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Viral Warts Treatment— Dermatologist Talks

October 17, 2017

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If you’ve ever been struck with a pesky wart over your palms or soles at least once in your life, you’ve probably been left wondering what caused it. Nope, it is no longer just a childhood infection, adults are increasingly attending my clinic with concerns about stubborn warts that don’t go away and are plain annoying. In this article, I share my experience with the common concerns of those of you who are troubled by viral warts.

1. What exactly are warts?

Warts, also known as verruca, are growths of the skin due to human papillomavirus (HPV) infection. Several subtypes are known, and they all look different. The initial infection occurs in the top layers of the skin, it reprogrammes the skin to cause excessive growth of the keratinocytes (skin cells), leading to thickening of the skin where the viral wart has started. The most common subtypes of HPV are types 2, 3, 4, 27, 29, and 57. Warts appear first like an area of hardened skin, and when one looks carefully, one may find tiny black dots centrally, which is due to thrombosed(or clotted) tiny blood vessels.

2. Who gets viral warts?

Warts are traditionally more commonly found in school-going children and teenagers but can affect people of any age group. People suffering from eczema, whereby their skin barrier is genetically defective, are also prone to getting viral wart infections from areas of broken skin. Those who are immune suppressed are at high risk of getting larger, persistent and multiple warts. These include patients who are pregnant, on medications such as azathioprine or ciclosporin, or with human immunodeficiency virus (HIV) infection. Nevertheless, it’s perfectly normal to have a healthy young adult to suffer from viral warts as well, especially in areas of friction and contact, such as the palms and soles. The palms and soles of feet are subject to small cuts and wounds due to contact on a day to day basis. HPV virus, which is present on surfaces, then has the potential to infect the skin.

3. Is your gym giving you warts?

Moving on to the causes of viral warts. HPV is contagious and is most commonly spread by direct skin-to-skin contact. Another way it occurs is via scratching or picking warts, whereby the virus may be spread to other areas of uninfected skin. Common places where people pick up the wart virus are at public areas such as pools, bathrooms and gyms. Sharing footwear, slippers and shoes, walking barefoot and handling shared gym equipment that has not been properly disinfected. So yes, a good proportion of adults who visit dermatologists for treatment of their viral warts actually get it from shared gym equipment, especially when small cuts are present.

4. Do I need to see a dermatologist to diagnose viral warts?

Warts are common and have a typical appearance, with painful areas of hard skin, almost like a callus, and black dots centrally. While tests are usually not required to diagnosis viral warts, there are some cases whereby the appearance or the location of the wart is unusual, leading to a missed diagnosis of a potential skin cancer. In such cases, dermatologists usually would perform either a dermatoscopic examination or may recommend a skin biopsy to distinguish viral warts from other growths such as seborrhoeic keratosis and skin cancer. It may be necessary sometimes to perform a skin biopsy for diagnosis, especially to rule out rare infections( in people who are immunosuppressed) and also skin cancers.

5. When to get your wart treated by a dermatologist

Small warts which otherwise don’t hurt or bother in any way can sometimes be left alone. However, once you suspect you may have a wart, do get it checked out by a dermatologist rather than using DIY methods. I have seen several patients who have used corn plasters or DIY freeze kits bought online over their wart, which all became worse after their self-treatment. I do not recommend corn plasters as these typically contain salicylic acid which is a keratolytic, essentially dissolving the thicker layers of skin overlying the wart, often causing irritation and blistering, but does not actually treat the underlying viral wart. Many end up with complications of skin infection. DIY freeze kits or not permitted legally in Singapore, however, I have had patients who purchased such kits online or overseas and ended up having severe blistering and infections, some even requiring drainage after that. The reason is that these freeze kits contain liquid nitrogen, which is meant to kill off the virus-infected skin cells and should be applied by a trained healthcare professional upon the direction and assessment of a dermatologist. Importantly, there are variations of the appearance of viral warts as well, which may lead to misdiagnosis or delayed diagnosis. I have seen cases of squamous cell carcinoma, a potentially lethal form of skin cancer, for example, which had been undiagnosed because of an assumption that it was just a stubborn wart that would not go away.

