Tag Archive: singapore

Chemical Peel In Singapore – Dermatologist’s Best Tips

April 1, 2020

 

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Dr. Teo Wan Lin is an accredited dermatologist and an expert on cosmeceutical skincare research and development. She is the author of  “Skincare Bible – Dermatologist’s Tips for Cosmeceutical Skincare”  which was published July 2019 by leading bookstores Barnes & Noble, Baker & Taylor and Apple Books and available in bookstores islandwide from January 2020. She is the founder of Dr.TWL Dermaceuticals, a specialist cosmeceutical skincare line with evidence-based active ingredients for anti-ageing and skin health. Dr. TWL Pharmacy is the only full fledged online specialist dermatologist compounding pharmacy in Singapore and is jointly headed by a trained pharmaceutical engineer for strict quality controls. In this series “Dermatologist Talks” she shares her top tips on common skincare topics. In this article, she talks about chemical peels, are they necessary and are there any alternatives for those who wish to do it at home? 

What is a chemical peel?

A chemical peel is the application of a high yet safe concentration of a certain acid on the skin. Superficial peels involve the use of acids such as  salicylic acid and glycolic acid. They induce epidermal injury and the induced exfoliation is followed by dermal and epidermal regeneration from adjacent epithelium and skin adnexa, which results in improved surface texture and appearance of the skin. Superficial peels are most commonly used for mild skin disorders such as dyschromia, acne, postinflammatory hyperpigmentation, melasma, and actinic keratosis.

What are the benefits of a chemical peel?

Chemical peels exfoliate the dead outer layer of your skin and are mainly used to treat:

  1. Acne (i.e Blackheads, whiteheads & pimples)

Chemical peels reduce inflamed lesions, loosen and reduce open and closed comedones (colloquially known as blackheads and whiteheads respectively). Chemical peels also lighten mild acne and facial scars from past blemishes. It can be used to compliment topical or oral medication to treat pimples and control acne breakouts. 

  1. Wrinkles

Reduce fine lines under eyes, around the mouth and on the forehead. 

  1. Facial scars 

Lighten mild acne and facial scars.

  1. Pigmentation

Reduce age spots, freckles, and dark patches (melasma) due to pregnancy or taking birth control pills. 

  1. Sun-damaged skin

Remove the sun-damaged outer layers, leaving you with smoother skin.

Chemical peels also increase the absorption of skincare products into the skin because the removal of the topmost layer of skin ensures that there are no dead cells impeding the penetration of products.

SA has anti-inflammatory, antimicrobial and depigmenting properties. It is safe in skin of all Fitzpatrick phototypes. Because of SA’s lipophilic and comedolytic effects, it is particularly effective for comedonal acne. 

What are the side effects of a chemical peel?

The side effects of the treatment tend to be mild and temporary. Most side effects subside after 3 days.

  • Stinging
  • Skin peeling
  • Redness
  • Scabbing of the skin (due to skin cells being removed)
  • Increased sensitivity to the sun

How is a chemical peel performed at your clinic?

A certified nurse will hand you a consent form for the chemical peel before proceeding to explain in detail what you can expect during the peel and the benefits. The peels we use in our clinic are: Lactic Acid, Salicylic Acid and Glycolic Acid. Before the procedure, your face will be cleansed and eye protection like goggles or gauze may be applied. During chemical peel, the nurse will use a cotton pad or brush to apply the chemical solution to your face. You may feel a slight stinging sensation however the nurse will assess the skin and monitor the reaction to the acid. Once complete, the chemical solution will be removed or a neutralizing solution will be added. The strength and peel times are tailored to individual patients skin type and needs. After the peel, we will apply AMINO ACID 360° MASQUE  and leave it on for 10 minutes to soothe the skin. It contains a potent concoction of skin brightening Vitamin C which soothes inflamed acne and lightens scars. LARECEA™  Extract with lifting amino acids penetrate the epidermis to stimulate collagen regeneration, resulting in all round 360 degrees lifting effect for a youthful, smooth contour of face.

 

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If I cannot make it down for a chemical peel at your clinic, would there be alternative treatments that can be performed at home? 

