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Doctors of Artisan Group: The Artisan Body Trinity

Doctors of Artisan Group: The Artisan Body Trinity

Perfect slim toned young body of the girl

You are eating super clean. You work out hard. But you still have stubborn pockets of fats that just don’t go. The answer to your problem? The Artisan Body Trinity. The body contouring trinity consists of Cynosure’s Sculpsure, Stimsure and Tempsure. Let me explain about this body contouring trinity that has been helping our patients achieve their dream body!

Sculpsure

What is Sculpsure?

SculpSure is a non-invasive method that uses US FDA-approved laser technology to reduce fat cells in a target area. It is FDA approved and utilizes a method known as lipolysis to target and kill fat cells permanently. In just 25 minutes, up to 24% of fat cells are destroyed. On top of fat removal, the skin is also tightened.

How does it work?

The laser of 1060nm wavelength’s specific affinity for adipose tissue, coupled with minimal absorption in the dermis, allows SculpSure to efficiently treat areas of troublesome fat in just 25 minutes per treatment. It penetrates 2-3cm depth of fat cells, burning them with up to 47 degrees Celsius of focused heat, depositing collagen at the same time, resulting in fat loss and skin tightening at the same time.

Over time, the body naturally eliminates the disrupted fat cells with results seen as quickly as 6 weeks and optimal results usually seen in as few as 12 weeks.

Areas that can be treated:

  • Belly
  • Love handles
  • Inner and outer thighs
  • Back
  • Double chin

Duration of the treatment

25 minutes

How does it feel during treatment?

Initially, you’ll feel a cooling sensation. This will be intermittently followed by a deep warm, tingling sensation as the device’s advanced 1060 nm light-based technology cycles on and off, raising the temperature of the fat cells between 42 and 47 degrees Celsius. This precisely targets, disrupts, and destroys fat cells beneath the skin without damaging the skin on the surface.

After 25 minutes, you are set to go! You can resume your daily activities and there is no downtime.

Post treatment

For two weeks, you may experience temporary tenderness, swelling or tissue firmness at the treatment area. These post treatment effects are generally very well tolerated and are further minimized if you do self massage of the treatment area at home with our Bodifirm cream.

Stimsure

Stimsure is an electromagnetic device that uses electromagnetic technology to deliver 24,000 muscle contractions in just 25 minutes, building and toning muscles.

How does it work?

The StimSure applicators generate an electromagnetic field that stimulates the motor neuron cells of the body’s muscles, causing the muscle to contract as it would during movement or exercise. A prolonged contraction, made by a series of individual twitch contractions back to back, creates a ‘maximal tetanic contraction’ that results in more efficient growth of muscle fibers. StimSure uses the optimal Tesla per application, providing an electromagnetic field that can engage the entire target muscle group, leading to visible results in fewer treatments.

Areas that can be treated:

  • Abdomen (to burn fat and tone abdomen, and can treat diastasis recti)

  • Buttocks (for that butt lift!)

Duration of the treatment:

25 minutes

How does it feel like during treatment:

You can feel your muscles contracting like how you would during a physical exercise. If you are targeting the abdomen, you feel as if you are doing sit ups while lying comfortably on the bed.

Is there any downtime?

There is no downtime with Stimsure and you can resume all normal activities.

When can I see results?

Patients will start to see and feel results after treatment. However, the best results are usually seen within 3-4 weeks after the full treatment plan.

Stimsure for treatment of Diastasis Recti

What is diastasis recti?

Diastasis recti is the splitting of the two parts of the rectus abdominis muscle beyond 2.7cm. Studies have shown that up to 60% of women experience diastasis recti during pregnancy or post party. This is because the uterus stretches the abdominal muscles to accommodate the growing baby. This results in pain, decreased sports function due to a weak core, and a bulging belly.

Besides toning your abdominal wall muscles for washboard abs, Stimsure can strengthen you core. Stimsure treatments target the major abdominal wall muscles, including those involved in diastasis recti.

Supramaximal contractions encourage the body to rejuvenate the rectus abdomenus muscles, making them stronger. This rejuvenation helps close the gap created by diastasis recti.

Tempsure Firm

Tempsure Firm is a medical grade monopolar radiofrequency treatment to firm and tighten loose skin on the body.

TempSure Firm has a specialized massage head to reduce the appearance of cellulite. The treatment’s smoothing effect on cellulite leaves skin with a more youthful, evenly textured appearance.

Areas that can be treated:

Any area that has loose skin! Tummy, thighs, buttock, arms…

Duration of the treatment:

Typically, five minutes per selected area. So total duration depends on the surface area you are treating.

How does it feel like during treatment:

Tempsure Firm treatment is very comfortable and feels like a hot stone massage. The TempSure Firm handpiece delivers heat in a consistent and gradual manner and patients report a spa-like, deep warming sensation during their treatments. Most even say they could fall asleep during the treatments.

Post treatment

There is no downtime and you may return to normal daily activities immediately after treatment. Results may be seen a few weeks to a month after your last treatment.

The Artisan Body Trinity

The body trinity works synergistically to produce great results for all body contouring issues. Yes, individually, results are great. But results are maximal and fantastic as a trinity. Stimsure generates 24,000 muscle contractions. The muscle hypertrophy increases blood vessels in the region, secreting growth factors and hormones to further burn fat. Your metabolism is increased.

Sculpsure melts fats cells selectively and deposits collagen for skin tightening effects. The extra blood flow and growth hormones generated by Stimsure helps to facilitate the removal of the dead fat cells burnt by Sculpsure.
Tempsure is great for combination with Sculpsure fat reduction technology to remove stubborn fats while tightening loose skin.

Now that you know more about our Artisan Body Trinity, its time to get that dream body!

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!
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Which skinbooster should I choose?

Which skinbooster should I choose?

Skincare products

Don’t we just envy the luminous glass skin that Korean celebrities have? Even on high definition television their skin looks poreless and glowy. Well, of course there’s make up but make up can only do that much to conceal skin imperfections. Under that make up is also a good canvas to start with and skinboosters, aka 光针, is the answer to achieve that luminous dewy look.

