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

Rhinoplasty

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

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

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

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

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

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

1. What are the reasons for getting rhinoplasty?

Rhinoplasty

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

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

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

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

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

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

  • Silicone Implant

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

  • Patient’s Own Cartilage

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

3. What to expect during an Asian rhinoplasty procedure?

Rhinoplasty surgery

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

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

4. How long does rhinoplasty procedure last?

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

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

5. Will there be pain during rhinoplasty procedure?

During the Procedure:

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

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

After the Procedure:

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

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

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

Rhinoplasty recovery

  • 1-2 days after surgery:

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

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

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

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

  • 1-2 week after surgery:

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

  • 1-2 months after surgery:

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

  • 3-4 months after surgery:

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

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

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

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

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

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

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

8. How much does rhinoplasty in Singapore cost?

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

  1. Complexity of the procedure

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

  1. Doctor’s fee and anesthesia cost

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

  1. Facility cost (operating room etc.)

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

  1. Medication, and follow-ups.

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

9. Is rhinoplasty covered by insurance?

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

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

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

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

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

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

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

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

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

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

How Thermage Can Solve Your Sagging Skin Woes

treated beautiful woman

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

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

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

Types of Non-invasive Face Lifts

Facial treatment

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

  1. Thread lift-based Non-invasive Face Lifts

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

  1. Filler-based Non-invasive Face Lifts

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

  1. Energy-based Non-invasive Face Lifts

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

  • radiofrequency 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
  • A hassle-free and convenient procedure
  • Can be easily performed
  • Guaranteed safe (FDA approved)
  • An effective form of treatment
  • Results to a natural-looking, firmer skin
  • Also makes the skin appear smaller and slimmer

How does Thermage work?

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

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

What does Thermage treat?

Thermage has FDA approval to treat:

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

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

Candidates for Thermage

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

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

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

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

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

How much does Thermage cost in Singapore?

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

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

What to expect during Thermage treatment?

Thermage treat

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

Is it painful?

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

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

How many sessions are required to achieve desired results?

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

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

What results should I expect?

treated beautiful woman

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

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

What about downtime and side effects?

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

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

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

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

Where can I get a Thermage facelift in Singapore?

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

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

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

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

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

  1. Communication is the key.

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

All You Need to Know about Double Eyelid Surgery in Singapore

Double Eyelid Surgery

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

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

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

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

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

Why don’t I have double eyelids?

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

Getting double eyelids without surgery

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

1. Double eyelid tape or glue

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

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

2. Plexr plasma soft surgery

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

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

Types of double eyelid surgery

Double Eyelid Surgery

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

1. Non-incisional surgery (stitching)

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

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

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

2. Incisional surgery (cutting)

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

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

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

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

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

How the double eyelid surgery is done

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

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

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

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

Longevity of the double eyelids

Double Eyelid Surgery

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

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

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

Scarring and other side effects of surgery

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

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

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

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

Recovery after the surgery

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

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

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

Cost of double eyelid surgery in Singapore

Cost Singapore

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

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

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

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

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

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 have 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 at 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

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Threadlifts in Singapore cost around $2000-5000 per session. The price can vary across a few factors, such as the type of thread used and the experience of the doctor performing the procedure. Patient specific factors such as skin laxity might also be taken into account when pricing the procedure.

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 to 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 keep 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 very little downtime after the procedure. Since the procedure is done under local anaesthesia, instead of general anaesthesia 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 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 for the alternative. There is also less anaesthesia 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 improve 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 anaesthetic 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.

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 traditional facelift surgery. Faster recovery time is another important factor that makes 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.

Price

For a full-face threadlift, expect to pay anything in the region of $2000-5000.

The cost depends on several factors, such as:

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

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

Breast augmentation

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Breast augmentation in Singapore costs around the region of $2000-2500. While breast augmentation is an invasive procedure, it is generally a straightforward procedure and costs are quite standard across the board. If the price is higher than expected, it is usually because of the clinic you chose and the post-operative care that they offer.

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 centre for plastic surgery.

Korea is considered as the global centre 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 in 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 anaesthesia 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 anaesthetic 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 intense heat to the fat cells, the patient may have to experience pain that increases as the intensity of the HIFU are 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 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 the 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

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Freckles removal treatment in Singapore costs will vary based on the treatment you choose. Bleaching creams cost around $20-40. Chemical peels cost between $150-300. IPL costs around $200-300 per 100 shots. Laser treatments have a price of around $150-300. Cyrosurgery is the most expensive, with prices around $400-800.

