consider:

  1. Make sure you are dealing with a qualified and accredited plastic surgeon in Singapore who has extensive training in cosmetic breast enhancement surgery.
  2. Check their track record to find out how many procedures they have performed during their practice so far and also how many of them are carried out on a monthly basis.
  3. Make sure the clinic is properly equipped to perform breast enhancement procedures. Also, ask if they have a wide array of implants to choose from.
  4. Don’t hesitate to view their portfolio containing before and after pictures to get a better idea of their skills and work.
  5. Ensure the surgeon can fully help you understand the procedure you are about to undertake. Ask as many questions as you can and don’t leave any questions unanswered. Trustworthy doctors will not hide anything from you because your safety is their priority.

Part 2: Plastic Surgery Vs. Less Invasive Procedures.

  1. Breast Enhancement Surgery Vs. Breast fillers

Breast fillers usually come in the form of injectables. Compared to surgery, they are non-invasive. However, based on previous reports, breast fillers are capable of causing severe complications and reactions of the immune system that can develop years after the original procedure.

Serious problems that endanger your health include but are not restricted to: severe infections and the formation of cysts. Over time, fillers might also migrate to other parts of the body, resulting in distortions and debilitating, unbearable pain.

If you have had injectables in the past and are now starting to exhibit these problems, you should call a well-trained doctor right away. In most cases, they will have to be removed through surgery.

In Singapore, breast fillers are illegal. If you know a salon or clinic that offer such a procedure, you had better stay away or report them because it is not permitted by the law.

  1. Breast Enhancement Surgery Vs. Breast Lift

Breast lift

Like breast enhancement, a breast lift is also a surgical procedure that aims to restore the shape of the boobs. Clinically known as mastopexy, the procedure restores the shape of the bust by removing any excess skin and lifting or reshaping the underlying breast tissue. Needless to say, this results in perkier and shapely breasts.

Breast lift, however, does not involve an increase in breast size. No implants are inserted to make that happen. Normally, this type of manipulation is sought after by women who have sagging breasts caused by pregnancy or age.

  1. Breast Enhancement Surgery Vs. Other Non-Invasive “Breast Enlargement” Treatments

In Singapore, there are a lot of salons and spas that promise instant “breast enlargement” treatments. These include herbal breast therapies, suction cups and even breast enhancement via laser technology.

Unfortunately, breast enhancement that will result to increase in size can only be achieved by surgery and insertion of breast implants. Do not fall for scams that offer miracle treatments—ones that will only waste your money and will leave you disappointed.

Part 3: Debunking myths on breast enhancement surgery.

While breast enhancement surgery has gained popularity among a lot of women in recent years, there are a lot of myths and hearsay circling around that intimidate other people from getting breast enhancement. You might have heard rumours from friends or heard from someone else or read something online about botched jobs.

Here are some of the most popular myths about breast enhancement and the truths behind them:

  1. Breastfeeding is not possible/allowed after breast enhancement surgery.

Truth: Breastfeeding is still very possible even after breast enhancement surgery or with breast implants. It can happen if your doctor does not cut off your milk ducts. They can make an incision under your boobs to fix the problem.

You do not need to worry about getting pregnant even if you have existing implants. Breastfeeding is sage because silicone cannot mix with breast milk. The only issue you may encounter is a slight inflammation on the chest. That said, women with large implants may have reduced milk production.

  1. Breast implants will make your breasts look fake.

Truth: Breast enhancement surgery done by an experienced and well-trained plastic surgeon will look and feel natural. However, it will take weeks (even months) to achieve natural results. As discussed previously, the implants will not settle right away and your bust may sit high during the first few weeks. At the sixth month mark, expect your cleavage to be looking great. What is more, the softness will be the same as that observed in natural breasts.

Remember, your doctor will play a significant role in recommending the right products and the proper procedure tailored just for you.

  1. Breast implants will cause loss of breast sensitivity.

Truth: Unless your surgeon chooses to have the incision on the nipple area, loss of breast sensitivity is very rare. Occasionally, some patients feel a little numbness or oversensitivity on the nipples right after the operation and return to normal over time. Other people do not experience any changes at all. It will vary from person to person.

