Face

Q1. What is Rosacea? How can I get it treated?
Q2. How can laser be used to treat acne?
Q3. I’m 20 years old. I realize I’m growing pimple-like bumps (with no pus) around my nose area. More has been growing through the years. I have no idea how to get rid of them, and am having problems putting on make-up now. Please give me some advice.
Q4. I have a dark brownish pimple scar about 0.5cm on my face since I was a teenager. Is there any way to get rid of it so I can achieve even skin tone?
Q5. Can you tell me more about Botox for the jaw area, specifically the number of sessions required, how long it can last, and side effects if any?
Q6. I have 4 black, flat moles on my cheeks. How can I get rid of them?
Q7. I am interested in getting double eyelids. Can you explain how I can achieve double eyelids?
Q8. How can fillers be used to enhance various areas of my face? How long can fillers last? Is it safe?
Q9. I have dark eye rings which do not seem to be responding to the many products I have bought. How can I treat my dark eye rings?
Q10. I’ve been having these eye bags below my eyes for a while. What can you
do to help me get rid of it for good? I’ve been thinking of having them removed for a while, but been hesitating because I am afraid of side effects or if anything goes wrong, I might make the situation worse. Is the treatment going to be painful?
Q11. What does IPL for the face aim to do?
Q12. I’m 55yrs Japanese male interested in thread lift (face lift). The followings are my concerns:
1. Privacy at waiting lounge (I presume most of them are ladies);
2. Approx. cost & duration of treatment;
3. Position of the cut & where thread is to be inserted?
Q13. What causes the frown lines between the brows?
Q14. What causes wrinkles to form?
Q15. How does Botulinum Toxin injection work?
   

Q1: What is Rosacea? How can I get it treated?

A1: Rosacea is a complex and chronic condition of the skin with episodes of flushing, redness, patchiness and vascular lesions. It is exacerbated by various factors including heat, hot or spicy food, stress and even common acne topical applications. There may also be development of acne (acne rosacea) which may not be readily amenable to commonly prescribed acne treatments.

We will need to assess your condition to ascertain the right treatment for you and what stage of the disease you have. Treatment depends on the stage of the disease. If there is active acne, we will need to control this first. Intense pulsed light (IPL) and laser therapy is used to treat the persistent redness caused by Rosacea, intense light and laser therapy treatments destroy the dilated blood vessels. Patients undergoing vascular laser or intense light and laser therapy treatments will find that multiple treatments are necessary to achieve the best results. Maintenance treatments also are necessary for long-term success.

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Q2: How can laser be used to treat acne?

A2: If you suffer from active acne, it is quite important that you treat your acne problem as soon as possible. This is so as to prevent scar formation which is much harder to treat. We use a special laser and light for acne treatment over a few sessions. Most of our patients notice visible results after at least 4-6 sessions at weekly intervals. The majority of acne patients benefit from this form of therapy, as they seldom require oral medication or antibiotics and upon success, acne clearance is final. In addition, we will need to assess your skin condition to see if there is excess oil production, which we will need to control first.

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Q3: I’m 20 years old. I realize I’m growing pimple-like bumps (with no pus) around my nose area. More has been growing through the years. I have no idea how to get rid of them, and am having problems putting on make-up now. Please give me some advice.

A3: It would be best that you make an appointment to see us so that we can properly assess your condition. Based on what you describe, you may be having mild manifestations of Rhynophyma. This is a condition of very marked overgrowth (hyperplasia) of the sebaceous glands of the nose. The condition is part of the common skin disease, Rosacea.

It is likely that you experience sensitivities to extremes of temperature, hot liquids, alcohol, spicy foods or working in the direct sunlight. Typically these symptoms of aggravation are more typical in the female Rosacea patient than in the male with Rhinophyma. The sebaceous glands that are typically overgrown in Rhinophyma are regular skin glands that occur in all area of our skin. These glands produce an oily substance called sebum, a composition of fat and debris from dead fat-producing cells. Excess sebum production can occur in response to poor hygiene, diets rich in fat, in conditions of accelerated glandular activity (like Rosacea/Rhinophyma) and naturally during adolescence.

Treatment of Rhinophyma may include avoiding the many triggers for Rosacea and may combine a medical based therapy to control the existing Rosacea but typically involves external nasal reshaping via lasers or surgery. Skin rejuvenation via lasers/IPL may help to relieve some of the other coetaneous symptoms of Rosacea.

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Q4: I have a dark brownish pimple scar about 0.5cm on my face since I was a teenager. Is there any way to get rid of it so I can achieve even skin tone?

