Dr Luping Lim

There are non-surgical methods of jaw reduction or buccal fat reduction. Botox or Dysport injection of your masseters can reduce the size of your masseters to enhance your jawline and give you a slimmer and more V-shaped jawline. However, the effect of the injection lasts about 4-6 months and have to be repeated every 6 months when the effect of the Botox or Dysport wears out.

Usually, when using invasive energy devices like the fractional lasers or fractional micro-needling radiofrequency devices for acne scar treatments, we would advise the patient to wait about 3 months after completing the full course of accutane before starting on any laser treatments.

A simple treatment would be to administer small amounts of dermal fillers, which contain cross-linked hyaluronic acid (HA), to the corners of the mouth. That would be able to lift the corners of the mouth, achieving a less downturned mouth appearance.

Alternatives to IPL and Exfoliating Laser Toning Laser toning is a viable option to IPL and exfoliating for skin whitening. Some of its benefits include: Safe Effective Quick, no downtime Medical-Grade Creams You can also apply some medical-grade creams that contain Hydroquinone or Cyspera, which helps to whiten the underarms. Skin Whitening Products You can apply some skin whitening products, that contain: Vitamin C Arbutin Kojic acid Skin Whitening Lasers There are also skin whitening lasers that can lighten the pigments on the underarm.

Looking at your photos, my suggestions for you are: Treatment with injectable Rejuran S. Rejuran S is a Korean salmon Polynucleotide which is hypoallergenic, with excellent reparative, regenerative and anti-inflammatory, anti-redness effect on post acne scars and redness. It helps to improve and lift your depressed acne scars through the stimulation of collagen cell repair and regeneration. It's anti-inflammatory effect aids in the reduction of post acne redness and inflammation. You will need at least 4 treatment sessions, performed one month apart.

As Rejuran Healer contains larger molecules Polynucleotide (PN) molecules, manual injections would be more effective in delivering these molecules into the skin cells to repair and regenerate the skin. Electroporation is not able to effectively penetrate the large molecules of PN into the skin cells as the device is only able to penetrate small molecule ingredients. I recommend intradermal injections of Rejuran Healer for most effective results.

Thread-Lifts Thread-lifts are usually performed on patients who are in their late 40s to 60s. The best results are seen in this age group. If someone desires to have a uplifted and taut appearance with instant results and does not mind some pain, swelling or bruising for a week or two, thread-lift would be very suitable. Ultherapy and Ultraformer Both ultherapy and ultraformer treatments are suitable for people who are: In their mid 30s to 50s Patient Want a non-invasive, no downtime method of achieving skin tightening.

An excellent treatment option for a combination of rosacea, acne scars and visible pores will be combination of subcision and rejuran. Subcision lifts the depressed rolling and boxed scars by releasing the scar bands which tether and depress the skin. In addition, by injecting Rejuran into the skin, this delivers polynucleotides, DNA and RNA into the skin cells, stimulating and accelerating cell repair, and regeneration of new cells from deep within the skin. Thus strengthening and thickening the skin structure, improving the appearance and reducing the depth of acne scars.

Both chemicals are more effective in helping with acne than acne scars. They help to gently exfoliate the dead cells from the face to prevent them from clogging the oil glands. Glycolic acid can also help to lighten the blemishes and discolouration after the acne has resolved. For acne scars, there would possibly be subtle improvement from the use of higher concentration of glycolic acid peel. However, if you have very deep acne scars, you would probably require treatment with fractional devices and/ or rejuran injections for better results.

Darker-skinned patients can consider the following treatments: Laser treatments Ultracel Q+ HIFU Fractional radiofrequency devices Laser treatments, Ultracel Q+, HIFU and the use of fractional radiofrequency devices can be performed safely on darker-skinned patients to reduce the pore size. The settings applied to the devices are lower than those used for patients with fairer skin. HIFU and Radiofrequency treatment is not colour-sensitive and so it can be performed on anyone, however with slightly modified lower settings for patients with darker compared to fairer skin.

Depressed chicken pox scars are due to the defect in collagen during the healing process and the formation of scar bands tethering the scar resulting in more obvious scar defect. Treatment options available: 1) Scar subcision together with Rejuran S. Subcision releases and frees the scar bands from tethering the skin and allows the scar to lift partially. The further injection of Rejuran S into the scar area while performing subcision allows the the scar area to heal and lift more effectively as collagen formation occurs in the treated area.

I shall take it that the jaw botox was used to attain a slimmer face. Does HIFU Help with Facial Sagging? HIFU does indeed help to improve facial sagging to give a more contoured jawline after jaw botox. What Alternatives are There to HIFU An alternative treatment to HIFU is Dermalift. This involves injecting baby doses of botox into the skin along the jawline to improve jawline lifting and tightening.

There are methods out there that can help with the flushing. This includes: Ultracel Q+ — a latest generation HIFU (High Intensity Focused Ultrasound) with its unique Linear 2mm handpiece. It is comfortable, fast, and pain-free even without the application of numbing cream. Sylfirm (a Silicon Valley micropulsed microneedling radiofrequency device) treatment —They target the tiny blood vessels in the skin to contract or ablate them, thereby alleviating the symptom of flushing.

To my knowledge, Botox treatments do not lead to cracked or aged skin. Your Skin Might be Dry If the skin is indeed cracked, it would most probably be due to the skin being too dry. In that case, you would want to use facial skincare which contains hyaluronic acid or ceramics to rehydrate and moisturise the skin. What to Avoid Avoid acid peels or skincare that contains fruit acids or retinol that would further dry up the skin.

We do not usually treat psoriasis with chemical peels, laser treatments or IPL. The problem with psoriasis is that if the skin is irritated or scratched, it can cause the condition to flare up. Hence, these treatments are not recommended.