Our online specialist skincare pharmacy Dr. TWL Pharmacy supplies custom compounded topicals powered by botanical actives, for various skin conditions delivered to your doorstep. This is also part of a teledermatology service integrated with the specialist skincare pharmacy, a unique service developed for our overseas patients and a current necessity given the healthcare situation worldwide. There is complimentary courier service locally and subsidised international shipping for our prescription medications.

The following are alternatives for home peels: 

  • Our Dr. TWL Home Chemical Peel System– By Prescription via Teledermatology only. This system incorporates active peeling agents suitable for home use formulated by our in house team, with recovery serums and skin healing emollients included in the package. From $80 upwards depending on prescription and need. Please book in here for your consultation. 
  • Home Medi-Facial Aesthetic Treatments with our Custom Mask Bar Service  Our on-site skincare pharmacy is manned by trained technicians who compound topical prescriptives for skin concerns such as acne/greasy skin, pigmentation, scars and sensitive/eczema prone skin to be used with our newly launched FDA-approved skin devices for a full home facial experience. The SilkPeel, a state-of-the art microdermabrasion device with copper ion technology, suitable for antiageing and skin resurfacing is used with our prescriptive medifacial solutions and has been proven to have similar benefits as in-office chemical peels. For post-peel skin healing and tightening, the CollagenUP Wand utilises Radiofrequency technology with our MoistureMax Polysaccharide Mask Sheet for the Custom Mask Bar which delivers monthly mask essence vials with a complimentary 4L Beauty Fridge. Find out more about the science of our home medi-facials here

Meet with Dr Teo Wan Lin, an accredited dermatologist at TWL Specialist Skin & Laser Centre, for a thorough consultation to determine the most suitable treatment for your skin. Our consultations are now available via teledermatology here . Our online skincare pharmacy is also available for over the counter prescriptives to be delivered directly to your doorstep. 

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

Looking Your Best – 3 Tips for Clear Skin and Healthy Hair From A Singapore Dermatologist 

March 23, 2020

1. Keep your skin acne and blemish free

Acne occurs when the oil glands under the skin, scientifically known as sebaceous glands, become clogged with sebum, an oily substance. This process is known as inflammation, and it is often genetically determined. Hence, if you have a family history of acne, you are at high risk.

A normal amount of sebum usually keeps the skin healthy. Your oil glands become active once you reach adolescence due to hormones and this is when acne usually starts. When clogged, bacteria grows in the glands. This leads to swelling, bumps and visible blackheads and whiteheads on the skin’s surface.

Acne can still affect adults. In fact, many adult females suffer from acne breakouts around the chin, especially during certain times of their menstrual cycle. This should be differentiated from other conditions such as perioral dermatitis, which may look similar but is treated differently.

Under proper dermatologist care, acne can be fully treated with the correct medications, creams and light treatments. For patients who prefer not to be on oral medications, some forms of laser therapies  are safe and effective acne treatment methods too. Blue light, a type of light therapy is designed to treat acne when it is active by killing Propionebacterium Acnes on the skin, which causes acne inflammation. Non ablative and ablative resurfacing lasers can treat subsequent acne scarring after it subsides.

In addition to treatment, prevention against future acne breakouts are also crucial. Diet and proper skincare are also important factors in contributing to one’s acne condition. Therefore, holistic counselling with specific advice about how to manage your condition is important.

For mild to moderate acne, you may consider over the counter dermatologist formulated cosmeceuticals such as the Anti-Acne Bundle here.

Anti Acne Bundle for Clear Skin

2. Use hair regrowth products

Originally prescribed only in my dermatologist practice, the Copper Peptide Hair Regrowth Serum uniquely contains Copper tripeptide, a novel molecule that stimulates hair growth. Clinically proven to have similar efficacy to that of 5% minoxidil, stimulating growth without irritation side effects or toxicity. Studies show collagen production is increased, strengthening existing hair and thickening the hair shaft.  

