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Telemedicine Acne Treatment: A Comprehensive Dermatologist Guide

November 2, 2021

Telemedicine Acne Treatment in Singapore

“Acne is an ideal dermatological condition to be treated by telemedicine in the comfort of your own home, with doorstep delivery of both skincare and prescription medication required for you to recover from acne. Evaluation is accurate via our telemedicine protocol which ensures you get an appointment within 24 hours of booking and medications delivered to you free of charge, with our teledermatology package for acne,” accredited Singapore dermatologist Dr. Teo Wan Lin.

Widely regarded as a key opinion leader in the field of skincare and haircare in Singapore and Asia, Dr. Teo Wan Lin has published her dermatological research in distinguished medical journals internationally. As a subject matter expert, Dr. Teo published the landmark white paper on “Maskne” with the Journal of the American Academy of Dermatology in 2020, and is also the author of the Skincare Bible. Having been the first accredited dermatology clinic in Singapore to implement a seamless TeleDermatology service, TWL Specialist Skin & Laser Centre rides on a robust telemedicine protocol which serves international and local patients well. Dr. Teo and her team of qualified nurses and pharmacy technicians ensure a pleasant and efficient TeleDermatology experience.

This is a comprehensive guide produced by TWL Specialist Skin & Laser Centre, headed by accredited dermatologist Dr. Teo Wan Lin to assist you in your acne recovery journey, from day 1 you book your teledermatology appointment with us.  

On completing your first telemedicine acne treatment appointment

Information prepared for you will be attached in an email including your recommended prescription, based on your acne diagnosis. We explain how each product works in your telemedicine acne treatment. We will teach how to use these active ingredients for acne treatment. The correct way to apply the skincare is important for optimal absorption benefits of active ingredients that treat acne. Telemedicine acne treatment is divided into three major categories.

First is skincare beneficial for treatment of the skin microbiome, to reduce growth of Propionebacterium acnes, the causative bacteria in acne. Serums like hyaluronic acid and vitamin C can help to regulate oil production and reduce acne scarring. Secondly, oral medications will be prescribed for moderate or severe acne. Thirdly, prescription creams such as topical retinoids, i.e. tretinoin should be used as directed to reduce comedone (acne whiteheads and blackheads) formation. The prescription process will be completed by the end of the day. The entire prescription including any skincare products you require will be sent to you within three to five working days. Same day shipping* is also available on request for appointments booked Mondays and Thursdays.

*subject to a surcharge of $20

Understanding telemedicine acne treatment

Mild acne can be treated with just cream medications alone in the form of skincare and/or prescription acne creams such as retinoids. Moderate to severe acne will require combination treatment with oral medications as well as skincare and prescription creams. The dermatology clinic is paired with a specialist skincare pharmacy that focuses on functional actives for treatment of medical skin conditions. These conditions include acne, and there will be additional creams containing such functional active derived from active botanicals included in your prescription.

If you have moderate or severe acne, you require combination treatment with oral medications. Accompanying the above introductory video are all of these treatment options. If you have mild acne, we will share what the next step may be if you do not get better with initial treatment. Alternatively, pay a visit to our virtual pharmacy where you may be able to pick up non-prescription effective acne creams recommended by our AI chat bot. This article covers the recommended skincare regimen that will be part of your telemedicine acne treatment. It is an essential part of any acne treatment, whether you have mild, moderate or severe acne. 

Effective Telemedicine Acne Treatment with Skincare 

The cornerstone of telemedicine acne treatment is proper skin care, regardless of severity. 

Our in-house cosmeceutical skincare is researched for its benefits for improving telemedicine acne treatment outcomes. It also ensures that you remain acne-free when your treatment is completed. For most teenage and adult acne sufferers, it is the main form of maintenance therapy. 

Antibacterial acne cleanser with medical grade honey

First, an antibacterial cleanser like the Miel Honey Cleanser has potent broad spectrum, anti-microbial properties. This also helps to control “fungal acne”, which is a form of folliculitis caused by a yeast, known as Malessezia furfur. It is also an effective anti-bacterial skin cleanser for hormonal acne and teenager physiologic acne. 

This helps to reduce bacterial colonization on skin. As acne is partly due to the overgrowth of Propionebacterium acnes, a certain type of bacteria, it is very important that your cleanser can help to restore skin balance.

Th process here is also known as stabilising the microbiome. The antibacterial honey cleanser can stabilize the skin bacterial load. At the same time, it helps  to restore moisture and oil balance when you use it twice a day. Only a small amount is needed because you find that it lathers up very well.  The benefits of such an antibacterial acne cleanser include broad spectrum, antimicrobial properties and a suitable gentle cleanser for the treatment of acne. 

Acne skincare regimen includes antioxidant serums

The second important step is the use of serums. Acne is partly caused by excess oil production. Thus, one important telemedicine acne treatment, and in any acne treatment for that matter, is to regulate oil glands. This means that skin hydration is key, but not with an oil or heavy cream. Rather, Dr. Teo Wan Lin recommends a 1% pure hyaluronic acid serum, compounded at Dr.TWL Pharmacy. At one of the highest concentrations available, it is pure, without other additives that can cause skin irritation.

Power Twin Serums for Telemedicine Acne Treatment
The Anti Acne Power Twins contain Hyaluronic Acid for Oil Control and Vita C GOLD as a potent antioxidant.

The second serum effective for acne scar treatment is the vitamin C serum. Dr. TWL Dermaceuticals uses a pH neutral formula, known as sodium ascorbyl phosphate. Why is an anti-oxidant serum important in your acne skincare regimen? Firstly, vtamin C is important as an antioxidant to reduce acne scars. Also, overall it reduces the amount of bacteria present on skin by changing the local skin microenvironment. 