A4: Scarring or disclouration caused by acne also depends on whether there is still ongoing inflammation. We recommend skin rejuvenation (IPL, Lasers, Radio Frequency) as an adjunct to acne therapy if skin texture or tone is a problem. We have a variety of lasers and micro-dermabrasion to rejuvenate the skin. Generally, you will need to avoid sunlight because this aggravates the acne condition. However, we also do not advocate laser treatment if you have an ongoing sunburn or tan.

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Q5: Can you tell me more about Botox for the jaw area, specifically the number of sessions required, how long it can last, and side effects if any?

A5: Botulinum toxin (”Botox”) injections for the jaw muscles or masseter will take 6 to 12 weeks for the muscles to gradually reduce in size. A second injection will probably be needed in 6 months. In most cases, this will be all that is needed.

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Q6: I have 4 black, flat moles on my cheeks. How can I get rid of them?

A6: We generally use a carbon dioxide (CO2) laser to perform mole removal. There is a risk of recurrence depending on how much clearance can be done the first time around. The risks of mole removal are generally small and related to the healing process and the following may result:
a) Hypertrophic scar
b) Hypopigmented scar
c) Hyperpigmented scar
d) Pitted scar
The surgery takes about ten minutes per mole. No medication is necessary although the doctor may prescribe antibiotics in some cases. You are advised to stay away from the sun and swimming for one month after the surgery. The wound normally takes about 1-2 weeks to heal and consists of a scab that heals naturally.

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Q7: I am interested in getting double eyelids. Can you explain how I can achieve double eyelids?

A7: At NeuGlow, we perform double eyelid surgery via suture or open blepharoplasty. The first method does not require any skin cutting and the procedure is generally shorter and recovery is shorter (1 week). We will need to perform an assessment and consultation with regards to the type of procedure suitable for you. If you have excess skin and fat within the upper eyelid, the second option might be more appropriate.

Complications and risks vary with the procedure taken and in general depends on the healing of the wound. All surgery has risks. The vast majority of these operations go perfectly well with excellent results. The risk of bad results in this surgery is quite rare, but can include creases that do not form where they are planned, and can be too low or high, or not deep enough, or not exactly the same in both eyes. Any surgery has a risk of bleeding and infection. These are very rare in this surgery. Scars can heal abnormally and be visible. All of these are quite rare, and there are other complications are even less common. For some of these complications, a touch-up procedure might be necessary for correction.

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Q8: How can fillers be used to enhance various areas of my face? How long can fillers last? Is it safe?

A8: Hyaluronic Acid is a natural substance found in our bodies. It is well suited to plump thin lips, fill facial creases such as nasolabial folds and enhance the nose bridge. It may also be appropriate for some surface wrinkles and concave scars. The results may last 6 to 12 months or longer. The brands we use include Restylane® and Revanesse®.

Complications from fillers are uncommon. The risks vary depending on the specific filler used and the relative permanence of the filler substance and include:
• Fillers derived from non-human sources may require a pre-treatment allergy test
• Infection at the injection site
• Fillers that are not completely fluid and contain microscopic granular substances carry a risk of “clumping” as a result of facial movement and the natural aging process. Over time, these can result in lumps or nodules that may require surgery to treat
• Acne-like skin eruptions
• Antibodies to filler material may reduce the effectiveness of future injections
• Asymmetry
• Bleeding, bruising and swelling
• Filler material may migrate from the original site and produce temporary paralysis of other muscle groups or other unintended effects
• Skin might die (skin necrosis)
• Skin rash, itching and swelling
• Skin redness
• Skin sensitivity
• Under or over correction of wrinkles

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Q9: I have dark eye rings which do not seem to be responding to the many products I have bought. How can I treat my dark eye rings?

A9: Dark eye ring is a peculiarly difficult problem to treat. We do have a specially formulated dark eye circle lightening cream made for this purpose which is quite popular and effective to a certain extent. We do advocate rejuvenation of the pigmented area with laser and/or radiofrequency (RF) on a regular basis. Each session is about 20 minutes and recommended at 2 to 3 week intervals.
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Q10: I’ve been having these eye bags below my eyes for a while. What can you
do to help me get rid of it for good? I’ve been thinking of having them removed for a while, but been hesitating because I am afraid of side effects or if anything goes wrong, I might make the situation worse. Is the treatment going to be painful?

A10: We perform eye bag removal via laser or open lower blepharoplasty. The
first method does not require any skin cutting (no skin scar) and the procedure is generally shorter and recovery is shorter (1 week). We will need to perform an assessment and consultation with regards to the type of procedure suitable for you. If you have excess skin and laxity within the lower eyelid, the second option might be more appropriate.