  1. You have to avoid certain food types after breast enhancement surgery.

Truth: There is no scientific basis for this claim.  Patients can eat whatever they want after surgery. However, if you are allergic to general anaesthesia or other medications, it is critical that you inform your doctor firsthand to avoid complications during and after the operation.

  1. You have to replace the implants every now and then.

Truth:  As discussed earlier, the newer generation of breast implants are specially designed to last for a lifetime. The only exception are occasions where ruptures are detected through medical devices or you happen to develop complications and infections.

11 Things You Need to Consider Before Committing to Rhinoplasty in Singapore

Rhinoplasty

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Rhinoplasty surgery in Singapore costs between $4,500-$20,500. The cost of surgery varies depending on a lot of different factors. The complexity of the procedure is an important factor to consider. For example, straightening and lengthening the nose will be much more expensive and complex than a simple bridge implant. The skill and reputation of the doctor is also highly relevant in the price of a rhinoplasty. Also, you'll need to hire an anesthesiologist since the operation will most likely be under general anesthesia. Rhinoplasties will be carried out in surgical theaters in hospitals, so the choice of the hospital will also affect the final price.

Since our nose is one of the most important and noticeable facial characteristics, it can have a significant impact on how we see ourselves and ultimately affects our confidence.

As much as we want to have a natural looking nose, it cannot be denied that our facial traits are often clearly defined by our ethnicity. Usually, the Asian nose has the following characteristics:

  • Wide and flat
  • Low bridge
  • Large alar base / large nostril
  • The tip is not very defined

While most patients like to preserve their own identity, at the same time, they want to enhance their overall appearance. Oftentimes, the goal is simply to soften the unflattering features rather than have a dramatic change. This is why a lot of Asians, Singaporeans included, turn to cosmetic procedures to enhance the way their noses look. One of the most popular surgical procedures to improve the nose is rhinoplasty.

Being invasive in nature, there are many factors to be considered before committing to the procedure. If you have been considering having a nose job for a while now, this article covers everything you need to know about rhinoplasty in Singapore.

1. What are the reasons for getting rhinoplasty?

Rhinoplasty

A lot of women and men alike turn to rhinoplasty because they want to:

  • Have a higher nose bridge
  • Improve outline of the nose tip
  • Make the alar base appear smaller
  • Make nostrils less visible

Also, people who had enough of getting repeated nose thread lifts/fillers regularly tend to choose to have rhinoplasty instead for more permanent and long-lasting results.

2. What are the common types of rhinoplasty procedures in Singapore?

Rhinoplasty consists of a wide array of procedures that can range from a simple insertion of implants to complex operations. The type of rhinoplasty procedure will always be dependent on the recommendation of your doctor. Therefore, it is important to inform him or her what outcome you want to achieve.

After a thorough consultation, they will be able to assess what needs to be changed, the complexity and the type of procedure to be done. These are the two most common rhinoplasty procedures performed by doctors in Singapore:

  • Silicone Implant

This procedure is usually used for patients who want to have a higher and sharper nose bridge. In most cases it is performed by inserting a silicone implant into the nose. There are two main types: L-shaped and I-shaped implants. Some doctors may use a waterproof, breathable fabric membrane called Goretex implant.

  • Patient’s Own Cartilage

For a more natural look, rhinoplasty can be done with the use of the patient’s own cartilage harvested (usually) from the ear. Through this procedure, the risk of infection and complications are lessened since there's no foreign material inserted into the body. Typically, this procedure is recommended for patients who are experiencing sinus problems and for heavy smokers.

3. What to expect during an Asian rhinoplasty procedure?

Rhinoplasty surgery

Typically, the following are the general sequence of steps that your doctor will perform during the operation:

  1. Before the procedure, your face will be cleaned and prepped. Then, precise markings where the improvements will be made will be marked on your nose.
  2. Local anaesthesia and sedation will be administered to induce you to a deep sleep throughout the surgery.
  3. Depending on what needs to be done, your doctor can opt for open rhinoplasty by making a small incision on your columella (lower side of the nose between the nostrils and also where the nasal septum ends) or closed rhinoplasty performed through the nostrils. In addition to improving your appearance, the operation is also capable of treating nasal obstruction.
  4. After the surgery, your doctor will close the incisions and pack the area with taping and dressing to protect your nose from irritations and to prevent it from getting wet.
  5. Once you have woken up and have rested well, a post-op dialogue with your doctor is a must to discuss aftercare medications and do’s and don’ts during the recovery period.

