Skin Aging, Fine Lines and Wrinkles

In an aging society and with the extension of human life expectancy, the desire to remain or restore a youthful appearance is important to everyone.
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There are two types of ageing processes:

  • Intrinsic – affect the entire body for all skin types
  • Extrinsic – caused by external factors/environment mainly chronic sun exposure (UV radiation), smoking, pollutants, poor nutrition, lack of good skincare and psychological stress

Signs of aging skin

  • Fine lines and wrinkles especially on forehead and around eyes.
  • Dyspigmentation
  • Telangiectasia (spider veins)
  • Dry/rough skin – loss of
  • Saggy skin – from loss of collagen and elastin, and also fat cells under the skin
  • A variety of benign/cancerous skin lesions from sun exposure

Preventing skin ageing (General Measures)

  • Avoidance of sun and protection from UV radiation using high-SPF sunblock is essential for everyone.
  • Avoid smoking and exposure to pollutants
  • Exercise
  • Healthy nutrition – eat fruits and vegetables daily, and reduce carbohydrate and fat intake.
  • Good skincare regime on face, neck and hands – using proven clinical active ingredients

Facial Rejuvenation

With the advances in science and aesthetic technologies, combination of different cosmetic treatments can produce remarkable and dramatic improvement in one’s facial appearance revealing a younger and more youthful look.
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  • Anti-aging skincare products – mosturisers containing hyaluronic acid/NMF, topical retinoids, Vitamin C serum, Alpha hydroxy acids(AHA), peptides, plant extracts.
  • Chemical Peeling/Dermabrasion – to treat pigmentations, acne/oily skin/clogged pores, fine lines and photo-damages skin
  • Lasers/Lights – Nd-YAG Laser/Intense-Pulsed Light(IPL) to treat pigmentations, pores, fine lines and skin brightening
  • Botulinum Toxin Injections – to treat dynamic wrinkles by relaxing facial muscles responsible for frown lines, crow’s feet and forehead lines.
  • Dermal Fillers Injections – containing either Hyaluronic Acid or calcium hydroxylapatite to replace loss of facial volume/deep furrows and to stimulate new collagen/elastin
  • Skin Tightening/ Facial Lifting – using Micro-focussed Ultrasound Technology to stimulate new collagen formation

Acne Vulgaris

Acne affects all ages and people from all ethnicity and skin types. Genetics play an important role. Other names for acne are “zits”, “pimples” or “spots”. Acne can affect the face, neck, shoulder and back or any parts of the body.
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In acne skin, there is

  • Excessive oil production
  • Inflammation
  • Growth of C Acnes bacteria
  • Clogging of dead skin in hair follicles/oil glands (Hyperkeratinisation)

Aggravating factors

  • Cosmetic products
  • Use of unsuitable skincare products
  • Headbands, facial masks use (Mask-Ne)
  • Medications that can promote acne development include steroids, lithium, some antiepileptics, and iodides
  • Certain medical conditions – Polycystic Ovarian Syndrome

Treatment Options

  • Topical anti-acne cream – containing salicylic acid, retinoids, zinc, niacinamide, azelaic acid
  • Chemical Peeling (Glycolic acid, salicylic acid) with manual extraction of closed/open comedones (black/white heads)
  • Oral Medications – antibiotics, birth control pills, isotretinoin
  • Laser/Light treatments
  • Steroid Injection – for cystic acne

Complications

  • Acne Scarring
  • Post-Inflammatory Hyperpigmentation (PIH)

Acne Scarring

This is a very common condition affecting 30% of people with mild to moderate acne. This is also a result of picking/squeezing the acne lesions.
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There are 5 types of acne scarring

  1. Ice-pick scars – deep, narrow pitted scars
  2. Rolling scars – broad depressions with a sloping edge
  3. Box scars – broad depressions with sharply defined edges
  4. Atrophic scars – flat, thin scars
  5. Hypertrophic/keloid scars – thick lumpy scars

Treatment options (depending on types of scars)

  • Dermabrasion
  • Laser resurfacing treatments
  • Subcision – a surgical technique to loosen the fibrous band under the skin
  • Hyaluronic Acid Filler Injections
  • Skin Needling Treatment

Pigmentation

Facial hyperpigmentation (excessive pigment production) is due to excessive melanin production of the skin.

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Types of facial hyperpigmentation

  • Benign pigmented skin lesions – moles, seborrheic keratoses, solar lentigines, melasma
  • Skin cancers
  • Post-inflammatory hyperpigmentation (PIH) – due to previous injury, eczema, acne or allergy
  • Tattoo

Treatment options

  • Daily application of high-SPF (>30) sunblock
  • Clinical skincare – containing retinoids, alpha-hydroxy acid, arbutin, azelaic acid, Vitamin C
  • Chemical Peels
  • Laser treatments (Pico-second Laser)
  • Oral supplements (containing pigment-lightening ingredients ie FernBlock® in Heliocare Purewhite Radiance)