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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 the 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 loose 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

It is a really personal decision to have breast enhancement. There are different reasons to want breast enhancement and most commonly, some women want to achieve a more attractive body shape, while some women who have gone through pregnancy seek ways to regain their pre-pregnancy figure back. Some women even get breast enhancement 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 a breast enhancement procedure for yourself, this article will help you to have a better understanding of the procedure and debunk the myths surrounding breast enhancement.

This article is composed of three parts:

  1. Part 1: All you need to know about breast implants and breast enhancement procedure.
  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 insertion of breast implants to enhance the size and shape of the breast. In addition, breast implants make different sized breasts achieve better symmetry to give them a more natural look. 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 incision is made under the breast, so it is easier for your doctor to directly view the tissue where implant will be placed. This type of incision have a shorter recovery time.
  • Areola incision: The incision is made around the nipple, so the scar 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 breast 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 our doctor first.

What are the different types of breast enhancement surgeries?

As of date, there are 3 main types of breast enhancement surgeries:

  1. Fat Transfer

How it Works:

From the name itself, this procedure involves transfer of your own fat to your breasts.  This procedure is also commonly called fat grafting. For this procedure, 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 is less scarring, down time 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.
  • Moderate increase in breast size so it looks more natural.
  • Repeated procedures can be done to achieve desired results (with 8-12 weeks interval).

Cons:

  • Not suitable for women who does not have enough body fat.
  • May cost more due to 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, breast implants made of silicone material will 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 change shape.

Pros:

  • Very soft and gives a very 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 is 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 aaline or (sterile salt water). The amount of fluid to be inserted 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 operation (usually with breast reconstruction).
  • Does not require 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 very 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.

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 over-all 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 shape are:

  • Round shape

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

  • Teardrop shape

On the other hand, teardrop 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, breast implants with teardrop shape are specifically designed to imitate the natural shape of the breast and are usually the most natural choice for breast implants. Because of its more irregular shape, however, teardrop shaped breast implants have the tendency to flip or turn and can make your breast look out of shape.

What should I expect during breast enhancement surgery?

Breast implants surgery

Excluding consultation time, the entire breast enhancement process takes between 50 to 90 minutes. Here are 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. Your breast implants are inserted and properly positioned, then, the cut is closed using absorbable sutures.
  4. A specialized waterproof dressing is then placed over the wound to allows you to take a bath without wetting the wound.

Will there be pain during and after breast enhancement surgery?

During surgery:

Technically, since you will be given general anesthesia, you will not feel any pain during surgery. You will be put into deep sleep and once you awake, the surgery would have been over already.

After surgery:

Since breast enhancement is a surgical procedure, you should expect discomfort and mild pain around the incision area. There is no need to worry because the pain and discomfort 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 very common because of the weight of the breast implant. You'll 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
  • Practice religious disinfection on the incision site
  • Not irritate or rub n 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 recovery period, your breasts may feel very firm, and may sit high as the skin around the breasts is stretched tightly. Since muscles are involved, the swelling may take a couple of months to completely die down (but does not interfere with your everyday routine).

Here are the developments you should expect over time:

  • After 2 - 3 months after operation, swelling would have subsided and the tightness will be reduced. Your breasts will start to settle into a natural position resulting to improved breast shape.
  • After 4-6 months after operation, your breast should feel very 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, breast implants with weaker shells can only last 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 effects on the health of a patient. 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 very 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-up with your doctor yearly or every two years to make sure that the breast implants are still in place and has 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 aspects can be easily fixed. Others may require more significant interventions and may even require you to undergo 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 plastic surgeon will be able to provide quality recommendations to achieve your desired result.

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

  1. Make sure that he/she is a qualified and accreted plastic surgeon in Singapore who have extensive training in cosmetic breast enhancement surgery.
  2. Check his/her track record to find out how many breast enhancement surgeries he/she has performed. Also, check how many procedures are performed in a monthly basis.
  3. Check the clinic if they have properly equipped to perform breast enhancement procedures. Also, check if they have a wide array of breast implants to choose from.
  4. Don’t hesitate to view their work portfolio containing before and after pictures to give you a better idea of their skills and work.
  5. See to it that he/she 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: Breast Enhancement Surgery Vs. Less Invasive Procedures.

  1. Breast Enhancement Surgery Vs. Breast fillers

Breast fillers usually come in the form of injectables. Compared to breast enhancement surgery, this procedure is non-invasive. However, based on previous reports, breast fillers can cause severe complications that can develop years after the original procedure.

Breast fillers cause serious problems that endanger your health such as: severe infections and formation of cysts. Over time, fillers can also migrate to other parts of the body resulting to distortions and severe unbearable pain.

If you had breast fillers in the past and start to exhibit these problems, better call a well-trained doctor right away. Usually, breast fillers are removed through surgery.

In Singapore, breast fillers are illegal. If you know a salon or clinic that offer breast fillers, 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 surgery, a breast lift is also a surgical procedure that aims to restore the shape of the breasts.  Clinically known as Mastopexy, breast lift restores breast shape by removing the excess skin and by lifting or reshaping the underlying breast tissue. This tightening of breast tissue resulting perkier and shapely breasts.

Breast lift, however, does not result to an increase in breast size. No implants are inserted into your breasts to make it look bigger. Usually, breast lifts are 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 have gained popularity among a lot of women in the recent years, there are a lot of myths and hearsay circling around that intimidate other people from getting breast enhancement. You might have heard rumors 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. This is still possible if your doctor does not cut off your milk ducts. Your doctor can make an incision under your boobs to make breastfeeding possible.

You do not have to worry about getting pregnant even if you have existing breast implants. Breastfeeding is sage because silicone cannot mix with breastmilk. The only issue you may encounter is slight inflammation of breasts during breastfeeding. Women with very large breast implants may have reduce 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) takes time to achieve natural-looking breasts. As discussed previously, the breast implants will take time to settle and your breast may sit high during the first few months. During the 6th month mark, expect your breasts to be natural-looking. The softness will be alike natural breasts.

