Health & Beauty

[Teff]

Anyone here interested in skincare products known as Rebirth and Lanopearl?
The products are made in Australia base on sheep placenta extracted in Switzerland and 100% own grown organic herbs. It is very very popular in Australia, Korea, Indonesia and also our nearest neighbour Thailand. It is fully recognised by the Malaysian Ministry of Health and even has got halal certification. Therefore our muslim friends are free to use it. Money back guarantee if you not satisfied after 2 weeks of application. ( subject to terms and conditions ). Can email me at tselau33@yahoo.com for further enquiries.

I was recently in touch with the general enquiry department of Cellgen LifeSciences (M) Sdn Bhd which supplies Cellabs Sheep or Deer Placenta extract.

I was informed that they are retailing the aforesaid at RM 288 for one month's supply. I'd say they are thus far the cheapest on the market. Am not sure of the efficacy of the products though, am just scouting around for cheaper alternatives, but as good as the expensive ones. Another brand is Norefal which is estimated around RM518 for a month's supply. Cheers :)

[patrick]

Patrick, hope you aren't on holiday already... could you please forward the good Dr's contacts and location to me? Thank you!

Do you happen to know if she will be closed this CNY and on what days?

Ha ha...someone's got to look after Subang Jaya, isnt it? I know she would be closed but not sure for how many days. But she will in town. So you could still contact her by phone or email. Will pm you her contact. Rgds.

[snoopywhite]

Hi, I'm new here. Your thread surely a long one, it takes some time to read them thru.
I had keloid prone skin, I knew that after a minor accident that had scarred my right elbow few years ago. The keloid had improved after a few years. But to my surprise, maybe after that incident, my skin would develop keloids easily. One of which is the most discomfort and itch will be at my right shoulder, it used to be a pimple. I chose to ignore it as I thought it would go off by itself. But, in constrast, it develop into a harden and darker colour dead skin type which last for a few year then recently developed into a 10 cents coin raised keloid! I had to hide all my sleeveless tops since then :( :(
Please advice. Thanks.

[Kittycat]

snoopywhite, go c a dermatologist b4 it gets worse..hope it'll get better :)

[patrick]

Hi, I'm new here. Your thread surely a long one, it takes some time to read them thru.
I had keloid prone skin, I knew that after a minor accident that had scarred my right elbow few years ago. The keloid had improved after a few years. But to my surprise, maybe after that incident, my skin would develop keloids easily. One of which is the most discomfort and itch will be at my right shoulder, it used to be a pimple. I chose to ignore it as I thought it would go off by itself. But, in constrast, it develop into a harden and darker colour dead skin type which last for a few year then recently developed into a 10 cents coin raised keloid! I had to hide all my sleeveless tops since then :( :(
Please advice. Thanks.


Those who are keloid-prone have to treat injuries early e.g. prevent infection by applying antibiotic creams or taking oral antibiotics if nec, close wounds with good surgical technique (not under tension) & in the case of acne - don't squeeze, minimise trauma. Apply silicone plaster (can buy in pharmacy) early on all injuries after wound has healed.

For established keloids - we can treat with kenocort injections. How many injections required is unpredictable - done every 4-6 weeks. At least keloid will flatten with this treatment. - Doc

[snoopywhite]

Thanks for your reply (all reply via pm). I had visited a skin clinic in KL yesterday. The doc had removed the keloid surgically. He said that steroid injection might not work as the keloid is very big. So, the procedure is done and just cross finger as what the outcome be... sigh... the next appointment is 2 weeks. Btw, Mr Patrick, what do you mean by 'close wounds with good surgical technique (not under tension)?

[patrick]

.....Btw, Mr Patrick, what do you mean by 'close wounds with good surgical technique (not under tension)?

Doc says (not Patrick!): "Surgical technique = find a good surgeon.
You should start using silicone plasters after stitches come out. All the best"

[aphrodzx]

hi patrick and the all the lovely ppl of usj..
velasmooth anybody? does it really work? really need reviews from those who had tried this procedure.. thanks! :)

[patrick]

hi patrick and the all the lovely ppl of usj..
velasmooth anybody? does it really work? really need reviews from those who had tried this procedure.. thanks! :)

Doc's comments: Velasmooth works consistently (i.e. works for everybody) to reduce appearance of cellulite & firm up the skin. The results of circumferential reduction ("inch loss") & improvements in stretch marks is not so consistent - works for some, not for others.
Some people may say it doesn't work if the procedure is not properly done for them. It is very much operator dependent. End point of radiant heat must be reached to get good results as stated before.
I've personally tried it & it feels like a hot massage - quite comfortable really!

[spcx]

Hey Dr.Lim,

Just wondering whether you know what's this skin problem? My wife got this skin disease when she was only 10 months old, and she's 24 now. She told me she have been to numerous doctors, I think 10 years back, but none could help her. Doctors told her that it'll recover over the time, but she never got better.

Do let me know if you're confident to treat this, and I'll be glad to drop by at your clinic for a consultation.

Thanks doc!

http://www.mash.com.my/imagesbin/skin.jpg

[zyra]

hi patrick. newbie here. can u pls PM me dr lim's contact num and address? thanx.

[patrick]

hi patrick. newbie here. can u pls PM me dr lim's contact num and address? thanx.

Done. plse check your pm box.

[jaylow]

Hi Doc,

Wonder is there anything for lightening or diminishing surgery scar? even for c-section scar? So far I am using CICAcare silicon gel and put in for months....Do you have other safe, reasonable price alternatives? Pls advice...

Thank you,

Jay

[patrick]

I received a query as follows:

"I saw ur post abt the hair comb and other remedies. May i know are these products reliable? The comb i saw in the net is like small laser. I am not sure it will cause any side effect. May u elaborate more on this.

How about proscar? Is it effective and any side effects?

Thanks for your assistance. "


To which Doc has replied:

The correct drug for hair loss is Propecia (finasteride 1 mg) , not Proscar (finasteride 5 mg). Not a good idea to take Proscar & divide it into 4 parts - not each part is exactly 1 mg. Propecia is effective for stopping male pattern balding because it attacks the root cause of male pattern balding i.e. DHT. No known Long Term side-effects if taken as instructed. Short -term side-effect problem with erection in 1 % of people who take propecia - side-effect goes away when drug is stopped

The lasercomb is an adjunct treatment that improves follicle health - makes existing hair fuller & thicker but it doesn't make you grow new hair follicles. Hence, it's important to understand that it's a supportive treatment for hair loss, not stand-alone treatment.
Low level laser is very safe - just don't look at the laser beam directly in the eye.

[kuncer]

Thanks patrick,

Based on your responce, proscar is not a hair loss cure product?

But my doctor recommend proscar when i seek for the cure of my hair loss..
SHd i consume them now?

I am planning to buy the laser comb. WIll post here once tried.

[patrick]

Hey Dr.Lim,

Just wondering whether you know what's this skin problem? My wife got this skin disease when she was only 10 months old, and she's 24 now. She told me she have been to numerous doctors, I think 10 years back, but none could help her. Doctors told her that it'll recover over the time, but she never got better.

Do let me know if you're confident to treat this, and I'll be glad to drop by at your clinic for a consultation.

Thanks doc!



Looks like your wife has chronic eczema. It isn't curable in the sense that it will go away forever.
Eczema is controllable i.e. with anti-inflammatory creams, moisturisers, steroid & non-steroid creams +/- antibiotics & anti-histamines. Each flare will settle with treatment but if exposed to the same trigger, eczema will recur. You can spend a load of money doing allergy blood tests but often you'll be postive to things you can't avoid e.g. house dust mite.

Don't go hunting for a cure - manage, prevent & treat the disease early when it flares. - Doc

[patrick]

Thanks patrick,

Based on your responce, proscar is not a hair loss cure product?

But my doctor recommend proscar when i seek for the cure of my hair loss..
SHd i consume them now?

I am planning to buy the laser comb. WIll post here once tried.

Proscar is for enlarged prostates. Propecia is the one for hair loss. Both same drug but different dosage. The studies for hair loss are done using Propecia, not Proscar. "Cure" is not a word I would use for hair loss - "manage" & "prevent" are more correct descriptive terms. - Doc

[patrick]

Hi Doc,

Wonder is there anything for lightening or diminishing surgery scar? even for c-section scar? So far I am using CICAcare silicon gel and put in for months....Do you have other safe, reasonable price alternatives? Pls advice...

Thank you,

Jay

Doc says : Can try Mederma - but don't think it is as effective as Cicacare - it's
reuseable up to 3 months - so divided by 3 months, it's not that
expensive

[kuncer]

Patrick,

what is the prices for the propecia and proscar. are they around the same price.

THank

[freelancer]

Hi Patrick,

I am in my early forty and have lots of freakles & pigmentation on my cheeks. Some are in born while others are due to aging and sun exposure. I have done Neostrata fruit peeling a year ago, and it only helps to reduce about 50%. Now the brown spots are coming back. My beautician suggested that I should try their latest technology, E light + RF machine. I need to sign up 5 sessions in order to get great offers ! Due to the huge $ involve, I want to get second opinion. My friend tried Ellipse IPL from a skin specialist, and it seems very effective as I can see her clear skin after 2 sessions. But it is equally expensive. May I know what is the difference btw these two machines ? Do you have any better alternative suggestion ? Pls help as I have spent a lot on facial & whitening skin care products. Thank you in advance.

[patrick]

Patrick,

what is the prices for the propecia and proscar. are they around the same price.

THank

Not sure abt proscar - please check at pharmacy.
propecia RSP is RM197 but most pharmacies sell cheaper Rm170-180 - Doc

[patrick]

Hi Patrick,

I am in my early forty and have lots of freakles & pigmentation on my cheeks. Some are in born while others are due to aging and sun exposure. I have done Neostrata fruit peeling a year ago, and it only helps to reduce about 50%. Now the brown spots are coming back. My beautician suggested that I should try their latest technology, E light + RF machine. I need to sign up 5 sessions in order to get great offers ! Due to the huge $ involve, I want to get second opinion. My friend tried Ellipse IPL from a skin specialist, and it seems very effective as I can see her clear skin after 2 sessions. But it is equally expensive. May I know what is the difference btw these two machines ? Do you have any better alternative suggestion ? Pls help as I have spent a lot on facial & whitening skin care products. Thank you in advance.


Reply from Doc:
E-light +RF claim to give better results for skin firming, but from what I can see, even with the doctors' unit, monthly sessions need to be done to maintain the effect, not just 5 sessions. Don't know how effective the beautician unit is.

Ellipse IPL is a top end IPL machine which gives great results for freckles & sun-induced pigmentation (NOT for melasma tho)

The function of IPL is to remove existing pigmentation but don't forget that additional UV exposure will make pigmention grow again so lightening creams & sunblock are part & parcel of treatment.

Looking good is expensive!

My charges for Quatum IPL are 1000 for 3x (cheaper than Ellipse) - works well for freckles, but not for red discolourations. Ellipse works great for red discolourations too.

[sweetlhh]

Hi patrick,

I have two questions here. I'm going to b 32 this year, chinese with tan skin. I find that my skin is getting more sagging and look really dull each year even after using all the expensive products from beauty counters. Can doc recomend some treatment for me? How much does doc roughly charge for the treatment? I heard IPL works for firming on skin, is that true?

Here is another questions from my hubby. He started to have breakouts one or two years ago on his forehead and cheek area (especially near to nose area). If try to extract it out, is either in crystal form, white or yellow paste (like squeezing out toothpaste). But the forming is still there. It doesnt get red or go away. Currently he is on Reoccutane, I'm just worried on the side effect that can cause to his liver. Plus, he is still having those acne problem after taking it like a month just his face doesnt get oily like he used to. Any alternate choice to cure the acne problem from doc?

Thanks alot in advance :) .

[patrick]

Hi patrick,

I have two questions here. I'm going to b 32 this year, chinese with tan skin. I find that my skin is getting more sagging and look really dull each year even after using all the expensive products from beauty counters. Can doc recomend some treatment for me? How much does doc roughly charge for the treatment? I heard IPL works for firming on skin, is that true?

Here is another questions from my hubby. He started to have breakouts one or two years ago on his forehead and cheek area (especially near to nose area). If try to extract it out, is either in crystal form, white or yellow paste (like squeezing out toothpaste). But the forming is still there. It doesnt get red or go away. Currently he is on Reoccutane, I'm just worried on the side effect that can cause to his liver. Plus, he is still having those acne problem after taking it like a month just his face doesnt get oily like he used to. Any alternate choice to cure the acne problem from doc?



