Tag Archive: skin

Dermatologist Talks: How To Care For Combination Skin

January 7, 2020

Have you noticed that some parts of your skin are dry while other parts are oily? This is known as combination skin. Combination skin is characterized by an oily T-zone while the cheeks are either normal or dry. How to tell if you have combination skin? Wash your face with your normal cleanser, then wait an hour. If your T-zone is oily whereas your cheeks are either normal or dry, you have combination skin.

Combination skin is thought to be one of the most common skin types. When it comes to skincare routines, hydrating creams are too hydrating, oil-absorbing masks are too absorbing, balancing lotions never seem to do much balancing… It can be tricky to figure out how to care for your skin properly.

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 heads up Dr.TWL Dermaceuticals, a specialist cosmeceutical skincare line with evidence-based active ingredients for anti-ageing and skin health. Its subsidiaries, the Pi- Cosmeceutical Custom Makeup Lab and the Conscious Mask Bar are part of the Conscious Concept Pharmacy launched in December featuring environmentally sustainable makeup and skincare materials. In this series “Dermatologist Talks” she shares her top tips on common skincare topics. In this article, she tells us the science behind combination skin – skin that is both dry and oily.

Skin that is both dry and oily boils down to an underlying pathology of the skin which is much more common in acne-prone individuals is known as seborrhea, which is overactivity of the oil gland. It is part of the causes of teenage and adult acne. Even when you have seborrhea, it is possible for you to have a deficiency in the ceramide content of your skin barrier leading to dry skin. The production of ceramide is genetically determined. You could have inherited both the genes for oily skin as well as dry skin. The commoner scenario we see would be someone with acne and oily skin who started using over the counter medication such as those that contain retinol or benzoyl peroxide and these will break down the skin barrier and it can result in the skin being dry, sensitive and acne-prone.

Individuals with combination skin often have breakouts over the greasy T-zone area. This can be exacerbated, in the case of some women, especially during the time of their monthly menstrual cycles. On the other hand, their cheek areas can be very dry and when they travel, especially when there is a change in climate, these areas can become dry, flaky and sensitive especially if they are using skincare that is slightly harsher on their skin.

The recommended skincare routine for combination skin should address both the oiliness of the T-zone, which can sometimes get quite uncomfortable especially in a humid climate like Singapore, as well as the potential dryness that may occur over the cheek areas. An important thing to note would be a gentle emulsifying cleanser is recommended for combination skin such as the Honey Cleanser. Honey itself is a natural emulsifier which means it produces foam without the need for strong chemical lathering agents such as the laureth sulfates. At the same time, it is a natural humectant which means that it traps moisture under the skin. As a result, it helps to balance out the production of sebum without over-stripping the skin of its natural oils.

From left to right: Hyaluronic Acid SerumVitamin C Serum, Radiance Fluide Hydrating Emulsion, Milk Cleanser, Honey Cleanser, SunProtector, Elixir-V Eyes, Mineral BoosterElixir-V Serum

Individuals with combination skin should focus on using hydrating serums such as Hyaluronic Acid Serum, Vitamin C Serum and Elixir-V Serum as these contain cosmeceutical active ingredients which function as treatment over their T-zone to regulate oil production.

 Also, use hydrating emulsions rather than creams, the former is an oil in water mixture rather than a pure cream formula. This helps to moisturize the skin without the cream becoming too thick or greasy. Finally, the excess grease over the T-zone can be addressed with the use of blotting papers (such as those infused with active ingredients like cannabis sativa). These blotting papers are infused with cannabis sativa, an extract of the hemp plant which helps to moisturize the skin and regulate oil production, at the same time physically removing excess grease over the T-zone. One should follow with a hydrating mist such as the Mineral Booster which helps to regulate the skin barrier.

© 2020 TWL Specialist Skin and Laser Centre. All rights reserved.

Eczema Management with Multi-CERAM Moisturiser

September 21, 2019

In patients with Eczema, there is an inherent defect of the epidermal barrier of the skin. When this barrier is compromised, bacteria and allergens are able to enter and thus there is an increased risk of secondary infections, which, in turn, can lead to aggravation of eczematous symptoms. 

It is believed that the best way to manage eczema is to repair the skin barrier or prevent its dysfunction. 