Moisturiser suitable for acne-prone skin 

Moisturising is important for oily and acne-prone skin. This is because it traps moisture under the top layer of the skin and causes your oil glands to be more balanced if you have oily skin it is possible for you also to have dehydrated skin barrier this can result in a oily and dry skin phenomena which really is very uncomfortable and can cause your acne and/or dry skin condition to get worse.

The Radiance Fluide Hydrating Emulsion is dermatologist-recommended moisturiser for telemedicine acne treatment. It is suitable for combination/oil skin that is acne-prone. It has moisturizing properties of a cream but at the same time does not cause increased skin oiliness. Sample size is available as well if you would like to trial first. This moisturiser is suitable for acne-prone and oily skin as it contains additional active ingredients like niacinamide, which helps to lighten acne scars and control oil production.

Best moisturiser for acne scar prevention

Additional skincare active ingredients such as oligopeptides stimulate collagen production. Coenzyme Q10 is a very active compound that can help to treat your skin by stimulating beneficial physiological processes such as scar lightening by blocking pigment production and regulating beneficial cell talk. 

Spot pimple cream for treating acne inflammation 

An effective pimple cream should reduce inflammation quickly and also prevent new pimples from forming.  This is how a pimple cream should be used: firstly as a preventive treatment over the entire affected acne prone area, secondly as a targeted spot treatment over whether inflamed acne bump is. The blemish spot cream is specifically formulated to be highly tolerable, meaning that it does not cause irritation side-effects. In fact, it is to be used at least five times a day liberally over inflamed acne bumps for optimal results.

Telemedicine Acne Treatment
The Blemish Spot Cream is formulated with anti-inflammatory botanicals that soothes acne bumps and is highly suited for telemedicine acne treatment.

Oral medications for telemedicine acne treatment

Oral medications may be required for moderate persistent active and severe acne is usually required for the treatment of hormonal acne adult acne tends to be more persistent and also require treatment with oral medications the main categories of oral medications are first oral antibiotics such as doxycycline and erythromycin.

Secondly, isotretinoin is prescribed for cystic acne or acne that does not respond to oral antibiotics. Common side effects of oral antibiotics for the treatment of acne include diarrhoea and heartburn. You should discuss with your dermatologist if you have a history of drug allergies or have a sensitive stomach. Blue light administered in the dermatologist’s office is also an option for treatment for individuals who do not want to take oral medication.

Sunscreen suitable for acne-prone skin

Sunscreen is essential when you have acne. It is important to protect your skin from harmful ultraviolet rays because it can cause your acne scars to darken. In addition, if you are using acne medication such as retinoids, your skin can be very sensitive to the sun.  Certain sunscreen formulations are comedogenic. This means that it can worsen acne.

The SunProtector is formulated to be very light weight in a tropical humid climate like Singapore, which increases skin comfort and reduces occlusion on skin. it also contains additional anti-inflammatory botanical extracts such as portulaca oleracea which helps to reduce acne inflammation. For sunprotection while wearing face masks, it is advisable to wear a mask designed with a biofunctional textile such as the CUIONS mask with additional UPF 50 protection. There is no need for additional sunscreen under this face mask.

Anti Acne SunProtector
The SunProtector is lightweight and anti-inflammatory suitable for acne-prone skin.

 “Generally, wearing any traditional facial cloth mask or medical grade masks such as surgical masks/N95 masks increases the occlusion effect on skin. If one is prone to acne, or currently suffers from acne, this may worsen. Maskne, for example is a type of occlusion acne. If your face mask does not block UV light, it is essential to wear a sunscreen under the mask for UV protection.

However, sunscreen worn under a face mask will increase the comedogenic effects under occlusion. The CUIONS biofunctional textile, which I described in my research letter in the Journal of the American Academy of Dermatology as an ideal face mask design- addresses the issues of sun protection and maskne,” accredited Singapore dermatologist at TWL Specialist Skin & Laser Centre, Dr. Teo Wan Lin. 

Acne skincare regimen, dermatologist recommended

The five step acne skincare protocol comprises the antibacterial honey cleanser,  vitamin C serum, hyaluronic acid serum followed by the lightweight antioxidant emulsion Radiance Fluide and SunProtector. This skincare regimen is dermatologist recommended and designed to maintain a healthy skin microbiome as well as regulate oil glands secretion. This ensures that after you complete telemedicine acne treatment you will stay free of acne with a healthy maintenance regimen. 

Prescription acne creams 

Effective prescription acne creams include retinoids. Tretinoin is prescribed in doses starting from 0.01- 0.05% in our dermatologist’s office. Tretinoin works in the following ways. It helps to regulate skin cell turnover and also stimulates collagen production, reducing acne scarring. It also helps to regulate sebum production, a key factor in acne. Our over-the-counter blemish spot cream is a pimple cream that contains chlorella vulgaris which help to regulate sebum production, reduces acne scarring and inflammation.

In our dermatology practice, our pharmacy also compounds botanical active ingredients such as berberine which has a multifactorial effect on acne. If you suffer from mild acne you may wish to try our virtual pharmacy’s AI services for a consultation. Our home use Silk peel device is based off in-office treatments such as hydra facial/medi-facial with active ingredients in solutions that helps to target acne related inflammation. If you suffer from moderate or severe acne, you may wish to book in for a consultation with our dermatologist for telemedicine acne treatment.

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