The KOREAN Aesthetics page
OBJECTIVE
- Why we do this?
- Identify your face shape
- What options do we have – FACE | SKIN | HAIR| BODY
- How we age? – Video
- Video on fillers and threads.
- HAIR – Alopecia and Hirsutism – In previous article
- Weight loss programme – Previous article
WHY?
• Rapidly maturing population as medical advances raise life expectancy
• Non invasive treatments are the trend. They are effective, safe, with ultra short downtime.
• Look Good. Feel Great.
• US market for Cosmetic Procedures reached US$17.5 billion in 2015
How hot are you?
Here is the classic finger trap test taken from ABC news. Try it and see if you meet the criteria. =)
American Society of Plastic Surgeons 2015 Annual Statistics
- • Minimally-invasive cosmetic procedures boomed, with more than 13.9 million procedures in 2014.
- • Botulinum Toxin Type A (6.7 million procedures up 6 percent from 2013 to 2014)
- • Soft tissue fillers (2.3 million procedures up 3 percent from 2013 to 2014)
- • Chemical peel (1.2 million procedures up 7 percent from 2013 to 2014)
- • Laser hair removal (1.1 million procedures up 3 percent from 2013 to 2014)
- • Microdermabrasion (881,905 procedures down 9 percent from 2013 to 2014)
Ideal Asian Beauty?
Its all about harmony and balance. A high nose may not suit every face. Similarly, a sharp chin may work well for some, but be unsuitable for others. Its not just about achieving the best nose and chin. Its about achieving the best features that complements and brings out the best in you.
Ideal Western Beauty?
What can we do?
- • FACE | SKIN | BODY | HAIR
- • SHAPE: Fillers. Botox. Threadlifts
- • SKIN: Tone. Texture. Colour .Clarity. Achieved thru – Lasers. Medical Peels
- • BODY: Lifestyle. Medication. Fat removal.
- • HAIR: Hair growth. Hair removal.
SHAPE
We ASIANS have Broad Features. Hence the key is for harmony and balance. Westerners have strong midline features. Science of beauty is based on Restoration, Enhancement and Rejuvenation.
Golden Principle
• Principle – Restoration of tissue to original position
• 3 levels – Soft tissue. Bone. Skin.
The Maturing Face
Allow me to share with you an Incredible video shows a young girl growing old
Vector Principle
Its principle is to restore and reposition your soft tissue, to its original position.
SKIN
• Medical Peels
• AHA
• BHA
• Others
• Indication – To refresh your skin.
• Conduct – Once a month treatment.
• Risks – Redness, skin hyper and hypopigmentation.
LASERS
Here is an excellent introduction to lasers.
Here is an elegant video on filler injections.
Threadlifts
Here is one of my favourite videos that demonstrates a threadlift procedure.
Arguably the best video on nose threads. =)
Anatomy of the face
The golden principle is as we age, we lose volume in the
Skin – We start losing collagen from age 25.
Bone – Bony resorption occurs and our chin, maxilla and orbits become gradually sunken.
Soft Tissue – We lost volume in our cheeks, temples and lips.
The cartoons below elegantly demonstrates this.
Bony resorption.
Skin loses collagen and elastin, and gradually thins out
Loss of soft tissue volume around the eyes, cheeks and jawline.
So I hope this has been useful. Feelfree to pm me should you have any queries. Have a bold and beautiful week ahead!
Professional Statement
• We know it’s always a challenge to find someone you can trust. We know and we CARE. We know no one is perfect and we too have our shortcomings. But, we are dedicated to doing our very BEST for you. We are here for you, and here to journey with you on your Aesthetic dream. TRANSFORM your solitary fantasies into a million realities. Fulfil the highest, truest, purest expression of yourself. Making ASIA, more beautiful, one face at a time.
Dr DANIEL CHANG |
POET | CATHOLIC | TRIATHLETE |
• Drdanielchang1107@gmail.com
• DRDANIELCHANG.COM
(image from BBC.com)Here is a summary of where fillers can help to enhance, restore and rejuvenate your face.
