3 top FACIAL pigmentation in Singapore 2020 review |Ask Dr Daniel Chang

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.


  1. Melasma
  2. Sun Damage
  3. Post inflammation hyperpigmentation – For which we have the brown spots and red spots.

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 due to 3 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 has both a vascular and pigment component. Hence treatment is a combination.

How I treat melasma

  1. sun protection
  2. lightening agents
  3. low dose laser toning





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
  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 I treat sun damaged skin

  1. Strict sun protection ( with spf and hats ) + Lightening agents
  2. Laser treatment
  3. Skin repair with Rejuran and Skinboosters
sun damage
SUN Damaged 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

Triggers are

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

How I treat acne

  1. Lifestyle changes. AVOID your triggers, especially during your menses.
  2. Creams +/- oratane and antibiotics
  3. Laser peels

The aim of treatment is to tackle to root of the problem.

  1. P acne bacteria
  2. Sebaceous gland over activity
  3. Dirt and debris clogging your pores




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







For information on ACNE,

For information on Rejuran. 



  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.
Categories Skincare and Aesthetic MedicineTags , , , , , ,

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