4. How long does rhinoplasty procedure last?

The procedure can last between 1 to 4 hours. The length of the duration of the surgery will depend on the complexity of the procedure.

Since you will be under local anaesthesia, you will be sleeping throughout the procedure and the next time you wake up, the whole surgery would have been already completed so there is no need to worry.

5. Will there be pain during rhinoplasty procedure?

During the Procedure:

As mentioned earlier, the rhinoplasty procedure is performed under local anaesthesia and sedation. This important step allows the patient to be comfortable and fall into a deep sleep throughout the entire procedure.

Even after the effects of anaesthesia go off, and even with the stitches and the nose packing after the procedure that can look scary and intimidating, patients report that there is no pain at all. They also say that they didn’t experience dizziness, nausea, vomiting or any discomfort from the procedure.

After the Procedure:

Patients report that they only felt slight discomfort after the procedure such as:

  • Not being able to breathe through the nose properly because of the nose packings
  • Runny nose for the next 2-3 days
  • Slight discomfort to painful sensation during stitch removal (depending on your pain tolerance and skills of the medical professional)

6. How long is the recovery time and what side effects to expect after rhinoplasty?

Rhinoplasty recovery

  • 1-2 days after surgery:

Days after surgery, expect some swelling on the operated area extending to other parts of the face like the cheeks and the eyelids. You shouldn’t have much bruising because according to previous patients, they rarely have any bruising after the surgery.

Expect to have some slight nasal blocking for a few days. Normal breathing will return in no time.

Also, don't be surprised if you have a runny nose after surgery. Based on reports from patients, it is very common and may go on for the next 2 to 3 days.

A tip from previous patients: Since swelling can last from days to weeks, it is better if you take the week off to rest and recover and avoid the risk irritations and infection. After the surgery, it is recommended that you stay at your house and get as much rest as you can.

  • 1-2 week after surgery:

On the 7th day mark, the swelling should have subsided, and the stitches will be removed by the medical professionals at the clinic where you had the rhinoplasty surgery. Swelling on the ears (donor site) will have subsided after 1-2 weeks.

  • 1-2 months after surgery:

The final shape of the desired nose will start to be visible at around 2 months post-op. By this time, the cartilage framework under the skin of the nose will be stronger resulting to a more defined shape.

  • 3-4 months after surgery:

The final desired outcome will become very noticeable. In some cases, patients report that months after undergoing rhinoplasty procedure, their sinus problem also disappeared. This may not be true to all but the improvement on the structure of the nose may also contribute to help you breathe better.

7. What are the post-op care to be considered?

After your surgery, your doctor will give you prescribed medications and instruction on what to do and what to avoid while recovering. The tapings and dressing are there to ensure that the new nose withstands irritations and scarring during the recovery period.

This packing prevents the nose from getting wet because until the stitches and the dressing are removed, you are not allowed to wash your hair and face to prevent water getting into the operated area to avoid infection.

If you feel uncomfortable with unwashed hair, some clinics offer hair washing services to help you have clean hair while recovering. Also, if you really need to clean your face, you may use wet wipes or tissue with water to get the job done while avoiding the areas where the operation was performed. You can also use basic skincare to keep your skin dirt-free and fresh. Just remember to apply these products with extra care.

In addition, since swelling is expected, some patients may feel depressed when they look at their bloated nose. The key here is to think positively and have patience because the side effect will just pass and the improvements will become more visible over time.

In line with this, clinics usually have available de-swelling treatments to help shorten the recovery time. Ask your doctor if you can avail of these treatments so the problem can be solved. Also, it always helps to eat healthy to boost your body’s ability to recover faster.