NOSE FILLERS:
Nose fillers, to enhance your nose bridge, tip and body. For the perkier, sharper you. Non surgically, with minimal pain, downtime and bruising. Results are instant. Nose fillers can be used to correct a flat nose bridge, a down pointing nose tip, and a dorsal hump, all common in Asians. It cannot be used to make a nose smaller. To do so visually, there are options. In the grand scheme of things, it is important for the nose to harmonise with the rest of your facial features. Keeping things natural, simple and beautiful.
Above is an example of nose fillers done to correct the sunken nose bridge, a common issue in Asians.
With a well defined midline, your chin and nose will harmonise and bring out the best in you. Here’s a look at the Finger Trap Test.
CHEEK FILLERS
Perky cheeks are a sign of youth. As we age, the cheeks go first, flattening, descending, leading to the formation of the dreaded laugh lines. Creating the model- like cheeks, similar to cheek implants gives one a forever young look. Apple cheeks are important to frame a face, and rejuvenate your look.
Some people don’t mind if their lips are swollen and obviously ‘done’. Others prefer a natural look. As the area around the lips are highly vascular, you may see bruises from the injection, although this risk is reduced in experienced hands.
Aftercare is important.
Ice after the injection, 5x a day, 5min each time, for 5 days or more after the injection to decrease swelling.
I also recommend arnica as studies show they improve healing and recovery post injection.
Above is the anatomy of the tear trough (undereye).
A: the orbicularis oculi muscle
B: Fat pad
C: the tear trough, which is formed by an underlying tear trough ligament
Undereye filler works best in selected patients. For optimal results, it is best to combine with microbotox and HIFU.
LAUGH LINES –
Laugh lines occur due to sagginess and descent of the midface. The cheek fat gravitates downwards, and causes the sunken look. Hence the key is to lift, reposition and restore your midface volume FIRST. Overfilling of the laugh lines results in a stiff and un-natural look.
FOREHEAD FILLERS
A high forehead is a sign of youth, vitality and prosperity. To create a harmonious forehead, it is essential to harmonise with your nose, cheeks and eyebrows.
Korean Love-band
The Aegyo sal or silkworm is a lovely cute roll just under the eye, not to be mistaken with eyebags which occupy a lower position and are lesss perky. This look, when carried off well, gives one a sweet, charming smile.
–- Bigger, brighter eyes
- Sweetness to your smile
- Cute, charming, youthful fullness
Is there any downtime?
A small risk of bruising, like in every injection that you have.
Would it make my eyes look puffy or create dark eye circles?
Puffiness and dark eye circles are multi-factorial.
Common reasons include
- Lifestyle (sleep debt, stress)
- Genetic ( hereditary or history of allergies)
- Ageing
For more information on this, do refer to my article on dark eye circles.
Am I suitable?
Generally, from an aesthetic point of view, patients with skin laxity or bulging eyebags will not be ideal candidates for the charm-roll procedure.
So I hope this has been informative. You now know the difference between a charm roll and a simple eyebag. So be bold and beautiful!
Putting it all together, we have the
D.C -Dream-lift
The DC-Dream-Lift is Dr Daniel Chang’s signature technique, combining a popular non surgical facelift treatment originating from Seoul, South Korea, termed the Dermalift, the 8 Point Lift from South America, and the Ultra V threads from Korea and Taiwan.
VDerma-lift: It involves injecting botulinum protein into the superficial layers of the skin, which
1) Stimulates and re-orders the fibroblasts of your skin cells to bind more elastin and collagen, hence creating an instant firming,tightening and slimming effect
2) It also has a collagen stimulating effect, hence a sustained firming result over time.
8 Point Lift + Thread Ultra V lift: Followed by the careful use of fillers and threadsat key positions to lift, anchor and support your saggy skin. Overall result is a lifted, tighter you.
The end result is an instant tightening and face-lifting effect, which gets better over the next 7 to 14 days.
I will classify threads into 3 main categories.
