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Dr Justin Boey
MBBS
Sozo Aesthetic Clinic
1 Raffles Place #05-12/13
One Raffles Place (Shopping Mall)
Singapore 048616
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10 Reasons Why You Have Adult Acne and What You Can Do About It
“I have acne and I’m in my 30s. Is that even possible?”
Yes! It is possible to get acne even when you’ve reached adulthood. In fact, it is possible for you to not have acne during your teen years and then suddenly develop them when you turn into an adult.
Read on to find out some of the causes of adult acne and how you can treat it.
(Post-inflammatory) Erythema VS Hyperpigmentation: What Are They?
No, they are not acronyms for expressways. Post-inflammatory erythema (PIE) and post-inflammatory hyperpigmentation (PIH) are skin conditions that leave red, purple and dark-coloured marks on your face. In short, inflammation can leave long-lasting consequences on your face.
As the medical director at Sozo Aesthetic Clinic, I come across many troubled patients seeking treatment for their "colourful" problems. Perhaps, you are like them too.
Here from me as I explain what PIE and PIH are, how they are different in nature, their causes, and treatments I use to reverse their effects.
Let's Talk about Laser Resurfacing: Breezing Through The Recovery Stage
Laser resurfacing has been a popular and effective scar removal method for some time now. Many people opt for this treatment due to consistent and positive results that have been produced so far. However, there are a few things that patients need to know about managing the skin's condition after this procedure.
Dr Justin Boey is passionate about facial aesthetics and hair loss. He shared some insight with DoctorxDentist readers on how to better manage the recovery process after laser resurfacing. Here are several key takeaways.
A Doctor's Guide To Pigmentation Treatment In Singapore (2020)
Pigmentation treatments are on the rise here in Singapore and there is a reason for that. Due to our hot weather all year round, we are constantly exposed to UV (Ultraviolet) rays.
This makes us more prone to develop skin pigmentation issues, and even more for those with darker skin due to their prolonged UV exposure. Women are also more prone to develop skin conditions like melasma, freckles, and Hori's naevus.
Our users have these concerns as well and this is well-reflected on DoctorxDentist. If you go to our homepage, you can see that Acne & Scars and Aesthetic Medicine are the top two topics that we receive most questions about.
Despite how prevalent the issue is, we tend to be misinformed on how we can effectively treat our pigmentation issues. As such, I have put together this guide on pigmentation treatments in Singapore, to help you make more informed decisions.
Read on to know how you can find a pigmentation treatment that best suits your skin condition and skin type!
Guide To Best Acne Scar Treatments In Singapore (2020)
If you chanced on this post with the question "How to get rid of acne scars?", you're not alone. It's one of the most common skin problems that patients send in an enquiry on DoctorxDentist for.
Dealing with acne in your youth is bad enough, but the scars it leaves behind can be a real nightmare. Don't waste your time and money on treatments that don't work. Before coming to see me, it’s not uncommon for patients to try completely ineffective methods, from DIY home treatments to beauty spa facials and underpowered lasers.
Also read: Acne Scar Treatment Cost In Singapore: A Doctor Tells All
I decided to write this comprehensive guide to increase awareness about your best options when it comes to treating acne scars in Singapore, based on my personal experience over the years. Bear with me as it's a long read (1830 words in total), but I promise to tell you everything you need to know about getting rid of those pesky scars.
First things first...
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Isotretinoin intake while on acne scar treatment is considered generally safe based on the latest research studies published from 2014 onwards. Because acne scarring is associated with substantially reduced quality of life, early initiation of effective treatment is desirable. Ab...
30 Dec 2019
Hi, Yes, Calecim is a medical grade skin care that contains stem cells to speed up recovery post-treatments as well as to minimise redness/erythema. I find the post-laser serums particularly useful to reduce redness post-lasers like ablative fractional lasers for acne scars. Hope this helps. War...
16 May 2019
Hi, Lip fillers in Singapore typically cost from $600 - $1200 per treatment. The price differences in lip filler treatments in Singapore may be due to these factors: 1. Number of syringes of fillers used for lip fillers. 2. Brand of fillers 3. Experience of do...
16 May 2019
Hi! Your boxcar and rolling acne scars can be improved and smoothened to a significant extent - improvement by a few grades on the acne severity score or up to 80% improvement. I use a combination of different types of acne scar treatments to target acne scars thoroughly . The types of trea...
5 Apr 2019
Your skin would be the most sensitive during the recovery phase after laser resurfacing for acne scars. It takes away the top layer of your skin and a part of the second layer of your skin by superheating water within it. This controls the vaporization of skin cells, so the s...