DOC: Sounds like you enjoy the outdoors!

Steps to follow..

1. to preserving youthful looking skin is avoiding excessive sun
exposure & covering up with sunblock +++ & hats, etc

2. use good proven skincare

3. Elite Laserfacial (RM3500 for 5 sessions) for skin tightening if not much
pigmentation / IPL (RM1000 for 3 sessions) if you have freckles. IPL
doesn't give good skin firming but is good for removing sunspots, freckles.

As for your Hubby - Roaccutane takes at least 2-3 months to see effect. And depending on dose. You're supposed to take it from 6-12 months total to get good long-term acne control. Alternatives to acne control really depend on acne severity - oral antibiotics, phototherapy, chemical peels, topicals only if mild case.

Trust that helps.

[sweetlhh]

DOC: Sounds like you enjoy the outdoors!

Steps to follow..

1. to preserving youthful looking skin is avoiding excessive sun
exposure & covering up with sunblock +++ & hats, etc

2. use good proven skincare

3. Elite Laserfacial (RM3500 for 5 sessions) for skin tightening if not much
pigmentation / IPL (RM1000 for 3 sessions) if you have freckles. IPL
doesn't give good skin firming but is good for removing sunspots, freckles.

As for your Hubby - Roaccutane takes at least 2-3 months to see effect. And depending on dose. You're supposed to take it from 6-12 months total to get good long-term acne control. Alternatives to acne control really depend on acne severity - oral antibiotics, phototherapy, chemical peels, topicals only if mild case.

Trust that helps.


Doc mentioned that "use good proven skincare", I would like to know if doc sells these good proven skincare? Is the price range same as those in beauty counters?

[patrick]

Doc mentioned that "use good proven skincare", I would like to know if doc sells these good proven skincare? Is the price range same as those in beauty counters?


Prices of good skincare is more expensive than pharmacy brands but definitely much cheaper than cosmetic brands like Lancome, SK II, Estee Lauder, etc - DOC

[sweetlhh]

Prices of good skincare is more expensive than pharmacy brands but definitely much cheaper than cosmetic brands like Lancome, SK II, Estee Lauder, etc - DOC


Thanks for the reply doc :) . Patrick, may I hav doc clinic add and map. My email is : sweetlhh@rocketmail.com

thanks :)

[patrick]

Thanks for the reply doc :) . Patrick, may I hav doc clinic add and map. My email is : sweetlhh@rocketmail.com

thanks :)

Done. Plse check your email box.

[mkhooi]

Dear Doc,

I would like to know right after doing IPL, is there any redness or visible irritation? I am planning to have it done next month. But later that day need to attend company dinner. Please advise

[patrick]

Dear Doc,

I would like to know right after doing IPL, is there any redness or visible irritation? I am planning to have it done next month. But later that day need to attend company dinner. Please advise


It feels warm for up to 1-2 hours. Redness lasts the same amount of time depending on how much pigmentation one has on face. More pigmentation will absorb more energy, hence redder. BUt one generally looks good straightaway after IPL - nice glow to the face - DOC

[GreenBug]

Hi Patrick, can you pm me on the full name, address, map etc to me? :D

[munyi]

Prices of good skincare is more expensive than pharmacy brands but definitely much cheaper than cosmetic brands like Lancome, SK II, Estee Lauder, etc - DOC

Would like to know which skincare brand you recommend?

[munyi]

Thanks for your reply (all reply via pm). I had visited a skin clinic in KL yesterday. The doc had removed the keloid surgically. He said that steroid injection might not work as the keloid is very big. So, the procedure is done and just cross finger as what the outcome be... sigh... the next appointment is 2 weeks. Btw, Mr Patrick, what do you mean by 'close wounds with good surgical technique (not under tension)?

Hi Snoopywhite,
Can i have the name and address of the doc? Is he good, thanks.

[munyi]

I've heard of a dermatologist in KL Imbi called Dr Ting. It seems the queue to see him is crazy. A few friends of mine have gone to him, but I still haven't had the time yet. Is that who you went to, Snoopy?

[markonahsood]

Hi Patrick, can you pm me on the full name & the address..
i'm very2 interested..
or u can email me at freezelle@yahoo.com

thanx a lot... :o pink

[mkhooi]

I've heard of a dermatologist in KL Imbi called Dr Ting. It seems the queue to see him is crazy. A few friends of mine have gone to him, but I still haven't had the time yet. Is that who you went to, Snoopy?

Well, if you compared Dr Ting and Dr Ko from Klang, more ppl going to Dr Ko. But Dr Ting does have his advantage in the sense that he performed all the procedures by himself. Tat's y the queue to see him is extremely long. Clinic like Dr Ko , hires a lot of consultants, some who are not doctor themselves. Prescribing the type of treatment is done by them. And the procedures will be carried out by nurses. Some more complicated one are done by qualified doctor.

[sleepbeauty02]

hi patrick;
can u pm me the doc clinic add and tel . thanks

[markonahsood]

patrick, pm me the clinic detail...i'm palnning 2 go there dis weekk :)
thanx

[patrick]

Hi Patrick, can you pm me on the full name & the address..
i'm very2 interested..
or u can email me at freezelle@yahoo.com

thanx a lot... :o pink

Sorry for the delay. Have been out of town for a while. Anyway, please check your email box!

[patrick]

hi patrick;
can u pm me the doc clinic add and tel . thanks

Just did! Please check your pm box. Sorry to keep you waiting. Rgds.

[forever]

hi Patrick,

i would like to ask what does Dr. Lim think about the facial extraction that's done to remove the clogged pores? sometimes feel that facial extraction is quite good but what's doctor's view?
i have read up all the posts in this thread and it's really helpful. are there any new treatments that Dr. Lim has added to treat acne scars?
just to confirm again, consultation with Dr. Lim is free if i mention that i am a member of usj.com?
can i have Dr.Lim clinic's contact and location map? my email is qhewei@gmail.com...
thanks alot !!!

[patrick]

hi Patrick,

i would like to ask what does Dr. Lim think about the facial extraction that's done to remove the clogged pores? sometimes feel that facial extraction is quite good but what's doctor's view?
i have read up all the posts in this thread and it's really helpful. are there any new treatments that Dr. Lim has added to treat acne scars?
just to confirm again, consultation with Dr. Lim is free if i mention that i am a member of usj.com?
can i have Dr.Lim clinic's contact and location map? my email is qhewei@gmail.com...
thanks alot !!!

Doc: Gentle extraction is fine - too aggressive will lead to scarring &
dyspigmentation.

Patrick: All treatments for acne scars as discussed in earlier thread.
Doc's contact has been sent to your email address.

[patrick]

Latest announcement from our Doctor:

A combination of blue & red light has been shown in many studies to lower acne count by up to 80% 12 weeks after the end of treatment. It also produces faster results compared to oral antibiotics - usually 50% reduction in acne count by 4 weeks as compared to 3 months if on oral antibiotics.

A suggested treatment course consists of
- 8 light treatments
- 2 chemical peels
- 2 microdermabrasions

All treatments are done within 1 month where possible.

Those interested, please contact her directly for full details.

Rgds.

[Sharin]

xxxxxx

A question...any of u here belive in herbal product...i am emphasising more on diabetes..

reg
Sharin

[markonahsood]

patrick.. i'm so sorry..can u plss give me DR. detail to my freezelle@yahoo.com
again..
thanks ya..
sori again

[markonahsood]

sorry 2 trouble u patrick...
email me ya..

[markonahsood]

or u can email me at frozen_blind@hotmail.com

[patrick]

patrick.. i'm so sorry..can u plss give me DR. detail to my freezelle@yahoo.com
again..
thanks ya..
sori again

Done. Rgds.

[patrick]

Due to numerous requests, Doc has written in a simple guide for those wishing to know more about acne and related questions. Hope you find it helpful...


To those of you who are going from doctor to doctor, salon to salon looking for the acne miracle cure, here are a few pointers to explain why your acne treatment doesn't seem to work for you:

1. Too high or unrealistic expectations
- Key thing to remember about acne is that it is a MANAGEABLE skin problem not CURABLE. ALL ACNE CASES CAN BE ADEQUATELY CONTROLLED. You can remain acne-free as long as you remain under appropriate treatment but once you slack on treatment, acne may flare again.
- Improvement takes time... It takes at least 3 months to see good control of acne - it doesn't happen overnight

2. Using too low dose treatment resulting in ineffective treatment
It's important to follow instructions about how many tablets to take, how much to apply, how frequently, etc

3. Medications having too many side-effects reducing compliance
- antibiotics giving gastric pains & nausea or vomiting
- topical creams which are too irritating & cause too much redness & peeling

4. Too high secretion of sebum on face diluting effect of antibiotic

5. Stopping medications too early or taking antibiotics for too long a duration
If doctor tells you to take it for 3 months, please take it for exactly that duration. Too short duration leads to ineffective treatment. Too long duration leads to development of resistant bacteria.

6. Too many clogged pores & cysts
Physical methods of extraction removal may be required

7. Underlying hormonal imbalance esp for women
Please see your doctor for further testing

9. It may not be acne at all
It could be some other bacteria if conventional acne treatment isn't working for you. Please see the doctor for review

JUST REMEMBER, ALL ACNE CASES CAN BE ADEQUATELY CONTROLLED, JUST HAVE PATIENCE & COMPLIANCE!

[forever]

hi,

i would like to know whether physical facial extraction is provided by Dr. Lim, or does Dr. Lim has any recommendations? i think i needa get the clogged pores cleaned up first before going for any clinical treatment....thanks

[patrick]

hi,

i would like to know whether physical facial extraction is provided by Dr. Lim, or does Dr. Lim has any recommendations? i think i needa get the clogged pores cleaned up first before going for any clinical treatment....thanks

DOC: Microdermabrasion is a form of physical "extraction" without causing inflammation & leaving behind marks. Cost of this procedure is RM150 for face & neck.

[aki_067]

Hi,
My sis and I have been battling with hairy legs since ages ago.
we were thinking of going for permanent hair removal.
What are the types of permanent hair removal? Are they really permanent?
Does the doctor provide such services? May I know roughly how much it cost?
For both legs, both arms, underarm, upper lip. I'm still a student. thanks.

[adel]

Hi Patrick,
I'm new member to this forum. I hope to get some helps for my skin problem. May i know is Dr.Lim treated for body acne as well? As so far I only seen ppl talked bout face skin problem. I have back acne since few years ago,now still hv minor active pimples occur from time to time,causing my back looks ugly with those scars :( quite serious scars. I'm not sure whether microdermabrasion/laser treatment can help. Cox previously i have visited a dr in taipan,he only gave me a cream to apply(i cant remember the name of the cream)it's for controlling oil production dat caused acne. Now my back acne seems reducing,but not the scars :( so sad whenever think about it.

Can I have Dr Lim's contact number,clinic address and map? adel81@live.com
thanks in advance

[patrick]

Hi,
My sis and I have been battling with hairy legs since ages ago.
we were thinking of going for permanent hair removal.
What are the types of permanent hair removal? Are they really permanent?
Does the doctor provide such services? May I know roughly how much it cost?
For both legs, both arms, underarm, upper lip. I'm still a student. thanks.

Permanent hair removal is best achieved with a laser (specific for hair removal). It really is permanent but the no. of sessions required varies between individuals.
I use a long-pulsed Ndyag laser called "Cynosure Elite" (google in - lots of hits). Most effective & safest hair removal laser for Asian skin types.
Cost is based on surface area & no. of sessions. Just as an indication e.g. both legs (knees & below) nett charge is RM800 per session. Please come for consultation for accurate quotes. - DOC

[patrick]

Hi Patrick,
I'm new member to this forum. I hope to get some helps for my skin problem. May i know is Dr.Lim treated for body acne as well? As so far I only seen ppl talked bout face skin problem. I have back acne since few years ago,now still hv minor active pimples occur from time to time,causing my back looks ugly with those scars :( quite serious scars. I'm not sure whether microdermabrasion/laser treatment can help. Cox previously i have visited a dr in taipan,he only gave me a cream to apply(i cant remember the name of the cream)it's for controlling oil production dat caused acne. Now my back acne seems reducing,but not the scars :( so sad whenever think about it.