A skinbooster is a dermal filler containing hyaluronic acid. There are so many different skinboosters on the market and it can be confusing for patients. Which skinbooster should I choose? This article is here to explain the different types of skinboosters done at the Artisan Clinic for different skin concerns.

How do Skinboosters work?

Hyaluronic acid is naturally occurring in our skin. But just like collagen and elastin, hyaluronic acid levels get depleted as we age. Skinboosters are used to increase the skin hydration and replenish what is lost, providing long lasting moisture of the skin. They are injected into the dermis layer of the skin either by manual injections or an injector device. By injecting hyaluronic acid skinboosters into the skin, the small deposits of hyaluronic acid act like reservoirs under the skin, drawing water molecules up to 200x its weight into the dermis, resulting in improved skin hydration, skin elasticity, texture and firmness, giving you dewy, luminous supple skin. Studies have also shown that skinboosters help boost collagen and elastin production by stimulating fibroblast activity.

Skinboosters are the perfect answer to dry dull sensitive skin, large pores, fine lines and superficial wrinkles.

Benefits of skin boosters:

  1. Improves skin hydration
  2. Bright and radiant skin
  3. Smaller pores and smoother skin
  4. Improves fine lines and wrinkles
  5. Improves acne scars

Where can skinboosters be injected?

  • Skin of the face
  • Neck
  • Limbs
  • Chest
  • Back
  • Hands.

What are the types of skinboosters available at the Artisan clinic:

Teosyal Redensity 1

This is a hydrating and whitening booster from Switzerland that is non-cross linked. Teosyal redensity 1 contains hyaluronic acid and a patented dermal restructuring complex (DRC) of 8 amino acids, 3 antioxidants, 2 minerals (zinc and copper) and vitamin B6.

It makes the skin fairer, firmer, healthier with less wrinkles and fine lines.

I usually recommend using the teosyal redensity 1 to hydrate dry and hyperpigmented skin and method of delivery is via precise manual injections.

It is my booster of choice for dark pigmented eye circles, hyperpigmentation on face, arms and legs.

Miracle booster aka 奇迹针

The miracle booster hydrates, repairs damaged skin and improves pigmentation.

The Miracle booster contains hyaluronic acid, Salmon DNA (more precisely, polynucleotides), glutathione and Vitamin A.

The Miracle booster utilizes polynucleotides to repair skin damage and signs of aging. When polynucleotide is combined with hyaluronic acid, there is dramatic age reversal properties, improved skin hydration, firmness and brightness.

This is my choice of booster for patients with melasma, post inflammatory hyperpigmentation, acne prone skin and wrinkles.

Profhilo aka 逆时针

Profhilo is an anti-aging bio-remodeling injectable that hydrates the skin and improves skin elasticity and firmness.

It contains a combination of high and low molecular weight hyaluronic acid which bioremodels the skin. The unique molecular structure of Profhilo bio-stimulates elastin, 4 types of collagen and hydration of the 3 main layers of the skin, targeting skin laxity and loss of collagen.

Profhilo is manually injected at 5 precise bio aesthetic points per side of the face and diffuses through different layers of the skin.

I recommend this to my patients who want to target skin dryness and mild skin laxity. Profhilo is great for other areas of the body like the neck and hands as well!

Although the hydrating and bioremodelling benefits of Profhilo are superior, Profhilo is not meant to be injected to upper face.

Sunekos 200

Sunekos 200 is a patented mix of hyaluronic acid and 6 essential amino acids which hydrate and stimulate fibroblasts to produce collagen and elastin.

It targets the skin cell hydration, giving the skin a plump and glowy look and collagen production, making skin firmer, tighter and less wrinkled.

This is my booster of choice for dry wrinkled skin of the forehead, temples and periorbital region.

Can skinboosters be combined with other treatments?

Yes! For a holistic approach to treat skin ageing, I always recommend combining skinboosters with synergistic treatments like Picosure laser. This can be done on the same day.

I often tell my patients that the skin is like a growing plant. It needs fertilizer to grow aka Picosure, and water aka skinboosters for it to grow well and healthy.

Picosure laser is great at removing pigmentation and stimulating collagen. With the right choice of skinbooster done post laser, the effects of treatment are dramatically improved.

Within a week, results can be seen – skin is smoother, brighter, radiant and more youthful!

Conclusion on Artisan’s Skinboosters

If you got lost in the myriad of skinboosters offered, here’s an easy summary of my recommendations based on different demographics:

  • If you are in your 20s with oily acne prone skin, the skinbooster recommended is the miracle booster since it contains Vitamin A to help control sebum production and can lighten acne marks. Best combination for you would be: hydrafacial first to deep cleanse your pores and remove dead skin and dirt followed by picosure to stimulate collagen and control acne and finally end of with the miracle booster.
  • For those in their 30s with dry skin and want some skin rejuvenation, I would recommend picosure with profhilo or sunekos to combat early signs of skin ageing.
  • For the 40s and above with melasma, I would highly recommend miracle booster as the mainstay of treatment. If your skin is dry with fine lines and wrinkles, profhilo and sunekos would be beneficial.

Of course everyone’s skin is different and treatments should be customized specially for your skin so I would recommend you first speak to your aesthetic doctor to know which is best suited for you.

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!
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Doctors of Artisan Clinic: The Top Mask-On treatments for Phase 2 HA

Doctors of Artisan Clinic: The Top Mask-On treatments for Phase 2 HA

A lady holding on to a piece of mask

It seems like COVID-19 is here to stay and here we go again, another round of Phase 2 (Heightened Alert) in Singapore with yet another round of restrictions. Non-medical mask off treatments are prohibited but that does not mean we should neglect ourselves. Our clinic remains open and we strive to continue delivering the best treatments alongside our priority to protect the health and wellbeing of everyone who visits our clinic. Here’s an update on the top treatments that can still be done during Phase 2.

Hands

Did you know the best way to gauge someone’s age is actually to look at their hands and neck? That is where signs of ageing like pigmentation, fine lines and wrinkles, dry and crepey skin can be seen.