6. How does wart treatment work?

The truth is, once you get a viral wart infection, the virus affects your skin’s DNA where it has infected, causing all new skin cells to be produced with the HPV virus. What that means is the treatment of viral warts is not like that of a skin growth or cyst, whereby cutting it out fully results in removal and a cure. Viral warts are persistent because they are alive, and in order to eliminate the wart virus one has to rely on stimulating the body’s own immune system to overcome the wart virus. Hence, surgeries whereby the wart is excised does not work because the HPV virus replicates and would grow the wart again.

The location of the wart, the morphology as well as the underlying health status of the patient affects the type of treatment chosen as well. There are subcategories of warts as follows which your dermatologist will diagnose you with:

Common warts and plantar warts are those commonly appearing over the palms and soles, with characteristic pinpoint black dots centrally due to clotted blood vessels, a result of the HPV virus infection. Plane warts as the name suggests, have a plane or a flat surface and are found over areas of the knuckles, the knees and the elbows. Another type known as filiform warts are protuberant with a thread-like elongated stalk and are common in areas such as the face. Mucosal warts affect areas such as the lips, inside the mouth and also the anal/genital region.

7. What treatments are available for viral warts?

First of all, make sure the growth you are dealing with is indeed a viral wart. From there, depending on the type of viral wart, your dermatologist will suggest one or a combination of the following.

Topical treatment

Use of topical treatment alone in the treatment of viral warts is uncommon and is usually used in combination with topical treatment i.e. creams, ointments and lotions formulated for wart treatment usually contain active ingredients such as salicylic acid. Salicylic acid is a keratolytic, which means it works by dissolving dead skin cells. Another anti-viral ingredient used is podophyllin, which destroys skin cells i.e. cytotoxic, but is prohibited in pregnancy.

Cryotherapy

Cryotherapy is the use of liquid nitrogen to freeze areas of infected skin. It is performed every one to two weeks. It is a safe and effective treatment except that it requires multiple sessions, with a success rate of about 60–70% for 3 months of regular treatments. It causes blistering and may subsequently leave a scar after treatment.

Electrosurgery and Laser Vaporisation

Electrosurgery and laser vaporisation would be used for larger or stubborn warts. Surgical paring is performed under local anaesthesia and the base of the wart is burned, destroying both healthy tissues together with the bulk of virus infected tissue. Wound healing is expected within two weeks generally. However, about 20%- 30% of warts do recur within a few months, although the rate of recurrence decreases with proper monitoring by a dermatologist.

© 2017. Dr. Teo Wan Lin. All rights reserved.

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Meet with Dr. Teo Wan Lin, founder and Specialist Consultant Dermatologist of TWL Specialist Skin & Laser Centre, an accredited dermatologist specialising in medical and aesthetic dermatology. She integrates her artistic sensibility with her research background and specialist dermatologist training, by means of customised, evidence-based aesthetic treatments using state-of the-art machines, injectables (fillers and toxins) which work synergistically with her proprietary line of specialist dermatologist grade cosmeceuticals Dr.TWL Dermaceuticals.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

Best Dermatologist’s Guide to Chemical Peel Treatments

October 13, 2017

What is a Chemical Peel?

A chemical peel treatment is designed to improve the appearance of the skin by gently stimulating the top layer of skin cells known as the epidermis by applying a solution composed of fruit derived acids such as alpha-hydroxy acids, glycolic acid, lactic and salicylic acid. This stimulates the skin to regenerate, to be smoother and less wrinkled.

Who is Chemical Peel for?

Chemical peels are helpful for acne prone as well as normal skin, as a regular form of anti-ageing treatment to maintain one’s youthful appearance. In general, patients with fairer skin and lighter hair are ideal candidates. However, depending upon the type of skin problem encountered, darker skinned patients may also experience good results. If you are looking to minimise or eliminate the lines around your eye or mouth area, wrinkles that are caused by sun damage, aging and hereditary factors, aging spots, mild scarring, certain kinds of acne, skin pigmentation such as sun spots, age apots, liver spots, freckles or splotching due to the consumption of birth control pills or dull skin texture and colour, chemical peels are effective treatment methods. It is also good to note that chemical peeling can also be seen as a cost-effective solution for those who are currently undergoing other treatment modalities such as lasers for a skin rejuvenation purposes. Chemical peels are also more beneficial than beautician facials, in terms of skin rejuvenation and as an adjunct to acne treatment.