Can I have Dr Lim's contact number,clinic address and map? adel81@live.com
thanks in advance

First thing that needs to be done is to control & prevent new acne from forming. If's it's the only occasional inflammatory acne, then a fruit acid lotion to peel the back will suffice. If it's still bad then oral medication will be required.

To remove the post-inflammatory discolouration takes time (1 year +) - best done with the peeling lotion as above. To speed things up, microdermabrasion can help - but we're still looking at multiple sessions - at least 10 sessions. Look at your budget - RM150 x10 = RM1500. - DOC

[mkhooi]

First thing that needs to be done is to control & prevent new acne from forming. If's it's the only occasional inflammatory acne, then a fruit acid lotion to peel the back will suffice. If it's still bad then oral medication will be required.

To remove the post-inflammatory discolouration takes time (1 year +) - best done with the peeling lotion as above. To speed things up, microdermabrasion can help - but we're still looking at multiple sessions - at least 10 sessions. Look at your budget - RM150 x10 = RM1500. - DOC

Perhaps doc should tell the patient that there are better option for post inflamatory discolouration or redmarks. The best treatment is Pulse Dye Laser (for eg V-beam). But Dr Lim does not have this laser. I got my treatment at Dr Ko in Klang and it cost Rm250 per session. U can see remarkable effect after 4-5 session. Total cost is still less than microdermabrasion.

[patrick]

Perhaps doc should tell the patient that there are better option for post inflamatory discolouration or redmarks. The best treatment is Pulse Dye Laser (for eg V-beam). But Dr Lim does not have this laser. I got my treatment at Dr Ko in Klang and it cost Rm250 per session. U can see remarkable effect after 4-5 session. Total cost is still less than microdermabrasion.


DOC:
Post-inflammatory pigmentation after acne can be divided into 2 types - melanin (i.e. brown pigmentation) & haemosiderin (i.e. red pigmentation).
Haemosiderin stains are best treated with either IPL (best is 580 cut off filter) or pulsed dye laser. Haemosiderin stains also eventually peel out with skin renewal. Brown pigmentation can be treated by various methods such as IPL (560 cut off filter), chemical peeling, microdermabrasion, skin bleaching creams, etc.

Pulsed dye laser (585 nm) is good for red marks but doesn't do much for brown pigmentation, active inflammatory acne nor comedones.

Back acne is seldom quiescent, nor consist only of red marks so pulsed dye laser alone takes care of only one aspect of the problem i.e. red marks. Young patients with back acne I see usually still have active acne so treating active acne is first & foremost (prevention is better than cure). However, a lot of patients are still in denial about having active acne & are in a hurry to treat scars & discolouration. My first recommendation therefore is to use a glycolic acid lotion for the back - kills 2 birds with 1 stone - helps remove comedones - and at the same time peels the skin to gently remove discolourations. More severe acne will need oral medication, not just topicals. For those with extra budget, microdermabrasion also helps to remove comedones & peels the skin to help remove discolourations - same function as glycolic lotion above. I don't recommend IPL for the back for various reasons. If one has extra budget - there are a variety of lasers you can use - Smoothbeam, N-lite, V-beam, etc etc the list is endless.

Lasers, IPL, chem peels, microdermabrasion, etc is only for those with extra $$$ & are impatient to see results. Bear in mind that the more interventional the procedure, the higher the chances of side-effects e.g. burns.

I don't think one can do direct comparisons of the monetary value of different modalities of treatments. Microderma & 585 pulsed dye lasers do completely different things. You can compare Candela's V-beam to Cynosure's Cynergy to Laserscope's Gemini because they are lasers of similar wavelengths & treat the same thing i.e. vascular lesions. You can compare Parisian Peel to other microdermabrasion machines available from virtually every continent.

[Chloe3111]

Hi, Dr Lim.

I have the large pores problem on my face & it is so visible & can't even covered up with foundation. I just want to know can Microdermabrasion tighten my pores. I am 33 years old and my skin elasticity is not as ideal as years ago & made my pores even larger.

Would appreciate if you can email Dr Lim's clinik address & tel no to my email at chloetan3111@hotmail.com. Can I know the fee for microdermabrasion & how many session it need to have visible result.

Thanks, Chloe

[patrick]

Hi, Dr Lim.

I have the large pores problem on my face & it is so visible & can't even covered up with foundation. I just want to know can Microdermabrasion tighten my pores. I am 33 years old and my skin elasticity is not as ideal as years ago & made my pores even larger.

Would appreciate if you can email Dr Lim's clinik address & tel no to my email at chloetan3111@hotmail.com. Can I know the fee for microdermabrasion & how many session it need to have visible result.

Thanks, Chloe

DOC: "Tightening pores isn't as simple as doing regular microdermabrasion. Large pores are mainly due to high activity of oil glands - factors include sex (males have larger pores), genetic predisposition (not something you can do anything about), ageing, chronic sun exposure, comedogenic products & hormonal fluctuations (you may find pore size different depending on the time of the month).

So what you can do to help minimise pore size is:

1) avoid excessive sun exposure, use sunblock everyday, wear hats/use umbrella if outdoors
2) avoid comedogenic skincare products
3) use fruit acids or topical vitamin A creams to encourage removal of dead skin & stimulate collagen to tighten up the skin
4) if you have extra budget you can do microderma or chemical peel or laser or botox to stimulate collagen to tighten skin & reduce oil production.

[patrick]

Article Reprint from our Doctor in 2005:

One reads of many ads in the papers touting acne scar treatment. What really works?
It all depends on the depth and type of scars - I categorize them into:
1) depressed scars - icepick or saucer-shaped
2) keloidal - more common on anterior chest
3) hemosiderin stains - red discolourations

Below is a list of treatments currently on offer with a brief commentary:

Icepick scars - best treatment would be punch excision but this is realistic only if you have a few of them. If you have multiple densely packed icepick scars, then it would be impractical to do this treatment. Another option is subcision and filler - in theory, it is quite appealing but I've seen some cases where the patient ends up with a lump under the scar which is still apparent. Another negative point is the expense of the filler material (if it is temporary then you 'll have to fork out every year). If it is permanent, there are so many controversies about what these permanent foreign bodies under your skin can do to you. Another filler option is your own fat graft but you'll have to find a plastic surgeon who is expert at doing this because fat grafts do regress somewhat.

More affordable options (but with some downtime) would be needle-abrasion (NO, you do not have to pay RM2000 for the needles) and chemical reconstruction of scars.

Saucer-shaped scars - many treatments abound. Effective ones would be Cooltouch (1320 nm) or Smoothbeam (1450 nm) laser. Plus points -Smoothbeam can also reduce active acne and there is no downtime. Negative points - very expensive (be prepared to spend about RM10K total) and painful (physically, not just on the hip pocket nerve!). Microdermabrasion can help only very, very shallow scars. Needle abrasion (also called collagen induction therapy) works very nicely and it's affordable, negative point - abt 1-2 days downtime.

Keloidal scars - Tried and tested options include intralesional steroid injections (it works but can leave red discoloration) , silicone sheet plasters (totally painless but may not work on everyone). Some newer options include radiofrequency, laser or IPL to "soften up" the scar - does not give consistent results but worth a try if the tried and tested options don't yield results.

Hemosiderin stains - pulsed dye laser gives best results but expensive. Cheaper option - good old chemical peel but must be done in experienced hands otherwise can result in chemical burns.

Just a quick comment on other treatments:
DERMABRASION - it is mechanical sanding of the skin. Not suitable for Asian skin as we tend to develop post- inflammatory pigmentation.
CO2 or Erbium Yag laser - it also removes a pretty thick layer of skin and again like above, can cause post-inflammatory pigmentation
1064 nm YAg laser (often advertised in CN beauty salon ads) - good for fine lines but doesn't work on scars. Don't waste your money.

I've probably confused those who are not familiar with the terms used above but it is very difficult to condense everything into a short email.

The short message is

- prevention is better than cure. One should not wait until it scars before treating acne because a realistic expectation from acne scar treatment is averagely 50% improvement - there can never be 100% reversal of scarred to unscarred skin.

- choose your treatments wisely and budget accordingly (make sure you can afford the full course of treatments) because half-hearted treatments would not give you much results.

[forever]

hi doctor,

what's ur personal opinion regarding fractional lasers like fraxel and mosaic ?
how efficient do u think are they in treating acne scars and also red pigmentation? based on my research online, it seems to be pretty promising but with an expensive cost....

regarding isotretinoin, actually how long is it supposed to be taken? what about the dosage? it seems that western countries recommend 1-2mg/kg per day whereas dermatologists in malaysia and singapore seem to try to be on the safe side by prescribing low dosage like 10-20 mg/day and take for a long period to reach the accumulated dosage. what's ur view on this?

thanks in advance, doctor lim....=)

[patrick]

To all forum readers: I will no longer answer questions about charges & please don't expect "email consultations" in the forum. Such questions should be directed to my private email. I'm fed up of accusations of commercialisation of what Patrick started up as a service to the community. For those people who have asked & have not dared to ask out of politeness - the answer is "No, Patrick does not get any monetary (or otherwise) kickbacks when readers of this forum visit my clinic. He has never asked & I have never offered commission of any sort. When Patrick first started the forum, I agreed to help as I wanted to emulate his magnanimity. Lucky for me - and it's a lesson to be learnt for all - God gives back manifold what you give to others when you do not expect any returns. I am busy enough in my clinic (in fact, so busy that I am failing my 7 y.o daughter as a good mother) without client referral from the USJ forum. If I receive one more insinuation about me doing this forum for self-interest, I'll quit sharing free advice - I'm not as magnanimous as Patrick. The USJ forum is not my website & I have no control over its contents. Readers are always advised to seek information from multiple sources & seek 2nd opinions when seeking medical advice.

There were even accusations that I suggested services/machines which I only have. The email (please see my posting yesterday, which was actually sent to my patient email database in 2005 about treating acne scars. I hope this puts to rest all these accusations. Note: the section on treating haemosiderin stains"

[patrick]

I am really disappointed from our Doctor's feedback about some of the insinuation floating around. Here we are trying to provide a service to this community, literally for free, and there must be some people who start to get suspicious and start to insinuate.

Now, this good doctor of ours who is such a kind and caring person has decided that she will no longer try to diagnose via photos & email descriptions of conditions.

There are people who hope to save some time & money by getting a free opinion. She had in the past tried to help before by giving an opinion based on such & by doing so some people may not be seeing their doctors when they should. There is a Chinese saying "the more one helps, the worse it gets". I may not only be not helping some forum readers, I am also exposing myself to unwarranted criticism", said our Doctor.

Our Doctor went on to say "I am happy to take questions of a general nature e.g. "what can one do abt pores?" & "what is a fractional laser?" but not stuff like "what can I do abt the red dots on my arms?"

"There will always be forumers who may want to play doctor & for example tell people things differently but in the process, manages to make slanderous accusations to mar my reputation."

"But like I said before, I'm trying to emulate your magnanimity & I truly am happy to help but I guess it's time to limit my exposure. I won't let you down but I just have to be more selective from now on because I really can't afford unwarranted criticism."

I fully appreciate the stance taken by our Doctor who had so magnanimously agreed to assist our forumers when I first approached her. And she has been so kind to do all this and more these last 5 years as part of her social responsibility. Yet there are people who just dont appreciate this.

Even worse is now I hear of insinuations of kickbacks to me as the moderator. It can be so demoralizing and humiliating. In all my social and community work, and my lifetime of work career, I have yet to even take a single sen of kickback or whatever. I have always been contributing to society from my purse with whatever I can spare. Including for this site that was founded by Jeff. We have put in so much of our valuable time and money, and never expecting any returns or rewards of any kind. It was just our love and contribution to a "job".

Whilst such insinuations dont really bog me down or spoil my day, I will not hesitate to shut down this Column if there is a need to kill such suspicions or insinuations if it gets too pervasive. I will only feel sorry for those many who really appreciate and have benefitted from our doctor's kind advice.

The ball is in your court.

[monty]

I agree with Patrick about how kind Dr. Lim has been in taking her time out of her busy practice to answer questions for us forummers. I belong to another acne forum and over there, it's mostly people who have experienced the treatments that answer the questions there. Here in this forum, we only have people asking questions and not giving back to the forum after they have gone through the treatments so we only have Dr. Lim's advice on procedures.

