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Botox 101

Botox or Botolinum toxin is a neuromodulator that blocks release of acethylcholine hence preventing muscle contraction. Whew! That’s a lot of technical terms! Simply put, it is a toxin that relaxes or weakens your muscles.

In Dermatology, it is mostly used to treat dynamic wrinkles on the face. Common areas are:

  • Crow’s feet (lateral side of eyes)
  • Forehead lines
  • Frown lines (between eyebrows)
  • Bunny lines (nose wrinkles)
  • Cobblestone chin

There is also a procedure called “Botox lift” to produce that fresh, youthful look with a lifted appearance.

Botox can also treat TMJ disorders and bruxism (night teeth grinding).

It is also helps in producing a more V-shaped contour of the face.

Botox also helps with excessive sweating or hyperhidrosis. Patients with axillary or underarm hyperhidrosis greatly benefit from this treatment.

Fact Alert! Botox is actually a brand of the neurotoxin but is commonly used as a generic term for the procedure.

The procedureBotox for wrinkles

Your dermatologist will plan the injection sites and number of units to be used on your face. She will ask you to make facial expressions to map out where the best injection spots are for you.

We use a very fine needle to minimize the pain with injection. Other modalities may be used such as applying ice, tapping, or if necessary, applying topical anesthesia. Most patients tolerate the procedure well and ice compress is more than enough.

When do I see the effect of my Botox treatment?

Most patients appreciate the effect after a few days of the treatment. If a touch up is necessary, this is scheduled at least two weeks after the initial treatment.

Effect of a single treatment may last 4-6 months. Factors affecting this include: strength of facial muscles, how animated or active your facial muscles are, and the number of units used.  Once the effect of Botox wears off, your face will not be worse than before you had the treatment! A lot of patients worry about this. Botox will not make your wrinkles worse once it wears off, but you will do notice your wrinkles coming back.

Side effects

Some of the possible side effects are:

  • Pain
  • Swelling
  • Redness
  • Bruising
  •  Mild headache (uncommon)

Frozen face – we do not like this either! We aim to give you a natural, youthful look while preserving your facial expressions.

Am I a candidate for Botox?

Don’t wait to have the permanent creases or wrinkles on your face before getting a Botox treatment. Those deep lines you see in older people are harder and more expensive to treat.

The trend now is to maintain and prevent the signs of aging, as early as you can.

Experienced dermatologists can plan the best treatment for you. The number of units and the injection points vary from face to face because each face is unique!

Cheers to healthy skin!

For inquiries and to set your appointment, CONTACT us here.

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Wrinkle Remedy: Botox

Want to learn more about Botox as a wrinkle remedy?

Wrinkles are lines on the skin that appear with facial expressions such as frowning, raising our eyebrows, squinting, smiling, etc. There are several factors contributing to the development of wrinkles. Intrinsic aging or natural aging is largely genetic and is inevitable with the passage of time. Exposure to UV rays, cigarette smoke, poor quality and lack of sleep, and stress can accelerate the aging of skin hence earlier appearance of unsightly wrinkles.

Over time, with repetitive facial expressions these wrinkles become permanent creases even when our face is not showing any emotion or even when we are not moving. These permanent creases are much more difficult to treat. It will cost you a lot more to treat the permanent wrinkles! So the best time to treat your wrinkles is now.

What do I need to prepare for my Botox appointment?

Inform your doctor of any history of Botox treatments and other facial cosmetic procedures. Tell your doctor if you are taking any medications especially blood thinners such as Aspirin.

What happens during this procedure?

Botox involves injection of the toxin in small amounts to targeted muscles. Pain is minimal as we use a very fine needle.  Most patients tolerate the procedure well. For people who are very sensitive to pain, inform your doctor and ask if “painless” option is possible.

When do I see the effect of my Botox treatment?

The full effect of a Botox treatment can be appreciated about 7 to 14 days after the procedure. Some patients may already experience the benefit of Botox after 3 days.

Any side effects?

