Cosmetic Clinic

Types of Skin Anomalies

Posted in Skin & Laser Treatments


Facial veins also known as Telangectasias, are fine, little red veins on the nose, chin or cheeks that appear both in men and women as a normal part of aging.

These can also result from pregnancy, childbirth, birth-control pills, estrogen-replacement therapy, sun damage, Rosacea and even corticosteroids. These are not broken blood vessels, only permanently dilated and visible fine veins.

Laser treatments for facial Telangectasias depend on the quantity, size and depth of veins. Most patients need between two to four sessions that are 4-6 weeks apart. The appearance of the treated area immediately after the laser session will vary from patient to patient and they may include redness, tenderness, crusting and blistering, all of which disappears in short time.


These are multiple ,unsightly,dark-brown macules on the face, ears, forearms, hands, chins, upper back and chest and scalp in bald men due to chronic exposure to sunlight.

Solar Lentigines are not the same as freckles. These do not fade in the winter as freckles do, sometimes these may disappear spontaneously but in general these will remain for years. Rarely they turn cancerous but can happen if you keep exposing to UV light , natural or artificial setting .

Although medium depth peel can treat them, but our Signature Combination Laser Treatment is the best of all .It targets the brown pigment – melanin. The number of sessions may vary from patient to patient and depending on your aceptiblity ,social situation and the down time .


Dr Tiong only able to treat adult who can communicate and understand the treatment of port-wine stain (PWS). The clinic is not gear to manage young child who can easily frightened by the surrounding. Dr Tiong suggests you contact a Tertuary Teaching Hospital near you to see a Out patient specialises in little kids .

PWS is of irregular shape red or violaceus vascular malformation that is present at birth and never disappears spontaneously. In adulthood, PWS’s usually becomes raised and the cause of significant and progressive cosmetic disfigurement. The laser targets the red pigments in the blood vessels and several sessions may be required along with a maintenance program as these can reappear.


Is a chronic acne form disorder of the facial pilosebaceous units, coupled with an increased reactivity of capillaries to heat , chilly spicy food, and wine and spirit ,leading to flushing and ultimately to telangectasias.

Although, this disease was previously called acne rosacea, it is unrelated but may coexist with acne, which may have preceded the onset of rosacea. Rosacea is the cause of significant cosmetic disfigurement.

This can be treated with Laser at our clinic and require multiple treatments. The skin can become dark bronm for 4-5 days and may peel afterwards. The Capillaries can turn dark colour but will disappear few weeks later. You may ned to stay out of sun , wear sun block and sun avoidance.


Appears on the scalp, face and dorsal of the hands. It is most common in Caucasians and Asians, usually at people older than Solar keratosis may disappear spontaneously but in general they remain for years and sometimes they can develop in squamous cell carcinoma.

Can be treated in many ways at our clinic. Due to UV light and ageing process, these lesions or new lesions can come up later on.


It is the most common of the benign epithelial tumors. These lesions which are hereditary do not appear until age 30 and continue to occur over life time. They are isolated or generalized lesion on the face, trunk and upper extremities.

The lesion is round or oval in the form of a plaque with brown, black or skin color with warty and “greasy” surface. Larger pigmented lesions are easily mistaken for basal cell carcinoma or malignant melanoma, therefore, a histopathologic examination will rule them out.


This pigmentary disorder is very common in Asian population and is said to occur in 1% of outpatient visits in Japan. It has been reported in East Indians, in blacks and rarely in Caucasians.

This pigmentation which can be quite subtle or markedly disfiguring consists of mottled, dusky mixture of blue and brown hyperpigmentation of the skin. It may be congenital but is not hereditary. More often it appears in early childhood or during puberty and remains for life.

Treatment with laser is an effective new mode for this disorder.


Synonymous with Chloasma or mask of pregnancy is an acquired, light or dark hyperpigmentation that occurs in the exposed areas, most often on the face and results from exposure to sunlight.

It may be associated with pregnancy, ingestion of contraceptives or possibly with certain medication. The pigmentation usually evolves quite rapidly over weeks, particularly after exposure to sunlight.

Melasma is more apparent or more frequent in persons with brown or black skin color (persons from Asia, Middle East, India and South America). It may disappear spontaneously over a period of months after delivery or after cessation of contraceptive hormones.


Also known as solar keratosis these are single or multiple, discrete; dry, rough, adherent scaly lesions on the habitually sun-exposed skin of adults, which are removed with difficulty and with pain.

Most commonly are skin coloured, or yellow-brown and are situated on the face, ears, neck, forearms and hands, shins and on the scalp in bald males.

Solar keratosis may disappear spontaneously, but in general they remain for years and sometimes may develop in squamous cell carcinoma (cancer). The target for the laser is the pigment melanin and from case to case 2-6 sessions are required for treatment.

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