I personally find Dr. Lim a very sensitive and kind person. She talks to you, not down to you, like a lot of other doctors. You can tell she really cares and wants to help improve our appearances. She doesn't push expensive laser machines if she doesn't think it will work for our type of problems. I've gone to her for needleabrasion several times, coming up from Ipoh just for her treatments.

It will be a shame if she no longer answers the questions here as there are many who seeks answers to their problems but are a bit worried about going to a doctor. It took me years of reading the forums before I got the courage to see a doctor about my skin problems. I would love to answer questions sometimes but I am worried that if people take my advice, they may not like the results to the treatment as it's not suited for their skin. So I can understand a lot of people's reluctance to post here. We all have to weigh each advice given by anybody, including the doctor, and decide if we want to go through with it. There's no 100% guarantee on anything and to have a 50% success rate is very good. After years of treatment, I'm still trying to get to that 50%. I think I'm getting close but on some days, I feel really down about my skin ( acne scars ) and think I've wasted money and not have any improvements. Especially for people with acne scars, there are no shortcuts. It takes a lot of treatments to improve the appearances of scars. When we excise a scar, we basically trade a hole for a line. We then have to see how we can minimize the appearance of the line with microdermabrasion or needling.

Anyway, long post but just want to show my support for Dr. Lim and Patrick. As Malaysians, we are quite sceptical if anybody tries to show some community spirit because we think everybody else if out to get something. Treat this forum as a way to get information. Nobody is forcing you to go to Dr. Lim's clinic after you find out what treatments are available. You can shop around and contact other dermatologists and even go for consultations before you decide which doctor you feel most comfortable with. This is a FREE service and it's great!

[patrick]

Thank you very much monty. You have put it much better than I would have been able. Really appreciate. Indeed all we are trying to do is provide a channel for those in need to turn to. But dont, like what the Doc said, take what she say as the be all that end all. Consult others. Seek second opinion or even a third.

The Doc is doing very well in her business and certainly dont need to do what she is doing for our forumers. It is her magnanimity that's taking her down our path. Appreciate that please.

Once again, Thanks monty for giving us that bit of inspiration and morale booster.

[patrick]

hi doctor,

what's ur personal opinion regarding fractional lasers like fraxel and mosaic ?
how efficient do u think are they in treating acne scars and also red pigmentation? based on my research online, it seems to be pretty promising but with an expensive cost....

regarding isotretinoin, actually how long is it supposed to be taken? what about the dosage? it seems that western countries recommend 1-2mg/kg per day whereas dermatologists in malaysia and singapore seem to try to be on the safe side by prescribing low dosage like 10-20 mg/day and take for a long period to reach the accumulated dosage. what's ur view on this?

thanks in advance, doctor lim....=)


I don't have a fractional laser & hence do not have any personal experience using it except for a trial on my own face & seeing results in my clients who have done it.

I shall give my opinion based on a lecture I heard in Sept last year given by the head of laser surgery in Singapore National Skin Centre. I think this is an excellent summary as he has no vested interest in the machines & the no. of cases they treat is large.

He found overall 30-50% improvement in acne scars. He commented that he definitely did not see "90% scar improvement" as quoted by some users. He also added that there were also some cases where there was 0 improvement.
My view is that with correct patient selection, 30-50% improvement is very achievable. It is well-known that rolling scars respond well to fractional lasers, not pitted scars. "Orange peel skin" also do not respond well. Red pigmentation should also disappear with fractional lasers provided treatment is of sufficient depth & density. Each session only "takes out" 20% of skin so to get good results, one needs 20% x5 sessions.

As for cost, Mosaic (Korean) is cheaper than Fraxel (American) because consumable cost (i.e. per shot cost) is lower. But I believe the clinical result is the same if comparable parameters are used. Getting a good result with minimal side-effects are very much operator dependent when you are comparing these 2 lasers. Both are fractional Erbium glass.

Added note: fractional CO2 lasers give better results but a higher incidence of post-inflammatory pigmentation in Asian skin (very problematic).

Isotretinoin dosage

- varies as you have said. Studies have shown that even taking 20 mg twice a week can give good acne control.

- advantage of conservative dosing is lower incidence of bad flare at start of treatment. Sometimes flare is so bad, oral steroids are needed to control it. Have seen bad scarring from high dose isotret - DOC

[forever]

hi...

thanks for the clarification. appreciate it alot.....
i will visit dr. lim soon.....

[forever]

hi...may i know what is the best way to reach dr.lim's clinic by public transport? from which nearest lrt/ktm station?
pls let me know asap...or email me at qhewei@gmail.com...
thanks in advance

[patrick]

hi...may i know what is the best way to reach dr.lim's clinic by public transport? from which nearest lrt/ktm station?
pls let me know asap...or email me at qhewei@gmail.com...
thanks in advance

Please check your email. Rgds.

[patrick]

Hi friends! I will be away till end June or thereabout. So, if your enquiries dont get answered fast enough, please be patient. I'll handle them as and when I have access to the Net. Take care!!

[tianurn]

Hey there... i really have been suffering for this inferior problems of having birth mark on my face.. it's in light red colour at the upper nose side.. around 4-5cm. I really want to removed it... i google it and it happens that i found you. I really hope you can assist me more.. but i also expect the cost not to be too costly as im just a college student now.. just wondering what details you need from me ??

Can you give me the doctor's clinic address and contact number ?
Maybe i can drop by for consultation.. thanks Patrick!

[patrick]

Info update from our Doc...

Enhance your appearance with
- no pain
- no injections
- no surgery
- no downtime

- clinically proven technology.

The revolutionary Tripollar RF technology focuses the RF energy right where it is needed. Requiring much lower energy than older RF technologies, wherin eliminating pain during the treatment.

Tripollar RF technology uses sophisticated algorithms to control the electrodes, varying the current & polarity to achieve variable energy focus in different layers resulting VISIBLE CLINICAL RESULTS FROM THE FIRST TREATMENT.

Tripollar RF technology delivers better & faster outcomes, resulting in fewer treatment sessions

Tripollar RF technology uses no lght, therefore making it safe for all skin types.

It's clinically provent o regenerate collagen, tighten & tone the skin & improve overall skin texture.

Skin on the face, around eyes, neck, chin, arms, tummy, upper back (folds under bra line), buttocks. thighs & calves can be effectively tightened & firmed up.

A typical treatment course consists of 6 intensive sessions followed by maintenance every1-2 months.

The treatment itself is totally painless as the heating is very gradual. It feels like a warm massage, some client seven fall asleep during treatment!

Immediately after treatment only some warmth & redness is experienced. Both disappear within 1-2 hours.

Please email or call if you have further queries.
Or check out www.pollogen.com

[AllUrban]

A question...what happens to the fat?

How does one ensure that the fat (that I suppose is liquified) is actaully metabolized and used as an energy source

....instead of circulating through my body and getting deposited somewhere else (like an artery on the way to my heart.

Cheers, m

[patrick]

A question...what happens to the fat?

How does one ensure that the fat (that I suppose is liquified) is actaully metabolized and used as an energy source

....instead of circulating through my body and getting deposited somewhere else (like an artery on the way to my heart.

Cheers, m

Doc's response:

All these methods of emulsifying fat e.g. radiofrequency (>30 brands in the market), ultrasound, laserlipolysis without suction, mesolipo, etc are methods of targeted fat loss. I.e. it is a method of prioritising fat loss, certainly not a method to replace diet & exercise.

For women, when we go on diets (without exercise), we lose fat & muscle at the same rate - not a desirable result. For some, when we lose fat we tend to lose it first in the face, then the boobs.... resulting in a haggard flat chested appearance but still with big hips & arms. What the machines do is emulsify the fats at the locations treated e.g. get rid of love handles before anywhere else, like the face. The fat goes to the liver to be metabolized i.e. utilised or burnt off. The liver cannot differentiate between fats emulisifed by the machines & fats consumed in a meal. Whatever fat that doesn't get burnt off will get redeposited in the body.

To make these treatments a success, one has to go on a hypocaloric diet or if one desires to eat the same calories, then one has to exercise to burn off the excess fats generated.

The reason why one gets fat in the first place is because of eating more than you burn off (it's a simple input >output equation which a lot of people fail to grasp or don't want to). I get people who consult me saying they don't understand why the scales show increasing weight when they go to the gym regularly. When I quiz them about their food intake, they eat biscuits, snacks, power bars etc. to excess! When asked why, they say they need energy to go to the gym.....

Even after liposuction, if one continues to eat more than one burns off, the remaining fat cells will hypertrophy (grow larger) i.e you get fat again.

So in summary, all these machine methods are ways of localising & prioritising fat loss, it doesn't replace cutting back on calories or exercising them off!

[AllUrban]

another question - would the treatment have different effects on men and women?

Cheers, m

[patrick]

another question - would the treatment have different effects on men and women?

Cheers, m

"No sex discrimination here!" say Doc.

[gAndolf]

Patrick,

May i get the Dr's full address, map, tel, details etc.? Thank you in advance.

[patrick]

Patrick,

May i get the Dr's full address, map, tel, details etc.? Thank you in advance.

If you want me to send you a map, please pm me your email address. Rgds.

[p1799]

would Dr LIm be willing to do this prior to needling?

http://www.acne.org/messageboard/Autologous-Blood-Injection-Acne-Scar-Repair-Via-Hyperplasia-Peripheral-Stem-Cells-Deposition-Differentiation-and-ECM-Growth-Within-Ensuing-Haematoma-t202694.html

[patrick]

would Dr LIm be willing to do this prior to needling?

http://www.acne.org/messageboard/Autologous-Blood-Injection-Acne-Scar-Repair-Via-Hyperplasia-Peripheral-Stem-Cells-Deposition-Differentiation-and-ECM-Growth-Within-Ensuing-Haematoma-t202694.html

What is the point you are making, please?

[bern]

hi patrick

I've read everything there is in this forum since it was first created and I just want to say that what you have and still doing is very meaningful and although some may misundertsand it, i'm sure your good intentions are well displayed and clear. It is very heart warming to know there are kind people and also doctor in this case, who are willing and sincere in helping the community. Kudos to you.

And also after reading through, I would really like to visit the good doctor for some consultation and appreciate if you could PM me the clinic's address and perhaps the phone number as well.

Thanks again.

[patrick]

hi patrick

I've read everything there is in this forum since it was first created and I just want to say that what you have and still doing is very meaningful and although some may misundertsand it, i'm sure your good intentions are well displayed and clear. It is very heart warming to know there are kind people and also doctor in this case, who are willing and sincere in helping the community. Kudos to you.

And also after reading through, I would really like to visit the good doctor for some consultation and appreciate if you could PM me the clinic's address and perhaps the phone number as well.

Thanks again.

Thanks a bunch. All it takes is a little note of appriciation like this that makes all our voluntary community effort worth every ounce. Appreciate very much.
Details of the doctor will be pm to you.
Rgds.

[jaynne313]

Latest announcement from our Doctor:

A combination of blue & red light has been shown in many studies to lower acne count by up to 80% 12 weeks after the end of treatment. It also produces faster results compared to oral antibiotics - usually 50% reduction in acne count by 4 weeks as compared to 3 months if on oral antibiotics.

A suggested treatment course consists of
- 8 light treatments
- 2 chemical peels
- 2 microdermabrasions

All treatments are done within 1 month where possible.

Those interested, please contact her directly for full details.

Rgds.

hi patrick, i just turn 30 and suddenly my face r full of acne. i'm getting married very soon n this problem is really making me so tense n hard for me to take it. so i really wanted to know about this treatment. at this moment i'm taking tetracyclin + defferin but hardly seeing any improvement, in fact its getting worse. Can u please provide me more information about the treatment and what is the total price of it. and of cos could i hv the doc's details as well. please send the info to my email add : jaynne@gmail.com.
tq :)

[patrick]

Hi. Please check your email for contact details and the full response from doc. As for our other forumers' benefit, doc has replied to suggest " It's really hard to prescribe treatment over email as you can understand. All I can say is that you are on appropriate first line acne treatment for mild to moderate acne. As to whether it is working or not - you really need to give it at least 2 months to START to see some effect. If your acne is more severe than moderate, then you need to be on more aggressive intervention -something I cannot conclude without seeing you face to face. Cost of acne treatment can range from RM60 - RM800 per month depending on the type of treatment e.g. creams, oral meds, lasers,"

[accutane86]

hi, patrick. i just joined this forum after i read this thread. would u mind to send me the address for the clinic? thanks. :)

[accutane86]

this is my email. kayip_86@yahoo.com

[patrick]

hi, patrick. i just joined this forum after i read this thread. would u mind to send me the address for the clinic? thanks. :)

Done. Please check your email. Rgds.