- Biostimulation
- Support threads
- Suspension threads
- An immediate lift through repositioning soft tissue
- Regenerative action with collagen stimulation for progressive and natural results
What can I expect?
- Local anaesthesia is carefully injected into the entry and exit sites.
- The threads are gently passed under the skin to induce the lift.
- Whole procedure takes 30mins.
- One can expect mild bruising and swelling which will resolve on its own.
Which areas can be improved?
- Midface
- Jawline
- Laugh lines and marionette lines
- Neck
How lasting are the results?
One can expect up to 2 years, with maintainence treatment in the interim.
A surgical facelift involves dissection and the repositioning of the SMAS. This is the gold standard for facelift.FACELIFT
In my humble opinion, threads in general, produce only modest results as they amount of anchoring and support is minimal. Just think about the science behind this. You are using tiny threads to provide the lift, logically, does it sound effective?
Hence the takehome message from this article is, not everyone is suitable for threads. And combination therapy, with fillers, microbotox and energy based devices would be the way to go to produce a safe, efficient and effective non surgical facelift.
What is it?
Tiny droplets of hyaluronic acid just under your skin, to lock in the moisture.
Result?
Dewy, radiant, glowing skin.
How is it done?
Microdoplets of filler with a machine or via injections.
Treatment interval?
Once a month for 3 sessions.
Where can it be done?
Face, neck and hands.
===========Korean Technology===============================
HIFU DOUBLO-S
What is it?
Cutting edge technology for lifting and tightening saggy skin.
How is it done?
A gel is applied on your face and neck, and a ultrasound probe delivers the energy directly over your face. You will feel a tingling sensation intermittently.
Side effects?
This is essentially a treatment with zero to minimal downtime. In some cases, you may see some redness that disappears over hours. In rare cases, wheals may form but this is also transient.
How does it work?
HIFU – high intensity focused ultrasound onto the SMAS layer to lift and tighten.
Treatment interval?
2 sessions a year for optimum results
Results?
- Softening of the jawline, nasolabial fold, double chin.
2. Lifting of midface and eyebrow.
- Natural glow, healthy radiance
- Lightening blemishes and spots
- Firm and tighten pores
Is there any downtime? No this is a strictly no downtime procedure.
- Erase fine lines and wrinkles of the face.
- Smooth and tighten eyelid skin.
- Improve crow’s feet around the eyes.
- Soften pucker marks and frown lines.
- Remove brown spots and splotchy, uneven skin color.
- Improve and flatten scars.
- Repair smoker’s lines.
- Improve skin tone and texture.
- Remove tattoos.
- Erase spider veins.
Removal of benign lesions:
Epidermal lesions – Good result
Dermal lesions – Risk of PIH and scars
Scars can be subsequently treated with a combination of laser resurfacing, subcision and fillers.
Scar over mid-forehead
What can be expected during and after treatment?
Discomfort is usually minor during the procedure, described as a sensation of heat and mild tingling. Following skin resurfacing, the treated areas are kept moist with ointment and repair creams the first few days. The treated sites must be protected from sunlight after the procedure. Once healing is completed, sunblock lotion should be applied. In some cases, a post inflammatory pigmentation may remain for several days to several months. This can be well managed with topical treatment.
Common side effects with fractional laser?
Each year, thousands of laser resurfacing procedures are performed successfully. Significant complications are rare, and the risk of scarring is low.
My mnemonic is RBC.
- D= Day
- D1 – D2 Redness or brown discoloration at the treatment sites
- D3 – D5 Bronzing of skin
- D5 – D7 Crusting (which usually goes away over 4- 7 days)
These are usually minimized by our post treatment care regime.
What are the limitations of laser resurfacing?
Laser resurfacing is not a substitute for a facelift nor can the procedure eliminate excessive skin or jowls. However, via tightening loose skin, laser resurfacing can improve certain folds and creases. Laser resurfacing works well in conjunction with or as an additional treatment to other cosmetic skin procedures such as botox, fillers, RF skin tightening, chemical peels, blepharoplasty (eyelid surgery) and liposuction of the face and neck.