As we age, there is loss of collagen, fat and bone resorption. Many also neglect the skin of the hands and do not moisturize nor use sun protection. Environmental aggressors like alcohol rub, excessive hand washing and exposure to sun and chemicals further aggravate and speed up the ageing process.

Hand Rejuvenation

Treatment varies based on the different concerns:

For pigmentation

Laser treatment like Picosure can help to get rid of the pigmentation and stimulate production of collagen and elastin. I also like to add on Teoxane’s Redensity 1 to further lighten pigmentation. Redensity 1 consists of 8 amino acids, 3 antioxidants including glutathione, 2 minerals (zinc, copper) and 1 vitamin. It is my go-to skin booster for other parts of the body with pigmentation.

For dry and crepey skin

My preference is to use Profhilo, an injectable moisturizer, for dry skin of the hands. Profhilo contains a mixture of high and low molecular weight hyaluronic acid molecules. The concentration of hyaluronic acid in Profhilo is 64mg/2ml which is higher than most dermal fillers in the market. The hybrid complex of hyaluronic acid tightens, hydrates and rejuvenates the skin by kickstarting elastin and collagen production at different skin depths. The skin of the hand will have less wrinkles, be firmer, smoother and more hydrated. If dry skin is your main concern, Profhilo is my treatment of choice.

For loss of volume and sunken hands

Dermal hand fillers are used to restore volume loss and minimize the visibility of tendons and blood vessels. I like to use Teoxane’s RHA (resilient hyaluronic acid) range of fillers. The RHA is a dynamic filler and is able to stretch and accommodate movements and is great when used for the hands. Results are immediate and you get younger looking hands in one treatment!

Neck

The skin on our neck is prone to premature ageing since it is 3 times thinner than the skin on our face. Environmental factors like UV exposure and perfume spraying can further speed up the ageing process. Many people also do not apply the same skincare on the face to the neck and neglect sun protection. As a result, deep neck lines and thin and crepey neck skin betray our age.

Neck Rejuvenation

For dry and crepey skin

My personal preference is to do radiofrequency microneedling like Potenza, combined with Profhilo. Potenza is able to stimulate collagen and elastin and there is a unique tip that can push collagen stimulating fillers deep to further enhance the result. On top of firmer, healthier and younger skin, neck lines can also be minimized. I like to do Profhilo for the neck after the Potenza to speed up recovery, give an extra boost of hydration and amplify the result further.

For loose and sagging skin

I recommend doing Tempsure, HIFU (high intensity focused ultrasound) and neck threadlift. Tempsure utilizes radiofrequency to tighten and firm up the skin. It is a comfortable treatment and feels like a warm massage. Immediate lifting effects can be seen and results last for a year. HIFU utilizes ultrasound energy to tighten the skin and reduce excess fat. It precisely targets deeper layers of the skin. This includes the SMAS layer in the skin which is the layer that plastic surgeons pull back when doing face lift surgery. HIFU stimulates new collagen stimulation and provides long-term skin tightening.

Neck threadlift can suspend and tighten loose neck tissue immediately and then stimulate collagen around the thread to create firmer and tighter neck skin. You can say goodbye to your double chin and loose neck skin immediately!

For neck line reduction

I personally like to use Teoxane’s range of filler called RHA (resilient hyaluronic acid) which is a dynamic filler (meaning it is able to stretch and accommodate facial and muscular movements) and great for mobile areas like the neck. RHA1 hydrates the neck and reduces the depth of deep neck lines instantly, smoothing out the neck.

For reduction of platysmal bands

Platysma is the neck muscle that contracts to form wrinkles or bulge to form a ‘turkey neck’ appearance. By injecting botox to specific areas of the neck, wrinkles and fine lines of the neck are reduced and jawline is also improved.

Decolletage

The decolletage is the upper part of a woman’s chest and is often exposed by the neckline of clothes. This area is a significant concern for women as it can show noticeable signs of ageing, just like the neck and hands. The chest skin is thin and particularly delicate since it does not produce much oil. This area is exposed to sun and often neglected when it comes to sunscreen protection. Finally, the chest skin can also be stretched by the weight of breasts and is thus prone to the effects of weight fluctuations.

Signs of ageing like pigmentation, wrinkles, fine lines and broken capillaries are often seen after you hit 40s as hormones change with menopause. Skin gets drier and thinner with the loss of collagen and elastin.

Decolletage Rejuvenation

The decolletage’s large surface area is something I would take into consideration, cost wise, when recommending treatments for my patients.

For pigmentation

I prefer to do chemical peel followed by Picosure for pigmentation lightening and exfoliation. The chemical peel contains AHA (alpha hydroxy acids) which can lighten sunspots, age spots, freckles and melasma. Or those with oily skin, a chemical peel containing BHA (beta hydroxy acids) like salicylic acid will be beneficial as the acid penetrates deep to cleanse pores and blackheads and also eradicates bacteria that causes acne. After doing a chemical peel, the dead skin and dirt on the surface is removed and the laser can efficiently penetrate the deeper layers of the skin, giving you brighter radiant skin.

For dry and thin skin

My go-to for hydration is Profhilo, which gives intense hydration to the skin, being the highest concentration of hyaluronic acid in any skinbooster in the market currently. My caucasian patient who used to suntan frequently in her youth, suffered from really thin, crepey dry skin and ever since she tried Profhilo for her chest she has since become a Profhilo advocate!

I also like using Sunekos. Sunekos is a patented formula of hyaluronic acid and amino acids to stimulate the production of collagen and elastin, restoring elasticity and volume to the skin. Skin becomes smoother, firmer and more hydrated. The benefit about using Sunekos is that each vial or syringe contains 3ml, so it can cover a wider area compared to other skinboosters.

For sagging skin with wrinkles

I recommend doing Potenza. Each Potenza tip allows 1000 shots which can cover a wide area like the decolletage. The radiofrequency microneedling stimulates collagen and elastin and topical serums and collagen stimulators can be pushed deep to the desired skin depth to further boost collagen and increase hydration.

The serums and collagen stimulators turbocharge the Potenza energy, delivering an even more fantastic skin tightening and skin resurfacing result.