[patrick]

WHAT IS MICRO-FRACTIONAL CO2 LASER RESURFACING?

-It is the new gold standard in skin resurfacing that is safe for most skin types & delivers dramatic anti-aging & scar improvement in a single session (in most cases) with minimal discomfort.
- It's the No.1 anti-aging breakthrough according to WebMD
- It delivers far superior results compared to any non-CO2 based laser or aesthetic device
- It reverses 5-10 years of skin aging, wrinkles & pigmentation
- Dramatically reduces acne or traumatic scarring
- Effectively decreases different types of pigmentation including freckles & melasma

Other fractional non-ablative lasers such as Fraxel or Mosaic have the right idea of fractionated delivery but the wrong wavelengths thus requiring 5 treatments & still produce inferior clinical outcomes compared to ONE treatment of fractional CO2 laser technology.

Fractional CO2 delivers microscopic columns of CO2 laser energy in a pixel like fashion. As a result, collagen is continuously produced up to 6 months resulting in superior skin tightening results.

- Downtime is relatively short 5-7 days
- In terms of pain, only anaesthetic creams are required for most people
- It's safe & effective for virtually all skin surfaces including face, neck, hands, chest
- treatment duration is approximately 2 hours in total. 1 full hour for numbing cream & 1 hour for laser & cooling down.


DOC


For more details or enquiries, please contact the Doctor directly. - Patrick

[apple99]

Prices of good skincare is more expensive than pharmacy brands but definitely much cheaper than cosmetic brands like Lancome, SK II, Estee Lauder, etc - DOC

Dear Patrick and Dr Lim,

Thanks a lot and really appreciate your kindness in providing this free consultation for us..
I have been suffer from skin sensitiveness for years and I could hardly bear the itchiness and redness on face. I would like to consult Dr Lim this week and get treatment or a good skincare from her. Really tired of searching for a good skincare on market.

Could you PM me Dr Lim's address and contact details?
Many thanks!!

[IEYA]

i would like to ask about the charges for radio frequency since my thigh is sagging and would like to make it firmer.

and could you please email me dr.lim address.

[patrick]

i would like to ask about the charges for radio frequency since my thigh is sagging and would like to make it firmer.

and could you please email me dr.lim address.

Please check your PM inbox for contact details. As for charges etc, suggest you contact our Doc so that should can give you more personal advice. Rgds.

[patrick]

There is now a new product of Tricoaid shampoo & topical solution - a formula rich in clinically proven copper tripeptides & glycogen which make the hair grow faster & thicker.

Copper tripeptides also inhibit the action of 5-alpha reductase, the enzyme that converts testosterone to DHT, the hormone responsible for male pattern balding. Hence, Tricoaid will be useful for sufferers of male pattern balding who are afraid of taking Propecia.

Best results will be obtained by combination therapy with hair laser & oral meds. Please log onto www.tricoaid.com for more information. Tricoaid can be used by both men & women.

For more details, contact our Forum Doctor.

[patrick]

Meanwhile, please note that our Doctor will be away on holiday & her clinic will be also be closed from Nov 15-25, 2008. As such, no mails will be answered and I hope the Forumers wil bear with us till the good Doc comes back from her overseas sojourn. Bon Voyage Doc!

Also, I will be away the whole of next week (10-14), and will not likely respond to any mail during that time. So, if you do have anything to ask the Doc, I would suggest you do so before I leave on Monday 10 Nov. Otherwise, it will have to wait till the Doc comes back after the 25th.

Rgds.

[mikewong]

Patrick,

May I have Dr Lim's contacts/ address , please?

PM to me please. Thanks

Regards,
Mike

[teamplay]

Hi Patrick,
I would like to seek consultation for my daughter's acne problem. Can you pm me on Dr. Lim's contact please ? Thanks so much.

[patrick]

Teamplay & Mike, trust both have receive my pm? Rgds.

[patrick]

UNIXEL FRACTIONAL CO2 LASER

New kid on the block is no doubt, fractional CO2 laser resurfacing. Out of the 20 patients I've done so far, all have seen some degree of improvement in their skin problems, some more than others. Problems I've treated include acne scars (acne, traumatic), melasma, wrinkles, open pores, uneven pigmentation & general rejuvenation.

Even the neck lines & sun-damaged back of hands can be improved with this laser.

Those who are doing fractional CO2 for the first time need to make an appointment for counselling prior to actual date of laser in case preparatory medications need to be taken e.g. anti-herpes meds.


RADIANTMAX FOR ACNE, SKIN REJUVENATION & HAIR REJUVENATION

I've been using Radiantmax extensively for acne sufferers who do not wish to consume oral drugs. Twice a week of alternating blue & red light sessions for 4 weeks have significantly reduced inflammatory acne lesions without the need for oral meds. Please look at www.radiant2life.com/page/208200205 for more information about this treatment.

This protocol can also be used for gentle skin rejuvenation but only red light is used.

This machine can also do low level laser hair rejuvenation but at least 2x/week attendance is required. A more convenient alternative is the home-use lasercomb. Please look at www.radiantlasercomb.com for more details on this home treatment for hair rejuvenation.


Please SMS/email me for your appointments or other promotion details

Happy New Year to you all!

[miguel5463]

Dr,

I have some technical question which I hope the doctor can clarify (need to have a better understanding of acne scars treatment)

Frm google (my best fren), I found following explanation for how scar are form .......................................
"When tissue suffers an injury, the body rushes its repair kit to the injury site. Among the elements of the repair kit are white blood cells and an array of inflammatory molecules that have the task of repairing tissue and fighting infection. However, when their job is done they may leave a somewhat messy repair site in the form of fibrous scar tissue, or eroded tissue.

If the above is correct, my question is :
1) What differentiate these scarred tissue from normal tissue?
2) Does treatment of acne scar required destroying the fibrous scar tissue in order for collagen stimulation? Is that what fractional laser do? Selectively destroy certain layer of the skin?
3) Since Retin A stimulates collagen growth (as seen in wrinkle treatment ads), does it help in stimulating collagen in acne scar (eg ice pick, boxcar,). Would doctor recommend using Retin A for acne scar?


Thank you

[patrick]

Dr,

I have some technical question which I hope the doctor can clarify (need to have a better understanding of acne scars treatment)

Frm google (my best fren), I found following explanation for how scar are form .......................................
"When tissue suffers an injury, the body rushes its repair kit to the injury site. Among the elements of the repair kit are white blood cells and an array of inflammatory molecules that have the task of repairing tissue and fighting infection. However, when their job is done they may leave a somewhat messy repair site in the form of fibrous scar tissue, or eroded tissue.

If the above is correct, my question is :
1) What differentiate these scarred tissue from normal tissue?
2) Does treatment of acne scar required destroying the fibrous scar tissue in order for collagen stimulation? Is that what fractional laser do? Selectively destroy certain layer of the skin?
3) Since Retin A stimulates collagen growth (as seen in wrinkle treatment ads), does it help in stimulating collagen in acne scar (eg ice pick, boxcar,). Would doctor recommend using Retin A for acne scar?



Here's Doc's respond to your questions:

1) If you look at a cross-section of scarred skin v. normal skin under a microscope, the collagen in normal skin is arranged nicely, something like bricks laid nicely in rows. Scarred skin is in disarray.

2) Fractional ablative lasers (FCO2) "cuts" the scar tissue & the accompanying heat stimulates new collagen to rebuild smoother skin.

3) Retin A is useful after fractional laser to rebuild collagen, yes. But, by itself, without fractional ablative lasers, is not useful for depressed scars - see no.2)

[patrick]

Dear folks,

I would like to wish Gong Xi Fa Cai to all celebrating the Chinese New Year!

Doc

[susana]

PATRICK,
can i hv the email add n tel no of Dr LIM?

i got hyperpigmentation problems on my face.

my beautician suggested me 2 hv MELSMON placenta jab?

wat do u think?

is it safe?

PLS ADVISE?

[patrick]

PATRICK,
can i hv the email add n tel no of Dr LIM?

i got hyperpigmentation problems on my face.

my beautician suggested me 2 hv MELSMON placenta jab?

wat do u think?

is it safe?

PLS ADVISE?

Firstly, placenta jab is not going to remove pigmentation.
Secondly, Melsmon brand is not registered in M'sia (that's why only beauticians peddle this brand) so you don't even know if you are getting the bona fide stuff.
3rdly, there is a risk of an allergic reaction. If you're unlucky enough to suffer a severe reaction, you could very well die in the salon. Remember the air stewardess who died in the ENT clinic in town about 3 years ago?

Just stick to safe methods of pigment removal.

Doc

[susana]

So, DOC, wat's the proper way 2 cure my pigmentation problems?

In fact I had a laser done 2 my face 2 yrs ago by a skin specialist BUT no improvement at all!!

I was told the laser type is "ND YAG" n can only do once.

I notice my problem getting worse 4 the past half yr as more obvious patches can be seen even though i apply sun block twice a day.

Pls advise!!

[patrick]

So, DOC, wat's the proper way 2 cure my pigmentation problems?

In fact I had a laser done 2 my face 2 yrs ago by a skin specialist BUT no improvement at all!!

I was told the laser type is "ND YAG" n can only do once.

I notice my problem getting worse 4 the past half yr as more obvious patches can be seen even though i apply sun block twice a day.

Pls advise!!

susana, I would strongly suggest you contact the Doc (I have pm you her contact) immediately by email or phone to make appointment. Let her take a look at your situation and then take it from there. Incidentally, she also has some kind of very special promotion that you might be able to take advantage of if you see her latest this Monday, provided the treatment is suitable for you. (The promotion's last day is 23 Feb!) Just tell her you are from usj.com.my

[patrick]

Folks, I will be away for the rest of this week and wont be available to take any enquiries etc. My apology for any anxiety or inconvenience. ;-) Take care and stay healthy!

[chyehoong]

Hi Patrick,

Could i have Dr Lim's email and tel no?
I've got 3 cafe-au-lait birthmarks on my body which i've been looking to remove for a while and i'll like to set an appointment with Dr lim to see what she can do about it.

Tiffany

[miguel5463]

Doc,

I'm really interested in the fractional Co2 (Uni Xel) treatment which u r offering. I have a lot of ice pick scars on my face and would like to know

a) How much improvement can i expect per treatment
b) How should each treatment be split apart . Is it better to wait 3 months before doing another treatment?
c) Will I expect red inflammation or darkening of the skin after treatment. If yes , any supplement which I should take before doing this procedure to avoid unnecessary complication?


Finally, what is the cost of treatment for whole face?

[patrick]

Doc,

I'm really interested in the fractional Co2 (Uni Xel) treatment which u r offering. I have a lot of ice pick scars on my face and would like to know

a) How much improvement can i expect per treatment
b) How should each treatment be split apart . Is it better to wait 3 months before doing another treatment?
c) Will I expect red inflammation or darkening of the skin after treatment. If yes , any supplement which I should take before doing this procedure to avoid unnecessary complication?


Finally, what is the cost of treatment for whole face?

a) 30-50% depending on initial scar severity. May need to be combined with other modalities of treatment e.g. subcision, TCA CROS, etc

b) usually 6 weeks apart is good interval

c) redness 2 days, fine scabs 1 week. No supplements required. Oral antibiotic cover if acne still active

Cost for whole face 3600 for 3 session pkge - inclusive of required skincare after laser & oral meds. Need to come for consultation 1st to assess

....Doc

[patrick]

Pardon but I shall be away the whole of this week. Not sure if I can access our web site otherwise questions will be handled when I get back. Take care.

[patrick]

Our Doctor is running a promotion this month for those who are not familiar with the capabilities of the Medlite & Elite lasers.

