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Dr Winston Lee
MBBS, MCEM, MPH
Inle Aesthetics and Anti-aging clinic
3 Simei street 6, #02-28, Singapore 528833
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Last contacted by user 19.81hrs ago
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19 Apr 2018
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My experience is life changing, only a girl with severe acne will understand that the struggle is real. People might think this is superficial and skin deep but no!
I used to have a clear skin but then all of a sudden, my life changed with acne. I tried to hide by using different...
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19 Aug 2018
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Dr Winston is very caring and professional. I mean he didn’t even have time for lunch and water but still came to handle my case.
He’s someone you can trust to make your skin better. Initially I came here for just pixel, but now I go there once a month for skin treatm...
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19 Aug 2018
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Dr. Lee is knowledgeable and precise in his recommendations on the skin treatments on my first visit. The overall experience was comfortable (almost painless) and quick; without the feeling of being rushed.
Most importantly, there was no pressure to sign on to long-term packages....
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19 Aug 2018
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Great and quick carbon laser peel session. It was not painful as I have a low threshold of pain. Dr Winston was very nice, and explained the whole procedure. Thank you so much!
19 Aug 2018
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Very good, warm and friendly doctor! Dr Lee listens attentively to your concerns and helps to address them accordingly.
My skin has improved very significantly after coming here. I had concerns with my acne outbreaks and scars, but they have been reduced by a lot. This clinic is ...
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This is a great question. TCA Cross is a treatment not commonly done well. Generally the treatment is completed very quickly but should be done very specific to the scar, and avoid excessive spillage of the acid into the surrounding normal skin. Looking at your picture, it is consistent with the u...
25 Dec 2018
For large cystic acne, really, I feel that Isotretinoin is the best option as it goes down to the pathophysiology of reducing oil secretion. Combining it with antibiotics would solve it systemically.
Cortisone injections is a directed therapy for large cystic acne, and there is t...
25 Dec 2018
The Carbon Peel Laser has been shown to improve the outcome of cystic acne. It helps to remove the dead skin of the surface, and reduces oil secretion and pigmentation. However as with all heat-based therapies, from experience, including IPL/Co2 Laser, there is a small limited outbr...
25 Dec 2018
I would actually be most keen in doing High Intensity Focused Ultrasound (HIFU) for you. Through the appropriate use of various depths of energy penetration (1.5/3.0/4.5mm) and adequate settings, you should see good tightening and lifting effects.
But at the same time, I would s...
25 Dec 2018
Whoever is treating you with the isotretinoin regime mentioned, is at least quite forward thinking and has thrown aside the old understanding that HIGH dose = good. The dose is so low that it is known to be fairly safe. In fact I am taking 10mg every fortnight myself for a continued oil control an...
25 Dec 2018
A good skincare regime as Dr Phua mentioned is key.
I would suggest a gel based moisturiser, or serum with a very light sunblock to be the backbone of your skin care regime. You can use retinoids or differin (adalapene) to improve the skin turnover topically. Adding a light AHA o...
25 Dec 2018
Can i advise that you discuss with your doctor about subcision and filler placement first? That would help improve the undulating appearance of your scars.
TCA Cross can widen scars if done poorly (technique wise) by having excessive spillage into the normal skin, or if the scar ...
25 Dec 2018
I would recommend subcision and TCA Cross. I like the results for my patients and frankly, I feel that treatments by your doctors should be recommended based on experience rather than just following the latest fads or machinery.
Your tethered scars will only respond well to subci...
25 Dec 2018
Subcision can be combined safely with any of the more superficial treatments, be it Co2 fractional laser, Intracel/microneedling rF and TCA Cross. However I would be concerned if you do too many treatments on the surface (TCA + Intracel) as healing may potentially be impaired.
...
10 Dec 2018
If you have described it as deep pitted scars, I would suggest that you speak to your doctor first. It is my experience that many patients have pre-formed notions of the correct treatments for their type of scars.. which usually isn't that correct.
I would probably consider TCA...
10 Dec 2018
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This is a great question. TCA Cross is a treatment not commonly done well. Generally the treatment is completed very quickly but should be done very specific to the scar, and avoid excessive spillage of the acid into the surrounding normal skin. Looking at your picture, it is consistent with the u...
