5 simple steps to protect you and your family from the 2020 Wuhan Coronavirus outbreak | Korean Aesthetic Clinic

WUHAN

W: Wear a mask when in close contact with others. Better to keep yourself safe then save a mask

U: Understand that the virus is not airborne so stay calm

H: Hand hygience is the key

A: Avoid crowded places

N: Never touch your face unnecessarily. Your face is a no go zone.


Coronavirus

W: Wear a mask

A mask is useful to prevent droplet spread, but it is only useful if one doesnt remove the mask and scratch your nose, eyes, face without washing your hands.

U: Understand that the virus is not airborne.

This means you do not need to don an N95 Mask against this virus.

A: Avoid crowded places.

The risk of human to human transmission of the virus increases.

H: Hygience – Both hand hygience and droplet hygience

Washing your hands is vital to prevent the spread of this virus. The virus resides and feeds on your respiratory secretions ( for example, your sputum and your mucus). Simple water and soap will remove the virus and its medium (your mucus) and the virus will die. Alochol based handrubs also help to dehydrate and kill the virus.

N: Never touch your face unnecessarily. Your face is a no go zone.

We cannot stress this enough. Your face is like a demilitarised zone and here, there is a lack of defence against invading forces. The virus can enter your body via the mucous membrane of your eyes, nose, mouth etc… Families with kids do take note and remind your children to avoid touching their faces.


Singapore

People are afraid and fear causes us to make irrational decisions. Hoarding masks and alcohol rubs, raising prices, spreading fake news, being secretive about your travel history to China, sending your unwell kids to school etc… Its times like these where we need to stop judging others, but actively cooperate to share limited resources and disseminate helpful, honest information. Working hand in hand to both educate and protect ourselves and our families against this growing health threat. Then, and only then, will we be able to keep our homes and families safe. Dont pray for an easy life. Pray you can be of help to ease another’s life.

#staycalm #sharingiscaring #coronavirus

Dr Daniel Chang

Reference:

DD Richman, RJ Whitley, FG HaydenClinical virology(4th edn.), ASM Press, Washington (2016)

TG Ksiazek, D Erdman, CS Goldsmith, et al.A novel coronavirus associated with severe acute respiratory syndromeN Engl J Med, 348 (2003), pp. 1953-1966

T Kuiken, RAM Fouchier, M Schutten, et al.Newly discovered coronavirus as the primary cause of severe acute respiratory syndromeLancet, 362 (2003), pp. 263-270

 Drosten, S Günther, W Preiser, et al.Identification of a novel coronavirus in patients with severe acute respiratory syndromeN Engl J Med, 348 (2003), pp. 1967-1976RJ de

Groot, SC Baker, RS Baric, et al.Middle East respiratory syndrome coronavirus (MERS-CoV): announcement of the Coronavirus Study GroupJ Virol, 87 (2013), pp. 7790-7792

Aesthefill vs Sculptra vs Radiesse | Battle of collagen stimulators

What is Radiesse? Radiesse is is made from calcium hydroxylapatite. This mineral is found in human teeth and bones.  How much should Radiesse cost? Prices start from SGD 1499 per syringe. How much filler is in a Radiesse syringe? 1.5cc, hence the price is very very competitive, given it lasts longer than pure Hyaluronic acid fillers,

Facelift | Threads vs fillers vs surgery | 线雕+超声刀

For a non surgical facelift, patients come with the following top 3 concerns…

1. Efficacy and longevity of result

2. Pain and downtime to be at a minimum

3. Cost effectiveness

I use the T.I.E approach. In my clinical experience, this is effective for patients with mild to moderate facial sagging and realistic expectations. For ageing skin and severe facial sagging, surgical options may be more appropriate.

T: Threadlift – mini collagen threads which promote Neocollagenesis as they dissolve and improve your skin quality

I: injectibles – Profhilo, Dermal fillers, Sculptra etc. These help to not just replace volume loss but also to improve your skin health, hydration and firmness

E: Energy based devices – of these… My fav would be the Korean HIFU

We shall delve deeper in the following paragraphs.

FACELIFT OPTIONS: 热玛吉.玻尿酸。线雕. 超声刀

  1. Injectibles with botox and fillers
  2. Threadlifts (Duolift, UltraV, Y Ko)
  3. Energy based devices ( HIFU/ Ulthera / Thermage)

 

ULTIMATE KOREAN 3D DREAMLIFT – consists of fillers +/- dermalift +/- Threads/ HIFU

The key to youth is to reposition, revolumise and restore lost tissue. 
By firming, lifting and tightening skin, by adding volume where it has been lost, and by holding tissue together, we can achieve a DREAMLIFT. It all starts from the top, so we fill from top down. When we were younger, we had an inverted triangle face shape. As we age, our midface sags the most, resulting in the formation of jowls, and changing our face shape into a square. So the key here is to lift, while maintaining a natural, youthful you.
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dermal fillers
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D.C -Dream-lift | 热玛吉.玻尿酸。线雕. 超声刀

The DC-Dream-Lift is Dr Daniel Chang’s signature technique, combining 3 key modalities injectibles, threads, and machines.