The Elite laser is capable of
1) Safe (no side-effects such as burns guaranteed) & effective for Asian skin (even dark skin types) hair removal on any body part.
2) Face & leg veins removal
3) Laserfacial to reduce pores, wrinkles, fine lines on face


The Medlite laser is capable of removing:

1) Tattoos
2) All types of pigmentation including freckles, sunspots, "liver spots", melasma (both dermal & epidermal), birthmarks such as cafe-au-lait pigmentation, Moingolian spots, Naevus of Ota & Hori's nevus

If interested, please contact our Doctor for further queries or appointments.

Regards..

[cat]

My freckles started when i was 12 years old. Until now already 10 years ++. I want to ask if there is any possible way to remove it?

Anyhow, i would like to have Dr. Lim's clinic phone number, address and email.

Thanks Patrick. :)

[patrick]

My freckles started when i was 12 years old. Until now already 10 years ++. I want to ask if there is any possible way to remove it?

Anyhow, i would like to have Dr. Lim's clinic phone number, address and email.

Thanks Patrick. :)

cat, Dr Lim's contact has been pm to you. Your question should be answered to shortly here. Rgds.

[patrick]

My freckles started when i was 12 years old. Until now already 10 years ++. I want to ask if there is any possible way to remove it?

Anyhow, i would like to have Dr. Lim's clinic phone number, address and email.

Thanks Patrick. :)

Good news cat! Doc says freckles is removable with laser. Please contact her for more details and/or initial consultation. All the Best!!

[crappy]

Our Doctor is running a promotion this month for those who are not familiar with the capabilities of the Medlite & Elite lasers.

The Elite laser is capable of
1) Safe (no side-effects such as burns guaranteed) & effective for Asian skin (even dark skin types) hair removal on any body part.
2) Face & leg veins removal
3) Laserfacial to reduce pores, wrinkles, fine lines on face


The Medlite laser is capable of removing:

1) Tattoos
2) All types of pigmentation including freckles, sunspots, "liver spots", melasma (both dermal & epidermal), birthmarks such as cafe-au-lait pigmentation, Moingolian spots, Naevus of Ota & Hori's nevus

If interested, please contact our Doctor for further queries or appointments.

Regards..

Hi Patrick,

I have a birthmark which i think is a nevus of ota. I am interested in going through the treatment but quite concern about the total cost of the whole process. It would be great if you could give me Dr.Lim's contact details for me to forward my queries and probably set up an appoinment.

Thanks.

[forever]

hi,

i would like to know if i hv some protruding acne-like red bump that have been there for weeks and never subside, does dr lim do extraction or stuff like that?

also, my nose has quite some raised bumps which i think is due to the over-active oil secretion/glands...they hv been there for years and are just having the skin tone color...what can be done for that?

thanks =)

[treflip]

may i have the doctors clinic address as i really need to see the doctor asap. i'm having a bad acne problem and need to get rid of it. and does the doctor offer permanent hair removal? does the clinic opens on saturday and sunday? what time does the clinic opens and closes? thanks :)

[patrick]

Hi Patrick,

I have a birthmark which i think is a nevus of ota. I am interested in going through the treatment but quite concern about the total cost of the whole process. It would be great if you could give me Dr.Lim's contact details for me to forward my queries and probably set up an appoinment.

Have pm you the contact. Always good idea to make an appointment to get all details, then only decide your next option. All the Best.

[patrick]

may i have the doctors clinic address as i really need to see the doctor asap. i'm having a bad acne problem and need to get rid of it. and does the doctor offer permanent hair removal? does the clinic opens on saturday and sunday? what time does the clinic opens and closes? thanks :)

Have pm you the details.

[patrick]

I will be away the rest of this week. Hence, if any questions is posted here, I can probably only response when I get back. My apology for any inconvenience.

[adel]

Hi Patrick, I would like to have Dr Lim's contact number, address and map.
Actually I plan to visit her by this weekend, so unlucky I am since you are away for a week :(
Appreciate if someone else who having Dr. Lim's contact, can please pm me @ adel81@live.com?

thank you very much

[qo1]

Able to get the Laennec human placenta injection from JBP, but term & condition is need to buy in bulk, anyone interested to share, please pm me for more details.

[Lisa_BeBe]

Anyone interested to try the new nutritious product from Japan??

just click on
read it yourself......

For healthier lifestyle...and to who ever needs it...

[lindayyl]

Hi Patrick, I am new here and am keen for Dr.Lim's contact details.
Appreciate if you can send the details to lindayapyl@gmail.com?
TQVM.

[Flora]

Interesting site on beauty....

http://iwannabelenglui.blogspot.com/

[patrick]

Dear USJ Forumers,

As we age, sun exposure & the biological clock leads to degradation of collagen & elastic fibres & reduced hyaluronic acid resulting in rough, dry, wrinkly skin.

For your information, there is a new product called Restylane Vital that can rejuvenate thin delicate skin. To date, the fillers available have been too viscous to fill areas of thin skin such as

- around the eyes
- neck
- front of chest & decolletage &
- back of hands.
The more liquid fillers (i.e. non-cross linked hyaluronic acid) tend to last only a few days - weeks.

Restylane Vital TM is
- produced from a non-animal source
- scientifically proven to reduce signs of skin aging with measurable improvements in skin elasticity, skin surface roughness & skin thickness, hydration & collagen.
- each dose is precisely delivered via their new patented injector. It is painless as numbing cream is applied for 45 minutes prior to the filler injections

3 sessions in a row are done 2 weeks apart & the results can last 6 months.

Doctor

(Patrick: For more details or appointments, please call/SMS/email our Doctor directly)

[silverlance]

Hi Patrick,

I've read through the forum and get some good information on certain treatments, if you don't mind, I do have some questions.

1. old keloid scar (small one) on face
- almost half a year ago, a doctor did laser on that keloid and told me it will flatten out after the scab has fallen off, but after that, it seems that that's no effect at all. It just stay the same
- is steroid injection the best treatment for this?
- what's the possible effect after an injection? that area will get swollen? reddish? what's the downtime one would expect after an injection?
- will this worsen the scar and possibly makes it grow bigger? Is there a risk on having the injection or is it best to leave it as it is?
- how much does it costs per injection?

2. when i pull my lips down, it seems that there are around 3 small red veins under my nose just below the nostril (bottom corner of the nose). There are some tiny ones which is hardly noticeable. Is this called broken capillaries or is it supposed to be like that at that area?
- what are the treatment for this?
- how much does it costs and how many treatments possibly?
- Any downtime associated to this? redness, swollen skin?
- what is normally the skin condition after the treatment? less visible veins?.. no more visible veins?

Thanks in advance. :)

[patrick]

In response to silverlance's queries, here's the response from Doc.

(ANSWERS IN CAPITALS)

1. old keloid scar (small one) on face
- almost half a year ago, a doctor did laser on that keloid and told me it will flatten out after the scab has fallen off, but after that, it seems that that's no effect at all. It just stay the same
- is steroid injection the best treatment for this?

STEROID JAB IS GOOD FOR FLATTENING OUT THE KELOID BUT PLEASE REMEMBER ROME WAS NOT BUILT IN A DAY. IT MAY TAKE MORE THAN 1 TREATMENT (USUALLY 3-6) TO FLATTEN IT - DEPENDS ON HOW ACTIVE THE KELOID IS.

- what's the possible effect after an injection? that area will get swollen? reddish? what's the downtime one would expect after an injection?

IT'S JUST SWOLLEN A FEW DAYS BECAUSE OF THE SOLUTION INJECTED, IT WILL GRADUALLY FLATTEN OVER 1 MONTH

- will this worsen the scar and possibly makes it grow bigger? NO. Is there a risk on having the injection or is it best to leave it as it is?

NO RISK IF DONE PROPERLY

- how much does it costs per injection? RM165 PER SESSION

2. when i pull my lips down, it seems that there are around 3 small red veins under my nose just below the nostril (bottom corner of the nose). There are some tiny ones which is hardly noticeable. Is this called broken capillaries or is it supposed to be like that at that area?

SOME PEOPLE HAVE SMALL VEINS, SOME DON'T

- what are the treatment for this?

LASER

- how much does it costs and how many treatments possibly?

1-2 SESSION. RM200

- Any downtime associated to this? redness, swollen skin?

BIT RED FOR 2 DAYS

- what is normally the skin condition after the treatment? less visible veins?.. no more visible veins?

VEINS GONE

Hope that answer your questions! Rgds.

[silverlance]

Thanks..

That answers my questions. Can I have the doc's address?

Thanks.

[patrick]

Thanks..

That answers my questions. Can I have the doc's address?

Thanks.

Sent to you by pm. Rgds.

[patrick]

DERMATIX SCAR GEL

Dermatix scar treatment gel is now available in Malaysia. Please go to http://www.dermatix.asia/introducing-dermatix.html for more details about this gel which is widely prescribed round the world by plastic surgeons & dermatologists to treat & prevent scars from trauma, burns & surgery. It is good also for keloid & hypertrophic scars


KINERASE FACE CREAM & KINERASE UNDER EYE RESCUE CREAM

Kinerase is one of the top selling anti-aging creams prescribed by physicians worldwide. It improves the appearance of fine lines & wrinkles, hyperpigmentation, sun damage, freckles & unevenly coloured skin.
The Under eye rescue cream reduces puffiness & eyebags in addition to reducing fine lines & wrinkles around the delicate eye area.

TRICOAID HAIR LOSS SHAMPOO
Tricoaid hair loss shampoo is now available in a more conditioning formula.

There are some promotions ongoing. If interested, please contact the Doctor directly.

Rgds.

[lynnChing]

Hi, Patrick and Dr Lim. I'm new here. May I have Dr Lim's contact pls? I have just recovered from chicken pox about a month ago. There are some indented scars which I would like to get rid of. Pls advise the treatment for this and estimated cost. TQ for your help! :)

[patrick]

Hi, Patrick and Dr Lim. I'm new here. May I have Dr Lim's contact pls? I have just recovered from chicken pox about a month ago. There are some indented scars which I would like to get rid of. Pls advise the treatment for this and estimated cost. TQ for your help! :)

Doc says "A low cost & effective method of elevating indented scars is subcision .Cost depends on how many scars & how many sessions required (3-5 depending severity of scars). Budget for a maximum of RM500. Another way would be fractional CO2 laser - cost is more as laser technology is used."


Suggest you see Doc for a proper assessment of your situation before you decide what you want to do. Rgds - Patrick

[sueraya]

Hi Patrick,

pls provide me her contact details.

Thanks.

[lynnChing]

Hi, Patrick. Thank u for your reply and doc's contact.

[LMei]

Hi Patrick, I have a few questions:
1. My face is oily on T-zone area and very dry and sensitive on the rest of the skin. I understand that not all off the shelf products are good for your skin. So which ingredients should I look at to avoid when buying facial products e.g. cleanser, toner, moisturizer.

I also saw on Oprah that we should avoid ingredients like paraben, fragrance (this is almost impossible to avoid), phthalates, germall, aluminium (also impossible to avoid for deodorant. Currently using an expensive deodorant that does not have aluminium in it). And lastly sodium lauryl sulfate, or SLS which we are all familiar with.

What is the doctor's take on this?

2. I also have hair trapped under the skin on my legs and the skin feels rough. It started with just my knees and now my upper thigh skin also has. That patch of skin is also getting bigger. What causes this and how do I avoid/treat this?

[patrick]

Hi Patrick, I have a few questions:
1. My face is oily on T-zone area and very dry and sensitive on the rest of the skin. I understand that not all off the shelf products are good for your skin. So which ingredients should I look at to avoid when buying facial products e.g. cleanser, toner, moisturizer.

I also saw on Oprah that we should avoid ingredients like paraben, fragrance (this is almost impossible to avoid), phthalates, germall, aluminium (also impossible to avoid for deodorant. Currently using an expensive deodorant that does not have aluminium in it). And lastly sodium lauryl sulfate, or SLS which we are all familiar with.

What is the doctor's take on this?

Our Doc has attached a file on acnegenic ingredients - for your reading pleasure. However, I am unable to send it to you unless you pm me your email address.

2. I also have hair trapped under the skin on my legs and the skin feels rough. It started with just my knees and now my upper thigh skin also has. That patch of skin is also getting bigger. What causes this and how do I avoid/treat this?

As for the "trapped hairs" - sounds like ingrown hairs. Constant shaving can aggravate this problem. Laser permanent hair removal is the only way to cure this problem.