I would say Potenza is able to address most of the skin conditions:

  • For dry skin, we can use Potenza to deliver hyaluronic acid
  • For wrinkled crepey skin, Potenza can deliver in growth factor peptides to reverse damaged aged skin
  • For pigmented skin, Potenza can also deliver in depigmenting agents like glutathione, tranexamic acid and Vitamin C

Conclusion

I hope this article is useful in helping you have a better understanding of the various treatments that can still be done with the new Phase 2 guidelines. If you are working from home, now is the time to do your treatments with downtime. Remember to take good care of your health, physically and mentally, and from head to toe!

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!
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Stretch marks – distressing and disfiguring scars!

Stretch marks – distressing and disfiguring scars!

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What are stretch marks?

Stretch marks, also known as striae distensae, is a type of scarring of the skin.

Stretch marks are typically found on areas of the skin which has expanded too quickly or for a prolonged period. Although our skin is fairly elastic, when it is overstretched, the normal function and production of collagen (major protein that makes up connective tissue in skin) and elastin (protein enabling skin to stretch and bounce back) are disrupted.

The result is broken collagen and elastin fibres, resulting in thin, atrophic, poor quality, hypopigmented skin.

They are seen most commonly over the tummy area, but can also appear almost anywhere else on the body including the thighs, buttocks, arms, hips and lower back.

Common causes of stretch marks:

  1. Pregnancy (75-90% of pregnant ladies develop stretch marks)
  2. Rapid weight change
  3. Breastfeeding causing stretch marks over breast
  4. Rapid muscle gain in body builders
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Who is more susceptible to getting stretch marks?

  1. Female
  2. Genetics, family history
  3. Pregnant, especially if you are young
  4. Breast augmentation surgery
  5. Corticosteroids users

Treatment of stretch marks

Since stretch marks are atrophic scars, treatments targeting stretch marks should stimulate collagen and elastin production, improve wrinkling and tighten and firm up the skin.

These are in-clinic treatments proven to show good results:

Retinoid cream

  • Derived from Vitamin A, retinoids – such as tretinoin (Retin- A, Stieva- A)
  • Studies have reported these creams do improve stretch marks by stimulating collagen production
  • Unsafe for pregnancy. May cause skin irritation

PicoSure focus

  • Uses pico laser technology to stimulate collagen and elastin production, resulting in thicker, tighter skin

Tempsure

  • Uses RF monopolar technology to generate heat around 39-44 degrees to generate new collagen production, thus tightening and firming the skin. It can also reduce the appearance of cellulite

Potenza

  • Radiofrequency microneedling treatment
  • Uses ultrafine needles to penetrate top layer of skin and RF energy is released from the needles directly into a precise depth of the skin, triggering the body’s natural healing process to regenerate new collagen and elastin
  • Has a special patented ‘Cushion plus’ technology to deliver collagen stimulators deep into the skin, right into the scars and stretch marks to stimulate collagen

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!

References

  1. Juhasz, M., & Cohen, J. L. (2020). Microneedling for the Treatment of Scars: An Update for Clinicians. Clinical, cosmetic and investigational dermatology, 13, 997–1003. https://doi.org/10.2147/CCID.S267192
  2. McCrudden, M. T., McAlister, E., Courtenay, A. J., González-Vázquez, P., Singh, T. R., & Donnelly, R. F. (2015). Microneedle applications in improving skin appearance. Experimental dermatology, 24(8), 561–566. https://doi.org/10.1111/exd.12723
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Dr. Isaac Wong: Potenza — The microneedling and skin revitalisation treatment of the future?

Dr. Isaac Wong: Potenza — The microneedling and skin revitalisation treatment of the future?

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In the aesthetics industry, trends and technology constantly evolve as consumers demand more. But so far, I’ve not seen any device that can treat acne scars and lift saggy skin with results similar to a facelift at the same time — till Potenza came about. If you follow me on social media, you might have seen me rave about this new Microneedling radio frequency device endlessly. This is because I firmly believe Potenza is set to be the dernier cri in skin rejuvenation and skin tightening treatments, and I’m proud to be the first doctor in Southeast Asia to receive the machine directly from the USA.

As a results-oriented doctor, I won’t say something works until I’ve seen evidence for myself. While Potenza is a fairly new treatment device even outside of SEA, so far I’ve tried it on celebrity clients like Jamie Yeo and Lynn Poh and other longtime patients with fantastic results. Clearly being an early adopter paid off as very soon aesthetic clinics in Singapore will be scurrying to purchase this product. Due to regulations, I am unable to provide before and after pictures here, but I am happy to share them during in-person consultations at my clinic.

Without further ado, let me explain what Potenza is and what makes it so uniquely different compared to other Microneedling devices.

First, what is Microneedle Radiofrequency (RF) and how does it work?

Microneedling RF is a minimally invasive procedure that works by using small needles to prick the skin and generate heat and RF energy in the deeper layers of the skin. The purpose of treatment is to generate collagen production and new skin tissue for smoother and firmer skin; it is often used to reduce the appearance of acne scars and stretch marks. Compared to fractional CO2 and Erbium lasers, Microneedling does not cause as much heat and collateral damage and thus requires a lesser downtime. It is therefore safe for all skin types —including dark skin— as it is not a laser.

How is Potenza different from other Microneedling RF devices?

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As with all Microneedling RF devices, Potenza uses ultra-fine needles to penetrate the top layer of skin and deliver thermal energy into the skin right where it’s needed, causing tissue coagulation and stimulating the body’s natural healing processes. It is designed to treat:

  • Acne scars
  • Open pores
  • Wrinkly skin
  • Dull, oily skin
  • Stretch marks
  • Loose, saggy skin

Potenza, created by Cynosure, also comes with an entirely novel treatment system that delivers the following benefits:

FOUR DIFFERENT RADIOFREQUENCY MODES

  • Potenza offers four modes with two different frequencies: Monopolar, bipolar and 1MHz and 2MHz. This means practitioners can choose from Monopolar 1MHz, Monopolar 2MHz, Bipolar 1MHz and Bipolar 2MHz. In layman terms, Monopolar RF allows energy to be delivered across a larger and deeper area of tissue for heating, skin tightening and face lifting. This deeper penetration is able to effectively reach fat and the retaining ligaments layer, and when done properly, results are akin to a very well-done threadlift. I’ve seen for myself the face and neck lifting effects this function can achieve on patients. Bipolar RF allows energy to be delivered in a more concentrated manner to superficial tissue; treatment is more shallow and focused. It is ideal for overall skin revitalisation and best for atrophic acne scars, stretch marks and textural issues like open pores.