What should I know about Chemical Peels?

Chemical peels were developed and should be performed by a dermatologist, rather than an aesthetician or a beautician. Find out more about what a dermatologist is here. A thorough evaluation is imperative before embarking upon a chemical peel. In Singapore, if you are not a medical doctor, you will not have access to prescription strength chemical peels which actually work. Hence, it is not recommended to visit beauty parlors or aestheticians who offer chemical peels that either may be dangerous (it should only be performed under medical supervision) or provide not much benefit.

After a chemical peel, one’s skin is also temporarily more sensitive to the sun. It is pertinent to avoid overexposing the areas that have been treated with chemical peels to the sun as the new skin is fragile and more susceptible to complications. It is advised to protect your skin from the sun with an application of sunscreen and minimising direct contact with the sun by wearing hats or seeking shade with umbrellas.

To prevent any side effects, visit an accredited dermatologist for your chemical peelsDermatologists will prescribe the proper follow-up care to reduce the tendencies of skin discolouration.

What to expect during a Chemical Peel?

The eye area is protected during the chemical peel and skin is first thoroughly cleansed to remove excess oils. During the procedure, one or more chemical solutions such as glycolic acids are used. As the chemical solution comes into contact with the skin, most patients would experience a warm sensation which lasts about three to seven minutes. Depending on the indication for the peel,  the dermatologist will select the proper chemical peel agent and apply the selected solution to  the skin. As these applications produce a controlled environment whereby a small amount of damage is induced on the skin, to trigger off new collagen formation.

What to expect after a chemical treatment?

Patients usually experience a reaction similar to a sunburn. There generally is no downtime beyond  superficial peeling of the skin which presents as redness and mild flaking. See your skin become less greasy, more radiant and healthy after your first peel!

© 2017 twlskin.com. All rights reserved.

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Meet with Dr. Teo Wan Lin, accredited dermatologist at TWL Specialist Skin & Laser Centre, for a thorough consultation to determine the most suitable treatment for your skin.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

Explaining Laser Therapy by a Dermatologist

October 7, 2017

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What is Laser Therapy

Laser Therapy is the use of different invisible wavelengths of light to stimulate distinct layers of skin in order to rejuvenate and anti-age skin. Pigmented lesions can also be effectively removed with specific lasers that cause crusting and stimulate pigment cells (known as melanocytes) to disseminate.

Who is Laser Therapy for?

Laser Therapy is indicated for the following skin concerns.

  • Hair removal
  • Minimisation and/or the elimination of veins and redness
  • Pigment removal
  • Tattoo removal
  • Anti-ageing
  • Acne and Acne Scars
  • Oily Skin

 

What should I know about Laser Therapy?

Non ablative lasers differ from regular forms of laser therapy. Instead of heating and removing the top skin tissue, non-ablative or non-wounding lasers work beneath the surface skin layer. They aim to improve skin texture and tone and minimize fine lines present with minimal side effects and recovery down time. Primarily used to treat facial skin rejuvenation and acne scars, according to a patient’s skin type and condition, non ablative laser therapies computer-control the parameters of light energy delivered from light-based devices.

© 2017 twlskin.com. All rights reserved.

—–

Meet with Dr. Teo Wan Lin, founder and Specialist Consultant Dermatologist of TWL Specialist Skin & Laser Centre, an accredited dermatologist specialising in medical and aesthetic dermatology. She integrates her artistic sensibility with her research background and specialist dermatologist training, by means of customised, evidence-based aesthetic treatments using state-of the-art machines, injectables (fillers and toxins) which work synergistically with her proprietary line of specialist dermatologist grade cosmeceuticals Dr.TWL Dermaceuticals.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

Singapore Dermatologist Talks Skincare Tips – A Review of Beauty Supplements

October 4, 2017

By Dr. Teo Wan Lin, Consultant Dermatologist at TWL Specialist Skin & Laser Centre

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The Science and Myth of Nutricosmetics

In the last decade, the beauty and cosmetic industry has churned out collagen-boosting oral supplements one after the other that claims to boost collagen with a dose of an edible capsule. They boast fish-derived peptides, collagen, carotenoids amongst a host of anti-oxidant ingredients that claim to anti-age, reduce wrinkles and improve glow. Dermatologists have called these nutraceuticals or nutricosmetics. In my article, I will break down the science and the myth(s) behind these to shed light on the latest dietary supplement that’s supposed to work wonders for your skin and how you can evaluate it for yourself. In the first of a series, I shall discuss a dermatologist’s take on collagen and fish peptide supplements that have been popularised in the beauty and cosmetic industry.