Patrick: I would suggest you make appointment to see the Doc to have a proper assessment of your situation before you decide on your options. Just to be sure. Rgds.

[LMei]

As for the "trapped hairs" - sounds like ingrown hairs. Constant shaving can aggravate this problem. Laser permanent hair removal is the only way to cure this problem.

Patrick: I would suggest you make appointment to see the Doc to have a proper assessment of your situation before you decide on your options. Just to be sure. Rgds.
Thanks Patrick. I neither shave nor wax but it just happens. Could you PM me the doctor's contact then.

[patrick]

Thanks Patrick. I neither shave nor wax but it just happens. Could you PM me the doctor's contact then.

Please check your PM for contact. Rgds.

[lynnChing]

Hi, Patrick. I will be going to visit the kind dr. next week. May I have the road map to her place pls, and are there any landmarks? Thank u so much for your help.

[patrick]

Hi, Patrick. I will be going to visit the kind dr. next week. May I have the road map to her place pls, and are there any landmarks? Thank u so much for your help.

PM me your email address and I can forward you a map to her place. Rgds.

[patrick]

Please note that our doctor will not be available on the following dates

July 3rd - 4th
Aug 31st - Sept 2nd

Meanwhile, just to update those who may be new to this thread, some of the services provided by our Doctor's clinic are:

NEW! RegenPRP Tissue Regeneration – for total face rejuvenation, to fill in deep lines & rebuild collagen using your own growth factors derived from your own blood

http://www.bolandcell.co.za/REGEN-PRP-MESO.htm

NEW! Anti-aging bio-identical hormones (BIH)

http://www.healthsecretsusa.com/

NEW! UNIXEL FRACTIONAL CO2 LASER RESURFACING
o Scars (acne, burns, surgical, traumatic)
o wrinkles & skin tightening
o melasma
o uneven skin pigmentation
o open pores

• 3-D skin rejuvenation – combine TITAN, ELITE, IPL
1) red & brown discolourations removed
2) tightens pores, improves texture & fine lines
3) deep collagen stimulation for skin tightening & lifting

• TITAN LASER – deep dermal heating for skin tightening

• ELITE LASER
 Hair removal
 LaserFACIAL for wrinkle reduction & skin tightening
 leg & facial Vein removal

• Botox injections
- irons out dynamic wrinkles (frown lines, crows’ feet, undereye lines, lines around lips, Marionette lines, etc)
- brow reshaping
- face reshaping - square to slimmer jaw, calf reshaping
- Reduction of sweaty armpits
- “dermolift”

• Fillers
– Teosyal/Restylane/Esthelis – fills out deep wrinkles & face reshaping e.g. injection to give fuller lips, fill out depressed (e.g. acne, chickenpox) scars
– Perlane/Fortelis – nose augmentation, fill out deep wrinkles
– NEW! Vital – rejuvenate thin delicate skin around eyes, neck, back of hands

• Radiofrequency skin tightening and face lifting

• Microdermabrader (diamond ) – resurfaces the skin, removes whiteheads & blackheads

• Dermo-electroporation aka needle-free mesotherapy– a non-invasive transdermal delivery system that delivers nutrients to rejuvenate the skin without trauma or needles

• Mesotherapy facial – microdermbrasion followed by needle mesotherapy with infusion of multivitamin & hyaluronic acid & Botox cocktail

• Electrosurgery – removal of warts, moles, lumps & bumps

• Cryotherapy – removal of viral warts

• Medlite laser – removal of pigmentation, tattoos and birthmarks

• Intense Pulsed Light – removal of pigmentation & evening out skin tone

• Permanent Hair Removal by ELITE laser

• Acne and deep scar treatment – FCO2 laser, needleabrasion, chemical reconstruction of scars, subcision

• RadiantMax LED Blue phototherapy for acne

• RadiantMax Red Low Level Laser therapy for skin & & hair rejuvenation

• Keloid injections

• Hair Regrowth programme
• home use Radiantlife HRx laser (www.radiantlasercomb.com) +/- in-clinic RadiantMax laser
• Dermarolling cum scalp infusion
• Home-use hair care formulas -Regaine, Tricoaid shampoo & solution
• Oral prescription medications – propecia, spironolactone
• Oral nutritional supplements – Crowning glory or pharmaton


• Weight management programmes – oral prescription meds (Xenical, Reductil ) & supplements, food replacement

• Velasmooth – “3-in-1” radiofrequency, infrared & negative pressure & tissue massage to
- Reduce cellulite
- Smoothen & firm the skin
- Reshape & contour the body
- Relieves muscle aches & pains

• Various home use skincare brands – TDF, Skin Nurture, Heliocare

• Skin Nurture Mineral Makeup


Hopefully, this will assist some of you to decide if you want to direct questions to our doctor or direct it elsewhere. Also, this will enlighten you on the latest procedures and services in the field of medical cosmetic.

Rgds.

[lynnChing]

Hi, Patrick. I have pm my email address to u. Thanks again!

[lynnChing]

Hi, Patrick.

Just a humble note of appreciation for you and the doc. I am sure many others agree that this forum is very beneficial and meaningful. I regret that I only discovered this forum a wee too late :( .

Anyhow, I sincerely like to thank you for creating this forum as it provides many useful info, solutions and insights to our problems. And also, I appreciate that you and doc unfaillingly took all the trouble to reply to our questions and requests.

Thanks again and cheers! ;)

[patrick]

Hi, Patrick.

Just a humble note of appreciation for you and the doc. I am sure many others agree that this forum is very beneficial and meaningful. I regret that I only discovered this forum a wee too late :( .

Anyhow, I sincerely like to thank you for creating this forum as it provides many useful info, solutions and insights to our problems. And also, I appreciate that you and doc unfaillingly took all the trouble to reply to our questions and requests.

Thanks again and cheers! ;)

I am very happy to be able to assist our community members. Urban life in this day and age is stressful. If we can help to make life a little more pleasant, it makes it all worthwhile. I took on this Doctor into our Forum because when I first met her, I found her extremely helpful with a very friendly, caring and gentle demeanor.

So really, your profuse words of appreciation is not really necessary; we are just glad we can assist. But Thanks just the same for your kind words. Rgds.

ps. the map has been emailed to you.

[jadewhite]

Can I know whats the cost like for milea seed removal, diamond microdemabrasion and also shape and contour?

[nobita]

Hi Patrick and Doc,
Glad to have found this forum and useful information. I need to see the Doctor to actually look at my problem stubborn darkspot on my face.
However, I need to know roughly the treatment cost for removal using the toughest treatment (laser etc),
and where is the clinic?
Is there any testimonial on those that have gone through any treatment?

[patrick]

Can I know whats the cost like for milea seed removal, diamond microdemabrasion and also shape and contour?

Your questions are a bit vague. You didnt mention number of spots, location etc and shape and contour of what?? Anyway, managed to get an indication from Doc that microdermabrasion for face is about RM120. I strongly suggest you make an appointment to see the Doc, get advice and option, quotations, then decide from there. Does that help? - Rgds, Patrick

[patrick]

Hi Patrick and Doc,
Glad to have found this forum and useful information. I need to see the Doctor to actually look at my problem stubborn darkspot on my face.
However, I need to know roughly the treatment cost for removal using the toughest treatment (laser etc),
and where is the clinic?
Is there any testimonial on those that have gone through any treatment?

You have already provided the answer to your questions " I need to see the Doctor to actually look at my problem.." See her then she would be able to give you an assessment and cost. There is no way she can do that without seeing you. I have pm you her contact. Go see her first; it doesnt cost you anything other than your time and petrol. Rgds, Patrick

[apple99]

Would like to get rid of the pimple scars at my back.
Any treatment that will doctor suggest?

Patrick, may i have the doctor contact pls? Please PM me. Thanks!

[patrick]

Would like to get rid of the pimple scars at my back.
Any treatment that will doctor suggest?

Patrick, may i have the doctor contact pls? Please PM me. Thanks!

To your question, Doc's response:

Pimple scars can be divided into different types
1) Merely post-inflammatory discolouration (red & brown) -we can use microdermabrasion, peeling ,skin lightening creams
2) keloidal - if early can try scar gel, if chronic, will need steroid injections
3) atrophic scarring (depressed) - needleabrasion would be good or laser (for selected cases)

To determine your type of scars, I strongly suggest you make appointment for Doc to take a look at them. Then you can take it from there as to your best option. All the Best.

[patrick]

I will be away this week and hence will not be taking any questions addressed to me or our Doctor. Sorry for any inconvenience but I shall attend to them asap. Take care and Regards.

[ATok]

I will be away this week and hence will not be taking any questions addressed to me or our Doctor. Sorry for any inconvenience but I shall attend to them asap. Take care and Regards.

Hi, can I have the doctor's contact? TQ.

[patrick]

Hi, can I have the doctor's contact? TQ.

Sure! Check your PM box! Rgds.

[jadewhite]

Patrick, can I know the charges for 3-D skin rejuvenation – combine TITAN, ELITE, IPL and • Microdermabrader (diamond ) – resurfaces the skin, removes whiteheads & blackheads and Elite laser?
. Getting old liao la. Need to do something before I have to go for cut and paste.

[patrick]

Patrick, can I know the charges for 3-D skin rejuvenation – combine TITAN, ELITE, IPL and • Microdermabrader (diamond ) – resurfaces the skin, removes whiteheads & blackheads and Elite laser?
. Getting old liao la. Need to do something before I have to go for cut and paste.

Hi jadewhite,
It is very unlikely our Doc will estimate the charges for the services you enquire. She just doesnt believe in making quotation that may not be fair or applicable and would certainly prefer to be able to look at you, give you appropriate advice before making and estimated quote. I would suggest you pay her a visit. You have her contact number? Doesnt matter, I will pm you.

Rgds.

[patrick]

Hey Folks, sorry but I will be away most of the next two weeks. So, if you dont get any response here, please bear with me.

Take Care & Regards.

[freelancer]

Hi Patrick,

I have all types of pigmentation & freckles ( due to ageing and sun exposure) all over my face, esp. the cheeks. I have to use concealer to cover these darkspots on top of face makeup powder/foundation . Can this be removed under your Medlite laser ? How much & how many times ? I know is difficult for Dr. to quote without seeing me. I just do not want to waste Dr.'s precious appointment time if the package is far beyond my budget. Any standard range of package ? :confused:
Thank you.

[patrick]

Doc's reply:

If it's just freckles - a single session of Medlite laser will suffice to
remove all freckles - cost can vary from 100-500 (face full of freckles). Solar lentigines may need
1-2 sessions.

However, if face is full of dots everywhere, the most economical way of
removing spots is IPL - RM400 full face.

Regardless of which treatment is selected, please note that aftercare (i.e.
prevention of pigmentation recurrence) is the bulk of the expense. If you
are not diligent about applying sunblock & skin lightening creams,
pigmentation recurs with sun exposure (the cause is UV so it makes sense to
avoid cause). So many times, I get asked about "guaranteed removal packages"
- prevention is the key - no such offer as "guaranteed removal packages".

[freelancer]

Thanks for your prompt reply. Can you email Dr.'s contact to freelance.ptr@gmail.com ? :)

[patrick]

Thanks for your prompt reply. Can you email Dr.'s contact to freelance.ptr@gmail.com ? :)


You have mail!!

[veryvain]

Hi Patrick,

I m new in this forum and i find it very interesting and helpful particularly to those who are into this sort of treament. Btw, I wish to check with you on the estimate cost of fillers and its effectiveness. Also do you mind email to me the doctor's details, ie address, phone no, etc..


Cheers!

[roger_that]

Thanks Patrick for the Dr's contact.

My mum has age spots which are getting darker and wants them removed. Rather than risking it with any available beauty treatments at any beauty shops, it is much safer to have them removed under the hands of a medical doctor.

In order not to waste Dr Lim's precious time, I have emailed her a picture of my mum's condition with areas of concern highlighted for her attention. She has promptly replied with the appropriate procedure with reasonable cost.

She is indeed grateful that I emailed her the details first prior to making an appointment as no time was wasted for both of us (also petrol). Perhaps those interested in her professional services can render the same courtesy and consideration as she is one busy doc.

[tupai]

wow! after so many years then only i opened and read this thread. I never knew got so many 'beauty' tips and corrective methods to get rid of this & that ... WOW! even got anti-aging tips! ALL all fromthe intermediate Patrick...is is becos the 'doctor' cannot 'advertise'per se??