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 are 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 marked 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. 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.

Rosacea: causes, symptoms, and treatments

Worry face

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Rosacea removal laser treatment cost in Singapore is usually around $100-500, depending on the procedure you're considering getting. For a Q-switch laser treatment, expect to pay around $100-250 for the entire course. This might vary due to the severity of your facial pigmentation, so getting a proper diagnosis is important. Picosecond laser treatments uses a more advanced technology and would generally cost $200-500 for a full course. For topical remedies, expect to pay between $50-100 for the medication. Also, a doctor's consultation fee would usually add to the total cost as well.

Rosy cheeks or a natural blush can look aesthetically pleasing. When pimples, skin irritation, and spider veins accompany it then that is a whole new and different story.

Rosacea is a skin condition that is common to individuals of Celtic and European lineage but can also affect people of Asian descent.

Some famous international artists, celebrities and personalities that suffer from rosacea include Princess Diana, Prince William, Bill Clinton, Cameron Diaz, Renee Zellweger, Sam Smith and Rembrandt.

If you have noticed redness on your skin that would not go away, this may be a hint of rosacea. This skin impurity is more obvious on the faces of persons with fair skin. Reports on rosacea experienced by people with darker skin is less, most probably because it is not easily detected as the colour of the skin masks its existence.

You may have stumbled on this article in an attempt to search for more information or a cure to rosacea. You are on the right track, as this piece is dedicated solely to this red-hot topic.

What is Rosacea?

Rosacea is a chronic condition characterized by inflammation on the skin. The surface of the skin may feel hot, prickly, or itchy, coupled with a flush of redness, and sometimes the appearance of pustular acne. Rosacea normally develops in people over the age of 30 and is more common in women than men.

What are the causes of Rosacea?

There are several causes of Rosacea. The most popular instigators of this condition are:

  • Alcohol
  • Food
  • Disorders in the Immune System
  • Genetics
  • Ultraviolet Light

Alcohol. Excessive consumption of alcohol over a long period of time can result to developing phymatous, or excess tissue, which is one of the primary symptoms of rosacea. Alcoholic beverages more often than not cause the face of a drinker to redden that may eventually lead to trigger a flare-up of rosacea.

Food. Some patients have developed rosacea after eating certain foods. The most notable commonality among all reported food triggers is spicy food.

Disorders in the Immune System. The immune system is responsible for protecting the body from diseases. It develops antibodies that attack and kill bad bacteria that cause different kinds of sickness. However, there are times when the body’s immune system overreact and excessively produce these antibodies. This overproduction often leads to the cells’ attack on the body, when it should be protecting it. Rosacea can be a result of this abnormal occurrence.

Genetics. Some studies have shown that rosacea can be passed on through generations of families that have a history of the skin condition. However, there is no concrete evidence that the illness is formed by genetic incompatibility.

Ultraviolet Light. Exposure to the sun’s UV rays can cause extensive damage to the skin. The ultraviolet light can still get through the clouds during overcast days. When the skin remains unprotected, the UV light can bring damage to the skin’s capillaries, causing it to redden and develop spider veins, which is a symptom of rosacea.

What are the symptoms of Rosacea?

Rosacea skin

There are various symptoms of rosacea. A few of these symptoms may sometimes be similar to, but should not be confused with acne.

  • Blemishes
  • Burning or stinging of skin
  • Dry skin
  • Eye redness
  • Pimples (papules and pustules)
  • Redness of face
  • Red patches on the face (plaques)
  • Skin thickening and sensitivities
  • Spider veins
  • Strawberry nose

The most obvious sign that a person is suffering from rosacea is the face’s reddish colour. This may be prominent on the chin, cheeks, forehead, and nose. The face may experience an occasional that may immediately disappear. This may not be a rosacea symptom. Stubborn redness that remains and flares up when exposed to further triggers is a typical onset of rosacea.

As mentioned, rosacea can be misdiagnosed as acne due to hard and soft pimples that can sometimes surface on the skin along with other symptoms. Some patients have mistakenly used treatment for acne on their skin that is plagued with rosacea and ended up making matters worse as the treatment caused dryness and irritation to the skin. It is best have a dermatologist check on the skin’s condition for it to be diagnosed and treated accurately.

