Hi!
Thank you for your question and photos.
From your photos, you have a combination of acne scars - you have depressed scars (ice pick acne scars, box-scar acne scars) and post-inflammatory erythema (red marks) .
It is best to treat these acne scars early and to take pr...
Hi,
Thank you for your enquiry. There are several treatments for your acne scars.
You have mixed types of acne scars consisting of box-car acne scars, rolling acne scars and a few ice-pick scars.
I routinely use a combination of energy-based devices ( CO2 Fractional Laser...
Hi,
Based on your photo, it appears that you have either melasma or solar lentigenes (or both). This requires face-to-face examination for a more accurate diagnosis.
The type and number of treatment sessions will depend on your type of pigmentation.
For most forms of pigm...
Hi,
You have post inflammatory hyperpigmentation due to a burn.
Hydroquinone and Arbutin cream seems to be inadequate to lighten your post-inflammatory hyperpigmentation.
A better lightening cream might be Kligman's formula which consists of hydroquinone and 2 other medici...
Hi,
TCA Cross is a deep chemical peel for acne scars such as deep box-car scars and ice-pick acne scars. Several sessions of TCA Cross might be needed for satisfactory results.
How to Get Good Results from TCA Cross for Acne Scars?
1. Optimise your Recovery
TCA Cross...
Hi!
Fillers can help to correct your slightly crooked nose temporarily.
On average, results of fillers last between 9 to 18 months, depending on the type of filler being used.
Hyaluronic acid fillers like Juvederm, Restylane and Stylage last around 9 to 15 months.
Ot...
Hi!
Your severe acne scars are definitely treatable with the correct combination of acne scar treatments.
Type of Acne Scars.
You have all 3 types of atrophic acne scar types: Ice-pick acne scars, Rolling Scars, Box-car Scars.
Best Acne Scar Treatments in Singapore ...
Hi!
TCA Cross Complications can be minimised if you see an acne scar doctor who is meticulous and precise. I also encourage you to invest in effective post-treatment recovery skin care.
Meticulous technique by your acne scar doctor can help to minimise complications such as ...
Thanks for your close up photos.
You have brown marks (post-inflammatory hyperpigmentation), shallow atrophic scars and enlarged pores on your face.
Best Treatment for brown marks in Singapore - Post-Inflammatory hyperpigmentation
Brown marks (Post-inflammatory hype...
Hi Sha! Good question! The answer is Yes, squeezing whiteheads might cause scarring. I see many patients who developed scars after intense squeezing or extraction of their own white-heads/blackheads (comedones). There are many other safer ways of removing white-heads and black heads. Best t...
You have a combination of rolling scars and boxcar acne scars. From your photo, you do seem to have ice-pick acne scars as well.
I tailor my treatments according to the type of scars that my patients have.
For your Rolling/ Atrophic Scars, the treatments of choice are:
...
Thank you for the close up photo of your chicken pox scar over your forehead.
This is a depressed box-scar type of scar that is moderately deep.
The key to successful treatment of the scar is to combine several effective treatments to target the scar from all angles.
The...
Thank you for your close up photo of your hypo-pigmented burn scar. Fractional CO2 Lasers or INFINI RF can be used as part of a combination of treatments for removing hypo-pigmented scars . This being said, Fractional CO2 Lasers or INFINI RF are more effective for depressed, atrophic scars lik...
Hi,
The best methods to treat boxcar acne scars in Singapore involve a combination of lasers, chemical peels (TCA Cross) and manual subcision with fillers.
Identifying the right treatment for each type of acne scar and using a combination of modalities can yield the best resu...
Adult acne is truly annoying and can be a challenging condition to treat, especially if you have combination or sensitive skin.
The appearance of acne during adulthood can be surprising, especially if you did not have acne in your younger days.
Skin conditions caused by ove...
Good day Danny,
Thank you for your question and close-up photos.
From your photo, you have a combination of scars - rolling scars and boxcar scars. This is how your scar looks from a cross-section.
How effective is INTRAcel RF for deep pitted acne scars?
INTR...
Thank you for your close-up photo. Yes, chemical peels can be used for active acne to reduce clogged pores and treat PIH (post-inflammatory hyperpigmentation). Glycolic acid and salicylic acid peels are the best chemical peels for active acne. They also help to fade PIH. Chemical peels which ar...
There are several effective acne scar removal options for the depressed scar on your nose.
In my experiences, a combination of scar removal treatments will give you the best results.
The most suitable treatments for your depressed scar are Fractional CO2 Laser, Subcision + ...
Sorry to hear that your Q-switched treatments have been ineffective for your acne scars and hyper pigmentation.
From your photo, you have Depressed Acne Scars like Ice pick scars. You also have Post-Acne Erythema (Redness).
Q-switched Nd:YAG nanosecond Lasers are good lase...
My advice is to achieve good control of your acne before we start scar treatments.
To achieve good control of your active acne, you would most likely need to restart isotretinoin. If this does not help, you might need other treatments like chemical peels and Hydrafacial for be...
It is good that you are seeking help for bad cystic acne!
You are right, Isotretinoin (Acnotin, Roaccutane, oratane) is a very effective treatment for your cystic acne. Most patients would improve on low dose isotretinoin after 3 months of treatment. It is extremely important ...