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

  1. Breast implants will cause a loss of breast sensitivity.

Truth: Unless your surgeon chooses to have the incision on the nipple area, loss of breast sensitivity is very rare. Usually, some patients feel a little numbness or oversensitivity on the nipples right after breast enhancement surgery and return to normal over time. Some patients do not even any change at all. It will really 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 have allergies to general anaesthesia or other medications, better 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. Unless on occasions where there are ruptures detected or you manage to develop complications and infections, the implants are required to be removed.

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

Rhinoplasty

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 characteristics such as the nose can be clearly defined by our ethnicity. Usually,  Asians have a:

  • Low nose bridge
  • Wide and flat nose
  • Large Alar Base / Large Nostril
  • Nose 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 to 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 rhinoplasty 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 nose tip
  • Make the alar base appear smaller
  • Make nostrils less visible

Also, people who had enough of getting repeated nose fillers/threads regularly tend to choose to have rhinoplasty instead for a 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 your doctor what outcome you want to achieve.

After thorough consultation, your doctor 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. This is usually performed by inserting a silicone implant on the nose. 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 use of the patient’s own cartilage (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 rhinoplasty procedure?

Rhinoplasty surgery

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

  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 an open surgery by making a small incision on your columella (lower side of the nose between the nostrils) or a closed surgery through the nostrils.
  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 goes 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. Patients 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 start to 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 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 wet tissue with water to clean your face while avoiding the areas where the operation was performed.  You can also use basic skincare to keep your skin clean 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 swollen nose. The key here is to think positively and have patience because the swelling will just pass and the improved nosed 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 swelling can be lessened. 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 of surgery varies depending on a lot of different factors. These factors include:

  1. Complexity of the procedure

The extent of the procedure to be done affects how long the rhinoplasty 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 varies from doctor to doctor. More experienced and more reliable doctors may cost more 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, it is also going to you cost more. For simple rhinoplasties, local anaesthesia and sedation is 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 facility where it will be performed. Major operating rooms in private hospitals costs more while simple operating clinics will cost 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 de-swelling treatments and hair washing services may also add more costs. If there are complications like irritations and infection, 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 recognized 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 rhinoplasty surgeon in Singapore?

No one is considered as the best rhinoplasty surgeon. Rather, there is a rhinoplasty surgeon 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 have 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

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 a tighter and firmer skin.

  1. Filler-based Non-invasive Face Lifts

Dermal fillers uses 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 a healthier and tighter skin.

  1. Energy-based Non-invasive Face Lifts

Usually, these newer technologies are recommended as an alternative to both surgical face lifts and minimally invasive face lifts such as thread lift and fillers. Energy-based treatments require no needles or incisions to be carried out resulting to minimal to zero downtime. The most common types of energy-based non-invasive face lifts 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 aging. As a result, wrinkles and loose skin develop. Thermage uses patented monopolar radiofrequency (RF) technology which safely delivers energy into target areas and heat 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 to long-lasting tightening of the skin tissues. In addition, Thermage energy also stimulates blood flow leading to an 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
  • Cellulites
  • 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 face lifts 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 target area to be treated, location of target area, skin sensitivity and doctor’s fees. Typically, patients pay about $4000-$8000 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 is discussed carefully.
  2. After the consultation, the patient’s targeted area will undergo thorough cleansing and to be followed by a generous application of a 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 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 molded into a tighter and more lifted position.

Is it painful?

Since Thermage uses energy to complete to achieve desire 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 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 post-Thermage treatment. Depending on the area treated, results may include:

  • Tighter, lifted and more defined skin
  • Tightening of 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 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 to get 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 depth of understanding of other additional or subsequent face lift 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 are 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 a 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 a 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 anesthesia will be applied on your eyelids. This is to minimize the pain and discomfort felt during the surgery.

Finally, the surgery itself is performed where 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 a 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!

Loh Ling Ying Review of Veritas Clinic Skin Treatment

Loh Ling Ying

Being an actor/model, my job consists of having different types of makeup on my face often and also maintaining good skin is a given in this line of work. It’s definitely not helpful when I have an oily acne-prone skin problem and random breakouts has always been an unpleasant surprise to me on important shoot days. Then, I was introduced to Veritas Medical Clinic.

Loh Ling Ying at Veritas Medical Clinic

When I first arrived at Veritas, I was welcomed by a group of friendly staff at the counter who helped to check me in. The clinic is very clean and spacious allowing me to feel at home already. I was then brought to a room and the staff helped to cleanse my face once. Then from there, they started to analyze my skin and made my skin concerns theirs.  I have oily acne prone skin and they explained to me what kind of skin care products I should avoid using and what my skin needs right now.

They used a gadget to “x-ray” my skin and explained to me patiently what my skin is lacking of right now and what causes me to break out. I was thrilled and amazed as I now know my skin better than ever. So apparently, my skin’s oil and water level is imbalance so I have to take note and make sure my skin is hydrated. I also have clogged pores and blackheads which causes breakout and excess oil production. Thus, they introduced me to the treatment, Hydra Peel Facial which can help to hydrate my skin with lots of hydrating serums by injecting into my skin while also at the same time extracting the impurities clogged in my skin too.

The staff is very gentle and she always explains to me kindly whenever she’s about to move on to the next step of the facial. I felt at ease and almost fall asleep because I felt that I can trust them and wake up to a pretty and clean face.

Due to a few stubborn blackheads/whiteheads clogged in my skin, the staff was very gentle during the extraction and she made sure that I was not in any discomfort at all times. After the extraction, they disinfect and soothe my skin with a cold metal gadget which was followed by a cooling mask. I guessed I doze off after some time as I was too comfortable.

Loh Ling Ying blackheads/whiteheads extraction

Loh Ling Ying Bioptron light therapy

Loh Ling Ying blackheads whiteheads extraction procedure

As I expected, I woke up to see that my skin was so much cleaner and I could see a big difference. My skin was brightened instantly and my pores were very clean especially my nose area which was previously filled with blackheads. Not only that, I noticed that my acne scars seem to fade lighter after the treatment the next day.

Loh Ling Ying HydroPeel Facial

Loh Ling Ying HydroPeel Facial day 2

On the second day after the facial, my face broke out a little but I assumed it might be the wrong skin products I used or the acne supplement I took that is showing its side effect. Nevertheless, I took care of the problem and made sure I moisturize my skin well every day.