8. How much does rhinoplasty in Singapore cost?

In Singapore, the cost of rhinoplasty surgery ranges between $4,500-$20,500. The cost varies depending on a lot of different factors, including:

  1. Complexity of the procedure

The extent of the procedure to be done affects how long the plastic surgery will last. More complex procedures to make the nose straighter and longer will cost a bit more than simple bridge implants.

  1. Doctor’s fee and anesthesia cost

Surgical fees also vary from doctor to doctor. More experienced and more reliable specialists normally come at a higher price compared to less experienced ones. They may be a bit expensive for a reason - your safety is their first priority. Also, for complicated procedures,  if you opt to have an anesthesiologist and have it done under general anaesthesia, that will add to the overall value. For simple rhinoplasties, local anaesthesia and sedation are already enough to carry out the operation.

  1. Facility cost (operating room etc.)

Another important factor that affects the cost of rhinoplasty in Singapore would be the choice of the facility where it will be performed. Major operating rooms in private hospitals charge more while simple operating clinics - less.

  1. Medication, and follow-ups.

Some aftercare medications may be prescribed by your doctor and the costs may differ. Also, additional post-op care treatments like anti-swelling treatments and hair washing services may also add more costs. If there are complications like irritations and infection, a follow-up consultation is required and may also require you to spend more money on subsequent treatments. Therefore, it is vital to take your recovery instructions seriously to help you save money.

9. Is rhinoplasty covered by insurance?

Rhinoplasty is generally recognised as a cosmetic procedure. In Singapore, it is important to note that cosmetic procedures cannot be paid for by your Medisave. Also, rhinoplasty for aesthetic purposes cannot be covered by your insurance.

However, in some cases like in patients with medical issues such as breathing problems caused by accidents, functional rhinoplasties are performed. These cases, if properly supported by specialist examinations can be covered by Medisave and insurance (depending on the terms of your policy).

10. Where can I find the best plastic surgeons in Singapore?

No one is considered the best rhinoplasty surgeon. Rather, there is one that is best suited for you. In Singapore, 50-60% of patients regret the results of their rhinoplasty procedure, so they seek for a do-over.

Therefore, finding the best doctor who can tailor the procedure according to your desired outcome is very important. To help you have an informed decision regarding which surgeon to choose, consider these following tips:

  • Check the credentials of the surgeon. Since rhinoplasty is a medical procedure, there is nothing more reassuring than having a well-trained doctor that you can trust.
  • Everyone is unique, and our idea of how a beautiful nose looks like is different from one another. First, determine what outcome you want to have and discuss it thoroughly with your doctor. A good doctor knows when to say no to outrageous nose job requests that will put you in danger.
  • Look for a surgeon who has aesthetic sensibilities similar to yours. You and your doctor should find it easy agreeing on the different aspects of your procedure. Your doctor should be able to understand your concerns and wants while being able to give proper advice and suggestions before you commit to the procedure.

11. Will my friends be able to tell that I had rhinoplasty?

To some extent, after rhinoplasty, your nose can still look natural. However, since rhinoplasty is a cosmetic procedure that is designed to enhance the nose, there will be noticeable improvements that will become obvious after the procedure.

Your past and current friends and family may notice the difference but new people you will meet shouldn’t be able to realize that you had a nose job.

In the end, the most important thing to consider is that after the procedure, rhinoplasty can give you the attractive, properly functional nose you desire and will ultimately improve how you perceive yourself and will help you have more confidence for the rest of your life.

How Thermage Can Solve Your Sagging Skin Woes

treated beautiful woman

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Thermage in Singapore costs around SGD$3500-4500 per session. The price varies from clinic to clinic depending on the size of the target area to be treated, location of the target area, skin sensitivity and doctor’s fees. If a patient somehow develops complications (which is very rare), a follow-up consultation is required. The doctor may prescribe additional medications to treat the complications. Patients should inform their doctors if they have sensitive skin, so the doctor can adjust the treatment accordingly to avoid complications.

As we age, it cannot be denied that our skin begins to become loose and starts to sag. In fact, try as we may, our everyday beauty regimen can barely keep up with the signs of ageing. That is why, a lot of skin-tightening cosmetic treatments have become popular throughout the years — especially with women who wish to retain their youthful glow.