Oh dear! I'm so sorry to hear that your acne breakout has left several scars. You are absolutely right in seeking treatment for your scars early.
Rest assured, you can treat and improve ice pick scars with these effective treatments.
These are the common acne scar/ i...
You have combination of boxcar scars and ice pick acne scars in addition to large pores. Rest assured, you can treat and improve your scars with these effective treatments. These are the common acne scar/ ice pick scar treatments in Singapore: TCA Cross Subcision +/- Filler (hyaluronic acid/ ...
Dear Mw1212,
The red acne marks are called post acne erythema or post inflammatory erythema.
Lasers can be used to treat these marks to lighten the red marks faster.
I recommend Pulsed dye lasers or Copper bromide lasers to treat this condition.
Each type of vascular l...
Dear Mw1212,
The red acne marks are called post acne erythema or post inflammatory erythema. Lasers can be used to treat these marks to lighten the red marks faster.
It is important to use the correct types of laser - Vascular lasers to treat these conditions.
I recommend ...
It seems like you are still having moderate Acne despite trying different facial products.
Face wash and scrubs are an essential part of Acne control. In particular, face wash and scrubs that contain AHAs (alpha hydroxy acids) like Glycolic acid help to reduce acne and control...
Melasma is a challenging condition to treat.
This is because there are multiple causes of melasma including sun exposure, hormonal causes (pregnancy, contraceptive pills) and genetics.
It is good that you are doing your best in wearing sunscreen and using the necessary sun ...
You have a combination of papulo-nodular acne and post-inflammatory hyper-pigmentation (PIH) which are the dark acne spots. I suggest treating your Active Acne first followed by treating the post-inflammatory hyper-pigmentation (PIH). This is to prevent new PIH spots from forming. I usuall...
There are a few reasons why the laser treatments might have been less effective for you. But I believe that the best way forward is to have a comprehensive talk with your doctor to re-evaluate the condition.
Let me share some common reasons.
1. Post Lase...
Dear Yannick, TCA Cross is an effective treatment for ice-pick scars and large pores. You can expect approximately 15-25% improvement from each treatment session. Usually 3-4 sessions are required for good results. The final results will take time - approximately 3-6 months after the entire course...
Sorry to hear about your persistent acne. Don't worry, there are effective solutions for your acne!
Differin contains Adapalene, which is a third-generation topical retinoid.
Both Differin and Adapalene work by reducing comedones and oil production. They also have exfoliati...
You have a hypo-pigmented scar following mole removal. This can happen occasionally.
These scars will slowly become closer to your skin colour over time.
There are several treatments including creams which can help the scar to be less obvious.
Do speak to an aesthetic doc...
Your hypertrophic scar will benefit from the following treatments:
Corticosteroid injections to reduce the size of your scar.
Fractional CO2 laser to improve skin texture via dermal remodelling.
The number of sessions sessions needed for both treatments varies between...
I suggest 2 treatments for you.
1. Picosecond Laser to lighten your pigmentation. 4-5 sessions of monthly Laser treatments.
2. Topical Retinoids to speed up cell turnover and lighten pigmentation. You might need to apply this cream on a long term basis (3-4 months) to see g...
Based on your photo, you have a hyper-pigmented macular patch which can be melasma.
To make an accurate diagnosis, I will need clearer photos, find out more about your medical history and do a thorough assessment of the skin-care products that you have been using.
In terms...
I treat Active Acne first before treating Acne Scars. This is to prevent new acne scars from forming.
Effective and Affordable Active Acne treatments in Singapore
Effective and Affordable treatments for active Acne include topical Retinoic acid creams (Differin or Retin...
I agree with Dr Chua. In addition, to answer your question on whether you should post-pone the 2nd session. I personally wait for the redness to subside before performing subsequent ablative laser sessions. Redness might be a sign that your skin has not fully recovered yet.
It ...
Your right flank tattoo would be best removed using a Picosecond Laser.
In my experience, you might require 3-5 sessions of Picosecond Laser treatment for satisfactory result.
Treatments are usually spaced 3-4 weeks apart.
There is some down-time/recovery time assoc...
Thank you for your question and photos.
I agree with Dr Chua. In addition to what he has mentioned on mesofat injections and buccal cheek fat removal, I would like to share some information on Ultherapy.
Ultherapy cannot remove fats. As a HIFU technology, it helps with sk...
Thank you for your question and photo.
Unfortunately, Creams and other topical medications tend to offer only mild improvements. You need a combination of Vascular Lasers and Sclerotherapy.
Spider Vein and varicose vein treatment options:
1. Vascular Lasers like Pulsed ...
Thank you for your question and photos. The recent Acne outbreak must have been quite annoying.
You have Papulopustular Acne.
Treatment options for your Jawline Acne:
Creams
Benzoyl peroxide gel
Clindamycin gel,
Differin cream or a Retinoic acid
Epidu...
Dear lilpony123,
Thank you for your question and photo. As Dr Theng mentioned, solar lentigines are very common in people who had excessive sun exposure.
The pigment laser of choice is a Q-switched Picosecond Nd:Yag Laser.
Examples include:
Discovery Pico Laser. ( h...
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 treatme...