1. What are nutraceuticals or nutricosmetics?

A nutraceutical is a pharmaceutical-grade and standardized nutrient. The FDA and the Health Sciences Authority of Singapore does not recognise nutraceuticals or nutricosmetics as a regulatory category. Rather, they are regulated as food additives and dietary supplements.

2. Do collagen or peptide containing supplements actually promote healthy skin?

These beauty supplements are consumed like food substances and hence they get digested and then absorbed by the body. One recent study showed that in individuals taking a daily supplement containing collagen peptides, there was a reduction in eye wrinkle depth after eight weeks of taking the supplements. However, dermatologists internationally who spearhead the research and testing of cosmetic dermatology caution that overall there is no substantial body of evidence in the realm of dermatological research to support the use of fish-derived peptides or collagen to boost skin health. Ingested collagen/peptide supplements are digested in the same way as food is taken as part of a normal diet and absorbed similarly, with no specific therapeutic benefit to skin or ability to be delivered directly to skin for its effects.

3. Is there any way at all to ensure that they reach our skin ?
Collagen is a protein found in skin and other tissues, there is no evidence that ingested collagen boosts the amount of collagen in the skin tissues as the body breaks down food/supplements similarly in the digestive tract and edible collagen itself has no medicinal/therapeutic benefit. Collagen in the skin is made by specialised skin cells known as fibroblasts. With age and sun damage, this process is slowed down. Dermatologists use a combination of lasers, chemical peels and cosmeceuticals to increase collagen production in one’s skin by stimulating one’s collagen receptors, rather than applying collagen to the skin or by consuming collagen. Collagen itself is a large molecule that cannot be absorbed through the skin surface. Collagen hydrolysates(such as fish peptides) have some early evidence in laboratory studies to have some UV-protective and anti-ageing properties in skin but more research needs to be done.

© 2017 Dr. Teo Wan Lin. All rights reserved. 

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Meet with Dr. Teo Wan Lin, founder and Specialist Consultant Dermatologist of TWL Specialist Skin & Laser Centre, an accredited dermatologist specialising in medical and aesthetic dermatology. She integrates her artistic sensibility with her research background and specialist dermatologist training, by means of customised, evidence-based aesthetic treatments using state-of the-art machines, injectables (fillers and toxins) which work synergistically with her proprietary line of specialist dermatologist grade cosmeceuticals Dr.TWL Dermaceuticals.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

All you need to know about Acne Scar Treatment

October 3, 2017

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What is Acne Scar Treatment?

Acne Scar Treatment is a series of refined dermatological techniques which are performed on a patient to improve the appearance of his/her skin and to boost his/her self-esteem.

Who is Acne Scar Treatment for?

Acne Scar Treatment is for those with deep permanent scars such as pitting or crater-like scars caused by severe acne.

What are the types of Acne Scar Treatment available?

Based on the nature of the scarring by acne, the patient’s medical history, the dermatologist will choose a technique or combination of treatment that is most suitable for the patient. The below-mentioned techniques and procedures are commonly used to in improving acne scarring.

  • Laser Therapy: By delivering short pulses of the laser beam, dermatologist are able to smoothen, sculpt and normalize the appearance of acne scars. The non ablative and ultrapulse carbon dioxide lasers are commonly used for treating acne scars.
  • Chemical Peel: By applying a chemical solution to the skin, mild scarring and comedogenic acne can be treated. It also improves your skin tone and reduce pore size.
  • Excision and Punch Replacement Graft: By surgically removing a depressed acne scar and replacing it with a patch of skin from elsewhere on the patient’s body, excision and punch replacement graft can improve acne scarring.
  • Soft tissue fillers: By injecting a small quantity of hyaluronic filler or a patient’s own fat, taken from another part of the body, below the surface of the acne scarred skin, these soft tissue fillers are able to elevate depressed scars.

