Managing Common Skin Concerns: A Singapore Doctor Shares Tips

Managing Common Skin Concerns: A Singapore Doctor Shares Tips undefined

Skin and facial aesthetic concerns are not just skin deep, but often in fact require knowledge of the anatomy, including muscle and bone structure, to understand. One condition may be easily mistaken for another without medical knowledge of the face.

Dr Heng Wee Soon responded to DoctorxDentist reader questions about common skin concerns, with advice and things to take note of when seeking a holistic analysis and treatment. Here is a round-up of what he said.

 

Fine lines under the eyes? They may not be fine lines at all

a woman's eyes looking at camera



Some people may seem to have lines which look quite significant in the undereye region. However, in fact, they may not originate from the superficial part of the skin and therefore not be fine lines at all.

They may just be lines formed by natural muscle anatomy around your eyes. A doctor familiar with aesthetic treatment can have a look to determine this. [1]

These natural muscle lines can be treated too

"a



For example, a person with hyperactive, strong pre-tarsal muscles may have this condition. It can be treated with small amounts of Botox placed at the right depth to relax the section of the face. Some patients may also opt for additional filler to improve the general undereye appearance.

But if they really are fine lines, they may be caused by three main things

the sun in the sky



Fine lines in the undereye region are typically caused by one of the following:

• UV damage from sun exposure
• A loss of intrinsic collagen through ageing
• Static wrinkling as a result of repeated dynamic wrinkle formations. [2]

Dermal fillers and eye rejuvenation lasers can improve the appearance of skin near the eyes

a bottle of fillers and a syringe



Dermal fillers can support underlying tissue around the eyes and increase skin elasticity, while eye rejuvenation lasers can brighten the area and reduce pigmentation. [3]

Experiencing upper eyelid hollowness? It can be caused by two main issues

a woman with wrinkles in her eye area and hollow upper eyelids



For the most part, upper eyelid hollowness is either caused by an age-related volume loss that happens over time or volume loss related to previous eyelid surgery. [4]

Yes, fillers can be used to fix eyelid hollowness too

a woman smiling at the camera with a needle pointed at her face



The administration of fillers usually includes hyaluronic acid or calcium hydroxyapatite, leading to improved appearance with age caused by the hollowness.

Done safely, these fillers can make for a quick and effective solution, with results almost immediately visible after treatment. [5]

There may be some side effects to filler treatment

a closed eye with wrinkles



Bruising and local infection may occur. Both can be treated.

Rarely, more severe complications may include: 

  • skin necrosis,
  • nerve damage,
  • or even blindness.


The eyelid area can be a challenging area to treat with fillers, so find a doctor who has experience with the procedure. [6]

Keloids after surgery? There are some factors to watch out for

a keloid on a patch of skin



Keloids are a common skin condition that may arise after surgery. These include scars forming at high-risk sites such as upper arms or the chest, genetic predisposition, or general wound infections. [7]

There is one quick solution for keloids

a doctor preparing an injection



In Dr Heng's opinion, direct intra-lesional steroid injections can offer a simple, hassle-free solution to managing keloids to some patients, reducing the keloid size without drastic measures. [8]

Are toners important for effective skincare?

a woman pouring toner on a cotton pad



Toners are commonly known as skincare products used after cleansers. However, there are many forms of and definitions for "toners" these days, so it can get a little confusing.

Be safe and keep things simple

a woman applying toner on her face with cotton


Dr Heng suggests keeping your home-use skincare routine simple. Astringent-type toners can be used for oily skin types after your cleansing routine. But if you have sensitive skin, you have to stay away from these products. Be careful of the ingredients in your skincare products and always consult your doctor if you have doubts.

Hopefully, these tips from Dr Heng will give you better insight and help you tackle these common skin issues. Do check in with your doctor before undergoing any injectable or drug-related skin treatment.



Would you like to ask any related health questions?

You can Ask A Doctor right away, or view the complete list of DoctorxDentist Sessions.

References:

1. Sung Tae Chung and Nark-Kyoung Rho. Surgical and Non-Surgical Treatment of the Lower Eyelid Fat Bulging Using Lasers and Other Energy-Based Devices. Medical Lasers; Engineering, Basic Research, and Clinical Application 2017; 6(2): 58-66 https://doi.org/10.25289/ML.2017.6.2.58 Accessed April 2019.



2. Yoshinori Takema, Yukiko Yorimoto, and Michio Kawai. The relationship between age-related changes in the physical properties and development of wrinkles in human facial skin. j. Soc. Cosmet. Chem., 46, 163-173 (May/June 1995) Accessed April 2019.



3. Gary D. Monheit and Kyle M. Coleman. Hyaluronic acid fillers. Website or Journal’s Name. Dermatologic Therapy Vol 19 Issue 3 May 2006 141-150. Accessed April 2019.



4. Sydney R. Coleman and Rajiv Grover. The Anatomy of the Aging Face: Volume Loss and Changes in 3-Dimensional Topography. Aesthetic Surgery Journal, Volume 26, Issue 1_Supplement, January 2006, Pages S4–S9, https://doi.org/10.1016/j.asj.2005.09.012 Published: 01 January 2006. Accessed April 2019.



5. Eleni Papakonstantinou, Michael Roth, and George Karakiulakis. Hyaluronic acid: A key molecule in skin aging. Dermatoendocrinol. 2012 Jul 1; 4(3): 253–258. doi: 10.4161/derm.21923. Accessed April 2019.



6. A.E. Agaba, S. Mahmoud, H. Esmail, J. Sutton, J.C. Bertalot, M.M. Jibani. Extensive myofascial necrosis: A delayed complication of botulinum toxin therapy. European Journal of Internal Medicine Volume 16, Issue 8, December 2005, Pages 603-605. Accessed April 2019.



7. Brian Berman and Harlan C Bieley. Keloids. Journal of the American Academy of Dermatology Volume 33, Issue 1, July 1995, Pages 117-123. Accessed April 2019.



8. Yu-Wen Tang. Intra- and postoperative steroid injections for keloids and hypertrophic scars. British Journal of Plastic Surgery Volume 45, Issue 5, 1992, Pages 371-373. Accessed April 2019.



563 views 26 Apr 2019 Medically reviewed by Dr Heng Wee Soon on 30 May 2019.
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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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