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Category Archives for "Acne"

Hormonal Acne Treatment Singapore

Hormonal Acne Treatment Singapore



Guide to Chin Fillers Singapore



What is Hormonal Acne?

Hormonal acne refers to the acne breakouts that ladies experience due to a fluctuation in hormonal levels in the body.

This is a common problem in adult women which occur in the days before and after menstruation.

These may present as large, painful, cystic acne around the chin and jawline.

Less commonly, hormonal acne may be due to an underlying medication condition such as Polycystic Ovarian Syndrome (PCOS).

Ladies with irregular menstrual cycles, weight gain, adult acne and excessive facial and body hair may have PCOS.

Common causes of Acne

  1. Hormonal fluctuations – Menstrual cycle, menopause, puberty, birth control pills, pregnancy
  2. Comedogenic / inappropriate skin care or make up that block pores and trigger acne formation
  3. Diet high in refined sugar and dairy may worsen acne
  4. Underlying medical conditions such as Polycystic Ovarian Syndrome

How does Acne Form?

Detailed guide to acne formation is explained here

Hormonal Acne Treatments

Topical Skincare

Comedone Control Complex - Contains natural botanical extracts which acts to regulate sebum and effectively reduce open pores, whitehead and blackheads.

Anti Blemish Formula - Contains multi-herbal complex and botanical extracts to kill acne causing bacteria, minimise breakouts, regulate sebum, reduce inflammation and accelerate healing of red acne marks.

Acne Spot Cream - Contains antibiotics to kill acne causing bacteria, reduce inflammation and speed up acne resolution.

Comedone Control Complex

Oral Acne Medications

Oral Antibiotics such as Doxycycline or Azithromycin can be prescribed to reduce the bacteria load in the skin and suppress acne inflammation.

Spironolactone is an anti-androgen medication that has been proven to be safe and effective in treating hormonal acne in adult women.

Oral contraceptives such as DIANE 35 are another option to treat hormonal acne. However these may have side effects.

Oral Isotretinoin (Roaccutane) is recommended for severe or stubborn acne cases.

More information about Oral Acne Medications can be found here

Acne Medical Facials

The Aquapure Medi-facial combined with OMEGA Blue LED light was designed to specifically targeting acne. It consists of several steps with serums containing AHAs, BHAs and other active ingredients to achieve the following benefits -

  • Deeply cleanse and exfoliate
  • Remove excess sebum
  • Kill acne causing bacteria
  • Soothe skin redness
  • Lighten marks
  • Stimulate collagen for improved scar healing

Acne Lasers

The Acne Pro Yellow Laser treatment treats acne by using a special 577nm wavelength that kills P. acne bacteria, shrinks sebum producing sebaceous glands and reduces ​red acne marks (post inflammatory erythema).

Another Laser that Dr Edwin uses to combat acne is the Carbon Spectra Laser "Hollywood" Peel. It helps to reduce sebum production, brighten skin, kill P.acne bacteria and reduce post inflammatory hyperpigmentation (brown marks).

In summary,

Acne + red marks = Yellow Laser

Acne + brown marks = Carbon peel laser


Acne can appear as a spectrum from whiteheads to large cystic acne accompanied by red or brown marks. After consultation, Dr Edwin will customise an Acne treatment plan to address your skin concerns.

GetProfessional Advice

Book a consultation now with Dr Edwin to learn how your skin goals can be achieved.

Leave us your name, contact details and we will be in touch soon! 

Roaccutane Acne Treatment Singapore

Roaccutane – The Miracle Acne cure?

Stubborn acne not improving despite religiously applying skincare products, oral antibiotics or regular facials?

Roaccutane may be the answer to your problems!

What is Roaccutane?

Roaccutane’s main ingredient is Isotretinoin, a derivative of Vitamin A.

Having been in the market since the 1980s, its effects are well studied and is used regularly by skin doctors all over the world to treat moderate to severe acne.

You may have heard of it under different brand names such as Roaccutane, Accutane, Oratane, Acnotin and Nimegen.

How does Roaccutane work?

Roaccutane is currently the single most effective medication available for acne treatment because it is the only medication that can target all 4 causes of Acne Formation.

  • Excessive sebum (oil) production

  • Clogged pores due to abnormal skin turnover

  • Inflammation

  • Bacterial P.acnes proliferation

Other forms of acne treatment such as topical creams, oral antibiotics, facials or lasers can only partially target these factors.

Sounds great! Lets get started!

