Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

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.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

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.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.





Which treatments are effective for both pigmentation and large pores?

Aesthetic Medicine Skin, Hair & Nails

I'm a 32 years old female. I have pigmentation issues and large pores. Which treatments are effective at addressing both issues? 

DOCTOR’S ANSWER (4)

Hi 

This is a very common question asked by many of my patients. As the question is rather general with no specifics regarding to the type and severity of the pigmentation I would like to offer my advice as such :

For mild pigmentation issues which is more like Dyschromia or patchy skin with open pores you can consider the following 

1. Medifacials — the most popular and effective ones being Silkpeel , Hydrafacial and Oxygeneo . What they have in common is that they exfoliate the skin getting rid of the dead skin cells, infuse the skin with brightening and hydrating agents and in the case of the oxygeneo there is an element of RF skin toning as well .

2. TDD ( transdermal delivery ) devices which include iontophoresis, electrophoresis, sonophoresis , microneedling , and plasmaphoresis . What these devices have in common is that allow better penetration of active ingredients into the skin to have either brightening / whitening effects or effects on skin texture/ hydration and pores .

For pigmentation issues that are more severe you can consider the following 

1. IPL or intense pulse light photofacial or photorejuvenation . In simple terms this is a light based energy device that delivers light of different wavelengths that effects changes in the skin . It is especially effective for freckles and superficial pigmentation and redness on the skin and also helps in reducing pores thus making the skin smooth and glowing .

2. Lasers that target the pigments would be generally the Q switched lasers or the newer gernerstion of Picosecond lasers . While these lasers primary target is the pigment the light energy they emit is also absorbed by the water in the skin which induces a mild thermal injury . This in turn stimulates the fibroblasts to produce new collagen as well as collagen remodeling. This will have a beneficial effect on the open pores, scars and skin texture . The Pico Genesis Laser for example has a MLA ( microlens array ) handpiece that allows the energy to be better concentrated and at a deeper penetration to allow for more effective neocollagenesis.

3, Slyfirm which is a new generation of RF microneedle device that utilises non insulated needles to deliver micro pulses of RF coagulative energy to induce changes in the basement membrane (BM ) of the skin, These changes leads to improvement in pigmentation as well as redness of the skin . Because the depth of penetration can be calibrated it can also lead to improvement in open pores and skin texture .

Hope this helps . Please discuss your expectations of the treatment outcomes with your doctor so that he / she can advice you on the best possible options for you .

Regards

Dr KK Chew

0 197 views 1 Jan 2019
Contact Doctor

Hi WT,

For treatments that addresses BOTH pigmentation and large pores in the same session, it would really depend on whether:

a) You will be able to accomodate downtime/ redness after the procedure

b) The type of pigmentation that you have (we will have to generalise for now as the type of pigmentation can only be determined during an examination and consultation)

Treatments will include:

1)  The Spectra XT Carbon Laser Peel 

This treatment targets pigmentation as well as pores.  Other benefits include brightening of the skin and collagen stimulation.

There is no downtime with this procedure, is often a lunch time procedure as it is quick but yet is still able to penetrate into the deeper skin layers.

2)  The BB Laser

This treatment targets pigmentation, large pores and brightens the skin.  Overall texture of the skin will also be improved with smoothening of the skin.

This treatment is more effective at treating pores but there is downtime associated post-procedure.

Redness of around 3 - 5 days is to be expected.

Hope this helps.

All the best!

0 149 views 2 Jan 2019
Contact Doctor

Hello,

Your question resonates with a lot of readers, there are many people with the same problem! Pigmentation and pores are a source of frustration for many of my patients, both males and females alike. 

First of all, the harsh sun in Singapore does not help when it comes to maintaining fair skin. Thus it is very important to apply a broad spectrum sun screen of SPF 50 and above daily, at least 30 mins before going out of your house. This helps to protect your skin from the sun's harmful rays, as well as acts to prevent further brown spots from developing.

Topical whitening agents and Vitamin C serums can help to lighten pigmentation spots to a certain degree, you will need to consult a dermatologist for prescription of medical grade creams that are effective. Topical retinoids, which are Vitamin A derivatives, can help in the lightening of brown spots and are also useful to prevent blocked pores, and this is turn helps to minimise pores. 

In my practice, I find the new generation picosecond laser to be effective for lightening pigmentation on the face, and with an added brightening and toning feature, patients love the after effect of skin texture improvement, overall radiance and natural glow. A few sessions will be needed depending on the individual's condition.

Do consult an experienced dermatologist for a proper assessment and treatment plan. Cheers to a new year ahead!

Best regards,

Dr Ker Khor Jia

0 169 views 2 Jan 2019
Contact Doctor

There are definitely treatments that are effective for both hyperpigmentation and enlarged pores . However, first and foremost, it will depend on the cause and kind of hyperpigmentation that you are having, the cause of your enlarged pores and presence of any other associated conditions like acne, as well as the extent of your hyperpigmentation.

By and large, topical therapy, injectables, lasers and radiofrequency micro-needling will be able to treat hyperpigmentation and improve skin texture e.g. enlarged pores to a certain extent.

Topical therapy will include creams that contain retinoids which will increase cell turnover, stimulate collagen and inhibiting tyrosinase activity, hence improving hyperpigmentation and reducing debris buildup in pores, resulting in improved skin texture. Chemical peels will also help to increase epidermal turnover and hence improve hyperpigmentation and skin texture.

 

Injectables like Rejuran(PDRN) have been shown to help with scars, pores and pigmentation through the anti-inflammatory, regenerative and reparative properties of polynucleotides.

Lasers like Picosecond lasers and Q switch Nd:YAG lasers are effective in helping to clear pigments and improve skin texture through photoacoustic and photothermal effects respectively. In my practice, I like to use the newer PicoSure laser for both treatment of pigmentation and skin texture as it has a shorter downtime and lower risks of post-inflammatory hyperpigmentation.

Lastly, pulsed radiofrequency microneedling treatments e.g. Sylfirm helps with restoration of the skin's basement membrane and ablation of small vascular lesions and abnormalities which in turn improves pigmentary conditions like melasma and can also improve skin texture.

0 117 views 3 Jan 2019
Contact Doctor
Not the answer you're looking for? Browse other answers tagged Aesthetic Medicine Skin, Hair & Nails or ask your own question now FOR FREE.