Anyway, I have a crane neck fulla itsybitsy brownish spots probably from the grime, dirt, dust, gunk and watnots gathered over the years...

can PM contact? I wanna make an appointment to see how the good doctor gonna scrub 'em off?And what method will she use? A steel brush perhaps? Will she be gentle? ouch!

Yang Banyak spotty latotupai :p

[patrick]

Hi Patrick,

I m new in this forum and i find it very interesting and helpful particularly to those who are into this sort of treament. Btw, I wish to check with you on the estimate cost of fillers and its effectiveness. Also do you mind email to me the doctor's details, ie address, phone no, etc..


Cheers!

I believe its best you meet up with our Doc or like someone here has done is to send Doc a pic of your situation. It's really difficult to estimate cost because it depends very much on each particular situation and extent of treatment required. Perhaps you could also read the Doc's blog for some idea and then write or call her. I have pm you the relevant details. Regards.

[patrick]

Thanks Patrick for the Dr's contact.

My mum has age spots which are getting darker and wants them removed. Rather than risking it with any available beauty treatments at any beauty shops, it is much safer to have them removed under the hands of a medical doctor.

In order not to waste Dr Lim's precious time, I have emailed her a picture of my mum's condition with areas of concern highlighted for her attention. She has promptly replied with the appropriate procedure with reasonable cost.

She is indeed grateful that I emailed her the details first prior to making an appointment as no time was wasted for both of us (also petrol). Perhaps those interested in her professional services can render the same courtesy and consideration as she is one busy doc.


That's very smart of you!! I hope the other Forumers will follow your initiative for mutual benefit. Yes indeed our Doc is very, very friendly but also extremely buzzzy.

Btw, your mum's dark spot shouldnt be a problem to deal. A few of our family friends were treated by our Doc too and they were very happy with the results. But be advised. One has to look after one's complexion afterwards to prevent recurrence.

All the Best.

[patrick]

wow! after so many years then only i opened and read this thread. I never knew got so many 'beauty' tips and corrective methods to get rid of this & that ... WOW! even got anti-aging tips! ALL all fromthe intermediate Patrick...is is becos the 'doctor' cannot 'advertise'per se??

Anyway, I have a crane neck fulla itsybitsy brownish spots probably from the grime, dirt, dust, gunk and watnots gathered over the years...

can PM contact? I wanna make an appointment to see how the good doctor gonna scrub 'em off?And what method will she use? A steel brush perhaps? Will she be gentle? ouch!

Yang Banyak spotty latotupai :p

Yes my friend. Cannot advertise per se is true. But really, advertising is least on the mind of our Doc when we started this column. This Doc often has more patients then she can handle, and having a good, loyal assistant is a bit of a problem.

Anyway, we started this column with the objective of providing a "service" to our forumers for the sole purpose as a kind of "corporate social responsibility". Nonetheless, it does have a beneficial spin off effect for the Doc and that we cannot deny. But the original and main obective of this column was as a benefit to our forumers. Full stop.

As for your "itsybitsy brownish spots", can I suggest you get some fine sandpaper from the DIY shop! Ha ha...sorry bruder...joking of course!! Ok...ok...I pm you her contact.

Rgds.

[tupai]

Y
As for your "itsybitsy brownish spots", can I suggest you get some fine sandpaper from the DIY shop! Ha ha...sorry bruder...joking of course!! Ok...ok...I pm you her contact.

Rgds.

hahahahah...U r too kind. I was thinking of a steel brush!
Thanks for the PM. U knwo I was liek in summit and walked past a 'beauty shop' and the lady said " hey, i know u..u got a very cute white dog balhblahblah.." Then I was like invited in and served tea..b4 u knwo it, she said, "hey! u got these itsy bitsy brown spots on your neck..let me see.." [close inspection and can smell her perfume too :p ] "hmm...can easily remove. U see i got this machine..very quickly can do 1...u want? we dog lovers, so can give u discount. 15mins can kaw-tim..and u will have spotless neck until the next bike ride :p

hahahaha...she just a beautician lah...no way Jose, i let a beautician go lasering my neck!

brown, black, blue, violet, green, white, mauve, turquoise spots or otherwise! I take my chances with a steel brush or sandpaper anytime! :D

Yang Berspotty latotupai :p

[usjhomer]

Can PM me the Dr's details for a visit thanks>

[veryvain]

Hi Patrick,

Thks for yr prompt reply. I dont seem the get the doc's details. Do u mind email to me at leerose1218@gmail.com


rgds,

[afrina]

I just found this very informative forum.Hi Patrick!Ive a few questions for you
Ive just returned from abroad to Msia and will be here for a few months.Bad luck for me, Ive developed heat rashes and minor breakouts along jawline and temples as im here.I went to see a derm and I was told that this could happen due to a climate & water change, is this true?Im currently under Bactrim antibiotics and antibiotic gel to clear this mess.As for Bactrim,Ive no problem with it (as some may have allergic reaction with the sulfameth inside) but then I just need something stronger and faster?Im not able to take any steroidal based cream or orally as Im allergic to it lifetime
Im just using Acne aid bar and Cetaphil to clean>Any other good options?
Vitamin C jab?
I have acne prone skin and hypersensitive.
Pls advise!
Thank you in advance

[patrick]

usjhomer & veryvain, check you inbox!

[patrick]

I just found this very informative forum.Hi Patrick!Ive a few questions for you
Ive just returned from abroad to Msia and will be here for a few months.Bad luck for me, Ive developed heat rashes and minor breakouts along jawline and temples as im here.I went to see a derm and I was told that this could happen due to a climate & water change, is this true?Im currently under Bactrim antibiotics and antibiotic gel to clear this mess.As for Bactrim,Ive no problem with it (as some may have allergic reaction with the sulfameth inside) but then I just need something stronger and faster?Im not able to take any steroidal based cream or orally as Im allergic to it lifetime
Im just using Acne aid bar and Cetaphil to clean>Any other good options?
Vitamin C jab?
I have acne prone skin and hypersensitive.
Pls advise!
Thank you in advance


Minor acne breakouts don't warrant stronger medications. Besides, Bactrim is a perfectly good antibiotic that works great for acne if one is not allergic to it.

Steroids are never used to treat acne except in the rare situation of acne fulminans (superbad eruptive acne).
Forget abt Vit C jabs - they don't help acne.
You may want to add Retin A cream but if your skin is very sensitive skin, be careful with it.

Can't rush acne, whatever you take or do, it will take at least 2 months to settle. If you want to improve the appearance a bit quicker, do a chemical peel - Doc

[afrina]

Minor acne breakouts don't warrant stronger medications. Besides, Bactrim is a perfectly good antibiotic that works great for acne if one is not allergic to it.

Steroids are never used to treat acne except in the rare situation of acne fulminans (superbad eruptive acne).
Forget abt Vit C jabs - they don't help acne.
You may want to add Retin A cream but if your skin is very sensitive skin, be careful with it.

Can't rush acne, whatever you take or do, it will take at least 2 months to settle. If you want to improve the appearance a bit quicker, do a chemical peel - Doc

Can chemical peel be done whilst breakouts on face?Wont it trigger it?

[patrick]

Can chemical peel be done whilst breakouts on face?Wont it trigger it?

Doc: Depends on the type of acid used

[patrick]

NECTIFIRM - A new cream that promises to:

1) firm & tighten the skin on the neck by 40% in 28 days
2) Reduce the appearance of fatty tissue under the chin & neck
3) Dramatically lessen fine lines & wrinkles
- suitable for all skin types

The manufacturer (Revision Skincare) is so confident you'll be satisfied with the results that they have offered a money back guarantee for a limited time.

There is a very special Promo price for 1st 10 customers.
Also, for the 1st 10 customers, if you're dissatisfied with the product, just return by the latest Nov 1st 2009 for a full refund!

Contact our Doc for other Terms & Conditions..


October - Talking about hair! Too much hair also problem. Too little hair also problem!! How?? Aiyah...go see our Doctor lah. She may have a solution for you. Anyway, she is having a free consultation for hair problems this month! So why wait??

Special offers for
1) Too little hair problems
....i.e. - too little hair on the head
.........- thin eyebrows
.........- thin eyelashes

2) Too much hair on the face, armpits, arms & legs & bikini line
Special promo on.

[daipang]

Hi Patrick,

I am looking for consultant fr doctor. Can u send the Doc's details to this email charlie0922@gmail.com

Thank you.

[pfc2009]

Hi, please PM me the doctor details (addr and etc). TQ

[patrick]

pfc2009 & daipang, please check your pm box and email address.

[patrick]

I will be away on the first week of November and will not likely be able to respond to any mails. Regards.

[patrick]

Please note that our Doctor will be away from from Nov 22-25 and will not be within communication reach. Any questions within that period will not be answered.

[a_patche]

Hi Patrick

I seem to have lost the doctor's email. Can you resend to me? My email address: anne_lee78@yahoo.com.sg

Thanks in advance!

With KR

[patrick]

Hi Patrick

I seem to have lost the doctor's email. Can you resend to me? My email address: anne_lee78@yahoo.com.sg

Thanks in advance!

With KR

You have mail ! Rgds.

[blackgammon]

Hi, no time to read all the threads.

Anyone trying Vit B2 IV shots to boost up metabolic rate with L-carnitine to speed up the fat burning?

I am undergoing on, hope to share with people.

[preetkesh]

The price is expensive,I have done fractional co2 the same laser as Dr Lim at Dr Ranjit skin specialist for the whole face including cream and medicine for only RM500.00 each time.And he is a dermatologist.

QUOTE=patrick]a) 30-50% depending on initial scar severity. May need to be combined with other modalities of treatment e.g. subcision, TCA CROS, etc

b) usually 6 weeks apart is good interval

c) redness 2 days, fine scabs 1 week. No supplements required. Oral antibiotic cover if acne still active

Cost for whole face 3600 for 3 session pkge - inclusive of required skincare after laser & oral meds. Need to come for consultation 1st to assess

....Doc[/QUOTE]

[zat]

Hey patrick!

I'm 22 and I have several ice pick and box acne scars on my both cheeks and a few on forehead. I just did 10 sessions of diamond microdermabrasion last year with Dr.Chea but it did not improved the scars much. Which was very dissapointing.

I've read about punch excision to treat the scars, and I wonder if Dr.Lim have any experience in that area. If she do, mind to elaborate on how the process will be done and how much will it cost?

Thank you.

[patrick]

Hey patrick!

I'm 22 and I have several ice pick and box acne scars on my both cheeks and a few on forehead. I just did 10 sessions of diamond microdermabrasion last year with Dr.Chea but it did not improved the scars much. Which was very dissapointing.

I've read about punch excision to treat the scars, and I wonder if Dr.Lim have any experience in that area. If she do, mind to elaborate on how the process will be done and how much will it cost?

Thank you.

Doc says Microdermabrasion is not effective for acne depressed scars - only useful for lightening discolouration & cleaning out pores.

Ice picks are best treated with TCA CROS or if really deep punch excision. Punch excision is only realistic if you have a few (<5) ice picks - you can't be cutting out your entire face. Punch excision involves cutting out the scar like a cookie cutter & then stitching back the hole. So you end up getting a flat line scar instead of a hole. In any 1 session, we can only do 5 max. Cost RM350.

After that we can do laser resurfacing to smooth out the line scar 2-3 mths later (separate cost though).

[freelancer]

Hi,
What is the diff btwn Co2 & Mosaic fractional Laser ? Does Dr. perform this mosaic fractional laser ? How much for whole face ? Thanks.

[patrick]

Hi,
What is the diff btwn Co2 & Mosaic fractional Laser ? Does Dr. perform this mosaic fractional laser ? How much for whole face ? Thanks.

Doc's reply:

Mosaic (brand name) is a fractional Erbium Yag laser i.e. fractional non-ablative laser. In other words, it's less invasive - downtime is only 3 days of redness. The trade-off is it's less effective in terms of treating acne scars.

Fractional CO2 laser is a fractional ablative laser i.e. fractional ablative laser. i.e. more invasive. Downtime is 1 week of looking "sunburnt" before skin peels off. Trade- off - more effective as it goes deeper.

I do only fractional CO2 laser. Charges depends on depth of treatment form RM300-800 per session.