According to accredited dermatologist Dr Teo Wan Lin  who is an expert on sensitive skin and eczema, “I formulated the Dr Twl Dermaceuticals Multi-CERAM™ Moisturiser after years of prescribing other brands of ceramide-containing moisturisers which I found did not meet the underground clinical needs of patients, at a competitive price point. The high cost of manufacturing ceramide-containing moisturisers lies in its reliance on synthetic sources of ceramide as well as bovine(cow derived) ceramide.”

“In the Dr Twl Dermaceuticals Multi-CERAM™ Moisturiser, which is very competitively priced with a high ceramide content, the novel focus and dermatological concept is on using multiple sources of ceramide for total skin lipid restoration, rather than just relying solely on the expensive synthetic and animal derived ceramide which results in low concentrations of ceramide being used in other moisturisers, or high price point which is prohibitive. In the Multi-CERAM™ Moisturiser, phytoceramides are used— these are plant seed oil derived sources of ceramide that directly repair the skin barrier. This is in addition to containing plant anti-oxidants which incidentally combat cellulite, large amounts of glycerin which functions as a humectant, preventing trans-epidermal water loss, as well as Sodium Hyaluronate (Hyaluronic acid), a natural component of the skin, for dermal hydration,” Dr. Teo says.

 

 

What are Ceramides?

Ceramides are lipids that are naturally found in the intercellular “mortar” within the outer layer of s the statue corneum. They make up 40-50% of the lipid component of the lamellar lipids and are integral to the function of the epidermal barrier. 

In patients with psoriasis, eczema and other dry skin conditions, reduced levels of Ceramides are observed. 

 

 

 

The stratum corneum is comprised of corneocytes compressed within a lipid bilayer, which is made up of 40-45% Ceramides, 25% Cholesterol & 10-15% Free Fatty Acids. If incorporated in the wrong ratio, barrier repair may be impeded. These 3 major components of the stratum corneum bind the protein-rich corneocytes into a water impermeable protective barrier. A deficiency in Ceramides results in excessive transepidermal water loss, dry skin and increased permeability to environmental irritants, allergens and microorganisms. Thus, reduced levels of Ceramides is associated with dermatological disorders such as atopic dermatitis. 

Studies show that if topical ceramides is applied in the correct ratio with cholesterol and free fatty acids, it can help to improve the epidermal barrier in people with Atopic Dermatitis (AD), thereby reinforcing barrier function. Therefore, ceramide-dominant moisturisers and cleansers have been proven to provide substantial relief from the symptoms of eczema. 

The 3:1:1 Ceramide Dominant Molar Ratio

In order for ceramide-containing products to have a positive effect on the barrier function. The optimal ratio is 3:1:1, with Ceramides being the most abundant. Any variations in this ratio may hinder the recovery of the skin barrier. Not all topical ceramide products are the same — our Multi-CERAM Moisturiser have unique formulations which have been designed to ensure the delivery of an optimal ceramide, cholesterol and free fatty acid ratio. 

The Dr. TWL Dermaceuticals Multi-CERAM Moisturiser helps to support ceramide synthesis whilst reinforcing the skin barrier.

The Multi-CERAM™ Moisturiser contains: 

  • Ceramide 1 (EOP) which is significantly deficient in eczema patients and Ceramide 3 (NP) which is linked to the transepidermal water loss experienced in eczema patients. 
  • Phytoceramides which aids the repair of skin barrier 
  • Sodium Hyaluronate for skin hydration
  • Ceramide complex (ceramides, cholesterol & FFA) which delivers ceramides topically in the optimal 3:1:1 molar ratio to aid in the reinforcement of the recovery of the skin barrier. 

Management for patients with Eczema 

A daily maintenance routine is vital. One of the main changes in eczema is a disruption and reduction in the layers of corneocytes in the stratum corneum. When the stratum corneum is well hydrated, it swells, allowing increased permeability of topical formulations. The key to managing eczema is through the regular use of a moisturiser with high ceramide content after showering or washing hands. 