TIGER TIP TECHNOLOGY

  • Potenza has a patented Tiger Tip technology where RF energy is released at two different depths. This allows for two depths of treatment in just one pass, treating more tissue in a single treatment without sacrificing the epidermis. Normally most doctors do two separate passes at different depths to treat the full thickness of the tissue, and most of us in the industry can agree that we achieve a better outcome by treating several levels of tissue especially for skin revitalisation. Potenza is treated at two levels, which theoretically removes the need for a second pass, saving a lot of time and energy for both the patient and doctor.

9 DIFFERENT TIPS

  • The Potenza system offers multi-needle array tips in various densities and single-needle tips at different depths, totalling up to nine tip options. This versatility may be daunting for a doctor who’s fairly new to microneedling, but experienced ones will very much appreciate the variety of needle tip configurations available as every face has different levels of thickness, facial fat and skin issues. Many devices don’t offer this kind of flexibility when it comes to needle density.

PATENTED CUSHION PLUS TECHNOLOGY

  • Potenza has a patented Cushion Plus technology where topical serums and collagen stimulators are released into the skin once the microneedles are penetrated at the precise depth. Our skin contains protective layers to prevent our deeper skin layers from dehydration, bacteria and viruses. What this also means is that it’s harder for topical products to penetrate our skin and bypass our epidermis, hence the popularity of treatments like Skinboosters. With this Cushion Plus technology, we can deliver in useful skin rejuvenating serums and collagen stimulators, treating conditions like melasma, dry skin and wrinkles!

FUSION TIP

  • A feature I’m extremely excited about —and exclusive to Potenza— is the Fusion Tip, which treats skin through three pathways:
  1. Mechanical effect by microneedle insertion
  2. Coagulation by radiofrequency energy
  3. Enhanced penetration of applied topicals

 

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While penetration of topicals is usually limited with regular RF needles, the Fusion Tip allows for 67% more penetration! This is possible due to its dual-air chamber design which generates varying levels of pressure to push any topical product on the skin into the channels.

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Many critics including myself were skeptical at first, but it was a study by Cynosure that knocked it out of the park. Conducted on ex-vivo porcine skin, the study took black ink and passed it through a regular Insulated I-25 tip and CP-21 Fusion Tip. Everything else kept equal, results showed a marked difference between the two. Samples with the regular microneedle displayed a finer ink stain without much depth penetration, whereas samples with the Fusion Tip proved to have heavier staining under the epidermis and deeper penetration into the tissue. This is despite both needles having a 2mm needle penetration depth.

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SINGLE NEEDLE HAND PIECE

  • The single needle hand piece is specially designed to treat and improve blemishes on the skin.
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My take on Potenza and my personalised approach to using it

As an international trainer for CynoSure medical devices, I can only attest to the credibility of Potenza. Not only can it treat oily and dry skin, it also comes with settings that are almost entirely customisable just for you! As we already know by now, aesthetics doesn’t come with a one-size-fits-all solution. Potenza elevates microneedling RF treatment to another level by offering unprecedented flexibility and trust me, you won’t want to miss out on this up-and-coming treatment device. I am currently the only doctor in Singapore to offer Potenza — if you’re interested in finding out more, don’t be afraid to reach out and I will be happy to answer any questions.

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!

References

  1. Juhasz, M., & Cohen, J. L. (2020). Microneedling for the Treatment of Scars: An Update for Clinicians. Clinical, cosmetic and investigational dermatology, 13, 997–1003. https://doi.org/10.2147/CCID.S267192
  2. McCrudden, M. T., McAlister, E., Courtenay, A. J., González-Vázquez, P., Singh, T. R., & Donnelly, R. F. (2015). Microneedle applications in improving skin appearance. Experimental dermatology, 24(8), 561–566. https://doi.org/10.1111/exd.12723
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Dr. Hoe YM: ‘MASKNE’ – How to avoid acne from wearing masks

Dr. Hoe YM: ‘MASKNE’ - How to avoid acne from wearing masks

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Wearing face masks to reduce the spread of COVID-19 in the community may cause another outbreak – an acne outbreak, also now termed ‘maskne’.

When face masks are worn for prolonged hours, there is constant friction and pressure between the masks and the skin. This causes abrasions and irritation of the skin. The skin barrier is weakened and skin is more sensitive and easily inflamed. 

The increase in temperature and humid conditions also provide an ideal environment for bacteria growth. This is compounded by sweat, sebum and makeup that clog the pores. 

Signs That Mask Wearing Is Affecting Your Skin:

  • Areas of the skin that come in contact with face masks such as jawline, cheeks are affected. 
  • Acne can come in the form of whiteheads, blackheads, papules and pustules. 
  • On top of acne, some people can develop a red itchy rash at areas that come in direct contact with the mask. This is known as contact dermatitis.
  • The skin microbiome alteration can also trigger and worsen rosacea and perioral dermatitis.

The Artisan Way Of Preventing MASKNE

Ensure your surgical masks are changed daily. 

  • Change them 2-3 times a day, especially when they become soiled. If you are using cloth masks, wash them daily with a gentle detergent.

Step up on your skincare routine

  • Cleanse with a gentle cleanser. Avoid harsh scrubs
  • Exfoliate with a chemical exfoliator. Consider the Skinbetter Peel Pad that comes with a triple-acid formulation of salicylic acid, lactic acid and glycolic acid
  • Moisturize your skin with a light day moisturizer. Consider the 
  • Skip the make up or wear minimal make up

 

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Clinic treatments that help with acne from mask wearing:

Topical acne treatments

Keep a lookout for antibiotics, vitamin A, benzoyl peroxide

 

Chemical peel 

Chemical peel removes dead skin cells. Salicylic acid penetrates deep into pores, preventing acne, removing blackheads and whiteheads. Glycolic acid to lighten hyperpigmentation, rejuvenate skin and lactic acid to hydrate the skin and strengthen the skin barrier.