In the past, the only way to make the skin tighter was to undergo a surgical facelift. Since it is an invasive type of treatment, many women shy away from it. With the advancement of technology, a lot of non-invasive facelift options have become more popular and preferred in the cosmetic world.

Types of Non-invasive Face Lifts

Facial treatment

In Singapore, there are three varying types of non-invasive facelifts that can tighten loose skin without going under the knife. These treatments are classified into:

  1. Thread lift-based Non-invasive Face Lifts

A thread lift is a minimally invasive procedure that uses threads  (also called temporary sutures) which are injected under the skin to create a “lifting” effect by elevating the sagging skin. The threads work by “sewing” parts of the skin together and pulling it back resulting to tighter and firmer skin.

  1. Filler-based Non-invasive Face Lifts

Dermal fillers use specially formulated materials that are administered in the form of injectables to repair the skin. These fillers are designed to give you a smoother and glowing look. In essence, fillers can help tighten sagging skin by improving its quality as well as renewing dermal cells for healthier and tighter skin.

  1. Energy-based Non-invasive Face Lifts

Usually, these newer technologies are recommended as an alternative to both surgical facelifts and minimally invasive facelifts such as thread lift and fillers. Energy-based treatments require no needles or incisions to be carried out resulting in minimal to zero downtime. The most common types of energy-based non-invasive facelifts are classified depending on the depths of penetration of energy. These include:

  • radio frequency energy (i.e. Thermage)
  • ultrasound energy (i.e. HIFU)
  • laser
  • infrared light

This article will focus on Thermage — a type of energy-based non-invasive facelift that uses radiofrequency energy called to tighten and lift the skin while eliminating wrinkles.

Why choose Thermage?

If you want to tighten your skin from the inside out, Thermage is a great option because of the following reasons:

  • Absolutely non-invasive treatment
  • The risk of side effects and complications is very low
  • Hassle-free and convenient procedure
  • Can be easily performed
  • Guaranteed safe (FDA approved)
  • Effective form of treatment
  • Results to a natural - looking, firmer skin
  • Also makes the skin appear smaller and slimmer

How does Thermage work?

The collagen in the human skin breaks down with ageing. As a result, wrinkles and loose skin develop. Thermage uses patented monopolar radiofrequency (RF) technology which safely delivers energy into target areas and heats the skin's deeper layers. The depth of penetration of energy is from 1.5-3mm under the skin.

This heating action generates a controlled injury site which then signals the skin to repair itself by promoting collagen production. These newly formed collagen cells replace the damaged skin cells resulting in a long-lasting tightening of the skin tissues. In addition, Thermage energy also stimulates blood flow leading to increased metabolism of the skin’s fatty layer.

What does Thermage treat?

Thermage has FDA approval to treat:

  • Skin laxity brought about by ageing (arms, neck, jawline, thighs, tummy)
  • Wrinkles around the eyes, face and neck
  • Cellulite
  • Sagging skin after childbirth
  • Loose skin after weight loss

Thankfully, Thermage can treat most signs of ageing and able to tighten up loose skin on different parts of the body and help make it look more defined giving you a complete fresher and youthful appearance.

Candidates for Thermage

First of all, it is important to note that not everyone is a good candidate for an energy-based facelift treatment like Thermage. Only a small percentage of patients can undergo this kind of treatment.

If the patient is affected by any one of the following conditions, then energy-based facelifts are not suitable for them. The conditions include:

  • Too much skin laxity
  • Bone resorption
  • Large and heavy fat pads on the face (may benefit more from a thread lift)
  • Extensive facial volume loss (may be corrected by a filler-based procedure)

That being said, for a patient to be a good candidate for Thermage, he/she must possess the following characteristics:

  • Minimal sagging and loose skin
  • Minimal fat pads
  • Minor facial volume loss
  • Skin that is not too thick

How much does Thermage cost in Singapore?

In Singapore, the prices of Thermage therapy varies from clinic to clinic depending on the Size of the target area to be treated, location of the target area, skin sensitivity and doctor’s fees. Typically, patients pay about $3500-$4500 SGD per session.