These are as follows. A popular non surgical facelift treatment originating from Seoul, South Korea, termed the Dermalift, the 8 Point Lift from Brazil, and the Ultra V lift from Korea and the Energy based device, HIFU, which is the Korean version of the Ulthera from US.


Dermalift: 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 tightening effect

2) It also has a collagen stimulating effect, hence a sustained result over time.


8 Point Lift + Thread Ultra V lift:

Followed by the careful use of fillers and threads at 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.

Of course, threads are not without side effects. Moving on, here are some info about threads.

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Korean surgery

THREADLIFT:

Saggy skin is a problem that affects us once we hit our 30s. Along with it, we see deepened lines, known as laugh lines that arise from the corner of the nose downwards.Our jawline becomes less sharp, and jowls start to appear. Hence, we start looking for facelift options, one of which is threadlifts.Threads are the rage these days, but before you jump on the bandwagon and literally attend a threadlift party, here are some important considerations.

I will classify threads into 3 main categories.

  1. Biostimulation
  2. Support threads
  3. Suspension threads
threads
PDO threads

PDO threads

These are essentially threads for biostimulation, meaning collagen production with slight holding power due to its cogs, barbs, hooks etc… The threads are absorbable, and they induce an inflammatory reaction that drives collagen growth.PDOs with multi-directional barbs can be arranged to create a dermal SMAS meshwork to provide support.
images cog
cog threads
Suspension and contour threadsSuch threads have an anchor point, and are considered suspension threads as they anchor onto the SMAS layer, hence providing a stronger hold. They can also produce a contour effect through skin traction and holding the tissue in place with barbs.
threads 3
threadlift
It is important to use FDA, HSA approved threads.

How do Suspension threads work?

  1. An immediate lift through repositioning soft tissue
  2. Regenerative action with collagen stimulation for progressive and natural results
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Non surgical facelift

What can I expect? 

  1. Local anaesthesia is carefully injected into the entry and exit sites.
  2. The threads are gently passed under the skin to induce the lift.
  3. Whole procedure takes 30mins.
  4. One can expect mild bruising and swelling which will resolve on its own. Occasionally, one may notice dimpling of the skin and tethering of threads after 1 -2 weeks post treatment. These improve on its own.
  5. Less commonly, the side effect of infection. So its always important to find a credible threadlift provider.

Which areas can be improved? 

  1. Midface
  2. Jawline
  3. Laugh lines and marionette lines
  4. 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 

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threadlift

Hence the take home message from this article is, combination therapy is the way to go. Combination therapy, with fillers, microbotox and energy based devices ARE EXCELLENT to produce a safe, efficient and effective non surgical facelift.

Here’s to a firmer, tighter, lifted and more natural you!

Dr Daniel Chang

Making Asia more beautiful, one face at a time.


To learn more about:

ALL Aesthetic treatments, do click here to the homepage: Ultimate Guide to Korean Medical Aesthetics.

Threadlifts, pls click here Facelift, V-Lift.

Dermal fillers, pls click here ABCs to Dermal Fillers. 


Annyeonghaseyo!  We are moving to a brand new site.

CLICK HERE 

3 top FACIAL pigmentation Singapore Laser review | 皮秒激光 |Korean Aesthetic Clinic

I believe in a sharing community. I believe that everyone deserves to look and feel your very best. I believe that knowledge is power. And I believe in empowering people.

Hence I am starting a 3 part series on common skin concerns in Asian women based on my clinical experience. Disclamer: Many people have written in to ask me about what treatment is the best, what machines are the best etc. The treatments I suggest on this blog are purely for educational purposes and should not be confused with what your primary doctor recommends.

Today we will discuss top 3 skin pigmentation concerns. In the next 2 parts, we will be discussing top skin texture concerns in Asian women, and finally rounding up with skin laxity concerns. I hope you find this helpful.

TOP 3 SKIN PIGMENTATION CONCERNS IN Asian Women

  1. Melasma
  2. Sun Damage – Freckles + sunspots
  3. Post inflammation hyperpigmentation – For which we have the brown spots and red spots.
PICO laser pigmentation
PICO Laser pigmentation

1. Melasma

This is common is Asian women. It is a symmetrically distributed, ill defined geographical pattern commonly over your upper lips, cheeks, forehead and jaw. It is notoriously difficult to treat. It occurs in 3-5% of Asians, In my practice, 30% of my laser patients have melasma.

