Dr Elias Tam

To address your concern, no one can guarantee no complication. Doctor-run clinic would,however, more careful as the doctor may loss his/her licence if he/she did not do the proper care. The doctor should also be the one doing the hair removal according to MOH/SMC's guideline. It may not be the same if the treatment is done by a non-doctor personnel. As for doing it in a salon, the risk will be on you. Let me explain. There are many causes for excess hair. It might due just genetic in which some people are just more hairy.

To answer your question, it will depend on the context that you are referring to. If you are hoping to achieve reduction of large amount of weight lost or major reduction of fat, non-surgical fat reduction is the wrong option. The correct way to reduce large amount of fat is diet and exercise, provided that there is no underlying medical condition causing weight gain, such as hypothyroidism. Surgical liposuction is able to remove several kilogram of fat in one session, highly effective and of lasting result.

Presuming that it is syringoma, I believe you know by now that syringoma is a benign growth from the sweat gland. Did it grow back again after CO2 or it did not improve at all? If it did not reduce at all after laser, you might need to burn it deeper. Although CO2 laser helps to vapourise it, it may regrow again, unfortunately. Some find that the result may last longer if we burn deeper but it also increases the risk of scarring as a result of excessive burnt, especially if you mentioned that you have a lot of it. Microneedling is not useful and there is no point doing it again.

It could be an infected acne. I would suggest that you quickly bring your daughter to see a doctor for a proper assessment. Delayed treatment may result in more scar. Depending on the severity, treatment could include topical medication, injection or surgical removal. The tea tree oil is clearly not working.

May I know why are you undergoing regular extraction facials? If you are having issue with comedone and acne, it might not the right time to do subcision and filler for your scar. Extraction may not be a good solution for comedone control as well. Frequent extraction increases the risk of more scarring and may also cause inflammation or infection if not done properly. It will be important for you to have the proper treatment to control your comedone. It may be topical or oral medication, chemical peel or laser therapy.

Good that the discoid eczema of your daughter is under control. In any case, Laser treatment may trigger or aggravate eczema,including discoid eczema. This could be due to the irritation from the laser itself or the scratching of the itch after the treatment. Darker skin may be more prone to irritation as well. Sun exposure or other activities (before or after the laser treatment) that cause dryness or darkening of the skin would certainly increase the risk.

It must have been frustrating to be going for facial for years and not get results. To address any skin issue, the first step is to get the correct diagnosis. It might be important for you to have a proper consultation with a doctor to confirm that you are having clogged comedones and not some other conditions that look the same. If it is comedone, what are contributing factors and how is your skin condition. Not all small lumps are comedones. This is important as it will determine the skin care products that will be suitable for you. There are also many possible causes for comedone.

You are quite right that genetic and hormonal reasons are the 2 more common causes for acne. At the same time, there are also other possible causes that may have aggravated your conditions, making your treatment less effective. While Isotretinion and hormonal treatments are both highly effective, these 2 treatments are often done in combinations. First to prevent pregnancy while on isotretinion, second to potentiate the result. Once the acne is under control, I may remove the isotretinoin once it achieve the targeted dosage based on your weight.

There are various cases for skin redness and sensitivity. How long have you been having this issue? It might be skincare products which you could easily avoid by replacing them with the correct ones. It might also be due to medical conditions that are more serious and can only be diagnosed with further evaluation. Do go and get a proper consultation. As for the bumps on your face, there are many options available to get rid of them. More importantly, you may want to figure out what triggers it. Try to recall how long have you been having it.

Did you remove one or 2 moles? There seems to be 2 scars. One of them seems to be having a regrowth of the mole. You can either wait or try some of the treatments (Fractional CO2 laser, scar cream) suggested. If all else failed, you may even try to excise the scar. It may convert the round scar to a line which is less obvious. There is of course other risks like any procedure. Sit down with your doctor for a better understanding. In the meantime, stay positive and stay happy!

Before choosing the laser, we should first find out what is the pigmentation that you are having. Different pigmentation response better with different laser. Once that is done, you can then consider what is the best form of treatment. It might not even be laser! It will be too long to go into the various treatment here. You will need to have a proper consultation and assessment before discussing the treatment plan.

Understand that you have already been on isotretinoin for 2 months for your acne problem. The question on if you are suitable to start on any treatment for your acne scar would depend on several factors. First of all, is your skin getting more sensitive? If you find that your skin get red easily and is more fragile to scratch, it will be important to be more careful as the healing of your skin might be affected. Second, how is the condition of your acne now? Is it well controlled or are you still getting new acne?

So sorry to hear about your bad experience with Botox to your lower eyelid. Depending on the condition of your skin and lower eyelid, there are some possible treatments that could help to reduce the severity. It will be important to have a proper assessment to ascertain the situation & skin laxity. Filler is useful if there is some volume lost or to create the aegyo sal to give it some expression of smiling (since it is now too paralyzed). But if the muscle and skin in eyelid is too loose, putting in filler might just give you an eyebag instead!

Beside the option of injecting steroid, the hypertrophied scar may also benefit from fractional CO2 laser to remodel the tissue, to improve on the texture and look. The colour of the skin is the one concern that is more difficult to recover. You may also want to know about the potential risks of both steroid injection (thinning of skin or a depression if injected wrongly) and Fractional CO2 laser (post inflammatory hyperpigmentation, redness, infection) before doing the treatment. The number of sessions sessions need for either treatments may vary between individuals.

The idea of Micro-needling is to create controlled injury that triggers repair and collagen remodeling. That said, there will be injury to the surface of the skin. The severity depends on the extend and depth of penetration. If not done properly, you are risking infection, scarring and other complications such as hyper-pigmentation. Even in the best of hand, such complications can still occur, and knowing how to minimise & treating them are important. I cannot imagine how a non-medical set-up could understand these issues and manage them.