25 Dec 2018
I would actually be most keen in doing High Intensity Focused Ultrasound (HIFU) for you. Through the appropriate use of various depths of energy penetration (1.5/3.0/4.5mm) and adequate settings, you should see good tightening and lifting effects.
But at the same time, I would s...
25 Dec 2018
I would recommend subcision and TCA Cross. I like the results for my patients and frankly, I feel that treatments by your doctors should be recommended based on experience rather than just following the latest fads or machinery.
Your tethered scars will only respond well to subci...
25 Dec 2018
Can i advise that you discuss with your doctor about subcision and filler placement first? That would help improve the undulating appearance of your scars.
TCA Cross can widen scars if done poorly (technique wise) by having excessive spillage into the normal skin, or if the scar ...
25 Dec 2018
The whiteheads is quite significant. I would suggest you consider first to use the right products.
- Gel based serums or moisturiser
- Retinoids to assist in the appropriate keratinolysis
- the occasional home based chemical peels AHA/BHA
Following it, then consider t...
20 Nov 2018
My other colleagues have answered well and indeed, it appears that there is a cystic lesion underneath and the evidence of discharge suggests you need urgent medical attention.
Steroid injection and antibiotics should probably be the mainstay of the therapy.
In terms of othe...
21 Nov 2018
Looking at your scars, I find that there is actually a significant element of tethering/atrophic scarring in the cheeks. It might be worth considering a baseline of subcision with fillers (my preferred choice is Radiesse) followed with TCA on a selection of the scars.
Follow it u...
3 Nov 2018
Question
Which acne scar treatment options are best for correcting uneven skin tone and skin texture? (photo)
When I saw your picture, I think the main concern you would have is the textural uneven-ness that has occured due to the past acne flares. As such my preference would be to first treat the un-even appearance and slowly work it towards the surface imperfections.
1) Subcision with ...
2 Oct 2018
If the area between the eyebrow area was previously intact and a recent cystic acne resulted in the depression/contouring, then perhaps you could consider subcision with the placement of fillers.
This process is fairly comfortable with the use of numbing cream and through the u...
14 Sep 2018
If downtime is not an issue, yes several overseas doctors would advise doing Ablative laser therapy to improve the scarring issue. The only downside are the increase in downtime, risk of pigmentary changes (hypo pigmentation or hyper pigmentation concerns). You will probably need t...
9 Sep 2018
You have quite a number of icepick scars. I would probably combine TCA Cross and Fractional Laser for the best results. However, there would be a fair bit of social downtime experienced. I think thats the main consideration for your kind of acne scars.
Secondly, i would just m...
9 Sep 2018
Dr Boey has answered your query excellently! the various options would be best combined for optimal results. However please consider mainly
1) budgetary constraints
2) Social downtime/downtime issues as fractional lasers and TCA would result in those.
But yes patience is re...
9 Sep 2018
Question
Why has Q-switch treatment been ineffective for my acne scars and hyperpigmentation? (photo)
I agree with Dr Justin that there are several issues you have to combat and as such a combination of modalities needed. Q switch is not going to be the key answer.
1) You still have some acne which should be controlled with good mix of topical and oral medications. I always firml...
6 Sep 2018
Question
Which treatment for acne scars has the best tradeoff between downtime and effectiveness? (photo)
A short answer to your questions is
- I think you could still consider stabilising your skin further before doing fractional laser (which would be great for you) as lasers being heat-based therapies in my experience does incite some acne outbreaks.. not great if you are still bat...
6 Sep 2018
you could consider treating the existing acne lesions with topical and oral antibiotics as it currently doesn't look too bad. The alternative which I would consider is a prolonged period of LOW dose isotretinoin (minimising side effects while maintaining efficacy).
Your acne sc...
6 Sep 2018
1) Appropriate products. Don't over DRY the skin, which is what people like to do. Use gel-based moisturisers instead of creams, add on some Adalapene and Dalacin Gel for the acne lesions.
2) I would still be an advocate of Isotretinoin looking at your acne type. You have oily sk...
6 Sep 2018
I would actually be more concerned that your skin looks irritated, and likely prone to more acne outbreaks.