 

© 2017 twlskin.com. All rights reserved.

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Meet with Dr. Teo Wan Lin, consultant dermatologist at TWL Specialist Skin & Laser Centre, for a thorough consultation to determine the most suitable treatment for your skin.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

3 Questions About Sensitive Skin Answered By a Dermatologist

October 3, 2017

By Dr. Teo Wan Lin, Consultant Dermatologist at TWL Specialist Skin & Laser Centre

Many patients that come to me say: “I have super sensitive skin and I break out easily from using the wrong kinds of products.” However, from a dermatologist’s point of view, skincare or makeup alone (especially if labelled non-comedogenic like most brands on the market are) do not cause breakouts or pimples. These are instead signs of acne-prone skin, which is a medical condition that needs to be treated with prescription medication.

1. How Do I Know If I have Sensitive Skin?

Make a visit to an accredited dermatologist. They will usually ask you the following questions:

Do you suffer from symptoms such as skin redness, flaking, itch or stinging pain? Did you have eczema, asthma or sensitive nose when you were young, or have a family history of eczema or sensitive skin? Does your skin get red and itchy when you use makeup or skincare products, or when you are exposed to a dusty or sweaty environment? Does your skin act up when travelling to a cold or dry climate?

Dermatologists diagnose true “sensitive skin”, with a medical condition known as eczema, where common exposures to the environment or skincare and make up can trigger off flare-ups.

2. What Is Defined As Sensitive Skin Then?

People with sensitive skin are likely to have atopic dermatitis, which is a genetically determined condition where the skin is deficient in certain fats. The skin acts as a barrier to the environment and, without a proper functioning skin barrier, any dust, climate change, pet fur, or even emotional stress can trigger off a flare-up.

 If you have never had any of these symptoms and suddenly experience “sensitivity”, especially soon after using a new skincare or makeup product, it might actually be a form of allergic contact dermatitis to an applied substance. This would be best reviewed by a dermatologist who might suggest a patch test and also receive appropriate medical treatment.

Undiagnosed and untreated skin sensitivity can become chronic and may result in scarring such as post-inflammatory hyperpigmentation which results in dark marks on one’s face.

3. So What Is The Solution To Sensitive Skin ?

RADIANCÉ FLUIDE™ is dermatologically formulated for sensitive skin to provide moisture and hydration, providing a light-weight feel in the day for a radiant makeup base.

Your dermatologist will prescribe you anti-inflammatory creams such as topical steroids of the appropriate strength and ceramide-rich emollients that replenish the skin barrier. In the case of any infection, oral antibiotics to clear the skin infection would also be prescribed. Oral steroids may also be required for severe eczema.

Here are three of the best skincare tips for people with sensitive skin: 

1) Look for “dermatologically tested and formulated” labels that are produced in certified laboratories and that work with dermatologists rather than cosmetic brands.

2) Get your dermatologist to recommend a gentle cleanser formulated for effective cleansing of eczema-prone skin.

3) Get your sensitive skin treated first before using anti-ageing products
Many anti-ageing products contain stimulating ingredients which may worsen sensitive skin. If you do use them, look for a product that’s recommended by your dermatologist.

© 2017 Dr. Teo Wan Lin. All rights reserved.

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Meet with Dr. Teo Wan Lin, founder and Specialist Consultant Dermatologist of TWL Specialist Skin & Laser Centre, an accredited dermatologist specialising in medical and aesthetic dermatology. She integrates her artistic sensibility with her research background and specialist dermatologist training, by means of customised, evidence-based aesthetic treatments using state-of the-art machines, injectables (fillers and toxins) which work synergistically with her proprietary line of specialist dermatologist grade cosmeceuticals Dr.TWL Dermaceuticals.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

Why Your Dermatologist Would Recommend Soft tissue fillers

October 3, 2017

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What are soft tissue fillers?

Soft tissue fillers are injectables that aim to reduce wrinkles, hollows, and furrows or “plump up” or the skin to give the skin a smoother and more pleasing appearance. Derived from either natural or synthetic substance, these fillers are effective at contouring specific areas of the face, such as around the lips and mouth, and correcting depressions and scars.

Who are soft tissue fillers for?