 

Picosure laser treatment

Picosure with the focus lens is able to focus laser energy 20x in the deeper layer of the skin, stimulating the skin to produce new collagen without damaging the skin surface, effectively treating acne as well as stubborn acne scars. 

 

Potenza 

Potenza utilizes microneedling and radiofrequency to effectively target acne and reduce acne scarring. With the patented tip for drug delivery, serums that treat acne and strengthen the skin barrier can be infused.

 

Skinboosters, Profhilo and Sunekos

These are hyaluronic acid bio-remodelling injectables to stimulate collagen and elastin in our skin. By delivering deep skin hydration, our skin barrier is strengthened. By stimulating collagen production, they are also effective at treating acne scarring. 

 

Artisan Miracle Dew Booster

Contains polynucleotides that help repair damaged skin cells and stimulate collagen. Boosts skin healing and effectively treats acne scarring.

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!
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Dr. Hoe YM: How I approach Chemical Peels

Dr. Hoe YM: How I approach Chemical Peels

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When I tell my patients to start their treatment with a chemical peel before their laser treatments, I commonly get the reaction ‘PEEL?? I don’t want my face to peel!’

The idea that your skin will peel like that of a moulting snake after a chemical peel is a common misconception.

In fact, many celebrities come for a chemical peel just before their photoshoots and filming.

Want your skin to glow? Start with a chemical peel.

Let me explain how a chemical peel works and why you should be getting one.

What is a Chemical Peel?

A chemical peel is a form of chemical exfoliation using chemicals to improve the appearance of your skin. It can be done on your face, hands, neck, back, literally anywhere!

These chemicals when applied on the skin, remove the top layer of dirt, grime and dead skin cells. Pores are cleansed and your newer skin is smoother, glowy and pigmentation is reduced.

Benefits Of Chemical Peels:

  • Brighter and smoother skin
  • Reduction in pigmentation
  • Treatment of comedones (black and white heads)
  • Less wrinkles
  • Acne treatment
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How is the Chemical Peel performed?

The face is first cleansed and a pre-peel solution is applied to prepare the skin for the application of the peel.

The chemical peel is then applied with a brush.

The doctor will monitor your skin for any skin changes and the peel is left on the skin for a duration decided by the doctor.

Is there downtime? Is it painful?

There is no downtime and is relatively comfortable. Some patients may experience mild stinging during the duration that the peel is applied on the face.

Post care:

After a chemical peel, minimize sun exposure and use your sunblock.

Stop physical scrubs, AHAs and BHAs.

You can resume the use of make up on the same day.

My Personal Experience:

I personally love the effects of the chemical peel for the effectiveness, zero downtime and comfort. I have found that chemical peels are extremely helpful for dull skin, acne, comedones and pigmentation. My patients often note that their skin becomes two shades fairer immediately after the peel and they don’t have to remove their blackheads via painful extractions anymore.

I love to combine the chemical peel with other modalities of treatment for the synergistic results ie. chemical peel before the Picosure laser treatment. The chemical peel gently peels off the top layer of the skin, pigmentation is lightened and skin is brighter. By removing all the grime and dead skin cells, the laser is also unhindered and penetrates more efficiently to the deep layers of the skin to stimulate fibroblast and collagen production.

I perform a chemical peel and Picosure laser treatment monthly for myself and my clinic staff to treat pigmentation and for general maintenance and we can attest that this combination is amazing!

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!

References

  1. Lee, K. C., Wambier, C. G., Soon, S. L., Sterling, J. B., Landau, M., Rullan, P., Brody, H. J., & International Peeling Society (2019). Basic chemical peeling: Superficial and medium-depth peels. Journal of the American Academy of Dermatology, 81(2), 313–324. https://doi.org/10.1016/j.jaad.2018.10.079
  2. Kontochristopoulos, G., & Platsidaki, E. (2017). Chemical peels in active acne and acne scars. Clinics in dermatology, 35(2), 179–182. https://doi.org/10.1016/j.clindermatol.2016.10.011
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Face thread lift: The answer to a V-shape face?

Face thread lift: The answer to a V-shape face?

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I’ve written previously on the power of threadlifts for your nose. Today, I’m going to talk about what it can do for your face. If you covet a V-shaped face without the need for a facelift, a face threadlift may very well be the perfect option for you.

Facelifting machines

Before threadlifts became popular, energy-based lifting devices like Radio Frequency (RF) and High Intensity Focused Ultrasound (HIFU) were pretty much the only options available for a non-surgical facelift. I will give credit where it’s due; these devices did their job and served excellent skin-tightening results. That being said, results were highly dependent from doctor to patient. RF and HIFU are machines that operate based on power — the higher the power, the better the results. If a patient can tolerate a good amount of pain that comes with this power, then the doctor can adjust the settings appropriately for optimum results. Simply put, the results you achieve from facelifting machines like RF and HIFU are highly dependent on your threshold for pain.

Now comes the doctor factor. Your doctor’s level of skills and knowledge of facial anatomy will affect the placement of the machines’ energy probes, which will influence results. An experienced doctor will know the sweet spots of where to place the probes, compared to a newer doctor who will likely follow general guidelines at the lowest possible energy just to be safe.

Your answer — face threadlifts

Traditional face threadlifting procedures are typically invasive as they involve incisions into the skin and the dissection of facial tissues. Each procedure takes roughly 3 hours and is associated with significant swelling, pain and bruising with evident scarring too. But all that is a thing in the past, as we now have newer V threads from Korea made from biocompatible materials like polydioxanone. Best of all, treatment duration is now cut by more than half, making face threadlifts a lunchtime procedure now!