Loh Ling Ying - before-after HydroPeel Facial

It has been almost a week since the facial and my pores are still very clean. I’m definitely looking forward to the next appointment with Veritas! Good skin provides great confidence too! I’m pretty sure Veritas will be a big help in my goal for achieving great skin.

Thank you Veritas! See you on my next appointment!

-Loh Ling Ying, 26, HydroPeel Facial

https://www.instagram.com/p/Bsuo9hQlHz3/

Veritas Clinic - https://veritas.com.sg/
Address: 13 Stamford Rd, #B2-35 Capitol Piazza, Singapore 178905

Thread Lifts – The Non-Invasive Solution to Wrinkles and Loose Skin

Thread Lifts

As you grow older, your body’s collagen production slows down, which in turn causes your skin to loosen and develop wrinkles. These are especially noticeable in the facial area, which can make you look less attractive to your peers.

Just a few years ago, the only solution available to rejuvenate and tighten your skin was to undergo facelift surgery. Although injectables exist that help in tightening the skin, these are not effective long-term solutions. Surgery was the only choice for people that needed a semi-permanent solution, and not a lot of people were willing to go under the knife.

Thanks to medical research, a non-surgical face lifting solution has been developed with long-term effects and little to no downtime – thread lifts. To know more about thread lifts, keep reading and determine if this is the right procedure for your needs.

What are Thread Lifts?

A thread lift is a non-surgical, minimally invasive procedure where temporary sutures (or “threads”) are inserted under the skin to create a tightening effect or “lift” on the skin tissue. Unlike facelift surgery, where the surgeon directly cuts off the loose skin, thread lifts elevate the loose skin by stitching parts of it together. This gives the skin a tighter, firmer look by pulling back the skin.

Thread lifts also leads a large amount of collagen to the target skin are and stimulates an increase in its production. Collagen is the main structural protein of the skin and is responsible for a lot of factors that keeps the skin looking young, firm, thick and strong. The increase in collagen production rejuvenates the skin and gives it a younger look. It is also used by the body for healing wounds and helps strengthen the form of the skin. This is one of the main reasons that wrinkles and loose skin develop as we get older. The skin grows weaker which in turn makes it harder to support the tissues underneath. Gravity pulls the skin downwards and creates loose skin. Thread lifts help prevent this event from progressing further and would give a lifting effect that lasts for a long time.

Good Candidates for Face Threading

Thread lifts

The best way to determine if you’re a good candidate to undergo a facial thread lift is by visiting your doctor and getting a full consultation and checkup.

In general, though, a good candidate for the procedure is someone who:

  • Have had the same procedure before and whose effects are starting to wear off

Thread lifts have long-lasting effects but are not permanent. If you have had face threading before, it is standard to undergo it again after 1 or 2 years to keep your skin tight and firm.

  • Has minimal signs of ageing

Thread lifts are recommended if the patient has only a slightly saggy or droopy skin in the neck, cheeks, jowls, or brows. The procedure is a good choice for men and women aged 40 to 60 years old.

  • Desires a more youthful, rejuvenated look

If you work in entertainment, the media or another industry where your looks are important, then thread lifts are a great option for you. Not only does it give your face a more youthful appearance, the procedure has almost no downtime and you can resume work in just a few days.

Advantages of a Thread Lift over a Facelift Surgery

Here are some advantages of a thread lift procedure has over traditional facelift surgery:

  • Dramatically reduced recovery time

Facelift surgery has a long recovery time (around two to three weeks) since it is an invasive procedure and would take time for the incisions to heal. A lot of facelift patients also need constant assistance from a caretaker for at least 2 days after the surgery. Patients also have to miss at least one or two weeks from work for recovery.

On the other hand, thread lift patients have a very little downtime after the procedure. Since the procedure is done under local anesthesia, instead of general anesthesia for facelift surgery, a patient can look after themselves after. While there will be some redness and soreness, this wears off after a few days and will not interfere much with your normal activities. There is no need to take pain killers as the pain is bearable compared to a facelift surgery.

  • Lower risk of complications

Since thread lifts are non-invasive procedures, there is very little risk of bruising, bleeding, scarring and other complications. If ever irritation or infection does occur, the sutures can be easily removed by the surgeon.

When undergoing any kind of surgery, there will always be some risks of complications such as infection and hematoma. If you want treatment with minimum risk, thread lifts are your best option.

  • More affordable

A thread lift is a less complex procedure compared to facelift surgery. This makes it also a less expensive procedure to the alternative. There is also less anesthesia needed as well as aftercare.

How Thread Lifts Work

Thread face lift

Thread lifts utilize threads that have barbs or cogs and are inserted in a specific trajectory to create a lifting effect on the skin. These threads also stimulate collagen production and improves the firmness of the skin.

There are different types of thread lifts available in Singapore – most common of which are the PDO and Silhouette thread lifts.

The threads used in these procedures are made of one of three materials:

  • PDO – polydioxanone, the most common material used in sutures and have long been used for their reliability and safety.
  • PLLA – Poly-L Lactic acid, which is a desirable material for a support structure of the skin
  • PCL – Polycaprolactone, a relatively new material that are supposedly stronger than PDO threads. These are currently being limited for use only in nose thread lifts.

What to Expect

Before the procedure, a thorough checkup is first done by the doctor to ensure that the patient is ready and prepared for the thread lift. The doctor would also take some “before” pictures for reference and comparison.

The doctor then uses a marker to indicate the points of insertion of the threads. A local anesthetic is then administered on the facial area to numb it, and to prevent the pain from the procedure.

Using a needle, the entry points of the threads are created, after which each thread is inserted carefully to lift the skin and fat tissue. After all the threads have been inserted, the excess threads are trimmed, and the procedure is finished.

The whole procedure should take around 25 to 35 minutes to finish. Depending on your pain tolerance, there may be very little to no downtime at all after the thread lift. Several patients of mine even had the procedure during their lunch breaks and come back to their jobs immediately after.