Not so fast, even though Roaccutane is one of the most effective ways to treat acne, there are some factors to consider.

How long before I see results? What is the duration of treatment?

Roaccutane requires long term commitment.

Studies report that majority of patients can achieve acne clearance after 16 to 20 weeks. Please note that this time frame is dependent on the patient's dosage and body weight.

As such, the treatment duration can range between 4 to 12 months with the goal to achieve a total treatment dose accumulation of 120mg/kg. 

After completing a course of Roaccutane, Acne clearance is usually permanent with some studies reporting less than 3% recurrence risk.

How much should I take? Higher dosage = better?

Previous studies describe the starting dose at 0.5 to 1mg/kg/day. Assuming a body weight of 50kg, that is between 25 to 50mg a day.

Depending on severity, Dr Edwin prefers to start patients at a lower dose of 20mg a day as newer studies show that lower doses in Asians are just as effective AND have lower side effect risks + cost savings.

An expert skin doctor will be able to tailor a treatment course for you.

For example, if you have moderate acne, Dr Edwin may choose to start at an every other day (EOD) dosing instead of a daily dosing to minimise the risk of purging and side effects whilst gradually increasing the dose over several months.

Important Precautions

Roaccutane can lead to birth defects when taken during pregnancy, hence it is of paramount importance that birth control methods be utilized when females are on this medication.

Of note, Roaccutane does not impair fertility and does not reduce your ability to conceive.

Patients who are breastfeeding or have a medical history of Liver or Kidney disease, high blood cholesterol levels or Hypervitaminosis A are also not suitable candidates for Roaccutane treatment.

How long must I stop Roaccutane for if I wish to get pregnant?

It is recommended to stop Roaccutane for at least 1 month before trying to conceive.

What are the common side effects?

Skin dryness

Roaccutane reduces oil and sebum production all over the skin. This manifests most commonly as dry eyes and chapped lips which can be easily remedied with eye drops and lip balm.

Mild joint and muscle aches

Rest assured, for most people, these mild aches are not significant enough to impact your daily routine and exercises.

Purging

For the first 4-6 weeks, acne may worsen before they gradually improve.

Do not be demoralized!

To minimise the risk of purging, Dr Edwin has 2 methods. He covers patients with a course of compatible oral antibiotics and prefers to start Roaccutane at a lower dose in the first 2 months with gradual increments over time.

Mood Changes

There have been scattered reports of individuals reporting changes in mood with symptoms suggestive of depression whilst on Roaccutane.

However, to date there is no compelling evidence from studies to suggest a direct link between oral isotretinoin and low mood. Dr Edwin will schedule regular follow ups to monitor for such issues.

Must I stop my facials or laser treatments?

The latest studies report that it is generally safe to continue with facials and lasers and there is no increased risk of poor wound healing ever after ablative laser treatments whilst on Roaccutane.

Dr Edwin will customize a safe and effective treatment plan which will comprise of the following treatment options to hasten the acne treatment and clearance process. 


Speak to us today to find out how you can combat acne and achieve clear skin!


Bothered by Stubborn Red Acne marks?

What is Post Inflammatory Erythema (PIE)? 

Red acne marks / scars otherwise known as post inflammatory erythema (PIE) can be stubborn and often a source of frustration. Even with no treatment, PIE marks eventually fade. However, the process is slow and can take several months to a year.

What causes PIE?

PIE develops due to damage and dilation of small blood vessels (capillaries) near the surface of the skin.

It is commonly caused by

  • Inflamed acne
  • Incorrectly “popping” or picking of pimples
  • Trauma to the skin such as scraps or scratches
  • Chemical / laser burns
  • Sunburn

Simple test for PIE

Apply pressure to the red marks and if they temporarily disappear, it is most likely PIE.

How can we treat PIE? 

Vascular lasers like the Pro-yellow laser or Spectra XT “Gold-Toning” 595nm lasercan effectively treat PIE by targeting hemoglobin through the process of selective photothermolysis.

The lasers safely penetrate skin to break down and disperse damaged blood vessels, thereby reducing the appearance of PIE.

https://edwinlimclinic.sg/aesthetic-treatments/laser/acne-laser-treatment/

Aside from lasers, look for these ingredients in your skincare products as they have been described to improved PIE.

  • Niacinamide
  • Vitamin A
  • Peptides
  • Green tea extracts
  • Vitamin C and Vitamin E

Our Anti-Blemish Serum and Ultra Light Hydrator were specially formulated with these ingredients to reduce the appearance of blemishes and improve acne.