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朋友的护肤品




欣蒂今年五十六岁,更年期刚过,也许是荷尔蒙的变化,她的双颊长了色斑。色斑又称为黄歇斑(Melasma),是表皮和真皮上的黑色素沉淀引起的,常常不容易处理。

双颊上的色斑让欣蒂懊恼不已。道听途说下,试过了各种各样的偏方,尤其是各种各样的美白护肤品,不过情况不但没有好转,反而有变本加厉的趋势。

听朋友说镭射可以祛除这个斑,我想要试一试。她脸上满怀希望。

询问了一些病史,再详细的检查之后,才发现欣蒂的问题不轻。除了黄褐斑,欣蒂的脸上还有其他的色斑。比较棘手的问题是欣蒂脸部的皮肤很薄,微血丝浮现。

你做过果酸换肤疗程吗?” 针对皮肤表层的色斑,果酸换肤就可以了。

没有,我大都用的都是美白霜等护肤品。欣蒂回答。

可以看看你使用的护肤品吗?

哦,我都带来了,你看看,这是洗脸霜,精华液,润肤膏,还有这一个美白膏。欣蒂如数家珍。

我看着一堆的护肤品,开始头痛。市面上的护肤品我们可以简单分为三个类型:一,柜台类:在百货公司柜台或商店可以买到;二,美容院类,美容院或SPA才可以买到和三,医疗类:只有在医学诊所或药剂行才能获得。一般上,他们主要的差别在于成分的浓度。当然,医疗类的护肤品成分浓度往往最高,没有按照医生给的指示敷用,万一方法不当,副作用或后遗症也更高了。

欣蒂的护肤品都是医疗类,但居然从没见过医生,因为贪方便,她是透过朋友的帮忙私底下购买的。

这一个美白护肤品内有果酸成分,使用后会去处皮肤表层的角质,而让皮肤回复娇嫩光泽,不过若使用过久没有节制就会有反效果

是啊!我就是看了朋友使用后效果很好,我才叫她买同一套给我的,价钱不菲,可是效果好象没有看到的。欣蒂一脸无辜的说。

护肤品不一定是价钱越贵或成分越高就越有效,最重要的是适合自己当下的皮肤状况。皮肤长了斑,不让医生诊断,怎么对症下药呢?朋友使用得好的护肤品不一定对自己也有相同的效果。错误的使用方式损伤了皮肤表层真层容易造成皮肤色泽不均、炎后色素沉着或微血丝浮现等后遗症。

你必须停止这些含有果酸成分的护肤品,而改换成修复和滋润类型就好,现阶段也不适合进行镭射疗程。我对欣蒂说。

镭射不是魔术,要有好肌肤,必须让皮肤细胞修复,恢复健康。健康的皮肤就是最美的皮肤。



本文刊登于《红番茄周报》
周末专栏-医生看人生
William Hoo

Michelle's dark eye circle


I sensed trouble in the air as Michelle walked hurriedly into my office without an appointment. Well, Michelle is a close friend of mine and she has a successful career and an appearance that make her peers envy.  She came looking for me for an “emergency”. She is due for a photo shoot and she has dark eye circles from her previous weeks of hectic schedule working on a project. “You have got to get rid of this dark eye circles and make me look stunning,” she said with a grin.

Well, dark eye circle is not something uncommon, but it is truly embarrassing problem. It makes people appear tired and it steals the gleam in the eyes. It remains one of the problems that rattles around our brain albeit us trying hard to ignore it. 

Why, oh why do we have dark eye circle? The causes are many. Some people have it because of the underlying inflammation at the nasal sinuses; while some others get it because of hereditary pigment problems. More often than not, people get it because of the loss of the tissues around the under-eye area or the so called tear trough. The skin under eye thins out in the same time. When light shines, a deficient tear trough would be cast dark hue making it darker than the surrounding tissue.

Well the loss is part of aging. We cannot stop aging, but we certainly can prevent causes that accelerate it.  Unhealthy eating habits, lack of rest, smoking and drinking are some of the shenanigans that we so badly adore which may affect the tear trough. Peering on screen (computer or the television) for long hours is one of the culprits too. Logic tells us that if the cause for it is lacking in underlying tissue, a quick fix, though not permanent, will mean to replenish the under-eye tissues, giving it volume to prevent hue from building up at the eye trough.  This can be done using ultrafine needles which leave mosquito sting-size marks.

