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HIGH-TECH TREATMENTS

283

January14

Treating Acne Scars

Q&A with Dr Andrew Khoo

Q Why is acne a particular problem

in Singapore?

Our warm and humid environment is part

of the reason. Besides the hormones

associated with puberty, the causes of acne

include a change in environment, stress

and the menstrual cycle.

Q What is your first consideration?

Our initial approach is always to bring the

acne under control. We do this with a mix

of keratolytic facial cleansers, oil-control

lotions including Epiduo and local antibiotic

therapy. In severe cases, oral medication

such as Ro-Accutane may be required.

Q How do you treat acne scars?

Fine scars

are best treated with a

combination of Erbium laser resurfacing

and Fraxel fractional laser therapy. The

Erbium micro laser peel is best described

as the gradual removal of surface

irregularities, much like sanding a piece of

wood with fine grade sandpaper. Its beauty

is that the amount of skin removed can be

adjusted down to 5-micron increments. This

allows the therapy to be done accurately

and safely. The Fraxel is a laser that treats

the deepest areas of the skin by drilling tiny

pores into the skin. This stimulates the skin

to produce new collagen to fill up the acne

scars from below.

Broad-based scars

, on the other hand,

are treated with subcision. This is a process

where the skin is detached from underlying

scar and tissue filler is used to elevate the

scar. Individual scars can also be excised

and sutured so that the resulting linear

scars are hidden in natural lines.

Aesthetic & Reconstructive Centre

3 Mount Elizabeth Road

#13-08 Mount Elizabeth Medical Centre

6733 3712