Successful management requires a holistic approach:

  1. Avoid triggering factors 
  2. Maintain skin care through regular use of a moisturiser and a moisturising cleanser 
  3. Pharmacotherapy during acute exacerbations
  4. Compliance of skin care products suggested by a dermatologist

 

More Eczema-related articles here:

Top Eczema Tips & Treatment by a Singapore Dermatologist – Eczema…Staying free of this treatable condition at any age

Ring Finger: Why it is said to be the best in applying your skincare products

August 29, 2019

 

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 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/

Sleep Deprivation and The Skin

September 6, 2018

 

Have you ever woken up groggy from less than six hours sleep and felt your skin is looking unwell? Ever wonder why?

How lack of sleep impacts your skin

Dehydrates the skin

The skin barrier works as a shield against environmental threats and prevents excessive water loss. When you don’t get enough sleep, your skin barrier can weaken and your levels of transepidermal water loss (TEWL) can be higher. TEWL is the amount of water lost to external environments via evaporation. Increased water loss dries out our skin, which can cause skin scaling and increased desquamation or the shedding of the skin’s outermost cells.

Imagining your skin cells as bricks and the lipids/fats in between as mortar, dehydrated skin has a more ‘disorganised’ brick and mortar structure; this causes more light to bounce off the surface. In comparison, hydrated skin has an ‘organised’ structure, allowing more light to penetrate the skin and giving off a translucent appearance.

Your pores can also appear larger with lack of sleep. While you will not have an increased number of pores if you sleep less, increased skin scaling causes a coarser skin texture and can make pores appear enlarged.

Reduces immune system function

Sleep also plays a role in restoring the body’s immune system function. Any change in the immune response may affect collagen production and lead to impaired skin integrity.

Inflames the skin

Sleep deprivation also triggers increased levels of inflammatory cytokines, which in turn modify the structures of collagen molecules. Collagen gives the skin its elasticity and flexibility. Assembling into a dense network of fibres, collagen holds the dermis layer together and protects the skin from external sources such as bacterial agents or ultraviolet radiation. Lower collagen levels manifest as thinner and wrinkled skin.

Ages your skin

Poor sleepers may experience uneven pigmentation, fine wrinkling, skin laxity, loss of facial fat and benign skin growths.

Chronic poor quality of sleep is also associated with accelerated intrinsic ageing. Intrinsic ageing results from factors inherent in chronological ageing such as metabolic oxidative stress.

Stress is also a likely factor inherent in the lack of sleep. In response to stress, your brain releases an excess of stress hormones called glucocorticoids. This hormone causes negative effects on nearly all body tissues and accelerates the aging process. Glucocorticoids also inhibit lipid production, which eventually weakens skin integrity.

Regain your skin’s well-rested radiance

If you covet a seemingly translucent, pore-less look, it’s no surprise that we suggest you catch up on your sleep.

However, while you’re trying to change your sleep habits, providing rich hydration to your skin can also help compensate for some of your sleep loss. Apart from a moisturizer, a good boost of hydration also can come from an effective hyaluronic acid serum.


© 2018 TWL Specialist Skin and Laser Centre. All rights reserved.

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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.

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.

 

 

 

 

 

Achieve A Youthful Look With Fillers

February 24, 2018

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The word anti-aging alone turns many heads. Living in a beauty-centric society, we are pressurised to maintain our youth. Although it’s a natural process to age, once we hit the big 3-0, we are told to maintain our youth with an onslaught of anti-aging products that promotes and stimulates collagen production. You can’t really blame yourself for getting sucked into this black hole and there’s nothing really wrong about wanting to look young.

Are you looking for the fountain of youth? Look no further. Fillers are actually becoming a popular option for those wanting a youthful look. In comparison to anti-aging skincare, injectables such as fillers offer an almost instant youthful look and are fairly safe and natural looking when done right at the right place.  

Although our skin is remarkable in protecting our bodies from the outside world and repairing itself every day, with age, lifestyle and environmental factors such as sun damage, smoking and poor diet, the condition of our skin deteriorates. This is inevitable. When it comes to giving your skin a refreshing and youthful appearance by giving it definition, firmness and a deep hydration, fillers are an effective method. Done by injecting a gel-like substance into lines and wrinkles, these injectables either fill or add volume to the sunken areas.