Expect some soreness and swelling around the entry points but these should disappear in a few days. The effects of a thread lift can last for up to 1 or 2 years and a follow up thread lift is recommended after.

Thread lifts cost around $1000 to $5000. The costs depend on several factors, which include:

  • The type of thread used
  • Your skin laxity
  • The doctor or clinic offering the thread lifts

Recovery

Since thread lifts are minimally invasive procedures, there is a relatively fast recovery period. Swelling and bruising might occur directly after the procedure, but these usually go away after a few days. Pain killers can help to manage the aching but are not necessary.

There is also no need to follow a diet and exercise regimen, and effects can be observed as fast as a week after the thread lift. It is also advised that the patient undergo a follow-up assessment and consultation with your doctor to ensure that no complications occur. Your doctor may also advise you to have a follow-up thread lift or another similar procedure for better results.

The threads left under your skin will dissolve naturally after a few months so a follow-up procedure to remove them is not needed. It is generally safe to leave the threads inside although there may be a rare chance of having complications. From the follow-up consultation, your doctor will inform you if there are any complications, such as:

  • Asymmetry – this happens when there is an uneven or irregular insertion of threads which could result to one side of the face becoming more tighter than the other side.
  • Infection – the risk of infection is very low as long as proper aseptic technique is observed by the doctor during the thread lift.
  • Puckering and Rippling – rippling might occur on the skin if the threads are inserted unevenly, although it might also be caused by overtightening. In the case of over tightening, the issue should go away in a week.
  • Granuloma – this happens when the thread is placed too close to the skin surface and might stick out or irritate the skin. Consult your doctor or clinic if this happens so that corrective measures may be undertaken.

Thread lifts are a very popular option for Singaporeans when it comes to rejuvenating the face and achieving a more youthful appearance. Since it is a non-invasive procedure, people are more willing to undergo it in contrast to a traditional facelift surgery. The faster recovery time is another important factor that make it a more appealing option for a lot of Singaporeans.

There is still a chance for complication though, so always remember to visit your doctor and ask for a full checkup before the procedure. Be sure to choose a doctor or clinic that is trusted and have a good history of satisfied customers.

Made in Singapore: Why you should choose to get breast augmentation locally

Breast augmentation

Breast augmentation, also commonly known as breast enlargement, is a popular cosmetic procedure that enlarges the size and enhances the shape of the breasts with the use of breast implants. Typically, the most preferred choice of material for breast implants is silicone gel.

In Singapore, breast enlargement is becoming more and more sought-after by:

  • Women who are in their early 20-30’s who have smaller cup size.

These women want to give their appearance and confidence a boost with a fuller chest through breast augmentation.

  • Women who have given birth.

After single or multiple pregnancy and breastfeeding, women’s breasts tend to sag and lose their shape. For this reason, a lot of women turn to breast augmentation post-delivery.

Where to get breast augmentation?

Breast augmentation

There are many credible clinics in Singapore that offer breast augmentation procedure and many Singaporeans opt to have their breast augmentation procedure in these clinics. However, because of various factors, there is also a large percentage of women who choose to have their breast augmentation procedure done overseas. Countries such as Thailand and South Korea have become a popular choice among women seeking breast enlargement procedures.

Each surgery involves risks and breast augmentation surgeries are no different. If you are still weighing your options whether to have your breast augmentation procedure locally in Singapore or in another country, it is important to know the different advantages and disadvantages for both options first before committing to any procedure.

This article aims to help you have a more informed decision and avoid the associated risks.

Is it advisable to have breast augmentation overseas?

While there is completely nothing wrong with having breast augmentation overseas, based from many years of experience working with patients, I have observed that some women who got their breast augmentation procedure in other countries manage to have several complications. Some patients even report that their desired result was not achieved, and they go home disappointed.

Of course, this is not to say that those who choose to have breast augmentation here in Singapore will not experience complications and women who choose to have it overseas will always have unsatisfactory results. Since breast augmentation is a medical procedure, the result will always vary from person to person.

Advantages of choosing to have breast augmentation procedure in countries like Thailand and Korea over Singapore.

The following are the enticing reasons why Singaporeans easily choose to go to Thailand or Korea for their breast augmentation procedure:

  1. Breast enlargement surgeries in Thailand are way cheaper.

In Thailand, the cost of breast enlargement surgeries are significantly cheaper compared to the Singaporean rate. Most of the time, the difference can range from hundreds to thousands of dollars.

  1. In Korea, there is an abundance of clinics that offer discounted prices.

The cost of breast augmentation in Singapore and Korea do not have a significant difference.  Still, many Singaporeans choose to go to Korea because there are a lot of clinics that offer discounts on their procedures.

  1. People consider Korea as the global center for plastic surgery.

Korea is considered as the global center for plastic surgery by a lot of people worldwide. And because of this branding, the idea of having a Korean plastic surgeon perform your breast augmentation procedure is attracting a lot of Singaporean patients.

  1. A trip abroad entails for a holiday.

After the procedure, most patients give themselves the reward of a much-needed vacation and tour around and have fun in a foreign country.

Disadvantages of choosing to have breast augmentation procedure in countries like Thailand and Korea over Singapore.

Why would anyone choose to have their breast augmentation locally with all these enticing benefits of going overseas for breast augmentation?

Here, we discuss the reasons why Thailand and Korea can offer breast enlargement at such cheap prices and how it can be disadvantageous for patients.

  1. Your desired outcome may not be fully expressed because of the language barrier.

Choosing to get your breast augmentation overseas may lead to challenges especially because the language is different.

Even when you have someone who can translate for you, expressing what you really want can be very tricky if you and your doctor do not understand each other.

You may not even know or understand what a foreign surgeon may put in your breasts because you are not familiar with the language.

  1. Cheaper cost of breast augmentation may compromise quality.

It cannot be denied that the cost of breast enlargement in Thailand versus the cost in Singapore is significantly different.  The cost of a pair of silicone breast implants in in Singapore can range from SGD$2000-2500 while in Thailand,  a pair of silicone breast implants can only cost from SGD$600-750.

If you think that you can save a lot of  money in Thailand or Korea, you also need to consider the quality of service and results you are about to receive. Cheaper prices are usually associated with lower quality.