These have been the reported side effects with Botox treatment: redness, swelling, soreness, bruising. Uncommon side effects are mild headache and temporary eyelid drooping.

Numbness or loss of sensation is not seen with Botox treatment.

After care?

You may go back to work immediately after the treatment. You may apply make up taking care not to apply pressure on the treatment points. Keep upright for a few hours after the treatment. Avoid facial massage or rubbing the treated areas for the next few days.

Follow up?

You may follow up with your dermatologist 2 weeks after your treatment. Some patients may need correction or injection of additional units.

Dermatologists who are experienced with Botox can plan the best treatment for you. The number of units and the injection points vary from face to face because each face is unique!

Our goal with Botox is to have a natural look while minimizing wrinkles. We want you to retain facial expressions and not have a frozen face.

Cheers to healthy skin!

For inquiries and to set your appointment, CONTACT us here.

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dermatitis, eczema, contact dermatitis, rash, hands

what is contact dermatitis?

I have contact dermatitis. Help!

Contact dermatitis is a type of eczema that usually presents as red, uncomfortable, itchy, usually raised rashes (which dermatologists call papules and plaques). In severe cases, one may develop vesicles or blisters, and wounds. It can occur in any age group. Direct contact of your skin with a suspected substance causes this type of rash.

The two variants of contact dermatitis are ALLERGIC and IRRITANT contact dermatitis.

ALLERGIC CONTACT DERMATITIS is an immunologic reaction. Your skin mounts a delayed hypersensitivity reaction to the foreign substance your skin has been in contact with.

IRRITANT CONTACT DERMATITIS is non-immunologic; rather it is a cytotoxic skin reaction to a substance your skin has been exposed to.

AlLERGIC CONTACT DERMATITIS

This is a type of rash that you will experience every instance you are exposed to an allergen that you are sensitive to.

            Do you have a recurring itchy rash on your earlobes every time you wear your favorite fancy earrings?  You might be allergic to the material of your earrings. It may be due to nickel, even silver and gold can also cause contact dermatitis.

            Some people have stubborn itchy rash on their belly near the belly button. This area usually corresponds to the buckle of your belt or the button of your jeans pants, skirt or shorts. This is also a common sign of nickel allergy. Patients usually have a long-standing history and patients come in with thickened plaques. These can be erythematous (red) or hyperpigmented (brownish).

            Some patients suffer from contact dermatitis caused by chemicals or substances that they are exposed to at work. You might have noticed an improvement in your rash when you are on holiday or vacation? For example, a teacher who has frequent exposure to chalk or chemicals in whiteboard markers might have active rashes during the school year but experience relief on school breaks. Hair colorists may experience improvement of their rashes on their hands when they rest from work, similar to people who does laundry or dishwashing as an occupation. Most patients notice improvement of their rash when they take a break from work (when the suspected allergen is from their workplace).

IRRITANT contact dermatitis

Constant exposure to substances will eventually irritate our skin and cause irritant contact dermatitis. This type of rash is more common and most substances can cause this.

            What are the common irritants?

            Water, alcohol rubs, sweat, saliva!

            Common presentations of irritant contact dermatitis are: diaper rash (so don’t let your baby soak his precious skin in wet nappies), lip dermatitis (stop licking your lips!), dry, cracked hands due to chronic exposure to water.

            You may also develop irritant contact dermatitis when a toxic substance such as bleach comes in contact with your skin. Hence dermatologists recommend you wear protective gloves when you use bleach and other strong chemicals.

            Some also develop irritant contact dermatitis from handling food and soap!

            People who always get their hands wet at work (dishwashers, bartenders, healthcare workers, etc.) are more prone to developing dry, cracked hands. These can be itchy, stinging and tender. With the pandemic, we are all doing frequent and adequate hand hygiene, and in our clinic we see a growing number of cases with irritant contact dermatitis. So don’t forget to moisturize your hands with a bland moisturizer after every hand wash or hand rub with alcohol or sanitizing gel.