If a patient somehow develops complications (which is very rare), a follow-up consultation is required. The doctor may prescribe additional medications to treat the complications. Patients should inform their doctors if they have sensitive skin, so the doctor can adjust the treatment accordingly to avoid complications.

What to expect during Thermage treatment?

Thermage treat

  1. Like any other medical procedure, Thermage treatment starts with a typical consultation with a well-trained doctor. During this time, the problem areas and all the concerns of the patient are discussed carefully.
  2. After the consultation, the patient’s targeted area will undergo thorough cleansing and be followed by a generous application of numbing cream to help manage discomfort.
  3. When all of the target areas are numbed out, the doctor will start marking out the target areas to ensure the precision of application of the energy.
  4. Then, the doctor will cycle through a number of varying intensities of energy over the target areas. Depending on the patient’s level of discomfort, the doctor may press the Thermage machine tip firmly against the target areas and will sweep upwards. Through this action, the kin is moulded into a tighter and more lifted position.

Is it painful?

Since Thermage uses energy to complete to achieve desired results, it will feel slightly heated at some point—especially on the sensitive areas. When the Thermage device touches the skin, expect a deep but brief heating sensation. The heating sensation is a good indication that the deeper layers under the skin are reaching optimal temperatures to stimulate collagen production.

As a tip, make sure to inform the doctor whenever pain or any type of discomfort is felt so he/she can adjust the intensity of the energy being delivered into the skin. Also, taking breaks during treatment can be requested if badly needed. These breaks will give the target areas a brief rest from discomfort brought about by the heat.

How many sessions are required to achieve desired results?

After one session, instant results can already be observed. Optimal results may be more visible over time as the body produces newer collagen. Results from Thermage treatment will typically stay up to 12 months or even more depending on the individual. With Thermage, there is no further need for additional age-defying treatments such as  Botox to achieve significant results.

Though results are long-lasting, Thermage treatment should be done regularly with intervals of approximately 6 months to one year after the last treatment since the skin will continue to sag as the body undergoes the inevitable natural ageing process.

What results should I expect?

treated beautiful woman

Results may vary from person to person, of course. Enhancement of the skin laxity continues up to 6 months of post-Thermage treatment. Depending on the area treated, results may include:

  • Tighter, lifted and more defined skin
  • Tightening of the skin of the tummy, arms, thighs, and buttocks
  • Removal of wrinkles around the eyes and face
  • Improved laxity of the jawline
  • Reduced necklines
  • Reduced cellulite

What about downtime and side effects?

Almost immediately after the treatment, the following effects are to be expected:

  • Slight discomfort brought about by tightening of the skin
  • Minimal swelling (indicates that the treatment was successful)
  • Redness of the skin (will disappear after a few days)
  • Skin dryness and peeling

That being said, the use of a good skincare routine is highly recommended to ensure that the skin is kept healthy and protected.

If performed by a well-trained doctor, the patient will rarely or almost never experience burns or severe swelling.  Apart from the mentioned minor inconveniences, there are no other side effects and there is essentially zero downtime. In fact, Thermage is considered as a “lunchtime lift” because the patient can have the treatment during the office break and return to work without any hassle.

Where can I get a Thermage facelift in Singapore?

In Singapore, there are a number of doctors and clinics that offer Thermage facelift, but how to choose the right one? These are the important things to consider before choosing a doctor:

  1. Know the reliability of the machine to be used for the treatment.

Today, there are many imitative machines that are being used by a lot of clinics. Do not fall for these scams. Make sure the machine is genuine to ensure safety. Remember, reliable outcomes can only be accomplished by reliable machines.

  1. Make sure that the doctor is qualified and well-trained.

Find out if he/she is experienced in performing Thermage treatments and well-trained in handling the machine. The doctor should also have extensive experience as well as the depth of understanding of other additional or subsequent facelift procedures that can be used in combination with Thermage to achieve optimal results.

  1. Communication is the key.

The doctor should not only be able to give a proper assessment but also able to make the patient understand the intricacy of the procedure. A good and trustworthy doctor is able to communicate well and can be honest with the patient.