Two sessions of under eye hyaluronic acid injections later, Michelle was seen beaming with big smile. “I know you can fix this,” she said while looking satisfactorily in the mirror. “Stop the fags and the effect of the injections will last even longer,” I nagged like a grandmother.
“I will try, but no promises,” as she walks out of my office feeling chirpy as usual.



by Anna Hoo

Being beautiful



One early morning, Lisa turned up at the clinic with her mother. “My mother is turning sixty years old in another six months. I intend to give her a makeover,” she told me with a beaming smile.

"Hi, nice to meet you. What can I do for you?” I asked Lisa’s mother. I really have no idea. Since Lisa is the one who brought me here, you might want to ask for her opinion instead “, she told me hesitantly. “But Mom, didn’t you complain to me that you notice the age spots/pigmentations on your face getting darker, your eye bags getting heavier/ deeper and the wrinkles/crows’ feet are getting more obvious nowadays? Lisa’s mother smiled.

The appearance of age spots, saggy cheeks/ naso labial fold, eye bags and crows’ feet are all the usual signs of ageing. From Lisa’s description of her mother’s ageing woos, I reckoned that she wanted the right treatment to restore her mother’s appearance.

Pigmentation problems can be eradicated with the use of proper laser treatment whereas wrinkles/ crows’ feet can be treated with BOTOX.

Lisa’s mother has no qualms about the treatments that I suggested. Hence I started her on a session of laser treatment right away.

“Is it painful?”, I asked while conducting the treatment carefully. “Just a tingle, there’s almost no pain at all”, she answered. “How do you feel now”, I asked with concern.

She then shared. “I’m fine. Actually, Lisa has been eager to bring me here for the treatment of my pigmentation, age spot. I was indecisive then, because I was afraid that it would be painful and would do more harm than good to my face, making me look unnatural and fake. I finally decided to tag along after Lisa told me that it is not painful at all after undergoing the treatment herself for several times. I really must give credits to my Lisa. She’s a good daughter and very obedient since young. Our family was not very well-to-do because her father passed away in accident. She had a tough childhood but despite all the hardship, she had grown up to be a very independent high achiever. This year she wants to give me an aesthetics makeover as a birthday gift, so here I am!”

“I am sure this gift is priceless and comes sincerely from your filial daughter. She understands very well, the hardship you have gone through to bring her up, placing her as your priority rather than your own appearance.  Now that she is capable to take care of you, appreciate and savour every sweet moment of it”, I told her.

 “Really?” Lisa’s mom said with a curvy smile of warmth and happiness.

Most parents if not all, devote their time providing and caring for their children. The selfless act of placing their children’s needs as the top priority often result in them compromising on their own health and needs. As grown-ups, it is time to reciprocate our parents’ unconditional love for us. Phone calls, occasional meals and family trips together are just some of the simple things that we can do to light up their day!

Dr Hoo, although my mother would not admit it, I know she is in fact just as vain as any other woman including me. Please help me and my mother to look prettier, healthier and greater together!”  she said with a twinkle in her eye.


The sudden ‘glow' on her face


I went back to my hometown in recently and stumble upon an unexpected but pleasant surprise.

I was having the usual gathering with my friends over a cuppa. It was one of those occasions where you catch up with your old friends and exchange greetings when you return home. Amongst all of my friends, Catherine was standing out most. She appeared different. There is an unusual glow on her face – a glow that I have not seen in her for years. She looked peaceful with happiness gleaming from her eyes. The smile that she wears amazes me and it was contagious too. It was a glow in the face that I seldom see in the buzzling city that I now live.

Has she undergone any treatment to enhance her face? No way, if there is any, I would have spotted it. New beauty product? Unlikely, as her glow was beyond what a beauty product can bring out. Then how would one explain this? It all happened with a misfortune that turned out to be a blessing in disguise.

Catherine’s husband, Jack is heavily career orientated. He works long hours and goes out socializing with friends or clients in the evenings after work. He would look at his smartphone more than he laid his eyes on Catherine. It does not take a genius to know that the couple spends very little time together and speaks even less when being together. 