Hyaluronic acid is a common component that is used in fillers. Before you shrug at the term acids, know that hyaluronic acid is a component naturally found in the human body. Its sole function is to provide hydration and structure. Since skin hydration and structure depletes as we age, it is quickly removed from the body. By injecting these fillers, we are essentially introducing hydration and structure in the skin. Lasting up to six to twelve months, these temporary fillers plumps up the eyebrow and temporal region, defines and contours the cupid’s bow, cheeks and jawline, smoothens out the under-eye hollows, facial creases and can even minimise the appearance of scars and other depressed creases.

Restylane is one of the many available injectables out there. Using a patented Non-Animal Stabilised Hyaluronic Acid (NASHA) technology, Restylane injectables are generally firmer for a more pronounced lifting capacity and targeted product integration. This delivers a longer lasting skin hydration. Its Optimal Balance Technology (OBT), ensures that the injectable is more evenly diffused in the injected area, creating a softer and more natural look.

Next question in mind would be what to expect before, during and after a filer procedure. First things first, always consult an accredited dermatologist or surgeon when getting a filler or any cosmetic surgery. Avoid going to any aesthetic spas or worse neighbourhood malls to get your fillers done. Hygiene and sanitary is pertinent when it comes to any corrective treatments, to avoid infections and side effects. Make sure you understand the procedure and don’t be afraid to ask any questions. Always remember to inform the dermatologist or surgeon about your present medical condition and allergies. Avoid taking any medications such as panadol that may hasten bruising, or intoxicants such as alcohol, and stay hydrated. Always ask your dermatologist, or trained practitioner what type of filler you are getting injected with. Do some background research of it and make sure you are comfortable with being injected with that particular type of filler chosen for you. Instead of going for a cheaper alternative, choose the type of filler that is recommended by your dermatologist or surgeon, to avoid a botched procedure.

If you feel uncomfortable or uneasy during your filler procedure, voice out your concerns. As for post-procedure, expect minor bruisings. Hydration is key when it comes to healing. So drink up. Avoid using controlled substances such as cigarettes and alcohol immediately after the procedure. To avoid irritating the injected area, minimise makeup or external touch such as facials, pinching or scratching of the skin, high-intensity workouts and even sauna sessions. It is pertinent to abide by the post-procedure instructions given by your dermatologist or surgeon. Although minor bruisings can be expected, always report any signs of abnormality such as bumps, unevenness or unforeseen side effect to your dermatologist or surgeon immediately.

© 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.

Planning to Visit Your Dermatologist? Get Fillers.

November 29, 2017

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The word anti-aging alone turns many heads. Living in a beauty-centric society, we are pressurised to maintain our youth. Although ageing is considered a natural process,  once we hit the big 3-0, we are told to maintain our youth with an onslaught of anti-aging products purportedly promoting rejuvenation  and stimulating collagen production.Is the aesthetic and beauty industry just a vicious black hole sucking in the vulnerable and playing on our insecurities? Hey, if you are reading this,  there’s nothing wrong about wanting to look good, or a youthful, energised version of yourself.

A myriad of cosmetic procedures are being offered by every aesthetic set up, beauty parlor and medi-spa. If you are looking to look your best this festive season and have decided to get some pampering, do read this article beforehand to educate yourself on what’s out there.

First things first, it’s important to understand, that according to the latest Singapore Medical Council guidelines has clarified its stand on who should and should not perform aesthetic procedures such as lasers, botox, fillers or other cosmetic procedures. Read all about it here. What does this mean? Well,

It’s best to visit an accredited dermatologist or a plastic surgeon who will ensure the safety and efficacy of the treatment, depending on what you are looking for. Non dermatologists who practise “aesthetic medicine” require additional certification of competency conducted by the Dermatological Society of Singapore. Not sure about the qualifications of your doctor? Check your doctor’s accreditation here.