What are the pros of laser?
- Improved therapeutic results
- Reduced risk of infection
- “Bloodless” surgery with most lasers
- An alternative to traditional scalpel surgery, in some cases
- Less scarring, in most cases
- Safe and effective outpatient, same-day surgery for many skin conditions
===========================================================
A BEAUTIFUL FACE – HARMONY. BALANCE. PROPORTION. DEFINITION.
- The outer oval, comprising of a full temple, apple cheeks, slim jawline, shapely chin
- The inner circle comprising the brows and the eyes
- And the midline triangle, comprising of the nose and lips.
Let me explain.
Lets take a look at this face. The outer oval would comprise of the line joining the temple, to the cheek, to the jawline, and ending with the chin. In this actress, we see a seamless line that continues down and laterally from the temples, to the well volumised cheeks, the slim jawline and the well shaped chin.
For a beautiful female chin, on side profile, it must lie close to or at the line seen above. This is agreed upon by Plastic Surgeons.
And on frontal view, the length from the tip of the chin to the lower lip should be twice that of the base of nose to the upper lip. This is akin to the Golden Ratio. A good example is seen here in Korean star Han Ga In.
Moving on, lets discuss the next shape, the inner circle around the eyes.
This can be divided into
- Well shaped brows which frames the face and gives you a refreshed look
- Smooth wrinkle free skin lateral and medial to the eyes,
- Soft jelly roll under the eye, evident in the picture below.
Finally, the last shape. The inner triangle, comprising the nose and lips.
Notice how the nose in this actress is sharp, high and narrow? A slender nose, with a high bridge that extends from the brows, and a seamless body that curls over the tip. The only thing to be careful here is an exaggerated nose bridge, which would have you looking like our model below, aka, the ‘Avatar’ look.
As for the lips, the borders are well defined and there is preservation of the 2:1 ratio for the volume of lower lip compared to upper lip.
(realasianbeauty.com)
Moving on, lets look at a popular test you can do at home. It’s called the finger trap test, that determines if you are HOT, or NOT.
(dailymail.uk)
Here’s how it works. Basically, if you place your finger to your nose, and it touches the lips and chin, then yes, you are in the HOT list.
And here, we have the Hollywood A list of celebrities who fall into this category.
( From ABC news)
So are you hot, or not? Happy finger trapping!
Be inspired. Be bold and beautiful.
NOSE =======================================================
Nose, the perfect Asian nose.
What is it?
Let me attempt to share with you, how we doctors assess, and beautify, a nose. Let us divide the nose into the bridge, the body and the tip.
(cocotteenpapier)
We Asians tend to have a low and flat bridge.
The nose body tends to have a hump, so its is not a continuous linear transition.
The nose tip can be rounded and wide.
And worse, our nose may not be well harmonised with the rest of the face.
Now the perfect nose has got to be well balanced and harmonised into your face.
Here is the science behind it.
But lets not bore you.
Here is the art behind it.
(Scarlett Johansson taken from ABC news)
She is known to have a well balanced, well harmonised nose, and one of the best in Hollywood.
(livelovedream.ca)
Notice this picture of a Korean star. See how the tip is upturned, the base is narrow, the body is long and straight, and the bridge, high and mighty.
Here is the science behind it.
http://www.drrawnsley.com/rhinoplasty/your-perfect-nose.html
But lets not bore you further.
Here’s the art behind it.
(slimcelebrity.com)
In the Western world, Kate Middleton has arguably a perfect nose.
3 key points.
1) High bridge
2) Feminine tip with a upturned curve
3) Slender body proportionate to the face
In the Asian world, we pride ourselves on a sharp nose to complement and accentuate a V shaped look.
(dailymail.uk)
Now this lady created a mini buzz with her super sharp chin. It was likened to a tapered container.
So essentially, I hope this light segment on the perfect nose will provide you with some interesting tidbits.
Happy New Year!