Strawberry nose or rhinophyma is another symptom of rosacea. This causes the skin on the nose to swell and thicken, giving it a reddish hue and a shape that is similar to a strawberry. Pustular pimples usually cause this to occur.

Another cause of rosacea is damaged blood vessels that surface on the epidermis looking like spiders, hence the earning the name spider veins. This may sometimes appear in bluish or purplish colour.

In addition, it is important to note that rosacea does not only affect the skin but also the eyes. Rosacea can be identified when the eyes are unusually red and this redness is accompanied by itching and swelling.

What are Rosacea triggers that should be avoided?

The following are probable rosacea triggers that should be avoided:

  • Alcohol
  • Cold weather
  • Coffee and tea
  • Heat
  • Some cosmetics and medications
  • Stress
  • Sun exposure

Sun exposure

For women, one trigger that cannot be avoided is menopause.

Is Rosacea contagious?

Fortunately, this skin condition is not contagious.

Which parts of the body does Rosacea affect?

Rosacea commonly affects certain parts of the face such as the cheeks, eyes, forehead, chin, nose, and ears. Facial pores may be larger when affected with rosacea. Rosacea is not only reserved to the face and may also develop in other parts of the body.

What are the types of Rosacea?

There are several types of Rosacea. The table below outlines the definition and possible treatments for each kind for easier reference.

TYPE OR ROSACEAINDICATIONS
Erythmatoteangiectatic rosaceaRedness and the appearance of spider veins on the cheeks, forehead, and lower part of the nose.
Ocular rosaceaBlurry eyesight, bloodshot eyes, itchiness, watery eyes, and sensitivity to light.
Papulopustular rosaceaHard pimples that feel like burning or stinging on the skin.
Phymatous rosaceaSkin thickening that is generally found on the nose. Sometimes this may also develop in the other parts of the face, such as the cheeks, ears, and forehead. Spider veins may also be present in these areas.

Is there a permanent cure for Rosacea?

A permanent cure for rosacea, sadly, has not been found. Symptoms may, however, be controlled and managed by dermatological treatments and medications. The type of treatment will depend on the kind of rosacea that a patient has. When the condition responds positively to a certain treatment and is successfully removed, patients should make changes in their lifestyle that would improve the skin’s health.

What are the treatments available for Rosacea?

Rosacea skin before-after

Rosacea treatments may vary on the kind of skin condition that a patient has. Likewise, the response to treatment may differ from person to person. Administration of medications and clinical procedures must be under the supervision of a medical professional.

Below are the treatments that can be done to eliminate rosacea:

SYMPTOMSTREATMENTS
Erythmatoteangiectatic rosacea
  • Brimonidine (Topical Gel)
  • Clarithromycin
  • Oxymetazoline hydrochloride (Topical cream)
  • Broad Band Light (BBL)
  • Intense Pulsed Light (IPL)
  • Pulse Dye Laser
Ocular rosacea
  • Cyclosporine (Eye drop or oral medication)
  • Eye lubricants (Artificial tears)
  • Metronidazole (Topical Gel)
  • Steroids (Topical ointment)
  • Tetracycline (Oral medication)
Papulopustular rosacea
  • Azelaic Acid (Topical Gel)
  • Benzoyl Peroxide (Topical Gel)
  • Isotretinoin (Oral medication)
  • Ivermectin (Topical cream)
  • Metronidazole (Topical Gel)
Phymatous rosacea
  • Carbon Dioxide (CO2) Laser Surgery
  • Electrosurgery

When should I consult a doctor?

Individuals should seek a doctor’s advice when either of the symptoms is present on the face for an extensive amount of time. Do not stall treatment on its onset as this may only aggravate the symptoms and lead to a more severe condition. Self-medication is also a big mistake as, without the proper guidance of a health professional, the medications can only flare up rosacea.

Feel the Peel: your guide to chemical peel treatments

Facial Chemical Peel

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Chemical peel treatments in Singapore cost around $150-300 per session. This price might vary due to factors like the clinic or doctor you choose to go for. There might also be slight variance in the price caused by factors such as the size of your treatment area, number of areas targeted and severity of your condition.