Consult with your dermatologist if your rash persists. You and your dermatologist will work together to find out your triggers and identify whether your rash is allergic or irritant. Seek medical advice on how best to treat your eczema and avoid flare-ups.

Stay tuned to learn more about contact dermatitis! Blog entries are coming up in the next few days.

Cheers to healthy skin!

For inquiries and to set your appointment, CONTACT us here.

Stay tuned for updates and promos, follow and like us on Facebook, Instagram and Twitter.

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7 ways to prevent “maskne” and other face mask-related skin problems

We recently have been having consultations for increased breakouts and rashes on face, especially on area that is covered by face masks. So, we have listed down 7 ways to prevent “maskne” and other face mask-related skin problems just for you.

“Maskne” is a term coined for acne brought about wearing of face masks. “Maskne” is a type of acne mechanica – skin irritation that is caused by excess pressure, heat, and friction. The constant rubbing of poorly fitted masks and sweating can result in your breakouts or “maskne.”

If you have sensitive skin, the material of the face mask, the skin care products that you use, and the cleanliness of your masks can trigger your eczema.

tell us, What can we do to prevent this?

1. skin care fundamental: cleanse and moisturize

Dermatologists can never stress this enough! Gentle skin care is very important in preventing skin problems.  Use a mild, fragrance-free, cleanser and moisturize immediately after washing your face.

Some recommended ingredients are ceramides, hyaluronic acid, and dimethicone. Dimethicone also acts as a skin protectant. Dimethicone can be found in Oillan Multilipid Face Cream.

Moisturizers can prevent breakouts and skin problems, especially if you have dry or sensitive skin.

2. don’t forget your lips

You can prevent chapped lips by applying petroleum jelly. Remember to apply your lip moisturizer (petroleum jelly) after washing your face, before putting on your mask and before sleeping at night. Please avoid licking your lips, instead reapply your lip moisturizer.

3. Break up with your make up!

Now is not the time to put on your make up – at least not your primer, foundation, blush on, concealer, bronzer, contour, etc. Avoid applying any make up on mask area. Your face will be covered with the face mask anyway! So skip this step and apply your bland moisturizer instead.

For those however who cannot avoid wearing make up (due to work or for whatever reason), use a hypoallergenic, non-comedogenic make up.

4. keep calm and don’t experiment

Now is not the time to try and experiment with new skin care products. Wearing masks can make your skin more sensitive, even if you wear it only for a short while. Consult your dermatologist and ask for a skin care regimen that is suitable for you.

5. no new products, only new breakouts

You have been loyal to your skin care products for months or years and have not experienced any issues with your regimen. The pandemic happened and suddenly your face becomes irritated! This can be frustrating but don’t despair. Consult with your dermatologist and heed advice. Some of the products that you are using may be causing your skin problem, even if you have been using it for months or years. Remember, wearing masks can make your skin more sensitive.

6. check your mask

Make sure you wear the right mask! Check the fit and the fabric.  Is your mask too tight or too loose? Poorly-fitting masks can prompt you to keep adjusting it and the friction can irritate your skin. If you have sensitive skin, choose a mask with inner lining that feels soft. If you have oily and acne-prone skin, you may benefit from using a cotton material lining inside your mask.

7. reuse after washing

Wash your cloth masks every after use! Be hygienic and wash it every after use even if you feel it is not dirty yet.  The dirt, oil, and bacteria can be the cause of your skin problem.

For those with sensitive skin, remember to use a mild, hypoallergenic detergent. Make sure you properly rinse off the soap.

For your skin problems, consult with your dermatologist and comply with the treatment plan made for you.

We hope these AC SkinTips will keep your “maskne” and other face mask-related skin concerns at bay, while keeping you SAFE. Wear your facemask, practice hand hygiene and social distancing.

Cheers to healthy skin!

For inquiries and to set your appointment, CONTACT us here.

Stay tuned for updates and promos, follow and like us on Facebook, Instagram and Twitter.

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