  1. Lower quality increases the risk of complications.

Fixing complications will require additional treatments and surgeries—thus will require you to spend more. Before considering cheaper prices, always make sure to choose the breast augmentation procedure that will save you money in the long run.

  1. Breast augmentation abroad usually prioritizes quantity over quality.

Although not all, but a lot of clinics abroad prioritize quantity over quality. In essence, these clinics charge less but compensate their earnings by performing as many procedures as possible in a day. Imagine an exhausted doctor doing your surgery. Sounds pretty scary right? Also, the quality of breast enlargement that may result from a rushed procedure will be greatly compromised.

  1. Lesser consultation time for breast augmentation procedure to be discussed.

In addition, since these doctors perform breast augmentation on a lot of patients in a day, the time for your appointment may not be sufficient to cover proper consultation and procedure. Remember that proper dialogue with your doctor is very important.

If your time with your doctor becomes limited, there may be a chance that your procedure and the expected results will not be discussed very well. It is vital that you really understand everything before committing to a surgical procedure.

  1. Unsatisfactory breast augmentation results.

In some clinics overseas, because of the bulk of patients to be attended to, you may only be given less than 30 minutes to select your implants and then the doctor will immediately go on with the procedure—not enough time in my opinion. This may result to unsatisfactory results and may require replacement and additional surgeries.

  1. Breast augmentation is performed by non-qualified surgeons.

Getting breast enlargement procedure from at cheaper cost by a non-qualified professional can be very risky and unsafe. Some doctors and patients say that breast enlargement surgeries overseas are performed by non-qualified surgeons and even by general practitioners! Before choosing your doctor, make sure that he/she is accredited and fully trained to perform breast augmentation.

Why should you choose to get breast augmentation in Singapore

Singapore

  1. Qualified doctors only.

In Singapore, breast augmentation are expensive for a reason. This is due to the fact that only qualified plastic surgeons are permitted to perform breast augmentation surgeries. In Singapore, there are very strict regulations regarding this matter, so you can be rest assured that only qualified surgeons can perform breast augmentation surgeries.

  1. Effective communication.

In Singapore, you certainly won’t have to worry about any confusion because you and your doctor will be able to communicate effectively. Your desired outcome can be discussed and achieved thoroughly without any hassle.

  1. Postoperative care and follow ups.

After the surgery is done, the process does not end yet. As important as the procedure itself, postoperative care should also be given attention. Typically, breast enlargement is a relatively low-risk procedure. If you manage to develop complications and need to talk to your doctor as soon as possible, wouldn’t it be more convenient if your doctor is just one call away?

It would be a great inconvenience to fly back to Bangkok or Seoul Thailand every time you need to see your surgeon or to correct or treat something. Also, unless you have made it clear before the procedure, there is no assurance that these overseas clinics will entertain you again to fix what went wrong. Some might even charge you extra fees.

In addition, one of the most feared complications with breast augmentation is breast implant infection where the breast implants are required to be removed. Infections need urgent treatment therefore, it is better to have your doctor close at hand in case you need to be hospitalized to be fully treated.

As doctors, it is part of our duty to help patients to have a better understanding of the procedures, optimal possible results, after-care and treatment—especially when dealing with invasive surgery such as breast augmentation.

Note that breast enlargement is a lifelong commitment—meaning, you will have to live with these breast implants for the rest of your life, so it is of paramount importance that you fully understand the procedure. Make sure that your breast enlargement procedure will be performed by a well-trained and accredited doctor you can truly trust.

CoolSculpting Fat Freezing – The Popular Non-invasive Solution to Fat Removal in Singapore

Fat freezing

Gaining weight is a very sensitive topic for a lot of people. Not only does getting fat make you look less attractive, but it can also bring about complications on your health and daily activities. Unfortunately, not everyone has the free time to go to the gym and work out. Calorie counting is another thing you can do but takes an immense amount of discipline and time and would require you to let go of some of your favourite delicious dishes.

Although these are proven to be effective weight loss methods, you cannot target a specific part of your body to burn fat from. For example, if your problem is a fat bulge on your arms, diet and exercise will not necessarily remove the fat on that region. Fat may be burned from your breasts or buttocks instead, which you may not like. What’s worse, there may be areas in your body that still have fat bulges even after you lose weight.

One possible solution to this problem is by going to your doctor and undergoing a fat removal procedure. These procedures can target specific areas of your body and you won’t have to worry about losing fat from elsewhere. There are several treatments you can choose from here in Singapore, one of which is fat freezing, a fat removal procedure that uses CoolSculpting technology to dissolve fat tissue.

How It Works

Fat freezing

When you lose weight through diet or exercise, your body does not reduce the number of fat cells in your body. Rather, they reduce the average size of your fat cells throughout the body. For example, if you generally have thick thighs, you will not necessarily lose that feature through diet and exercise.

On the other hand, fat freezing through CoolSculpting will permanently reduce the number of fat cells on a region after the procedure. If ever you gain weight again, it won’t show up on those regions as much compared to if you lost weight through just diet and exercise.

Also known as cryolipolysis, fat freezing works through the non-invasive application of cold temperatures at a target region of your body. The cooling specifically targets fat cells while causing no damage to the skin and surrounding tissues. These fat cells die after being frozen, after which your body naturally removes and eliminates them.

Effects of fat freezing are long-term since the fat cells themselves are destroyed instead of just reduced in size. CoolSculpting technology, in general, eliminates approximately 20% to 25% of fat cells in the treated area.

Why Choose Fat Freezing over other Fat Removal Procedures

The CoolSculpting fat freezing procedure is only one of many treatments you can choose for specific fat removal. The following are the procedures and the advantages CoolSculpting fat freezing has over each:

  • Traditional Liposuction – This is a surgical procedure that removes fat through the insertion of one or more small tubes into the target area. The patient is put under general anesthesia before the liposuction, after which the fat is sucked out by the machine through incisions made by the surgeon.

Why choose fat freezing over this? Fat freezing is a non-invasive procedure and doesn’t require you to go under the knife. Recovery time is also faster with fat freezing, which takes a week compared to liposuction which can take up to a month before a full recovery.

