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Perhaps the most difficult issue to deal with in having an existing or past acne condition or even an occasional blemish is the pitting, discoloration and the leftover scars that can seem like they take forever to fade away.
How does an acne scar occur?
Simply put, scars are the result of injury to the tissue. In the case of acne, a build up of bacteria and sebum in the sebaceous follicle causes the injury. The body responds by rushing white blood cells and inflammatory molecules to the damaged cells, which can remain at the acne breakout site for weeks in order to heal the area and prevent infection. After the infection heals, the damaged tissue sometimes does not return to its former state. In severe cases of nodular acne where a larger infection occurs in the deeper layers of skin, there can be tissue loss and permanent scarring. Squeezing and picking at whiteheads, blackheads and pimples can cause deeper infection and injury to the skin as well as damage healthy, surrounding skin causing scarring.
What are the treatments available for acne scars?
This depends on the type of acne scars you are having:
Ice pick scarring
This common type of scaring is usually deep, very narrow and extends into the dermis. The skin surface looks as though it has been pierced by an ice pick- hence the name. Some ice pick scars are large in size and often look similar to an open pore.
Treatments: The appearance of ice pick scars can be improved with fractional ablative lasers such as Er:YAG and CO2 laser. Laser resurfacing is promising because the penetration depth into the skin is more easily controlled with a laser than with other methods. The procedure involves passing the laser over the treatment area 1-3 times and can take just a few minutes for small areas or an hour or more for large areas. Local anesthesia is used. Results can be enhanced by undergoing punch excision (surgical removal of scar followed by suture) prior to the laser treatments.
Boxcar scars are usually rounded or oval shaped depressions in the skin with steep vertical sides. This type of scarring is also very common in acne scarring sufferers. Much wider than the ice pick, they resemble the scars left by chicken pox and are usually found on the cheek area.
Treatments: Same as ice pick scars, better results can be achieved by doing surgical revision like punch elevation prior to the laser treatments. Dermal fillers injections with hyaluronic acids can temporarily improved the appearance of scars but results are not long lasting.
Rolling or “wave-like” undulations across otherwise normal-looking skin is caused by damage under the skin’s surface. These scars tend to be wide and shallow in appearance.
Treatments: Laser resurfacing with Er:YAG can potentially yield a good result for this type of scars. However, those deeper and larger scars might need subcision procedure to enhance the resurfacing effect of the laser. The scar is cut away and unbound from the tissue below, releasing the fibrotic tissue underneath. Collagen and other connective tissues form under the scar, thus leveling it with the surface. Platelet rich plasma (PRP) is an alternative treatment option for acne scar or it can be combined with lasers for a even better result.
Hypertrophic scarring / Keloid scars
Hypertrophic scars are raised from the skins surface and firm in texture. These types of scars are commonly found on the back or chest area of the body but can also appear on the face and neck. Hypertrophic scars usually reduce in size over time. Keloid scarring is a form of hypertrophic scarring that extends beyond the boundaries of the scars.
Treatments: Intralesional steroid injections help interrupt the inflammatory response and the scar is reduced. This can be coupled with silicon gel application to have a better treatment outcome.
Hyperpigmentation refers to the brown dark marks that are left behind after a pimple heals. These marks are not scars, but are often confused with scars because they can last for months or even years before they fade.
Laser Skin Resurfacing with Er:YAG
can reduce nearly all fine lines while significantly improving deeper, more dynamic wrinkles as well as acne & chickenpox scars
RM 300 for small area (<5mm diameter), RM1200 full face.
Are your moles causing you embarrassment? Creating problems when you are applying make-up or shaving? If the answer is yes, then you should consider to get them removed.
Moles can have different appearances. They can be flat or raised; they may look like dark brown spots and also can be yellow or blue. Moles can be confused with other pigmented lesions such as seborrhoeic keratosis. They can appear anywhere on the skin especially on the face, arms and neck. Generally brown moles which are evenly pigmented with a regular outline, no sudden change of colour, size and shape, do not need to cause any concerns. A skin biopsy should be taken for any suspected cancerous lesions.
The removal of moles over the last few decades has always been associated with leaving an unsightly scar due to the use for scalpels and the biggest question a patient faced once given the all clear was is the mole worth removing if it’s going to be replaced by a scar?