Here are the top 3 reasons why I like face threadlifts:

1. Instant natural visible results

One of the biggest signs of facial ageing is the sagging of your fat pads, especially the jowl fat pads and nasolabial fat pads. Your fat pads are located above a thin layer of muscle called the sub-muscular aponeurotic system, usually targeted in surgical facelifts. The nasolabial fat pad slides inwards and downwards the mouth and forms what we call “smile lines” as we age. The jowl fat pads increase in size and slide downwards over time and form a “bulldog look”. Why should you know these pads? Well, because they are crucial in face threadlifts. The nasolabial and jowl pads are highly mobile and can only be physically lifted with threads with hooks; they are highly responsive to threadlifts.

This means when threadlifts are introduced into the face, the hooks in the threads immediately latch onto the saggy fats to lift those fats up, giving almost immediate results. I like to use US FDA-approved threadlifts like MINT Lift and Silhouette Soft.

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2. Minimal downtime

Everybody wants to look younger and prettier without the time, pain and risk. Is it really possible? With the face threadlift, yes. One of the reasons why a surgical facelift isn’t as favoured anymore is because it comes with a set of risks like prolonged pain and swelling, scar formation and an unnatural look.

Not with a face threadlift — with a skilled doctor, patients can walk out of the clinic looking 5-7 years younger with a sharper face in just an hour. Most can go back to work immediately and full recovery takes about 3-5 days. The best part? The final result still looks natural.

3. Additional perks like wrinkle reduction

If you’ve done nose threadlifts before, you’ll be well aware of the collagen producing effects that threadlifts have. Regardless of the type of thread used (PDO, PLLA or PCL), once they dissolve, they stimulate the skin cells to produce more collagen and elastin, which reduces wrinkles, restores hydration and provides an overall skin-rejuvenation effect. If you enjoy these secondary effects from nose threadlifts, imagine what you’ll get when these threads are inserted into your face — it’s like getting two facial anti-aging treatments now!

Conclusion

Although face threadlifts may be more expensive in the long run if you go back for frequent touch-ups, in my opinion it’s well worth it because of the decreased risks and downtime and instant lifting effect I believe that threadlifts will be the mainstay of facelift treatments moving forward — don’t be left behind!

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!

References

  1. Moon, H. J., Chang, D., & Lee, W. (2020). Short-term Treatment Outcomes of Facial Rejuvenation Using the Mint Lift Fine. Plastic and reconstructive surgery. Global open, 8(4), e2775. https://doi.org/10.1097/GOX.0000000000002775
  2. Suh, D. H., Jang, H. W., Lee, S. J., Lee, W. S., & Ryu, H. J. (2015). Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 41(6), 720–725. https://doi.org/10.1097/DSS.0000000000000368
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Are you aware of the benefits of the pico laser?

Are you aware of the benefits of the pico laser?

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Before the pico laser came about, the Q-switched laser was known as the go-to device for treating conditions like melasma, acne scars, wrinkles and pigmentation. But the pico laser sits as king now ever since it gained popularity not too long ago.

Many might know that I’m a huge fan of the pico laser; I tout it as the celebrity laser that rules all skin issues. After all, this “wow now” technology (as I commonly describe it) is highly loved by celebrities worldwide and in Singapore.

Allow me to explain a little how the pico laser works, and the benefits it brings.

What is a pico laser, and how does it work?

Pico Laser is a powerful, non-ablative laser that works in picosecond pulses to generate effective and immediate results. Compared to regular nano second Q-switched lasers, picosecond lasers produce pulse widths that are about 1000 times shorter.

Now, you may be wondering what’s the big deal about a shorter pulse width. Does it really make a difference? Yes, it in fact does. With a shorter pulse width, it leads to:

  • More laser shots fired within the same time frame, resulting in more effective laser absorption by the pigments. This in turn requires lesser sessions and of course a higher clearance rate of pigments.
  • Less chance of the laser heating up (due to a shorter pulse duration). This reduces the chance of side effects like post-inflammatory hyperpigmentation, a common side effect seen in some laser procedures.

What can the pico laser be worked on?

Acne scars

Acne scars are arguably one of the more difficult skin problems to treat, because everyone’s acne scarring is different — this would mean that the best type of acne scar treatment would differ among individuals. Many popular laser machines for acne scar treatment, such as fractionally ablative lasers or radiofrequency remove about 20-30% of the top layer of skin. This leaves surrounding healthy skin to regenerate any removed skin.

Not only does this result in heat damage, there’s also the risk of mechanical damage to the skin. As such, it’s no wonder that post-inflammatory hyperpigmentation and poor wound healing are common side effects of fractional lasers.

This is where the pico laser shines through — not only can it perform the notoriously difficult task of removing acne scars without removing the top layer of skin, it carries virtually zero downtime. Pico Lasers make use of skin resurfacing to stimulate collagen and elastin production in the dermal layers of the skin. This spike in collagen enables skin to heal naturally.

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Fine lines, wrinkles and pigmentation

The pico laser works wonders on persistent skin issues like fine lines, wrinkles and pigmentation. The pico laser’s increased photo acoustic effect (a process that refers to the breaking down of pigments by laser energy) shatters pigments into the tiniest possible fragments which are then cleared by the body’s immune systems. Due to this enhanced photoacoustic effect, pigmentation is cleared  a lot faster.

As mentioned, the process also stimulates collagen production concurrently — which is perfect for treating fine lines and wrinkles! Patients often report their skin feeling tighter, more radiant and more rejuvenated after. This is another reason why I’m such a huge fan of the pico laser — it brings along many pleasant, additional benefits.

Tattoos

Sure, tattoo removal via lasers have been around for quite some time, but none has been as effective as the pico laser. In fact, did you know that the pico laser is the only aesthetic laser that provides a safe and effective way of removing tattoos?

The pico laser’s ability to deliver energy pulses in an ultra short time frame enables it to create powerful pressure waves, which shatters tattoo ink into microscopic pieces safely and efficiently. While most lasers in the market rely on heat or light to shatter tattoo ink, pico lasers use both heat and light to target tattoo ink. Remember — pico lasers have shorter energy pulses, so even by utilising both heat and light, the risk of thermal damage is still relatively low.