Do consult your doctor on treatments or products/advice that will reduce the risk of acne outbreaks and improve your skin texture/quality
Winston
21 Aug 2018
I would actually like to do subcision and Radiesse fillers for your deep tethered scars. It is clear that that has led to significant uneven-ness on the complexion. Follow up with a TCA cross and fractional laser and that should make your scars much better. Winston
21 Aug 2018
For me, I actually like using IPL (Intense pulsed light) for red/brown lesions. or consider using Yellow-laser for these lesions.
Add on a topical Vitamin C serum, and they should pretty much be disappearing soon!
Winston
16 Aug 2018
I completely agree with Dr Samuel Ho. Please consult for surgical removal, and sending it for histology might be useful.
22 Jul 2018
I agree with Dr Wu. You should do fractional laser which unfortunately has some downtime but results in some collagen stimulation and also to even out the skin texture, but pre-treat with filler instillation underneath the depressed scar (with subcision)
Winston
22 Jul 2018
Hi there
Looking at the photo (which may not truly reflect the real appearance), light based therapies, including Yellow Laser or IPL would probably be my preferred mode of treating your condition
Dr Winston Lee
22 Jul 2018
Generally i try not to advise too much of a heat based therapy, especially injection related (RF or otherwise) during acne outbreaks. I find that it leads to aggravation of the condition. The only treatment I like for minor outbreaks is Carbon Laser.
I would suggest consulting th...
22 Jul 2018
Repeating everything would be pointless, so in my own practice:
A well planned isotretinoin treatment with chemical peels would be my preferred option in your case.
22 Jul 2018
Understand the frustrations. Relapse of acne after Isotretinoin is not uncommon. But usually the recurrence is milder than the baseline acne condition since the medications change the pathophysiology of the skin (less oily).
Various issues like hormonal or stress can lead to a pr...
11 Jul 2018
Hi there
I would be inclined to agree with Dr Chua and Dr Boey. It is a bad idea to do more lasers while your skin is in its healing phase. Energy devices such as lasers can result in increased pigmentation, and for some patients, fractional lasers result in "sensitive" and raw l...
2 Jun 2018
I would actually like to use some TCA cross which means using concentrated acid to help reduce the appearance of the scars and pores. This is a recommended treatment for icepick scars and deep pores.
Combining this with fractional laser is probably your best chance to reduce the ...
2 Jun 2018
Based on your pictures, I am more of the opinion that the cheek scars should be the main priority. The un-even appearance is due to the rolling scars and I would recommend that the first line treatment is to do Subcision of the underlying scars with some filler instillation to red...
19 Apr 2018
I absolutely agree with Dr Wu on the treatment plan. The treatments available include:
Fractional laser
Chemical peels
Microneedling
TCA cross
However regardless of treatments, the right products which are light and adequately hydrating are still needed.
Con...
15 Apr 2018
There is significantly uneven skin tone. I would probably advise to do exfoliation.
A mix of Chemical peels and topical products for gentle peels would help with the skin tone. Some lasers or light IPL will also help to reduce the discolouration.
That should do the trick!
...
15 Mar 2018
Thanks for your enquiry. And yes, adult acne is like the MOOOOSTTT annoying thing possible.
I have patients who started popping out at age 32/50 and whatever lies in between. And generally the outbreaks are quite numerous.
I generally have a much lower threshold for starting i...
27 Feb 2018
Well, I probably won't chime in with anymore of the various scar treatments available since my colleagues have already done so.
But more importantly is - it sounds like your acne isn't stable at all, since you are still getting some chest acne and body acne tends to be awfully st...
15 Feb 2018
I fully agree with Dr Chua that the lesions you have posted are consistent with milia.
Some suggestions
Avoid excessive eye creams in the area, as some patients tend to find some aggravation with creams/gels in the under-eye area
Treat the lesions with ablative laser, bu...
26 Jan 2018
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Dr Winston Lee PATIENT REVIEWS
Severe acne and acne marks treatment with Dr Winston
You can trust Dr Winston to make your skin better
Subcisions with Fillers and Skin Booster review - Great experience at South Bridge Aesthetics!
Carbon laser peel with Dr Winston was quick and not painful at all
Dr Lee listens attentively to your concerns and helps to address them accordingly
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