The skin is the primary source of protection our body has. It is the largest external organ of the body. It serves as our covering, keeping unwanted germs that can cause illnesses from penetrating through our body.

Fun fact: the body replaces 30,000 to 40,000 old and dead skin cells every single day!

The dead skin cells that the body discards rests on the top layer of the epidermis. When these cells are not removed completely and get stuck on the surface or within the layers beneath the skin, they can cause a build-up of bacteria, which can result to skin irritation and swelling. Aside from the regular washing and cleansing of the face, exfoliating is also recommended to ensure that the dead skin is eliminated from the face to enable the new skin to resurface.

Exfoliation can be done physically or chemically. This article will focus on the different exfoliation methods using chemical peels.

What is Chemical Exfoliation?

Chemical exfoliation is the removal of dead skin cells with the use of gentle acids or enzymes from fruit. Exfoliation has been used since ancient times, dating back to the era of the Grecian, Egyptian, and Roman empires.

What are Chemical Peels?

cosmetics

Chemical peels are a combination of different substances like glycolic, salicylic, and lactic acids that may be done by individuals at home (home peels) or administered by a dermatologist (professional peels). The peels are applied to the surface of the skin. As the active ingredients in the chemical peels work, the dead cells are rid off, allowing the collagen and new cells to form.

Home peels have acids that are less concentrated as compared to professional peels. Due to its gentler components, home peels may not be able to give the skin the same results that professional peels offer. Home peels, despite regular use, are not able to address skin impurities that go deeper into the dermis.

What are the skin impurities that Chemical Peels treat?

Chemical peels can treat different kinds of skin impurities, such as:

  • Acne
  • Hyperpigmentation
  • Excess facial oil production
  • Fine lines
  • Mild wrinkles

What are the different kinds of Chemical Peels?

There are several kinds of chemical peels available that are used specifically to treat certain skin conditions. The table below enumerates each.

 TYPE OF

CHEMICAL PEELS

DEFINITIONPROSCONS
Alpha-Hydroxy (AHA) PeelGentle acid peels in the form of lactic acid, glycolic acid, and mandelic acid.

This type of superficial peel works by separating the dead skin cells on the topmost layer of the skin, allowing for its easier removal.

Can address acne that is mild to moderate in severity.Results are short-term and are more prone to side effects.

Skin discolouration may also happen, especially to those with darker skin tones.

Beta-Hydroxy Acid (BHA) PeelRecommended for people who suffer from acne.  BHAs are oil-soluble and are stronger than AHAs. The active ingredient used in BHA is salicin.

BHAs work by seeping deep into the pores of the skin, breaking impurities, and eliminating them as the old skin is replaced.

BHAs have antibacterial properties that help cleanse and suppress skin inflammation. It is recommended for an individual with oily and acne-prone skin.

As compared to AHA peels, patients can expect to see minor peeling and skin discolouration after use.

Salicin, which is the active ingredient and is also found in aspirin, may cause side effects for people who are allergic to aspirin.
Jessner’s PeelJessner’s peel is a mild solution that is a combination of lactic and salicylic acid.This chemical peel is perfect for treating uneven skin tone brought about by hyperpigmentation. It is also effective in purging clogged pores and addressing mild acne.Not recommended for individuals who are allergic to aspirin due to the salicylic acid content.
 Phenol PeelUses carbolic acid and penetrates through the deepest layers of the skin.Produces remarkable improvements for moderate to severe wrinkles.People with extremely sensitive skin are advised not to try this chemical peel as it can cause burning and skin scarring.
Trichloracetic Acid Peel (TCA)TCA peels saturate the layers beneath the surface of the skin and effectively rid the skin of imperfections.Improves hyperpigmentation and acne scars.

TCA peels are also effective in improving symptoms of ageing.

This chemical peel may cause swelling, bruising and scarring.

Requires a few days of downtime to allow the skin to recover.

 

Should I do a home or a professional chemical peel?

Facial Chemical Peel

Choosing whether to do a home or chemical peel will depend on certain factors, such as the kind of skin condition you want to address, costs, and downtime. Home peels are cheaper compared to peels done in clinics. At the same time, it saves you time as you can do it at your own convenience. However, home peels are milder compared to professional peels and may produce minimal outcomes when the treated areas concern the deeper portions of the skin. Likewise, improper use of these solutions may worsen your skin’s current state.