Each filler product is designed for different purposes and effects. For those looking to correct wrinkles, enhance their lips through volume augmentation, correct thin, superficial lines around the eyes, mouth and forehead area, looking to contour the areas around their chin and cheeks area and correct deep folds, soft tissue fillers are an effective treatment method.

What should I know about soft tissue fillers?

Soft tissue fillers come in two forms — natural and synthetic. Synthetic fillers are often a popular choice as they produce immediate results and have a lasting effect in comparison to natural fillers. This is because synthetic fillers are derived from animal and non-animal stabilised hyaluronic acid complex. The sugar chains in these complex are often stabilised for a longer period of time, resulting a lasting effect on the skin when treated with soft tissue fillers. As soft tissue filler are able to create volume for wrinkle, facial folds, lips and lines treatments, you are able to see immediate results.

What are the side effects of soft tissue fillers?

With recent technological breakthroughs, new synthetic and natural filler substances have been created to reduce side effects such as allergic reactions, redness and occasional bruising, swelling, itching, minor lumps, or tenderness which usually resolves quickly. However that being said, one should be wary of the mentioned side effects and consult a dermatologist immediately.

What to expect from the treatment?

The duration of the treatment usually lasts nothing more than 30 minutes. Prior to the procedure, nerve blocks and local anesthetic creams could be used to minimize discomfort occurring during the procedure. An accredited and trained dermatologist will examine your face and then determine an exact location to inject the fillers to achieve optimal results.

Depending on the areas that are being treated, the depth of the lines, the condition of the skin and the lifestyle of the individual, soft tissue fillers can last up to approximately one year. For optimal results, patients may get their fillers topped up every six to nine months, or an alternative combination regime involving lasers can be discussed with your dermatologist for maintenance.

© 2017 twlskin.com. All rights reserved.

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Meet with Dr. Teo Wan Lin, accredited dermatologist at TWL Specialist Skin & Laser Centre, for a thorough consultation to determine the most suitable treatment for your skin.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

Cosmeceutical Skincare – How a Singapore Dermatologist is changing the name of the game

September 29, 2017

 

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If you are skincare junkie, we are very sure you have been bombarded with the term ‘doctor-designed’ and ‘clinically-tested’ a gazillion times, whatever that means. It’s frustrating to pay such premium prices for such products and not see a difference or worse, develop a skin allergy from thereafter. Good news is, you are not alone in this battle ladies.

Getting to the root of this problem, is regulation. As cosmeceuticals are not regulated by the FDA or Health Sciences Authority in Singapore, cosmeceutical or cosmetics companies are not bound to upkeep their claims on seen their packaging. This makes it difficult for consumers to know if a given product can do what it claims it can do, contain the ingredients it claims to, or if the ingredients have the potential to cause harmful reactions such as phototoxic conditions when exposed to the sun or cause allergic or irritant contact dermatitis.

So before, slathering any products onto your face, always remember to check the labels. Just because it’s recommended by your aestheticians or even cosmetics companies claiming to be ‘doctor-designed’, they might not always be good fit for your skin. As a quick rule of thumb, picking out products recommended by a dermatologist (check your doctor’s accreditation here) would be a safe bet. One would be wise to do thorough brand research, look for the labels ‘dermatologist-tested’, ‘dermatologist formulated or recommended’ or just consult a dermatologist before you buy.

Our best advice, reach out for cosmeceuticals — skincare products that a formulated in a laboratory and backed up by clinical studies — recommended accredited dermatologist such as Dr TWL Dermaceuticals, specialist cosmeceutical skincare line founded and owned by Mr. Teo Zhi Liang, a pharmaceutical engineer and developed by his sister Dr Teo Wan Lin, an accredited dermatologist in Singapore. Dermatologist formulated and tested cosmeceutical is the new IT girl in the beauty industry your skin will thank you for. Read more about it here.

© 2017 twlskin.com. All rights reserved.

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Meet with Dr. Teo Wan Lin, founder and Specialist Consultant Dermatologist of TWL Specialist Skin & Laser Centre, an accredited dermatologist specialising in medical and aesthetic dermatology. She integrates her artistic sensibility with her research background and specialist dermatologist training, by means of customised, evidence-based aesthetic treatments using state-of the-art machines, injectables (fillers and toxins) which work synergistically with her proprietary line of specialist dermatologist grade cosmeceuticals Dr.TWL Dermaceuticals.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

Look 10 years younger within one day

September 27, 2017


Known for her overtly luscious pout, Kylie Jenner has created a buzz around fillers. For those who are looking to enhance their appearance without wanting to go under the knife or suffer the healing downtime drinking pumpkin soups, dermal fillers are an excellent semi-permanent and in some cases permanent option.

