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HI! We will all experience resorption of bone and loss of fat pad as we age; so most of us will experience a receded chin! There are generally 2 options. 1. A chin implant with a plastic surgeon 2. Injection of fillers into the chin for augmentation. As I am not a plastic surgeon, I will not be discussing the procedure but do talk to a plastic surgeon if you are keen! Injection of fillers are considered an office procedure done under local anaesthetics (numb cream).
With regards to your question: Fractional CO2 lasers generally penetrates deeper than Erbium lasers Fractional CO2 lasers also generally penetrates deeper than Fractional RF devices EXCEPT Microneedle RF machines that can reach a depth of 3. 5mm (only in some machines) which in this case will have a greater penetration depth as compared to Fractional CO2 machines.
Our face is constantly exposed to dirt, bacteria, skin care or cosmetic products. If you don’t clean your face thoroughly, it’s easy for pores to get clogged. The best way to prevent clogged pores is to follow a good daily skin care regimen and exfoliate your skin regularly to remove dead skin cells and excessive sebum.
I agree with the views expressed by the other doctors. Oral steroids have anti-inflammatory effects and can help your cystic acne and rash. However, long term use can cause a lot of other side effects and it is not recommended as the treatment for cystic acne. In fact, with continued use, you may notice even more acne lesions appearing as long term steroid use can aggravate acne. There are many other good treatments available for cystic acne. You should also get your other skin rash examined to determine the cause. While it responds to steroids, it again is not a recommended long term.
These appear to be small box scars and would benefit from skin resurfacing. Needle subcision and collagen stimulators can help complement laser treatment as well. The costs involved depend on the centre you go to but usually starts from 300 and above for a single session of either treatment. Effects are usually seen after 2 to 3 weeks from first treatment since it is dependent on collagen remodelling. Sometimes the results can appear so gradually the individual may not notice any obvious improvement.
Sounds like you’re having more of the oily, acne-prone skin type. For such skin type, please ensure the products you’re using have a line that states “non-comedogenic”. Usually the skincare regime for such skin is very specific, and I won’t recommend you to be too adventurous with trying other products. Papulex, Aknicare products are suitable cleansers, treatment lotions and non comedogenic moisturisers to use on a daily basis. They are very safe and effective for acne-prone skin. Other products that you are intending to try may be on your own risk basis.
Yes you are right in that lasers are effective to a large extent, but certain types of scarring do require more specific types of treatments. Often, a combination approach works best. This guide on acne scar treatment in Singapore covers the most effective treatments for different skin/acne scar types. Price wise, TCA CROSS ranges from about $150 – $300. Subcision depends on the size of area treated. You can get some sense of the price ranges of the other types of treatment in this post on aesthetic treatment and costs in Singapore.
Woah, the question is who is the best at performing subcision? Hard to answer, but generally search for the doctor who has done quite a few of these procedures, and who also possesses good bedside manners. So it’s really your call to research and do the needful. Take care and hope all is well!
Great question. I can only give you my personal opinion, and attempt to break it down for you. For starters, there’s no such thing as a doctor who “specializes in laser treatments”. Yes, there are courses that doctors can take to acquire the license with different types of laser treatments, but essentially any doctor can take them in Singapore. This leaves us with dermatologists and aesthetic doctors. In Singapore, both groups do skin-related aesthetic procedures, such as lasers, botox, treating lines under the eyes, and PIH. Both also manage problems like acne.
Good questions! I agree with Dr Chua’s reply on the pros and cons of Fractional CO2 lasers versus Infini RF. In addition, I would like to address your question on the ideal length of time between subcision and Infini RF treatments. The ideal interval between treatments is 4-6 weeks. This is to allow for adequate skin recovery. Hope that this answers your questions!
PRP at the present moment is not available in Singapore. It does help with acne scarring though, and you might have to go to neighbouring countries to do the treatment (including Malaysia). Having said that, you can consider Rejuran/skin boosters/microneedling that can help in a similar fashion. Your 2nd question on which is better — it depends on the severity and type of scars. But usually Fractional laser is the backbone of laser therapy. So consult your doctor early to discuss the available options.
I know how frustrating it is to face the issue of persistent acne. There is no real evidence that skin gets resistant to topical products but obviously anecdotal accounts would suggest otherwise. To cut it short, it sounds like you might need some oral medications like doxycycline or isotretinoin to improve the acute flares first, while using a appropriate skin regimen. From personal experience myself, when facing a flare we tend to overdo things, be it using OXY 10 five times a day and having chemical burns, or washing our face 10 times a day.
To address your questions: 1. Generally subcision (I assume with some collagen stimulators) will lead to collagen stimulation, and this is also what CO2 laser aims to do. Some experts suggest that an interval of at least 4 – 6 weeks is kept between each collagen-stimulating treatment for optimal results. There is no real good answer – as social downtime and other considerations have to be taken into account by the doctor in recommending the treatments. My personal preference though is not to stretch the treatment too wide apart – 6 months does seem to me to be a little long.
With regards to your question, The number of sessions really depends on 2 main factors: How your skin reacts to the treatment. For some individuals, good results may be seen after 3 sessions whilst others may require 6 or even more sessions. The depth of penetration of the laser. If mild settings are used then more sessions may be required and results may not be as satisfactory. Additionally, as Dr Chua CY has pointed out, combination treatments usually yield more effective results. I personally do not usually just stick with one kind of treatment modality to treat acne scars.
Pores are a major concern for many of my patients and can be quite tricky to treat. Instead of facials, another way to reduce pore size would be through the use of lasers: 1. Carbon laser peel The carbon laser peel is a laser procedure that works together with a thin layer of fine liquid carbon that is applied to the skin. When applied, the liquid carbon penetrates into the pores. As the laser is applied to the skin, the liquid carbon vaporises, reducing the pore size and removing bacteria and dirt along with it. This laser has no downtime and can be done every 2 weeks. 2.