Once you’ve decided on who to see, make a note of the research you’ve done and how you actually feel about yourself. Our take on this? Filler injections are one of the fastest, most dramatic yet natural-looking ( if well done) aesthetic procedures that can instantly rejuvenate a tired face.  One of the reasons fillers have sometimes gained a bad- reputation amongst the beauty fans and watchers is that the early nineties were filled with images of Hollywood stars suffering less than ideal( sometimes botched) jobs with unnatural lumps of flesh on their faces or oddly elongated chins. Fast-forward to today, we asked Dr. Teo Wan Lin, a Consultant Dermatologist what her thoughts are on those in their thirties considering facial fillers. “ The benefits to having fillers in the younger age group, say those in their thirties to early forties, as compared to those in their midforties and beyond, is that hyaluronic acid -based facial fillers can provide natural-looking volume to restore areas of the face where fat has been lost or where gravity has taken its toll. Not a lot of product is required to be injected in these women to achieve the desired outcome, but at the same time thit;s a very quick pick-me up to a tired face, when injected at the correct areas, in addition to giving a smooth, radiant look to one’s complexion almost instantly, because hyaluronic acid itself is a water molecule that naturally exists in one’s skin and is depleted as one ages. The pores also end up looking more refined and one also has a smooth youthful contour of the face”.

So it seems indeed, that facial fillers rightfully remain a  popular option for those wanting to achieve a youthful look. “Relying on a rigid regimen of filler injections alone is bound to disappoint,” says Dr. Teo,  “as the skin itself, like the face structure, is dynamic, different for each individual and requires expert assesment to tailor treatments, all this in order to achieve the desired outcome. For an individual who needs a quick freshening up before the festive period, I start with facial fillers and combine with High Intensity Focussed Ultrasound to target the SMAS layer( Superficial Musculoaponeurotic System), together with cosmeceutical skincare for maintenance of clear radiant and hydrated skin.”

While we don’t need any further reminders that with each passing day, genetics, lifestyle and environmental factors i.e. sun damage, smoking, poor diet, the condition of our skin deteriorates. Before you despair at mankind’s seemingly inevitable fate, here’s some good news. Milennial skincare has extended its technological advances to the field of aesthetic dermatology, and take it from the dermatologists–when it comes to giving your skin a refreshing and youthful appearance, fillers work by giving your ageing face definition, firmness and deep hydration, talk about multi-tasking. No amount of skincare can do that overnight. What to expect?A gel like substance containing a natural water molecule in your skin, known as hyaluronic acid, is injected into parts of your face that has lost volume or sagging, erasing lines and wrinkles at the same time. Talk about getting rid of the tired and pissed look off your face, erase the years away!

Hyaluronic acid is a common component that is used in fillers. With many people reacting to “acid”, probably the last time they have heard of that term was in their chemistry class, where the corrosive substance was definitely not something one would put on their face. Here’s where it’s a fallacy. Hyaluronic acid is a component naturally found in the human body and it is no mean chemical acid! It’s actually really good for your skin, with almost every beauty product these days touting it as its superstar ingredient. According to dermatologist Dr. Teo Wan Lin, “Most commercial brands of hyaluronic acid products contain a concentration ranging between 0.01- 0.1%, simply because of the cost of the molecule. Injecting hyaluronic acid is a totally different story, purity and concentration is important, as it serves to hold up the structure of the face.” Seems like when the creator made hyaluronic acid for the human skin, He also found its sole function to provide hydration and structure, both of which get depleted as we age. So here’s the science of filler injections:  one is essentially introducing hydration and structure in the the skin. The next time you see a young girl, notice the fullness of her facial contours. That, is the key to a youthful face. Besides, many who are risk-adverse and into an au-naturale look (who isn’t?) will be pleased to know that hyaluronic acid facial fillers are considered temporary. Lasting up to six to twelve months, these fillers have the ability to plump up the eyebrow and temporal region, define and contours the cupid’s bow, cheeks and jawline, smoothen out the under-eye hollows, facial creases and can even minimise the appearance of scars and other depressed creases.

Restylane is used exclusively at our clinic, for the following reasons. Using a patented Non-Animal Stabilised Hyaluronic Acid (NASHA) technology, Restylane injectables are generally firmer for a pronounced lifting capacity and for targeted product integration. What this means is, it’s now possible to deliver skin hydration that’s  longer lasting, giving the dewy, glowy skin look.  Its Optimal Balance Technology (OBT), ensures that the injectable is more evenly diffused in the injected area, creating a softer and more natural look.

