Dr Jiwei Wu

It seems like you have inflamed acne with post inflammatory erythema (PIE) and post inflammatory hyper pigmentation (PIH). There are many treatment options for acne and usually a combination approach will give you the best result. Topical cream (retinoid/ antibiotic) Chemical peel Carbon laser Oral medication (antibiotic/ isotretinoin/ birth control pill etc) It is important to control the acne eruption first so as to reduce potential scarring. Speak to a doctor to find out what is suitable for you as the treatments have their pros and cons.

Hello TH, It is unusual to have a breakout after rejuran treatment. However if you are acne prone and have sensitive skin, any treatment to the face may result in breakout. You may benefit from a short course of oral antibiotics after the treatment if it happens to you again. Speak to your doctor to find out more. All the best!

Hello Allan, There are so many treatments available right now and ultimately it is down to the type of acne/ acne scars you have and the downtime you can tolerate. The treatment plan should be customised as everyone has different type of scars. Generally I will recommend TCA cross for ice pick scars, Fractional laser/ Microneedling RF for box scars, Subcision with filler for rolling tethered scars and Rejuran microinjection as a supplement to scar treatment. The treatment for active acne depends on the type and severity of the acne.

Hello KK, Facelift treatment can be divided into surgical and non-surgical. In general, people with severe skin sagging will benefit more from surgical options while people with mild to moderate sagging can consider non-surgical options first. There are many non-surgical facelift treatments in the market right now: 1. HIFU - best result in 1 to 2 months time and can last 9 to 12 months. 2. Threadlift - immediate result and can last anywhere from 9 to 18 months depending on the type of thread used. 3. Filler - immediate result if injected in the right position.

Hello TH, Rejuran is a very good product that I like to use for skin rejuvenation and repair. It is usually done 3 to 4 times 3 to 4 weeks apart for the best result. It is suitable for all skin types and there is minimal downtime to the procedure. Hope this helps!

Hello TH, Skin booster helps to hydrate the skin while rejuran helps to repair the skin. Rejuran as a skin healer has anti inflammatory properties and it will be the more suitable product to reduce skin redness. It is also suitable for all skin types. Rejuran can even be combined with certain skin boosters to get the best of both products.

Hello Suki, I believe Acnexel is a type of microneedling radio frequency treatment which can help to improve acne scarring through collagen stimulation, and improve acne through killing acne bacteria and reducing sebum production. This kind of treatment may trigger acne outbreak in some patients, and I will usually cover with oral antibiotics. Topical antibiotic gel can be applied to the inflamed acne papules as well. You should consult the doctor who performed the procedure for you and discuss the options available. Hope this helps!

Hello Renee, There are many treatment options available for comedonal acne. Topicals: Retinoids Benzoyl Peroxide Glycolic acid Salicylic acid Orals: Oral Contraceptive Pills Antibiotics Isotretinoin Depending on the severity of your acne, I usually recommend starting with the topical options. The oral medications can be added to the treatment regime if you are not responding to the topicals. Treatment can be slowly tapered to reduce the risk of recurrence. Speak to a trusted doctor to find out more. Hope this helps!

Hello Tess, You can expect to get some result with a few sessions of subcision, combined with fractional laser resurfacing. You can also consider subcision together with filler placement to elevate the depressed scar. Speak to a trusted doctor to find out more. Hope this helps!

Hello Siti, Hormonal acne usually affects the lower 1/3 of the face (jawline/ chin) and it can be related to menses. From what you have described (increased facial hair and irregular periods), you may want to see a gynaecologist to rule out a condition known as polycystic ovarian syndrome (PCOS) first and it can have other health implications.

Hello Imah Dark eye circle can be due to a combination of factors and it can be treated with injectables like filler (Ellanse) or PDRN (Rejuran). Volume loss Pigmentation Congested vessels Rejuran and Ellanse have their own unique properties. Rejuran is a skin healer that can help with skin repair, improving skin texture and reducing pigmentation. There is Rejuran i that is designed for usage around the eye region due to its lower viscosity. Ellanse is a semi permanent collagen stimulating filler that can help with volume restoration and lifting of the face.

Hello pseudonym Previously doctors were hesitant to do laser/ peels on patients on accutane due to the potential risk of scarring and delayed wound healing. However these teachings were based on 3 small case series in the 1980s. There are studies done in recent years that show insufficient evidence to support delaying treatments such as chemical peels, non-ablative lasers or fractional ablative lasers on patients receiving accutane treatment.

Hello Yannick, TCA cross is an effective method of treating large pores and deep ice pick acne scars. It will help to break down the scars and stimulate collagen formation to lift the deep scars/ pores. There may be slight redness at the treated areas for 1 to 2 weeks. The best result is usually seen 1 to 2 months after the procedure as collagen formation takes time. Most people will need a few sessions and you can expect ~20% improvement after each treatment.

Hello Cherry You can consider adding topical agents that contain salicylic acid or retinoid to your skincare regime and you should be able to see some improvement after 1 to 2 months. You may need a prescription from a doctor for the retinoids (Differin/ Retin - A). I will also recommend doing a series of salicylic acid chemical peel for stubborn comedones. Do consult a doctor first to get a proper skin assessment before you start anything. Hope this helps!