Three weeks ago, her house was broken into. Jack was with his mates in his usual outing late into the night while Catherine was up in her bedroom, sleeping. The house was broken into and ransacked. Money, jewelries and valuables were taken. She was lucky that her son’s room, in which she was sleeping in with her 6 year old was not broken into. They were safe. When Jack came home that very night, Jack, on seeing the house was in total disarray, rushed upstairs as soon as he could. He was shouting out for Catherine and their 6 year old. They were safe and in fact, so deeply in slumber that they did not even realized that the house was broken into. The misfortunate have made Jack realized how important his family is to him. From that day onward, Jack was spending more time at home and would also plan out activities over the weekend with the family. They are spending more time together as a family.

The feeling of being love and to be in love again, was in fact the real reason behind the glow in her face. Love is indeed the best treatment one can get.

Learn to appreciate what you have before time makes you appreciate what you had.



By 
Anna Hoo

和妈妈一起变漂亮




大清早,丽莎带着她的妈妈一起来诊所。

再过半年就是妈妈的六十大寿,我带她来看看你,帮她‘变一变’脸。丽莎说。

伯母,你好。我能怎么帮你呢?

我可不知道,是女儿要我来的,你还是问她吧!

妈妈,你不是说脸上的老人斑越长越大了吗?还有越来越下垂的双颊、越来越大的眼袋、越来越明显的法令纹呢?

伯母笑笑不说话。

老人斑、面颊下垂、眼袋、法令文,都是人类正常的老化迹象。简单来说,丽莎的要求就是要帮妈妈恢复年轻时的面貌。

 “皮肤上的色斑可以雷射改进,动态皱纹则以肉毒杆菌素淡化加上玻尿酸填充剂填补面部流失的体积。

伯母没有异议。疗程从镭射开始。
  
痛不痛?

烧烧的,不痛。

这种感觉还好吧?

还好。其实丽莎很久以前就要带我过来祛除脸上的色斑了,是我一直犹豫不决。你不要笑我,我怕痛,更怕做了之后看起来做作不自然。是丽莎一直说不痛,看她做了几次,我才敢过来。

这女儿不错,很孝顺哦!

这我承认,丽莎从小就很乖。从前家境不好,她爸爸很早就因为车祸离开了我们,她跟着我吃了不少苦。还好她很有上进心,这几年来的工作收入还算稳定。今年她说要好好为我庆祝六十岁生日,把医学美容疗程当作是生日礼物,我才跟她一起来的。

这礼物是女儿的孝心啊!她一定是心疼你以前生活苦,没办法好好照顾自己做保养,现在她大了,也是好好照顾你的时候了,有福就要享啊!

 “是啊!

 丽莎妈妈说着“是啊”时候的嘴角往上扬,那是一个属于妈妈的欣慰的笑容。

父母年轻的时候为了生活奔波忙碌,常常没有时间保养。做爸爸妈妈的,全副心思都放在照顾孩子的温饱身上了,没有好好照顾自己的观念。如今孩子们长大了,是孝顺父母,让他们快乐的时候。一个问候的电话、一起相聚的晚餐、一起出外旅行,都是让父母添加笑容的方法。

“符医生,悄悄告诉你,其实我妈妈也是很爱美的,虽然她不好意思承认,我做女儿的 又哪会不知道呢?你要帮我,让妈妈和我一起越来越漂亮噢!”丽莎说。


by
William Hoo @ 符气廉
刊登于红番茄周报《医生看人生》专栏

Being a woman


While driving to the nearest supermarket for my groceries, I overheard on the radio, the voice of Malaysian international actress Datuk Michelle Yeoh’s community message.  It was in Cantonese and it sounds like this after my translation.

“A woman does not only dominate her home, but is capable of leading a country”.

I nodded my head with agreement. Married women nowadays are certainly not just merely your home-bound housewives who spend most of their time at home. With the rising cost of living and the rising inflation rate, a majority of women choose to work and have a career of their own, while juggling their different roles in life. Be it being a working single lady, a wife, a working mother, stay-at-home mom, work-at-home mom, driver, cook, you name it.

Women have so many roles to play in today’s fast-paced lifestyle that often we tend to compromise on our own health and well-being, not to mention beauty rituals too!