All You Need to Know about Double Eyelid Surgery in Singapore

Double Eyelid Surgery

One of the most popular plastic surgery procedures in Singapore is double eyelid surgery. It is no secret that anatomically, a lot of Singaporeans do not have a double eyelid.

Possessing double eyelids gives a more alert and energetic look and is said to be more attractive compared to single eyelids. This is why the procedure is very popular, particularly with Singaporean women. Double eyelids also reduce the need for eye makeup as makeup can be used as a temporary quick fix to achieve the look.

Some Singaporean men also desire to have double eyelids although not as much as women.

If you are one of the many people in Singapore who is looking for solutions, this post covers a lot of topics that would benefit your search, such as:

  • The different types of double eyelid surgery
  • The cost of double eyelid surgery in Singapore
  • What happens during double eyelid surgery
  • Recovery time after double eyelid surgery
  • Other ways of getting double eyelids without surgery

Why don’t I have double eyelids?

Double eyelids are formed by the attachments between the eyelid opening muscle and the eyelid skin. For people without double eyelids, these attachments are often weak or even absent.

Getting double eyelids without surgery

To get double eyelids that are defined, symmetrical, and last for a long time or even permanently, then surgery is the best option. There are however a few methods you can use to get double eyelids without surgery, but these are only temporary fixes. Two of the most popular methods are:

1. Double eyelid tape or glue

Double eyelid tape and glue are available in a lot of beauty shops and is a quick way to get a double eyelid look. The tape or glue is attached to the eyelid skin and forms a temporary crease that gives the appearance of a double eyelid. However, the appearance of the “double eyelid” is shallow and may be asymmetrical if not applied correctly. The effect only lasts for up to a few hours since the adhesive slowly weakens.

Use these sparingly though, as regular and continuous and use will cause your eyelids to look droopy and loose.

2. Plexr plasma soft surgery

This is a non-surgical procedure (despite the name) that uses an applicator that emits a small electrical arc. When applied to the skin, the plasma arc stimulates its tightening. It is often used to tighten loose or droopy double eyelids. Effects can last from 12 up to 18 months.

This procedure, however, cannot be used to create double eyelids from single eyelids.

Types of double eyelid surgery

Double Eyelid Surgery

There are two options that my patients can choose from when it comes to double eyelid surgery. These are:

1. Non-incisional surgery (stitching)

In non-incisional double eyelid surgery, sutures are stitched on each eyelid which attaches it to the deep eyelid muscle. This gives the appearance of a double eyelid crease.

A non-incisional surgery procedure lasts for just 15 to 35 minutes and causes some mild swelling and bruising after. My patients have a downtime of approximately 5 to 10 days after the procedure and they can expect their natural looking double eyelids to appear in 3-5 weeks.

The double eyelid crease created from this procedure will last for 1 to 2 years depending on several factors, such as the strength of the suture and the aftercare. This requires a greater amount of care and discipline compared to the other technique but has faster recovery time and less scarring.

2. Incisional surgery (cutting)

For this procedure, I will first perform an incision on the skin of the eyelid to indicate the location of the double eyelid crease. After which I will permanently attach each eyelid skin with its respective eyelid muscle to create a double eyelid.

The great thing about this technique is that unlike the stitching technique, I can also correct other eyelid problems such as asymmetry, excess skin or fat, and droopy eyelids. I will be able to diagnose these other issues during the assessment and address these during the procedure. In addition to this, I can also enlarge the size of the eye or change its shape during the surgery.

The whole procedure takes about 40 to 60 minutes and some moderate swelling and bruising may occur. The downtime is longer compared to the stitching technique, which can last from 2 to 4 weeks depending on how you recover. Unlike the stitching technique where the double eyelid can disappear after a few years, the effects of incisional surgery is permanent.

Although the stitching method has the advantage of having less scarring and a quicker procedure and recovery time, in my opinion, the cutting method is the overall superior procedure for a couple of reasons:

  • The appearance of the double eyelid is tighter and more defined.
  • The double eyelid is permanent, and no additional procedures are needed to maintain the appearance.
  • The additional procedures that can be done during the surgery, such as removing loose skin and increasing the size of the eyes.