Complications and risks vary with the procedure taken and in general depend on the healing of the wound. All surgery has risks. The vast majority of these operations go perfectly well with excellent results especially with the laser method. The risk of bad results in this surgery is quite rare, but can include increased lower eyelid creases if the lid is laxed, or not exactly the same reduction in both eyes. Any surgery has a risk of bleeding and infection. These are very rare in this surgery. In the open method, scars can heal abnormally and be visible. All of these are quite rare, and there are other complications are even less common. For some of these complications, a touch-up procedure might be necessary for correction.

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Q11: What does IPL for the face aim to do?

A11: “IPL” or Intense Pulsed Light therapy is a form of treatment for skin rejuvenation. It is commonly done for slowing down or reversing the effects of sun-damage on the skin. These include wrinkles, textural changes, dull colour tone, pigmentations like freckles and actinic keratoses, accumulation of dead cells on the skin. The light is usually delivered in pulses and the harmful wavelengths of light are filtered off to allow light of a specific range of wavelengths to help stimulate and rejuvenated the skin. As a result, there is increased epithelial cell turnover, resulting in fading of superficial pigments and reorganization of the collagen. We recommend IPL for improving and enhancing the beauty in you and to make you glow!

NeuGlow has a new treatment for acne scar treatment using the technique of Plasma Skin Resurfacing (PSR). The Rhytec PortraitR PSR system assists in the birth of new skin with minimal downtime. It’s nitrogen energy treats the area without direct skin contact, allowing preservation of the skin’s outer layer. Less trauma, minimal recovery time, dramatic and long lasting results.

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Q12: I’m 55yrs Japanese male interested in thread lift (face lift). The followings are my concerns:
1. Privacy at waiting lounge (I presume most of them are ladies);
2. Approx. cost & duration of treatment;
3. Position of the cut & where thread is to be inserted?

A12: We perform thread lifts using Contour and/or Cleo Gold Threads. A thread lift is designed to address sagging underlying tissues of the cheek and jaw line by threading 4-to-12 barbed sutures (Contour) into the skin and deeper soft tissues. A Thread Lift is minimally invasive and often regarded as an alternative to invasive facelift surgery. It however is not meant to replace facelift surgery which is considered more definitive in face lifting.

Cleo Gold threads are non-barbed threads that are meant to provide a biological lift as opposed to a physical lift with the barbed threads. This involves the insertion of gold threads into the subdermal level of the skin. They do not provide a physical lift but help in providing more of a biological lift with improvement of tone, texture and firmness. The rejuvenating effects of skin reinforcement with gold surgical threads appears to be due to the promotion of local microcirculation, the activation of reparative processes and the stimulation of collagen production.

In a Contour thread lift, barbed sutures (threads) are used to lift sagging eyebrows and eyelids, deep nasolabial folds (those furrows between your nose and the corners of your mouth) or aging neck tissues. Small incisions in key locations and insert a threaded needle to lift the subcutaneous tissue and suspend the lift with the thread. The barbs on these threads will lock in place and encourage collagen formation upon insertion to lift very specific areas. These incisions are usually in the hairline of the scalp.

Thread lifts are often performed in an outpatient setting. Because the procedure is minimally invasive, general anaesthesia is not required, so you can remain awake. One benefit is that we can give you a mirror as the thread is pulled back, allowing you to give feedback. Usually an intravenous sedative, along with local anaesthesia, is all that is required. Most people tolerate this well and avoid any “post-anaesthesia hangover.” Thread lifts can cost from $2000 to $5000.

If you require privacy, arrangements can be made to access and exit our facility at Raffles Place via a separate entrance. Please make an appointment for this as it is by special arrangement.

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Q13: What causes the frown lines between the brows?

A13: Vertical lines between the eyebrows appear when a person frowns and activates the two major muscles that control movement between the eyebrows. When these muscles contract, they draw the brows together, causing the skin to fold. Frown lines between the eyebrows can affect one’s overall facial appearance by creating a sad, angry or tired look.

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Q14: What causes wrinkles to form?

A14: Age leaves its mark most greatly on our faces, manifesting as wrinkles, age spots, sagging and dullness. These effects are worsened by sun exposure, gravity, smoking, volume loss and various physiological changes. We often let our emotions get the better of us, and over the years, they leave trails on our faces in the form of wrinkles.

There are 2 kinds of wrinkles:
1) Dynamic wrinkles – only visible when we express ourselves through a smile, frown or cry, thus causing face muscles to contract (e.g. frown lines)
2) Static wrinkles – visible even when muscles are at rest (has to be treated with dermal fillers)

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Q15: How does Botulinum Toxin injection work?

A15: During treatment, very small doses of Botulinum Toxin are administered via a few tiny injections into the muscles responsible for frown lines between the brows. Botulinum Toxin works by temporarily blocking the release of a chemical (acetylcholine) thus preventing the muscles from contracting and enabling them to relax. The procedure takes approximately 10 minutes and there is minimal downtime afterward. Discomfort is minimal and brief.

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