Melasma is a common skin problem that is also known as ‘cholasma’. It causes brown patches on your face; most commonly appearing over your cheeks, bridge of the nose, forehead, chin, and above the upper lip. It also can appear on other parts of the body that get lots of sun.  Hormone changes along with sun exposure are the most common triggers for melasma. Although melasma may affect both men and women, the majority of those affected are women. 

What is Melasma?

What causes Melasma?

Melasma is due to 3 key factors.

  1. Genetics
  2. Sun exposure
  3. Hormones – So those post pregnancy or taking oral contraceptives tend to notice this.

In my clinical experience, majority of patients with resistant Melasma have both a vascular and pigment component. Hence optimum treatment is a combination approach.

How to treat melasma?

  1. Sun protection | SPF 30 2x/day
  2. Lightening agents | Hydroquinone 4% based is the gold standard.
  3. Low dose laser toning | Pico vs Nano second laser | +/- medical peels

In my clinical experience, Melasma is best treated with sunblock and lightening agents. Only when that fails should we move to laser +/= peels. Majority of patients benefit from 5 sessions. |皮秒激光

melasma
MELASMA TREATMENT
Q switched Laser
Nanosecond laser
TWIN LASER TREATMENT

2. SUN – DAMAGED SKIN

Sun exposure is a big problem here in Singapore. The temperatures are creeping up and the mid-day sun is blazing hot. This will lead to risk of more sun damage in our population, slowly rising to the levels seen in sunny Australia.

Sun damage is commonly a combination of the following.

  1. Freckles
  2. Sun spots | Age spots
  3. Fine lines and skin wrinkling

In my experience, treatment is a combination of the following, in order to attain clean and clear skin.

How to treat sun damaged skin?

  1. Strict sun protection ( with spf and hats ) + Lightening agents
  2. Laser treatment | Pico + Nanosecond laser + Fractional Laser
  3. Skin repair with Rejuran and Skinboosters

In my clinical experience, most patients benefit from 5 sessions. |皮秒激光

sun damaged skin
Sunspots
freckles
SUN Damaged skin

3. ACNE PRONE SKIN

This needs no introduction. It can manifest as angry red pimples, flat red macules or marks, brown darkened pigmentation and finally, acne scars.

  1. Acne scars
  2. Acne post inflammatory erythema
  3. Acne cysts

What are the Triggers of acne?

  1. Stress. So those of us who work late nights, get little sleep, diet rich in sugary and diary products are at risk.
  2. Hormonal changes, so it tends to worsen during pregnancy
  3. Lifestyle. Flying is a stress on the body and in my practice, I do see many air crew suffering from persistent acne.

In my clinical experience, I have treated many women who suffer from persistent acne. Below is my 3 step formula for acne treatment.

How do I treat acne?

  1. Lifestyle changes. AVOID your triggers, especially during your menses.
  2. Creams +/- oratane and antibiotics ( I strictly avoid oral agents as much as possible)
  3. Laser peels

The aim of treatment is to tackle to root of the problem. Most patients improve in 3 months. 

  1. P acne bacteria
  2. Sebaceous gland over activity
  3. Dirt and debris clogging your pores
ADULT ACNE
ACNE
picolaser
INFLAMMATORY ACNE TREATMENT

What is the cost of Q switched laser in Singapore?

In experienced hands, depending on the severity and distribution, prices start from $288 / session.

What is the cost of Picosecond laser in Singapore?

In experienced hands, depending on the severity and distribution, prices start from $388 / session.

What can I expect post laser? |皮秒激光

  1. Redness for 2 days
  2. Brown discolouration for 2 days
  3. Crust. Top layer of dead skin flakes off. You may experience this as rough skin while washing your face.

What is a good post laser care regime?

  1. Masks
  2. Moisturisers
  3. SPF

The key is optimum hydration. As every skin is unique, your Dermatologist can advise you on the specifics – frequency and amount.

So I hope this has been helpful so you are armed with some information when you visit your doctor. Stay tuned for part 2 of this mini series.

  • Dr Daniel Chang

References:

  1. Balkrishnan, R., et al. “Improved quality of life with effective treatment of facial melasma: the pigment trial.” Journal of drugs in dermatology: JDD 3.4 (2004): 377-381.
  2. Tannous, Zeina S., and Susanne Astner. “Utilizing fractional resurfacing in the treatment of therapy‐resistant melasma.” Journal of Cosmetic and Laser Therapy 7.1 (2005): 39-43.
  3. Wattanakrai, Penpun, Ratchathorn Mornchan, and Sasima Eimpunth. “Low‐fluence Q‐switched neodymium‐doped yttrium aluminum garnet (1,064 nm) laser for the treatment of facial melasma in Asians.” Dermatologic Surgery 36.1 (2010): 76-87.
  4. Lloyd, Jenifer R., and Mirko Mirkov. “Selective photothermolysis of the sebaceous glands for acne treatment.” Lasers in surgery and medicine 31.2 (2002): 115-120.

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