Skin tags are outgrowths which look like small pieces of soft, hanging skin. They commonly appear on places where the skin forms creases, such as neck, groin and underarms.
Seborrheic keratoses, also known as seborrheic warts, are commonly seen on elderly or premature photo-aging skin. They are slightly raised, oval shaped brownish scab-like lesions normally found on sun-exposed areas.
Developed in the mid to late 1990’s, the Erbium YAG laser technology was the ultimate development of the ablative resurfacing laser systems, and has remained a gold standard for the removal of wrinkles, moles, cysts, warts, skin tags, lumps and bumps, and for facial skin rejuvenation ever since.
The procedure is very quick and is done under a small amount of local anaesthetia. Multiple skin lesions can be treated at the same appointment. This has been a quantum leap forwards from the traditional method of surgical excision with its stitches, the uncomfortable removal of these several days later, and the subsequent scar formation from cutting.
The Erbium Yag laser ablates the skin lesion leaving the skin with slight redness, this will heal over the next two – four weeks. If you choose you can even go straight back to work. More than one session of treatment may be required for larger and deeper lesions.
After the procedure, you will be given instructions on post procedural care. Antibiotics ointment should be applied 2-3 times a day until the wound dries up. Avoid scratching and peeling of the wound and apply sunblock on the treated area to prevent the formation of post inflammatory hyperpigmentation.
Pores are essential to your skin's health by providing oil to keep skin soft and hydrated. However, you don't necessarily want to be reminded of their existence every time you look in the mirror. Pores are more prominent when they are dilated, infected, or clogged with oil, making them appear larger than they really are. While it isn't possible to permanently "shrink" large pores, there are a number of ways to make them less noticeable.
There are two main factors that contribute to large pores: genetics and age. People who have skin that is naturally thick and oily tend to have larger pores. As people get older, too, sun damage and decreased skin elasticity can cause pores to dilate. The skin thickens, causing tiny cells to collect around the edge of the pores and make them look larger. Comedones such as whiteheads and blackheads are also a big contributor to large pores. When the pore becomes clogged by dirt and bacteria, oil within the pore begins to accumulate, causing the pore's diameter to expand.
How can one improve enlarged pores? The good news is that the appearance of large pores can be greatly reduced in a number of ways.
Cleansing the pores of debris, excess oil, and bacteria will significantly reduce their prominence. This can be achieved by using a face wash with Alpha Hydroxy Acids (Neostrata Skin Active Exfoliating Face Wash) , Beta Hydroxy Acids (Aknicare Cleanser) or Poly Hydroxy Acids (Neostrata Restorative Cleansing Gel). Results can be enhanced by applying Neostrata Oil Control Gel daily and Neostrata Citriate Treatment System weekly.
Stop using skin-care products that clog pores or cause your oil glands to produce more oil. You must avoid products that are too emollient (meaning thick or greasy creams) or that have a creamy texture, as many moisturizers do. If you have oily skin, creamy, emollient skin-care products will lead to clogged pores.
Avoid products with drying, irritating ingredients. Irritating products stimulate more oil production directly in the pore.
Use only gentle, water-soluble cleansers and avoid bar soaps. Drying cleansers hurt the skin's healing process, making red marks from blemishes last longer. If a cleanser causes irritation, it can stimulate more oil production. Regarding bar soaps: The ingredients that keep bar soap in its bar form can clog pores.
Improve cell production to help the pore function more normally. Effective products for all skin types are prescription retinoids, such as Retin-A and Differin. These can be used by themselves or with a BHA product. Research has definitely established that Retin-A and Differin have positive effects on the way pores function, and you should consider these products for very stubborn cases or when blackheads are accompanied by breakouts. Retinoids have anti-aging benefits, too, so they're great for those struggling with blackheads, large pores, and wrinkles.
Use products loaded with antioxidants and cell-communicating ingredients to help heal skin and reduce wrinkles. Giving skin the important ingredients it needs to look and be healthy is critical, but the trick for those with blackheads and large pores is to use only products with a gel, liquid, or very thin serum texture. A well-formulated toner may be all you need twice a day to take care of this need.