- Reduction in oil production
- Tightening of pores to improve skin texture
- Skin tightening to improve sagginess and add to your radiancy and glow
What causes a square jaw?
(Mandible or jawbone- picture courtesy of wikipedia)
The masseters are two muscles found on each side of your jaw. They serve as muscles of mastication, which means they help you to chew. The other muscle groups that perform this function are the temporalis muscles and the pterygoid muscles.
In a condition known as bruxism (excessive chewing or grinding at night), the masseters at the jawline can grow in bulk( making the jaws look square), much like how body builders pump their muscles.
Therefore, injecting Botox to relax the muscles is effective in causing the muscles to reduce in size, hence inducing a slimmer contour to the face.
So how is it done?
Botox is injected into the masseters on each side of the face and spread out at multiple points within the muscle. It is effective, with minimal pain and no downtime. The procedure is non surgical procedure, and the face slimming effect is seen at any time between 4 to 6 weeks.
What are the side effects?
In the first week, there may be a slight ache over the jaw, especially with chewing. This should be transient. You should abstain from massaging the muscles and from lying down for 4 hours after the procedure.
Where else can botox be used for?
Wrinkles in the upper face – forehead, frown lines, crow’s feet.
Brow lifting, to enhance a refreshed, brighter look. Ageing leads to low-set brows which often makes one look dull and tired.
=Carbon Laser and Intracel====================
Acne, acne scars, pimples, whiteheads, blackheads…(Blackheads are open comedones, whiteheads are closed comedones, below is an example.)
(courtesy of acneclearout.com)Well, to put it simply, it’s the blockage of our pores.And if we dont manage it carefully, it leads to acne scarring.Most acne medications are drying to the skin. This is a necessary evil. The flipside of course is the triggering of eczema.Never attempt to wage this battle alone. Enlist the help of your friendly doctor to guide you thru the various treatment regimes.Acne can be classified into mild, moderate and severe.- Clean your face 2x a day, using a minimal touch technique. This is to remove all the old and dead skin that is causing the pores, but not over irritating your skin.
- Use oil free skincare and haircare pdts. I have seen many patients with white heads and blackheads over the forehead, and it is commonly due to haircare pdts.
- Use oil free or ‘non comedogenic’ makeup pdts. Remember, you use makeup to look more beautiful, not to look worsen your acne.
- Always use sun protection. A higher SPF may not always be the solution. I believe in using SPF that is suitable for your lifestyle.
- Never ever squeeze a pimple. You risk scarring and spreading the pimple to other parts of your precious face.
Moving on, here is an example of the Black Gold Peel Laser, which works on the principle of targeting angry active acne…
This laser peel
- Reduces oil gland activity, reduces bacterial inflammation, and promotes exfoliation, hence unclogging your pores to control your acne
- It also serves to tighten and improve the appearance of your pores
- And improves your skin texture, giving you a soft natural glow.
Common side effects include redness, mild bumps on the skin which are tolerable.
As a general rule of thumb I find that this laser, which serves to kill the P acne bacteria, shrink pores, and reduce oil production, is a good treatment to undergo. In addition, I would recommend the following coupled with a good skincare regime to get on top of your acne.
- Mild (comedonal acne or mild inflammatory acne): topicals retinoids,
- Moderate: oral and topical antibiotics for inflamed acne, +/- benzoyl peroxide
- Severe (nodular): please speak to your dermatologist
As for acne scars, a combination approach is what I would recommend.
- Laser resurfacing
- +/- subcision,
- +/- RF microneedling
to improve the appearance of the scars.
Your dermatologist should be able to navigate you through the sea of information and customise a programme that suits your skin best.
I hope this post has been helpful!
Making Raffles Place more beautiful one face at a time.
KPL===========================================================
Korean Pulsed Light
Indication – Red marks, brown spots, pimples, pores, and for achieving a red carpet glow
How it feels – Brief rubber band snaps to your skin
Downtime – Zero
Very Enticing and Outstanding.
LikeLike