Let’s not also forget that tattoos with brighter colours like red, yellow and orange tend to be harder to remove. But don’t worry — pico lasers are here to save the day!

My personal experience

Many of my Singaporean patients would know that I did not like to perform laser treatments in the past. But after I witnessed how the pico laser can deliver premium results in just a single session, I knew I had to introduce it to my patients. Personally, I’m a firm believer in value-for-money: if the product delivers with no side effects, I’m willing to pay more. The pico laser, in my opinion, is a clear winner.

I hope you get to experience it for yourself and see what I mean!

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!
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Is there a difference between pico lasers?

Is there a difference between pico lasers?

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There’s been a lot of “pico” talk lately in the aesthetic scene. This delights me, as I’m a huge fan of the pico laser technology and more awareness simply means more room for innovation moving forward. There are a few types of pico lasers in the market, including PicoSure, PicoPlus and PicoCare. A question I commonly receive is if there’s a difference between the pico lasers, and if one’s more superior than the other in treating skin conditions.

I’ll address those questions in this article, but to start off, let’s first understand that pico laser is NOT a brand or a name of a laser machine. Pico Laser refers to a type of laser technology in which laser energy is fired at picoseconds, or one trillionth of a second. This is in stark contrast to the regular Q-switched lasers we know, which deliver laser beams at nanoseconds.

How is this better?

Think of pico lasers as an upgrade to Q-switched lasers. Despite their efficacy, Q-switched lasers are often limited by problems like post-inflammatory hyperpigmentation, burns and blisters especially among darker skinned individuals and more complex cases.

With pico lasers, their shorter pulse duration allows for a higher photo-mechanical effect and lower photo-thermal effect, which reduces the risk of laser-related complications. This is especially useful for harder-to-treat cases like pigmentation and tattoos.

What’s the difference between PicoSure, PicoPlus and PicoWay?

PicoSure, PicoPlus and PicoWay are different brands of picosecond lasers. All are effective in treating pigmentation of the skin with minimal downtime. However, PicoPlus and PicoWay make use of a compound called Nd:YAG to generate laser beams while PicoSure utilises Alexandrite laser technology. PicoSure also comes with an additional Focus Lens Array, but more on that later.

While PicoSure, PicoPlus and PicoWay are often grouped together and operate on the same principle, they contain a few differences:

1. Pulse duration

The shorter the pulse duration, the lesser heat or photo-thermal effect there is to surrounding skin. As mentioned, pico lasers are prized for their ultra-short pulse durations. Currently, the pulse duration that’s widely accepted appears to be 450 Picoseconds. New devices like PicoCare, PicoPlus and Discovery Pico have pulse durations of 450 Picoseconds.

2. Picosecond wavelengths

The higher the wavelength, the more pigments that can be treated. This is especially beneficial when it comes to removing blue and green pigments in tattoos. PicoPlus and PicoCare carry 4 picosecond wavelengths each; Discovery Pico has 3 and PicoSure has 2.

3. Peak power

The higher the peak power, the more laser energy there is to shatter stubborn pigments. Discovery Pico and PicoPlus currently have the highest peak power of 1.8GW. On that note, I don’t believe that you necessarily need a machine with a very high peak power. It really depends on the complexity of your condition and of course the skill of the doctor.

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Which is the best pico laser?

The truth is, there is very little evidence that shows one pico laser is better than the other, much less talk about a gold standard. Sure, they may have some technical differences as described above, but there are other factors that play a huge part if not supersede those mechanical details.

1. The skill of the doctor

You can have the best picosecond laser in the world, but the doctor’s diagnosis, choice of treatment protocol and way of handling the machine is way more important. The settings of the pico laser has to be adjusted to fit the patient’s condition, and a good doctor should be able to tweak accordingly. I would keep a lookout for marketing advertisements that promote generic packages, like 30 second laser facials. Pre and post laser treatment care are also part of a successful treatment. Do your research and make sure the doctor has a good track record of using pico lasers on Asian skin.

2. The country of manufacture

Majority of clinical research and developments of each pico laser are based on the skin type of their target audience. For example, Korean brands Lutronic and Wontech’s PicoPlus and PicoCare respectively were developed to treat Asian skin, while other pico lasers like the Discovery Pico were originally made for tattoo removal on Caucasian skin.

My personal preference

Personally, I prefer PicoSure and use it in my practice. There are a few reasons why.

  • PicoSure is the first pico laser made commercially available. It was developed by Cynosure, the company that developed picosecond laser technology. They also invented nanosecond technology, which was copied by other companies and went on to be very successful. Being the inventor of both technologies, we can only trust Cynosure to be ahead of this laser technology with PicoSure.
  • It is an Alexandrite laser with 755nm. Previously, popular pigmentation lasers were either 532nm or 1064nm. They were good for removing superficial pigments and deeper dermal pigments respectively. Studies have shown that 755nm is the sweet spot to remove tattoos and pigments effectively.
  • It comes with Focus Lens Array (FLA). FLA is a special lens fixed onto PicoSure handpieces to penetrate 20 times more in the deeper layers of skin without removing the top layer of skin. This effect stimulates surrounding fibroblasts to produce elastin and collagen for skin rejuvenation.

To sum up, I’d advise you to see a credible doctor to properly diagnose your condition first and then decide on an appropriate treatment method and laser. Feel free to let me know if you have any questions.

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!

References

  1. https://pubmed.ncbi.nlm.nih.gov/27194919/
    Torbeck, R., Bankowski, R., Henize, S., & Saedi, N. (2016). Lasers in tattoo and pigmentation control: role of the PicoSure(®) laser system. Medical devices (Auckland, N.Z.), 9, 63–67. https://doi.org/10.2147/MDER.S77993
  2. https://pubmed.ncbi.nlm.nih.gov/27546378/
    Khetarpal, S., Desai, S., Kruter, L., Prather, H., Petrell, K., Depina, J., Arndt, K., & Dover, J. S. (2016). Picosecond laser with specialized optic for facial rejuvenation using a compressed treatment interval. Lasers in surgery and medicine, 48(8), 723–726. https://doi.org/10.1002/lsm.22551