  • Laser Liposuction – An alternative form of liposuction that utilizes a laser to heat the fat, which softens and liquefies it. This makes it easier to remove and utilizes smaller tubes compared to traditional liposuction. Only a local anesthetic is utilized for this and has the added benefit of tightening the skin over the targeted area. It also has a faster recovery time compared to traditional liposuction.

Why choose fat freezing over this? Although laser liposuction has a faster recovery time compared to traditional liposuction, it is still a surgical procedure which requires incisions by the surgeon.

  • High Intensity Focused Ultrasound (HIFU) – HIFU is a non-invasive procedure that utilizes a machine to deliver focused ultrasound waves to cause necrosis of fat cells. The ultrasound is focused to reach a precise depth so that it can target fat cells and leaving the skin surface unaffected. Results from this procedure have high variance though and are different from person to person.

Why choose fat freezing over this? Since HIFU procedures apply an intense heat to the fat cells, the patient may have to experience pain that increases as the intensity of the HIFU is increased. On the other hand, fat freezing causes the target area to numb and is a typically relaxing procedure compared to HIFU.

  • Low-Level Laser Therapy (LLLT) – This non-invasive procedure uses a ‘cold’ laser to target fat cells and utilizes a similar process as fat freezing. Not a lot of studies have been done on LLLT though, and results seem to vary a lot depending on the person. It is also advised that the patient undergo a specific diet and exercise regimen to accelerate the fat removal.

Why choose fat freezing over this? Studies have been done on LLLT that show that the results from the procedure are highly variable. Another study has also shown that LLLT does not provide a significant reduction in abdominal fat thickness. There were even cases where there was an increase in thickness of fat. Fat freezing is a highly studied procedure and have shown to be very effective and garnered a high degree of satisfaction from patients.

  • Radio Frequency (RF) Fat Reduction – This is a non-invasive procedure that applies a radio frequency to heat the fat cells without the instrument touching the skin of the patient. This applies a combination of heat and vibrations to the fat cells, which causes them to break down and die.

Why choose fat freezing over this? Similar to HIFU therapy, the results of RF fat reduction are highly variable. The effectiveness of the procedure depends on a lot of factors, such as the targeted area and skin impedance. Fat freezing, on the other hand, is shown to be consistently effective and is more precise on the contouring of your body.

Good Candidates for Fat Freezing

Fat freezing candidate

Fat freezing is not recommended for obese people since fat removal is only concentrated on a specific target area. It is not a weight-loss procedure, and surgery (such as a gastric bypass) is recommended for them.

This procedure is recommended for people who have unwanted fat bulges in certain regions. This is a non-surgical and non-invasive alternative to liposuction, which is also a fat removal procedure.

In Singapore, the CoolSculpting fat freezing procedure can be used for treatment of fat bulges in the submental area (double chin), thigh, abdomen, back fat, buttocks and upper arm.

What to Expect Before the Procedure

The first step in any fat removal procedure is a thorough consultation with your clinic or doctor in Singapore. The doctor will assess your personal body goals and give you a recommendation on which areas will be targeted and how many treatments you will need. Each patient has a different need and a full consultation will make sure that you get what you want at the end of the procedure.

Doctor consultation

The CoolSculpting procedure is FDA-cleared in the USA for the treatment of visible fat bulges and is guaranteed to be safe.

At the day of the procedure, your doctor will do a body fat pinch test to estimate body fat and evaluate your body composition. A couple of ‘before’ photos will also be taken of you for comparison and documentation purposes.

What to Expect During the Procedure

No surgery is done during the procedure. Instead, a gel pad and applicator are applied to the target region. This delivers measured cooling to the target fat cells, which initially gives an intense cold feeling. This subsides within 5 to 10 minutes as the cold numbs the target area. There may also be a pulling, tugging or pinching feeling depending on the applicator.

You can relax during the procedure and even read a book or use your cellphone. Multi-tasking is encouraged as the procedure may take a while and relaxing can help take your mind off it. The fat freezing procedure takes approximately 30 to 70 minutes depending on the size of the target area. Some procedures treat two or more areas at once.

After the procedure, expect some temporary redness and swelling on the targeted area. These side effects should subside within a week.

There is almost no downtime after CoolSculpting since the fat freezing procedure is non-surgical and non-invasive.

When to Expect Results

There will be no immediate results at first since the body takes time in removing the dead fat cells naturally. Results may be noticed as fast as 3 weeks after the procedure and the most significant results can show up after 60 days. For up to 4 to 6 months after the procedure, the body will continue flushing out dead fat cells. Full results should be achieved and noticed after this.

What to Do After

There is no post-procedure regimen that a patient will have to follow after the cool sculpting treatment. You do not need to take supplements or follow a strict diet and exercise program after the fat freezing treatment.

It is recommended though to take good care of your body as general advice to avoid fat bulges from developing in the future. You should schedule a follow-up assessment with your doctor a few weeks after the treatment to make sure that no complications occur and to discuss the possibility of future treatments.

The great thing about the procedure is that even if you’ve gained weight, the weight will be distributed evenly throughout your whole body instead of just the previously treated area.

Costs

A single session of CoolSculpting fat freezing treatment costs about $500 to $700 in Singapore. Depending on your needs, your doctor or clinic may prescribe you a personalized treatment plan that includes several sessions of treatment and consultations.

Final Thoughts

Fat freezing has become one of the most popular fat removal procedures in Singapore besides liposuction. This is because the procedure is non-invasive, relatively painless and has almost no downtime for the patient. A lot of my patients who have undergone CoolSculpting fat freezing treatment have been extremely satisfied with the procedure and have even recommended it to their friends.

The safety and comfort of our patients is the utmost priority and I recommend that you undergo a full consultation and checkup before going through with the procedure.

Freckles: Facts, Prevention, and Removal

Freckles

Freckles do not pepper on the skin upon birth. But being in a tropical country like Singapore, freckles may appear at some point, especially for people who are always exposed to the sun’s harsh rays.

Spending time outdoors without proper sun protection, such as sunscreen or umbrellas, can cause unwanted pigmentation to develop on the skin.