13 Mar 2019
Hi, Moderate acne scars can be improved and smoothened to a significant extent - improvement by a few grades on the acne severity score or up to 80% improvement. Acne scar treatments start with diagnosis of your scar type, skin type and ability to handle down-time (recovery t...
4 Mar 2019
The best non-surgical methods to achieve a smaller face include: 1. Jaw botox - to reduce the size of your chewing muscles (masseter muscles). These jaw muscles might contribute to a rounder face. 2. HIFU Ultraformer - to melt cheek fat at high settings. However, if it's du...
4 Mar 2019
Hi, You have a combination of shallow rolling and box car acne scars. These can be improved and smoothened to a large extent - improvement by a few grades on the acne severity score. I begin acne scar treatments start with diagnosis of your scar type, skin type and ability to ...
4 Mar 2019
You can achieve glowing skin by hydrating your skin using the following treatments: 1. Medical-grade skin care - eg skinceuticals, dermaceutics 2. HydraFacial medical facials 3. Rejuran skinbooster injections. Hope that this helps! Warmest regards, Dr Justin Boey
1 Mar 2019
Aloe vera gel can help to reduce wrinkles to a small extent, especially if your fine lines are due to dry skin. Aloe vera gel helps to moisturise and hydrate your skin. However, if you have wrinkles due to expressions (dynamic wrinkles), you might need anti-wrinkle injections li...
1 Mar 2019
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Not the question you're looking for? Browse other questions tagged Acne & Scars Aesthetic Medicine Skin, Hair & Nails Hair Loss or ask your own question now FOR FREE.
Hi! Your boxcar and rolling acne scars can be improved and smoothened to a significant extent - improvement by a few grades on the acne severity score or up to 80% improvement. I use a combination of different types of acne scar treatments to target acne scars thoroughly . The types of trea...
5 Apr 2019
Hi, Moderate acne scars can be improved and smoothened to a significant extent - improvement by a few grades on the acne severity score or up to 80% improvement. Acne scar treatments start with diagnosis of your scar type, skin type and ability to handle down-time (recovery t...
4 Mar 2019
Hi, You have a combination of shallow rolling and box car acne scars. These can be improved and smoothened to a large extent - improvement by a few grades on the acne severity score. I begin acne scar treatments start with diagnosis of your scar type, skin type and ability to ...
4 Mar 2019
Hi, Severe acne scars can be improved and smoothened to a significant extent - improvement by a few grades on the acne severity score or up to 80% improvement. Your acne scar types are rolling and box car acne scars. The most suitable treatments to give you good results...
22 Feb 2019
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...
19 Feb 2019
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...
13 Feb 2019
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...
23 Jan 2019
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...
18 Jan 2019
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...
2 Jan 2019
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...
16 Dec 2018
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. Acne Scar Treatments in Singapore I ...
12 Dec 2018
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 ...
12 Dec 2018
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...
8 Dec 2018
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...
3 Dec 2018
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: ...
29 Nov 2018
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...
21 Nov 2018
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...
17 Nov 2018
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 results. D...
13 Nov 2018
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...
7 Nov 2018
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...
30 Oct 2018
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...
30 Oct 2018
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 + ...
7 Sep 2018
Question
Why has Q-switch treatment been ineffective for my acne scars and hyperpigmentation? (photo)
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...
31 Aug 2018
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...
28 Aug 2018
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 ...
23 Aug 2018
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/ ice pick scar treat...
20 Aug 2018
You have a 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 +...
20 Aug 2018
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 laser gives different result...
17 Aug 2018
Question
What could be the cause for minimal improvement after laser treatment for red acne marks? (photo)
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 Pulsed dye ...
17 Aug 2018
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...
5 Aug 2018
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 ...
18 Jul 2018
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...
18 Jul 2018
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...
16 Jul 2018
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 co...
1 Jul 2018
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...
1 Jul 2018
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...
24 Jun 2018
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...
14 Jun 2018
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 goo...
10 Jun 2018
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...
5 Jun 2018
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...
4 Jun 2018
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 is...
30 May 2018
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...
23 May 2018
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...
5 Mar 2018
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 dye Lasers (eg. V Beam) and Copper bromide L...
27 Feb 2018
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 Epiduo (combination of Retinoic acid and Benzoy...
27 Feb 2018
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. Picosure. P...
24 Feb 2018
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...
24 Jan 2018
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Sozo Aesthetic Clinic
1 Raffles Place #05-12/13 One Raffles Place (Shopping Mall), Singapore 048616