In conjunction with the hair serum, one can consider cosmetic camouflage for a quick fix.  I often recommend the Kerabuilt Follicle Hair Fibres, integrated with Biomimetic Hair Technology for natural-looking, instant results. In addition, it is chemical-free and hypoallergenic, recommended even for those with hair loss and sensitive scalps.  

In my dermatology practice, almost all patients suffering from hair loss had also done their due research online about possible causes of hair loss before seeing me. The real problem though, medical websites are not written for the layperson and the lists of diagnoses of conditions that lead to hair loss simply leave the hair loss sufferer worried and fearful. Those that do their research on forums and beauty websites are none the wiser, as they suggest many non-evidenced backed methods of hair growth or causes of hair loss which is simply unscientific and wrong information.

There are many different causes of hair loss, which can occur at the same time or individually, and dermatologists are best positioned conduct a thorough history taking, medical evaluation/examination and may recommend blood tests and other tests before diagnosing the cause of hair loss. For some rare causes of hair loss, especially of what is termed scarring alopecia, a scalp biopsy, which is where samples of the scalp are taken for microscopic examination may be required.

3. Consult a dermatologist for scarring on the skin

Treatment of scars on one’s skin can be in the form of chemical peels or lasers, which can be both ablative and non-ablative. Your dermatologist will advise which treatment option is best suited for your skin. In the meantime, a good concealer consists of a colour corrector. Orange is well suited to conceal dark scars and pigmentation whereas green conceals redness. Follow up with a CC cream with cosmeceutical active ingredients to treat and conceal your blemishes at the same time – achieving an overall even complexion.

Ring Finger: A Singapore Dermatologist Discusses Why It Is The Best For Applying Skincare Products

August 29, 2019

WHY YOU SHOULD APPLY YOUR SKINCARE PRODUCTS WITH YOUR RING FINGER

How we apply our skincare is very important. Have you ever wondered why most skincare brands recommend in their product directions to use the ring finger and not any other fingers in applying and gently massaging the product unto your skin especially when it involves the eye area? That is because out of our 5 fingers, our ring finger is said to have the weakest touch. The manner on how you massage your face while cleansing it and how you apply your skincare and makeup products, even just simply scratching it or wiping it can add up to protecting the quality of your skin.

Our skin is very delicate and we want to avoid excessively tugging it whenever we apply our skincare or makeup products because this can cause our skin to show early signs of ageing. Applying with our ring finger gives an equal amount of pressure when applying products. You can easily cause wrinkles with too much pressure, and our ring finger is recommended for the least amount of pressure and pull.

Most especially when it comes to applying eye creams, using our ring finger is the best. The skin around our eyes is the most delicate among the rest, and it is most commonly the first to show the earliest sign of ageing. Mishandling of the skin around our eyes like aggressive removal of eye makeup and heavily dragging eye care products and any other skincare product unto our skin can cause eye wrinkles, crow’s feet, and other skin irritations.

That being said, no matter how the ring finger is said to be the lightest, we still have to be mindful whenever we use it to come into contact with our skin. Same with any other finger. Always work your serums, eye creams, and any other product into your skin using light, tapping motions making sure to avoid rubbing and tugging. No matter how expensive your skincare product is, the manner on how you apply it will tell how to get the most out of it.

 

HOW TO APPLY YOUR SKINCARE- EYE CREAM

Ever looked in the mirror and thought “My eye wrinkles are becoming more obvious each day”?

The Elixir-V™ Eyes is an eye cream that is meant to prevent dark eye circles, excessive puffiness of the eyes and eye wrinkles. Like the Elixir-V serum, it contains potent oligopeptides used for lifting and repair and our signature Larecea™ extract for regeneration. An additional ingredient is niacinamide, used for brightening. While the Elixir-V serum is meant for the skin, the Elixir-V Eyes is focused on protecting the beauty of your eyes. We believe that your eyes are the most noticeable and beautiful parts of your face. Hence, it is meant to anti-age the sensitive skin around your eyes.