Freckles is just one of the many skin flaws that can occur on the skin caused by pigmentation. They are more common on Westerners and there are a number of famous celebrities carry them as their trademarks (think Lindsay Lohan). Some people, however, cannot stand the sight of them!

Did you know that during the medieval age freckles were believed to be marks from the devil? Women who had freckles were considered witches.

If you have seen this pigmentation sneakily invading a certain area of your skin and would like to get rid of them, then you are in the right place! Read on to the very end of this article to see what treatments are in store to make those freaky freckles vanish!

What are the types of freckles?

There are two types of freckles, namely, the Ephelides and the Lentigines. Ephelides are light brown freckles noticeable on people with lighter complexions. This type of freckles can fade with less sun exposure. They are darker during summer time and lighter during colder months. Lentigines, otherwise known as age or liver spots, are specks on the skin that contain an excess of melanocyte cells, which are responsible for producing the skin’s pigmentation.

How can freckles be distinguished from other skin pigmentation flaws?

There are several skin flaws that are caused by an overproduction of pigmentation. Freckles can easily be distinguished according to their colour and form. They are multiple tiny spots that are flat and circular in shape. They are about 1mm to 2mm in size and are likened to tiny peppers flecked across the skin.

The colour of freckles is uniform on the skin, but may vary from one person to another, depending on the skin’s complexion. For example, Asians may have freckles that are brown in colour, while redheads have reddish freckles. Freckles may also be yellowish, tan, light brown, or black. Freckles stand out, as they are darker than the surrounding skin.

What can cause freckles to appear on the skin?

Face with freckles

Freckles can either be inherited genetically or developed through continuous sun exposure. Freckles that are passed on through a family’s lineage are typical among people with fair skin, blond or red hair, and green eyes.

People with darker skin tones do not exhibit this skin impurity. Furthermore, women are more prone to getting freckles as compared to men.

How do freckles develop on the skin?

Freckles develop when the skin is exposed to the sun’s UV rays. The skin’s pigmentation, called melanin, is triggered to production whenever the skin soaks in the ultraviolet rays.  When the skin is overexposed to UV rays, may they be from the sun or even fluorescent tanning lights, the melanin can generate excess amounts of pigments that result to an abundance of melanocyte cells forming the freckles.

What parts of the body can freckles develop?

Freckles generally develop on the cheekbones and across the nose.

At what age do freckles usually develop?

Children as young as one or two years old may develop freckles, especially if they acquired this from their family’s bloodline. For adolescents or adults, freckles may form at any age. They are most likely to occur whenever the skin is repeatedly basked under the sun without proper protection to shield it from the harsh UV rays.

Are freckles cancerous?

Freckles are normally harmless and are rarely cancerous.

Are freckles contagious?

No, freckles are not contagious.

Can freckles be prevented from worsening or forming on the skin?

skin damage from sun UV

Preventing freckles to surface is a much better alternative than having it removed. Freckle removal is a tedious task that can cause time and a lot of money. There may be times that results from treatments are not adequate.

People with a family history of freckles are advised to start shielding the skin with appropriate sun protection early on in life.

There are several ways to prevent freckles from worsening or forming on the skin. A sunscreen with a strong sun protection factor (SPF) should be applied to the skin. When looking for the perfect sunblock, choose one that has SPF ranging from 30 to 50. In addition, pick a brand that has “broad spectrum coverage for Ultraviolet - A & B” or “PA+++” indicated on the label. Make sure that the skin exposed to the sun is covered with a generous amount of sunscreen, even when indoors or overcast days.

Aside from sunscreen, use wide-brimmed hats (preferably 6 inches in measurement) or an umbrella to cover the face from the direct heat of the sun. It is also best to avoid the sun during its peak hours, which is between 10 in the morning until 4 in the afternoon.

What are the available treatments to reduce or remove freckles?

The following treatments can help reduce or remove freckles:

  1. Bleaching Creams
  2. Chemical peels
  3. Cryosurgery
  4. Intense Pulsed Light (IPL)
  5. Laser
  6. Retinoids

A combination of the treatments mentioned may be used to effectively reduce or remove the presence of freckles on the skin.

Bleaching Creams. These are topical creams that use hydroquinone or kojic acid as an active ingredient and work to lighten the pigmentation gradually with a continued application on the affected areas.

Chemical peels. Chemical peels utilize gentle acids, such as glycolic, lactic, and salicylic acids. When applied to the skin, the chemicals peel the thin layer of the epidermis together with the pigments, allowing the tone to lighten and the new skin beneath to surface.

Cryosurgery. This treatment uses liquid nitrogen to treat freckles, although some stubborn pigments do not respond to it well.

Intense Pulsed Light (IPL). This treatment uses light therapy to lighten and eliminate freckles.

Laser. The Q-Switched Nd: Yag laser is effective in treating freckles. This technique uses laser beams to target pigmentation and breaks them into powder-like substances that the body eliminates. Laser treatments will require several days of rest to allow the skin to heal.

laser freckle skin removal

Retinoids. Topical retinoids like tretinoin, adapalene, and tazarotene can help lighten the freckles. This works well with bleaching creams, although results may take a bit longer.

Can freckles be cured permanently?

Unfortunately, freckles cannot be cured permanently. When the areas that have responded to treatments successfully are exposed to the sun without protection, there is a great tendency that the freckles could recur.

How do I know which treatment is suitable for my freckles?

The best way to know which treatment to choose to remove your freckles is to have your condition assessed by a medical professional. At the same time, ask for options. Some doctors will recommend laser treatments outright, but some freckles respond well to topical creams.

Lasers or IPL may cost more, though results come quicker than creams. When deciding to use laser or IPL, be sure to ask your doctor about their experience in administering this method to previous patients. You may ask for before and after photos to gauge the success of their treatments.

Remember that the skill of the doctor handling your case is very important in achieving the best results of eliminating your freckles. Be sure to follow the aftercare instructions to avoid recurrence.

Your Guide to Melasma Treatment

Melasma before-after

One great indicator of having an undamaged skin is it's being smooth and blemish free. Yes, your face may not be plagued by dreadful acne, but that alone cannot guarantee that your skin is 100% healthy.