Finally, know what to expect before, during and after a filler procedure. First things first, always consult an accredited practtioner, such as a dermatologist or plastic surgeon prior to getting a filler. This should be taken seriously, and performed in a accredited medical clinic rather than in a spa or a beauty parlor. He or she will run through which areas are suitable for filler treatment, and what to expect. Hygiene and sterility is pertinent when it comes to any cosmetic treatments, to avoid infections and side effects, and a licensed practitioner will take steps to make sure that all risks of infection are minimised. Next up, during your consultation, make sure that you understand the procedure and don’t be afraid to ask  questions. Always remember to inform the dermatologist or surgeon about your present medical condition and allergies. Avoid taking any medications such as panadol that may hasten bruising, or intoxicants such as alcohol, and stay hydrated. Here are more tips: always ask your dermatologist, or trained practitioner what type of filler you are getting injected with. Do some background research and make sure you are comfortable with being injected with that particular type of filler chosen for you. The important thing to know here is, Instead of going for  the cheapest deal available, choose the type of filler that is recommended by your dermatologist or plastic surgeon, to minimise risks of any botched procedures. Remember, there is a cost to quality fillers, in addition to the skill of the practitioner injecting it. So if the price or the deal seems too good to be true, it probably is!

Some final words. If you feel uncomfortable or uneasy during your filler procedure, voice out your concerns. Your doctor will reassure you or make adjustments to ensure that the procedure carries on to your comfort level. Post-procedure, minor bruising is expected. Tips for recovery would be staying well hydrated with fluids,  avoiding smoking and alcohol as these delay wound healing. Recovery is typically quick and uneventful and one could return to work or activities the same day except for maybe high intensity workouts which are best avoided for a couple of days.

© 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.

Skin Cancer Diagnostics by a Dermatologist

October 29, 2017

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What is dermoscopy?

Dermoscopy is a skin examination technique used to evaluate skin growths as well as pigmented skin lesions, without the need for surgery. The accuracy of the technique is dependent on the operator’s experience, and can help facilitate the diagnosis of potentially fatal skin cancers such as melanoma.

The use of dermoscopy involves advanced lens magnification together with an intense lighting structure incorporated in a portable handheld instrument known as a dermatoscope. This instrument reveals skin structures and patterns and can be attached to computers or smartphones for transmitting images.

Some techniques used in dermoscopic interpretation would include pigmentation colour and structure. In terms of colours, a trained dermatologist will pick up hues in pigmented lesions ranging from black, brown, red, blue, grey, yellow and white. Some tips on patterns and structures that dermatologists specialising in skin cancers would involve determining if a growth has the following features of asymmetry, heterogeny, uniformity. Dermoscopic examination also gives clues to keratin on the skin surface,blood vessels, borders, ulceration which can be signs of skin cancers.

© 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.

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.

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.

Stretchmarks Treatment – Stretch… Away!

January 12, 2017

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

 

What are stretch marks? What do they look like?

Stretch marks, also known as “striae” look like streaks of skin over areas like the back, the thighs and arms. They are caused by tissue under your skin tearing from rapid growth or over-stretching. They can have different colours, from white to brown to purple.

What causes stretch marks?

Stretch marks are very common, especially over areas of the body where the skin is subjected to continuous and progressive stretching. Stretch marks are generally harmless but can be cosmetically disfiguring for some people, and rarely is due to medical conditions such as Cushing’s syndrome (abdominal obesity due to prolonged exposure to cortisol) and Marfan syndrome (a genetic disorder that affects the body’s connective tissue). Stretch marks can also occur from prolonged use of oral or topical steroids.

Who gets stretch marks?

Common areas include the abdomen and breast in pregnant women, as well as teenagers undergoing growth spurts (thighs, buttocks, breasts). Over the shoulders in body-builders, in obese or overweight people.

What is an early sign of stretch marks developing?

An early sign is when an area of skin becomes itchy, flattened and thinned out with a pink colour, followed by purplish swollen lines which may lighten. They may be several centimeters long and 1–10 mm wide.

Can I get rid of stretch marks?

It is important, that, if in doubt, get your stretch marks reviewed by your dermatologist, as there are a few medical conditions which may mimic stretch marks.  There are a few creams with active ingredients that help in reducing stretch marks, there are also specific treatments which should only be performed by a qualified dermatologist to reduce the appearance of stretch marks.

© 2017 Dr. Teo Wan Lin. 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 and a full skin examination to treat any problems regarding stretch marks. 

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.