How the double eyelid surgery is done

Before the procedure, I will be using a marker to indicate the exact position of the incisions or stitches on your eyelids to ensure symmetry and precision. I will also show you a simulation of the final appearance of your eyelids after the procedure.

After this, you will be sedated, and local anaesthesia will be applied to your eyelids. This is to minimize the pain and discomfort felt during the surgery.

Finally, the surgery itself is performed were depending on the method could last from 15 minutes to up to an hour. When the surgery is finished, you will feel some slight bruising and swelling on your eyelids. You will then be released and advised to rest and allow your body to recover.

You may take pain killers during recovery to minimize the discomfort and pain from the swelling, stitches or incisions.

Longevity of the double eyelids

Double Eyelid Surgery

In the case of incisional double eyelid surgery, the effects of the procedure are permanent. This is because the incision always forms a scar tissue between the attached eyelid skin and muscle. This scar tissue ensures that the double eyelids become permanent, which is not the case with non-incisional double eyelid surgery.

In non-incisional double eyelid surgery, since the eyelid skin and muscle are attached solely by the stitches, there is always a chance that scar tissue does not form. Some factors that can lead to the failure of scar tissue formation include:

  • If you have thick or heavy upper eyelids, you shouldn’t be undergoing non-incisional surgery since it will be harder for the stitches to stay in place. If the proper assessment was done beforehand, you should’ve been recommended the incisional surgery method.
  • If you constantly rub your eyes (consciously or not), the sutures can become loose and affect the overall appearance of the double eyelids. This weakens the attachments and your double eyelids might become asymmetrical and even disappear.
  • If you have eczema on your eyelids, this can cause irritation and might cause you to rub your eyes. Ensure that you have a full consultation before undergoing the procedure.

Scarring and other side effects of surgery

For non-incisional surgery, there is very little to no scarring at all. This is advantageous if you have a regular job and can’t afford to have a long downtime after the procedure. Since there isn’t much scarring, you can go back to work as soon as you are able.

For incisional surgery, however, scarring always occurs but will disappear after 3 to 6 months depending on how liberal you are in applying the scar gel. The scarring and long recovery time are a small price to pay for permanent, more defined and symmetrical appearance of double eyelids.

For both procedures, there will be mild to moderate bruising and swelling on the eyelids. These side effects should disappear within a few weeks though and shouldn’t be any cause for concern.

If complications do occur, such as infection or asymmetry, contact your doctor and have a follow-up consultation.

Recovery after the surgery

Recovery times are quick for the non-incisional double eyelid surgery and you may resume normal activities in as early as 3 days. Even if there is some mild bruising or swelling, it shouldn’t be much of a problem when it comes to doing work.

On the other hand, the recovery time for the incisional double eyelid surgery is a lot longer. Since an incision is made, the wound left by it will need time to close up and heal, which can take up to a week. The full effects of the procedure will also take time to appear as your eyelids might look high in the first few months after the surgery. Your double eyelids will steadily correct itself and become natural-looking within 1 to 2 months.

I advise my patients that they avoid strenuous exercise, such as long-distance running and weightlifting, during recovery. This is to ensure that your body gets enough rest and utilizes your energy to healing and rejuvenation. Painkillers and cold compresses will also help in reducing the swelling and bruising that naturally occurs after surgery.

Cost of double eyelid surgery in Singapore

Cost Singapore

The cost of double eyelid surgery in Singapore depends on a few factors, such as the thickness of your eyelids and the eye size and shape.

For the procedure utilizing the stitching technique, the surgery costs between $3000 - $4200.

Incisional surgery is a bit more expensive and can cost from $4800 - $5600.

In Singapore, the non-incisional technique is slightly more popular due to the fact that a lot of Singaporeans have full-time jobs and the procedure has shorter recovery time and more affordable.

Double eyelid surgery is the most popular type of cosmetic surgery in Singapore and it is very important that you are fully informed before you make a decision. Always remember to consult with your doctor so that he/she may advise you on how to best solve your problem. I hope my article has given you enough information about double eyelid surgery to give you confidence in undergoing the procedure. Thank you for reading!