Chemical peels produce more efficient improvements, but they may require several days for rest and healing of the skin. They are also costly and may involve more risk and side effects since the solutions used contain stronger and more concentrated acids.

What are precautions when considering chemical peels?

People with skin that is hypersensitive are advised to steer clear of chemical peels, as this can trigger skin allergies. Likewise, those who are diagnosed with psoriasis and dermatitis can only aggravate their skin condition with peels. Skin that is raw from sunburn or tanning should not undergo chemical peels as well.

What is expected after a chemical peel?

Redness and minor inflammation may be present after an application of a chemical peel solution. As the peel works to slough the dead skin off, expect dryness and flaking in the coming days. This should not last more than a week.

When all the dead skin is eliminated, new skin will resurface. For professional chemical peels, improvements like the reduction of fine lines and wrinkles can be expected. Acne sufferers can expect to see their skin clear up gradually. Devoid of any bad reaction to the chemicals, patients can enjoy glowing and radiant skin.

What are some tips in caring for the skin after a chemical peel?

Face care

The skin needs to be treated gently after its exposure to a chemical peel. Facial scrubs or cleansers that also contain acids such as AHA, BHA, and retinoids should not be used as they may irritate the skin as it is healing.

Always remember to use sunscreen, even when indoors, to avoid developing hyperpigmentation. Be extra vigilant in protecting the skin from sun rays and use hats or umbrellas whenever there is a need for you to step outdoors under the heat of the sun.

Since the skin will be very dry, apply moisturizers to keep it hydrated. The skin should also not be exposed to saunas and steam, as this will only add to its dryness.

Keep hands off the face when the skin begins to chap off. Picking on scabs can lead to infections, pigmentation, wounding, and scarring of the skin. Allow the dead skin to fall off naturally.

Can chemical peels be done consecutively?

An interval of three weeks to a month is advised when getting chemical peels. The time between treatments is crucial to give the skin ample time to heal and regenerate new cells.

How many sessions are needed to be able to achieve optimum results?

Achieving optimum results with the use of chemical peels will depend on the severity of the skin’s condition and the type of acne scar treatments used.  It is best to consult with an aesthetic practitioner to be sure that your skin is getting the proper care it needs.

Aesthetic treatments to reduce facial scars

Fractional laser

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Facial scar removal treatments in Singapore cost between $150 to $1400, depending on the treatment you choose. Chemical Peels for acne scars cost $150 per session. Dermal fillers cost around $1,400. Laser treatments are the most effective but cost around $300 to $1,500 (3 sessions required). Subsicion for acne scars costs around $150 to $350 per session (multiple sessions required). Punch excision costs $250 to $400 per session (multiple sessions). The combination of treatment types depends on the types of acne scars on the patient's face (boxcar, rolling, ice pick scars).

Our body has an amazing natural ability to heal and close up wounds. However, it is not always that the skin is restored to its original state. Scarring may sometimes develop.

Scars, especially those on the face, can be unsightly and cause low self-esteem for some people.

Cosmetic makeup may help in covering up subtle scars, but those that protrude or are deeply set in the skin can still be visible despite layers of concealers. If you are tired of spending so much time in front of the mirror just to hide scars with the use of tinted creams, worry not! There are available treatments you can turn to in order to improve the appearance of those dreadful scars!

Before diving into treatments, let’s look learn more about the definition, causes, and types of scars.

What are the scars?

Acne scars

Scars are permanent marks left on the surface of the skin after healing from an injury. As a wound heals, collagen fibres in the skin work to form scar tissue. The scar tissue that eventually closes the wound is not as supple as compared to undamaged skin. Scars can be raised, depressed, or discoloured spots on the skin.

What are the causes of scars?

Scars are actually a result of the healing of inflammations or lesions caused by damage to the skin. Lesions can be in the form of blisters, burns, cuts, and even pimples.

What are the types of scars?

Scars come in various colour, forms, and shapes. The table below differentiates each type of scar according to its composition.