Exfoliation is also a key to minimizing the appearance of large pores. This can be accomplished by doing in-clinic treatments such as SilkPeel DermalInfusion and Professional Chemical Peels. Any treatment or products that increase the collagen content of the dermis will improve the size of the pores.
Laser Toning - by using Fotona Q-switched Nd YAG, this gentle, no-downtime treatment is able to reduce unsightly skin blemishes while stimulating the deeper layers of the skin to regenerate more collagen and toning up the elasticity of the skin. That means - your skin will be transformed to have more even skin tone, refined pores and reduced fine lines after a few session of this laser therapy.
Dynamis Resurfacing Laser with Erbium YAG fractional ablative laser. This skin resurfacing laser treatment is for those looking for solutions with a quicker results. Precisely-controlled laser energy penetrates the top layers of your skin to vaporize the scarred, thickened dead skin cells and stimulate the production of new collagen in the deeper layers of your skin. Expect a downtime of 4 to 6 days after this no-nonsense treatment.
Platelet Rich Plasma (PRP) -- a small volume of plasma containing large number of platelets, which are rich with cell-repairing growth factors. This all natural treatment purely utilises your own blood products. Not only it helps minimise your pores, you can expect a much rejuvenated skin with lesser blemishes and reduced fine lines and wrinkles.
A minuscule amount of diluted BOTOX can be injected superficially and evenly across the face. Not only it will smoothen surface fine lines, but also reduce pore size and oiliness of your skin. Some patients even experienced some minor lifting and firming effects after the treatment!
Unfortunately we cannot stop the march of time and stay young forever. As we age, our skin cells begin to lose moisture and less collagen is produced in the dermis (inner layers of skin), which is responsible for the skins firmness. Elastin fibers begin to wear out, while our skin also thins as it loses fat in the subcutaneous layer (under the dermis). These changes combined, cause our skin to sag and wrinkle.
Main factors responsible for the aging of our skin are exposure to the ultraviolet rays of the sun, poor diet, lack of exercise and smoking. The first signs of aging process begin to appear in our late 20s and accelerate with subsequent decades.
Until recently the overwhelming majority of anti-aging treatments involved the use of lotions and moisturizers or extensive cosmetic surgery to improve the appearance of fine lines and wrinkles. Recent developments in aesthetic medicine allow non-invasive or minimal invasive procedures to restore the natural beauty of your skin.
What can we do to improve wrinkles and lines?
By injecting BOTOX into the wrinkle and line affected areas, the underlying overactive muscles causing these dynamic (obvious only when having facial expressions) wrinkles will be relaxed, making them unable to move to the degree they normally are able to. The effect can last about 4 to 6 months.
To erase static (obvious even without facial expression) wrinkles and skin fold such as laugh lines, ‘puppet’ lines and tear trough, hyaluronic acid dermal fillers are the most appropriate treatment option.
Laser toning with Fotona QX MAX can reduce nearly all fine lines while improving deeper, more dynamic wrinkles after several treatments. The overall result is that your skin will not only look smoother and younger, it will feel tighter and more supple as well. It will also remove age spots and various aging-related skin lesions, as well as affect the tone of your skin, giving you a credible and natural, rejuvenated look.
Dynamis Resurfacing Laser is able to smooth the wrinkles and scars, as well as reducing the blemishes on your face effectively. Fotona Dynamis Er:YAG is a fractional ablative laser similar to fractional CO2 laser but with a lesser downtime of 5 to 7 days post treatment.
TwinLight Rejuvenation Laser treatment is one of the popular treatments at My Bliss Clinic. This ultimate skin rejuvenation laser therapy combines 2 lasers: Er YAG and Nd:YAG, in a single, synergistic treatment. You will be able to see the resurfacing results of Dynamis Resurfacing Laser, as well as skin tightening and texture improving effects of Nd:YAG laser.
Platelet Rich Plasma (PRP) injection has been utilized in aesthetic medicine by physicians in various countries such as UK, Japan, Korea and Australia to rejuvenate and slow down the aging process. As it is our bodies’ own physiological product, injection of PRP is absolutely safe, without the risk of allergic reaction.
More than one of the above treatments can be combined to achieve their synergistic effects. Of course no therapy can prevent aging and wrinkles re-appearing with time so a maintenance schedule, managed by our doctor will keep skin looking young.
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