Pores, Pigmentation, Acne

Treating Enlarged Pores‚ 

A very common complaint during times of hot and humid weather is enlarged pores, typically more obvious on the nose and cheeks. The size of your pores generally increases with age. If you have a genetic predisposition to excessive sebum production, you will experience oily skin and have bigger pores. With excess skin surface oil and inadequate exfoliation, dead skin cells accumulate inside the pores, making the pores  appear even larger. The consequence of these oil plugs is more whiteheads (closed comedones), blackheads (open comedones), and pimples. The skin appears dull, lifeless and aged.

My treatment for enlarged pores is to prescribe a combination of laser rejuvenation, laser toning, gentle skin resurfacing lasers and Intense Pulse Light. With this treatment, you will not experience any pain nor downtime. This lunchtime procedure means that you can continue your usual activities without interruption.

Treating Pigmentation –

Melasma is often found in Asian skin. It manifests as irregular patches of darker brown discoloration, usually on the cheeks, forehead, nose and even the lips. It is more common in women and in darker skinned people, and can be aggravated by sun exposure and hormonal changes.

Freckles are small brown spots on sun-exposed areas, seen in genetically more susceptible people.

Birthmarks can be brown or red in colour. Red coloured birthmarks are caused by a localized area of abnormal blood vessels. Brown birthmarks arise from localized areas of excessive pigmentation.

Sun spots, also known as solar lentigo, are dark brown spots found on the skin. They are caused by sun exposure and commonly seen in areas of the skin exposed to the sun such as the face, hands and arms. Many patients get brown spots after acne. They are also referred to as Post Inflammatory Hyperpigmentation (PIH), and is due to the skin’s pigment cells overreacting, which produces more pigmentation during the healing process. PIH often appears following other skin injuries like cuts and burns.

We have many laser treatments that can lighten your brown spots and bring your skin closer to its normal colour. Most brown spots can quite easily be lightened. Following your consultation, I will customize the most appropriate treatment for you.

Active Acne

Active acne is a very common skin problem and can infect the face, chest, shoulders and back. Acne often begins to form during your teenage years. While it generally resolves, acne can sometimes continue to persist and be a major problem throughout your life.

Acne that is associated with puberty is a result of your skin’s response to hormonal changes. During puberty, the sebaceous glands in the skin start to produce excessive sebum (skin oil). These sebaceous gland openings to the skin’s surface frequently get blocked, forming whiteheads and blackheads. The fatty acids within these blocked oil glands become infected by bacteria living on the surface of your skin. This infection leads to skin inflammation, followed by pustules, and sometimes, painful cysts.

Acne is aggravated by stress, insufficient sleep, changes in hormone levels around the time of menses, a hot and humid environment, using incorrect occlusive sunblock or make up, close-fitting clothing and headgear.

Treatment for active acne should be started early. It is disfiguring and some acne sufferers develop emotional and social inadequacies. Active acne usually causes later skin scarring. To avert further damage as quickly as possible, I use a multifactorial approach to treat active acne. A combination of epidermal and dermal laser treatments, together with IPL and light therapy, with the concurrent application of topical medications, can usually clear active acne and improve the scar appearance quite rapidly.