 

References:

https://www.aad.org/public/skin-hair-nails/skin-care/skin-care-products

https: //www.futurederm.com/using-the-ring-finger-to-apply-eye-cream-is-it-really-the-weakest-finger

https://drtwlderma.com/dermatologist-designed-anti-aging-solution-elixir-v/

A Dermatologist’s Best Guide to Dandruff and Sensitive Scalp – 3 explanations for Your Hair Loss

October 5, 2017

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

In the third instalment of my series on dealing with hair loss in Singapore as a dermatologist, I’m going to discuss dandruff and scalp sensitivity. This is one of the commonest scalp complaints that my patients have in conjunction with hair loss symptoms and leaves many of them wondering if it is the cause of their hair loss problem.

1. What is dandruff and what causes it?

Flaking on the scalp and white scales found on one’s clothes are one of the first symptoms of dandruff. This is lay speak for any form of scalp inflammation that causes the cell turnover rate on the scalp to increase abnormally. Dead skin cells, which are rapidly shed from the cell turnover, in turn constitute the white scales observed as the primary symptom of dandruff. There are several medical conditions that can result in this, the commonest being the following: scalp psoriasis, seborrheic dermatitis and scalp eczema.

2. Do I have a sensitive scalp or is it a symptom of another condition?

Do you have itch, redness or pain on your scalp? You may have an undiagnosed inflammatory scalp disease. Scalp “sensitivity” without any underlying scalp condition is a very rare condition attributed to abnormal nerve sensations known as scalp dysaesthesia. It is far more common to have an underlying cause such as seborrheic dermatitis, which is due to proliferation of a yeast known as malessezia furfur in an individual with excess production of oil. It is also commoner in tropical and humid climates such as Singapore, as it encourages this yeast to grow.

Sensitive Scalp Inflammation Dandruff Dermatologist Singapore

Otherwise, malessezia is an inhabitant of one’s skin and scalp. Under normal conditions, it does not cause any issues. However, under humid and sweaty environments, this yeast can proliferate to cause scalp inflammation and flaking. Dandruff is observed as a result. If you have scalp flaking which does not respond to over the counter anti-dandruff shampoos, such as those containing zinc pyrithone which is anti-fungal, promptly seek the care of an accredited dermatologist rather than self medicate or DIY.

Other causes of scalp inflammation would be scalp eczema, which is due to an excessively dry scalp/skin condition. For example, scalp psoriasis, which may be the case especially if one has a family history of psoriasis or rashes on the body. If you have been in contact with a ringworm infected cat or dog, also do have your scalp and skin checked by a dermatologist as these infections are contagious and could also cause a form of scalp inflammation presenting as a red, scaly and itchy patch with hair loss.

3. Is my sensitive scalp and dandruff causing hair loss?

Most cases of scalp inflammation due to eczema, seborrheic dermatitis, scalp folliculitis or psoriasis should not cause hair loss. However severe inflammation can push the hair growth cycle into a stage of telogen effluvium which is when hair reaches the end of its cycle and falls out, similar to hair loss that occurs after a major illness or post-pregnancy. In addition, if one picks and peels off crusted areas over the scalp this can also cause damage to the hair root and lead to hair loss.

There are other causes of hair loss such as alopecia areata, which is an autoimmune disorder causing one’s immune system to attack hair follicles, leading to hair loss. This usually has no symptoms other than the appearance of round patches of hair loss over one’s scalp. Scarring causes of hair loss include folliculitis decalvans, which is the end-stage of a type of scalp folliculitis, whereby the hair follicles themselves are constantly inflammed and infected. Children may be more susceptible to tinea capitis, which is a fungal scalp infection that can lead to scarring hair loss if untreated.

© 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). These work synergistically with her proprietary line of specialist dermatologist grade cosmeceuticals, Dr.TWL Dermaceuticals, which include sensitive scalp and hair loss treatments.

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.

Review of Beauty Supplements by a Singapore Dermatologist

October 4, 2017

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

Beauty Supplements Reviewed by Singapore Dermatologist

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 the supplements 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.

Dermal Fillers? The Fountain of Youth Recommended by Dermatologists

September 27, 2017
Dermatologist Dermal Fillers

Known for her overtly luscious pout, Kylie Jenner has created a buzz around dermal 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.

Types of Dermal Fillers

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.