The presence of dark spots and uneven skin tone, despite the absence of pimples and other impurities, is a sign of unhealthy skin.

Skin discolouration is caused by excess production of pigments, otherwise known as melanin. Skin conditions that are caused by pigmentation come in different colours and forms. An example of which are freckles, sunspots, Hori’s Nevus, post-inflammatory hyperpigmentation, and melasma. Among these, we will be having a closer look at Melasma.

Definition of Melasma

melasma and normal skin

Melasma or ‘chloasma’ is a skin condition brought about by pigmentation that usually affects adults. It can be distinguished from other skin pigmentation flaws by its shape and colour. Brown and grey coloured irregularly shaped patches characterize melasma. It is prevalent among people with medium to dark skin tones or those whose skin tan easily.

Studies show that melasma is more prominent in people living in Asia and the Middle East.

Which parts of the body does Melasma affect?

Melasma affects certain parts of the body that are always exposed to the sun. Patches may form on the face, specifically on the cheeks, chin, forehead, upper lip, and nose. It can also be seen on the neck or forearms.

What causes Melasma?

There are several factors that can be attributed to the existence of melasma, but the precise cause of this condition remains unknown. The most common reasons for developing melasma are credited to hormones and ultraviolet (UV) rays from the sun, phototherapy, or sun-beds. On some occasions, cosmetic products or medications that irritate the skin may also trigger melasma.

Melasma generally affects women and is seen less in men. Women who undergo pregnancy or are taking contraceptive pills have a larger chance of getting melasma. It is believed that the changes in hormones cause the pigmentation to overly produce. Melasma that affects pregnant women is coined as “pregnancy mask.”

Is Melasma contagious or hereditary?

Melasma is not contagious. It is not hereditary, although it can be present in several members of a family that has a history of this skin condition.

How do I know if I have melasma and not some other skin pigmentation flaw?

The best way to have your skin flaw diagnosed is by consulting with a dermatologist. Doctors can distinguish melasma from other hyperpigmentation just by looking at your skin. However, to get an accurate diagnosis and rule out other symptoms that may be similar to it, a test may be requested by the doctor to be done. A small part of the skin may be extracted as a sample for further examination (biopsy).

Other skin assessment tools, such as the Wood’s lamp and the Melasma Area and Severity Index (MASI) can also be used to evaluate the severity and degree of melasma.

What are the kinds of Melasma?

Melasma has different levels of severity. It is categorized into three kinds:

  • Dermal
  • Epidermal
  • Mixed

Epidermal melasma affects only the very top portion of the skin’s surface. Patches of discolouration are well defined and easier to banish. Melasma that affects the dermal layer of the skin is more difficult to treat because of the existence of melanophages (melanin-ingesting cells). Dermal melasma are embedded deeply into the skin and can be determined by brown or greyish colour. Its shape is less defined as compared to melasma found on the epidermal layer. Mixed melasma is comprised of both epidermal and dermal kinds occurring on the skin.

Is Melasma temporary or permanent?

Depending on the cause, melasma may either be temporary or permanent. For excess pigmentation triggered by pregnancy or contraceptives, melasma may vanish naturally upon giving birth or cessation of the use of the prescribed medication that affects the hormones. In addition, women affected with melasma during pregnancy can expect it to recur with every child conception.

Melasma that is caused by extreme sun exposure may or may not disappear completely. However, there are several treatments available that can aid in improving this skin condition.

Can Melasma be prevented?

Melasma prevent

Avoiding specific triggers can prevent melasma that is due to sun exposure and birth control pills or contraceptives.

Whenever outdoors, be sure to protect all exposed skin against UV rays with a generous application of sunscreen, ideally above SPF 30.  Umbrellas and wide-brimmed hats also come in handy.

What are the treatments available to get rid of Melasma?

Fortunately, there are several treatments available that patients can turn to as remedies to melasma:

  1. Cosmetic makeup or skin camouflage. Cosmetic makeup that is tinted can be used to cover up melasma. A skin camouflage is a thick cream that is matched to the patient’s skin colour. When applied to the affected area, the camouflage is not easily erased. This kind of treatment does not diminish melasma, but helps in improving the quality of life of people affected by melasma.
  1. Dermatological procedures. Aesthetic advancements continue to develop more, especially with procedures that aim to enhance skin and restore its health. The following are treatments that offer improvements for melasma sufferers:
  • Chemical peels – Chemical peels work by applying concentrated chemical agents like glycolic, lactic or salicylic acid on the surface of the skin. The chemicals exfoliate the outermost layer of the skin, which results to peeling and improvement of skin pigmentation as the skin is renewed. An experienced doctor must administer chemical peels, as mishandling of the substance may cause more harm than good on a patient’s current condition.
  • Microneedling – Microneedling works by poking tiny needles into the skin in repetition to aid lightening creams in reaching the depth of the skin.
  • Lasers – Lasers use energy charged light beams that either destroy pigments or removes the surface of the skin that is affected by melasma.

Note that these procedures are prone to risks and side effects. Some of which are bruising, irritation, infections, swelling, and scarring.

  1. Topical lightening creams. Topical creams like hydroquinone, retinoid, and steroid can help lighten the discolouration of the skin brought about by melasma. The application of these creams must follow the doctor’s orders as they can cause side effects when administered incorrectly. Pregnant women are advised to stay away from using hydroquinone or retinoid creams during the course of their pregnancy as these may hurt the fetus.

Which of the treatments available is best to address Melasma?

Melasma before-after

Each treatment has its pros and cons. It is highly recommended for individuals suffering from melasma to get a professional consultation with a reputable medical practitioner in order to get proper diagnosis and treatment apt for the degree and severity of melasma present on the skin.

Among the three, laser treatments have a greater success rate in achieving quick results. However, this may still require several sessions, especially for extreme cases of melasma.

What are the factors to consider when searching for the right doctor to treat melasma?

Extensive research is recommended when choosing a dermatologist to handle your case of melasma. Seek also for recommendations from family or friends that may have undertaken treatments for melasma. In addition, patients need to ensure that the dermatologist handling their cases has the proper training and skills to perform any kind of procedure to treat melasma.