TYPE OF SCARDEFINITIONFORMCOLOUREXAMPLES
FLAT PIGMENTED SCARSAs the name suggests, this scar is flat and is neither dented nor raised.Flat on the surface of the skin.The colour of flat-pigmented scars is different from the skin’s natural tone. It can either be a darker shade of brown, black, red, or white.Can be caused by any form of cut to the skin.
INDENTED SCARSThese scars are depressed or sunken in the skin and are caused by the body’s poor production of collagen.Shallow or deep pits on the skin’s surface can identify indented scars.The colour of indented scars can be dark brown or red.Indented scars result from abrasions caused by acne and chickenpox.
RAISED SCARSThese scars result from the body’s excessive production of collagen.

Raised scars are also known as Hypertrophic Scars.

Raised scars protrude from the skin but only stay within the area, which the wound existed prior to healing.The colour of raised scars can likewise be dark brown or red.Can be caused by any form of cut to the skin.
KELOIDSThese scars are thick and are developed when the body heals a wound in an aggressive manner. They are common in Black, Chinese, and Hispanic lineage.

Keloids may sometimes be itchy and bring discomfort to the skin.

Dense, irregular, and protruding scars can identify keloids. Not to be confused with a raised scar; keloids go beyond the outline of the wound.The colour of the keloids scars is red.Can be caused by any form of cut to the skin.

 

What are the common facial scars?

Most, if not all, of the scars on the face, are from traumas to the skin caused by acne. Acne is a skin inflammation that can be cystic or pustular. When the acne pimples are not allowed to heal naturally (e.g. popping or pricking them), the skin gets damaged. As the skin heals, scars may develop deep into the skin or wide on the surface of the skin, depending on the depth and width of the wound caused.

Acne scars may be categorized into 3 kinds:

  • Boxcar scars
  • Ice pick scars
  • Rolling scars

Boxcar scars are depressed scars that have a wide opening and defined edges. Icepick scars have a small opening and go deeper into the skin. Rolling scars are similar to boxcar scars, depressed, but the edges are round and askew.

What are the treatments available to address facial scars?

Fractional laser

The aesthetic industry has been proactive in developing various methods that can improve scars on the face. Patients have more choices to choose from that can fit their specific needs and even their financial budget.

These are some of the facial scar treatments available:

  1. Chemical peels
  2. Corticosteroid injection
  3. Dermal Fillers
  4. Punch excision or grafting
  5. Laser treatments
  6. Radiofrequency microneedling
  7. Subcision

Chemical peels work with the use of concentrated fruit enzymes or gentle acids that are combined and applied to the face. The solution targets to exfoliate and rid the outer layer of the skin from dead skin cells by peeling them off, allowing new cells to resurface.

Corticosteroid injections are anti-inflammatory and antipruritic solutions that are used to treat keloid scars. Corticosteroids are injected directly into the keloid scars.

Dermal fillers are gel substances that are injected into the skin to elevate broad and shallow scars.

Punch excision uses a tiny hole-punching tool that cuts the skin around the scar. The wound from the cut made is then stitched closed and allowed to heal for a week before the sutures are removed. Punch grafting involves a similar technique. However, a piece of skin that is taken from a different part of the body is replaced into the hole and stitched closed to heal.

Laser treatments use energy-charged light beams that are administered to the scars. The beams penetrate through the skin, reaching the depths and stimulate collagen production that helps in skin resurfacing. There are several laser treatments available and each has a certain setting that is best for a specific type of scarring.

Radiofrequency microneedling is a technique that utilizes tiny needles that puncture repeatedly through the skin. The needles distribute heat energy that promotes collagen production, which then progresses to the reformation of the scar.

Subcision is used for depressed scars that are indented into the skin by fibrous scar tissues. A small needle is used to puncture through the skin and release the hold of the fibrous scar tissues. Production of collagen is then activated and this helps push the skin to the surface as it heals.

How do I know which facial scar treatment will work best for me?

The best way to know which of the scar treatments will work best on a patient’s face is to see an aesthetic professional for a consultation. The doctor will need to do a thorough assessment of your face to see the condition of the skin. There may be more than one kind of scarring present, so a combination of treatments may be recommended.

Is there any way to prevent facial scarring?

Face treatment

As they say, “prevention is better than cure.” And yes, there are ways to prevent facial scarring. An individual’s top priority is to always take good care of the skin. Have a skincare regimen that is gentle to the skin. Whenever your skin encounters a breakout of pimples, avoid touching or popping them.

In addition, wounds on the face should be allowed to heal naturally. Never peel off scabs prematurely as this can lead to permanent scarring when the flesh beneath has not healed completely.