Propitious to give you more natural finish compared to botox, dermal fillers are gaining popularity amongst those seeking for youthful perfection. Instead of stopping the muscle movements resulting in wrinkles, dermal fillers aim to plump the skin to smooth out the wrinkles. This does not mean that botox does not have its benefits — read about it here. As both botox and dermal fillers function differently, a combination treatment allows you to walk out of your dermatologist’s office looking 10 years younger.

Setting out to give you a younger face, plumper lips and higher and even nose bridges, dermal fillers come in two different forms – synthetic and natural. Although naturally-derived fillers have a much smaller risk of causing an allergic reaction and risks of migration and lumping and are able to produce an immediate effect, they usually only last from three to 18 months. To maintain your desired result, you will need to go back in and get more fillers injected usually within a year. Synthetic fillers on the other hand, are more of a semi-permanent solution. However, since synthetic fillers provide a more permanent solution, potential allergies and risks of migration and lumping gets harder to correct. To avoid such risks, it is advised that you share your concerns and have a discussion with accredited dermatologist. For an instant youth rejuvenation, fillers are the way to go ladies.

© 2017 twlskin.com. All rights reserved.

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Meet with Dr. Teo Wan Lin, founder and Specialist Consultant Dermatologist of TWL Specialist Skin & Laser Centre, an accredited dermatologist specialising in medical and aesthetic dermatology. She integrates her artistic sensibility with her research background and specialist dermatologist training, by means of customised, evidence-based aesthetic treatments using state-of the-art machines, injectables (fillers and toxins) which work synergistically with her proprietary line of specialist dermatologist grade cosmeceuticals Dr.TWL Dermaceuticals.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.

Let’s talk Botox

September 25, 2017


Originally introduced as medical treatments for muscle spasticity such as cerebral palsy, some forms of headaches and reducing excessive localised sweating in the armpits, botox have came a long way in making an impressionable mark in the beauty industry.

Botox are now a highly sought after, non-invasive and successful medical treatment for those looking to erase those wrinkles or facial lines for the quick dip into the fountain of youth. With rapid advancements in medical technology since the 2000s, there is no reason the late Joan Rivers or well renowned fashion designer Donatella Versace should scare you when it comes to botox.

Let’s face it, aging is both biological and environmental but fret not, there is something we can now do about our laugh lines, crows feet at eyes or scowl lines on your forehead from the constant smiling, squinting and frowning we subject our faces to. Botox could very well be the solution to all of your worrisome lines. By blocking the signals from the nerves to the muscles, your wrinkles and facial lines tend to relax and soften, giving you a smooth finish. For youthful glow, discuss with your dermatologist for botox treatments combined with suitable lasers and cosmeceutical skincare.

However, to avoid common and significant complications such as ptosis — the drooping of eyelids — or to reduce side effects such as headaches and bruisings, it is advised that you visit an accredited dermatologist (find an accredited Singapore dermatologist here) instead of cosmetologists and aesthetic clinics for your botox treatments. For a safer and more natural result, opt for a dermatologist who specialises in both medical and cosmetic dermatology. Caveats? Ladies who are expecting and are currently breastfeeding or those with certain medical conditions, botox is inadvisable.  Otherwise, it’s the perfect go-to treatment for a fresher renewed look with minimal downtime and quick results.

© 2017 twlskin.com. All rights reserved. 

—–

Meet with Dr. Teo Wan Lin, founder and Specialist Consultant Dermatologist of TWL Specialist Skin & Laser Centre, an accredited dermatologist specialising in medical and aesthetic dermatology. She integrates her artistic sensibility with her research background and specialist dermatologist training, by means of customised, evidence-based aesthetic treatments using state-of the-art machines, injectables (fillers and toxins) which work synergistically with her proprietary line of specialist dermatologist grade cosmeceuticals Dr.TWL Dermaceuticals.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.