It is time to start taking care of ourselves with the basic tips below that are often forgotten:




1.  Get enough sleep and rest
Sleeping allows the body to repair and regenerate itself. It also helps the brains to process and file new information collected during the day. To get a restful sleep, reduce the need to use the lap top, Internet, mobile and avoid late-night shows. Going to sleep earlier before midnight is beneficial as every minute of sleep you get before midnight is equivalent to about four minutes after that.

Taking a day off at least once a week from our daily tasks or responsibilities for a complete ‘me’ time also allows us to take a break from the daily stresses, enabling us to recharge our energy to continue our task cycle, which often seem never ending. This prevents exhaustion and build-up of stress that may only deter us from doing more!


2.  Healthy eating
Avoid highly processed, refined, pre-packaged and fast food. These are food bought off-the-shelves that are usually laden with sugar, hydrogenated fats, preservatives, colourings and other additives. As a rule of thumb, the longer the food can be placed on the shelf, the longer the substances will remain in the body and harm our overall body function and performance resulting in a sluggish body. Aim for fresh and natural vegetables and fruits.


3.  Take supplements
As much as we would like to stay nourished by eating healthy wholesome food, our diet would still lack of some essential nutrients due to our often inconsistent daily diet and depletion of nutrients from the soil where most of our food source come from. There are four types of supplements that are necessary for optimal health and performance.
  • Multi-vitamins preferably wholefood multivitamins
  • Balance Trance mineral (eg: zinc, slenium, Magnesium, ETC)
  • Antioxidant : Vit C, CoQ10
  • Omega -3 oils

 More will be discussed about the benefits of the above supplements in the next post.

4.  Exercise
Exercising at least 30 minutes a day helps to relieve our everyday pressure and stress. Try doing some light physical activities that you enjoy such as jogging, swimming, yoga or simply brisk walking or stretching exercises. Exercise also allow better mind and body coordination.

  
5.  Hydration
Our body consists of more than 70% water. Every individual’s hydration need is different. For example if you weigh 50 kg, you should drink minimum 50 ounces or 1500 ml of pure water a day. That is about 7 to 8 glasses of water.
Let’s practise these diligently as a first step to giving yourself a healthier body and mind, to be able to live better and do more!


By CL,
CL is a new mom, who is still exploring the joy of motherhood. She has chosen to commit to her family and baby while working at home. She believes in giving them the best of love and health by first loving herself. 

阿芳的泪沟



"医生,我要重新注射皮下填充液。"炎热的早上,诊所门一开,阿芳就找上门来。

 “两年前我曾经接受皮下填充液注射,原本只是想要注射在法令纹让它浅化,不过注射之后还有剩余的填充液,我不想浪费,就要求注射在泪沟。一开始是很满意注射之后的效果的,只是现在效果慢慢消失了,我想要重新,医生却再也不肯帮我了,还告诫我不要乱碰那一个地方,以免自找麻烦。

怎么说呢?阿芳的话勾起我的好奇心。

他说重新注射有可能造成感染,我坚持说我不怕,他却说如果想要重新注射必须先把以前注射残余的填充液拿出来,还给我推荐了一位眼科外科医生。我气极了。那不是危言耸听吗?多少人重复注射皮下填充液都没有什么事,怎么我就不行呢?

你知道那填充液产品的名字吗?

xxx

哦!那是永久性的皮下填充液,通常只是可以填补法令纹,鹳骨部位或下巴。你接受注射之前不知道吗?

两年前的事,我也不记得了。为了手术的事,我和那位医生大吵了一顿,我再也不想见他了。你就帮忙我重新注射好吗?

帮,或不帮?

一般上,我都不轻易接受其他医生的病患。这不是自命清高,而是有原因的。一是避免同行的误解;二是很多时候病人自己都说不清楚自己曾经做过什么疗程;三,除非是当事医生的推荐,要不然"跳槽"过来的往往是一位不开心或有要收拾残局的病人,这不是让自己陷入麻烦吗?

恶语同行、抬高自己,不是我们的作风,但基于职业道德,遇到有问题需要帮助的病人,我们还是会竭尽所能。遇到阿芳,怎么帮她呢?也只能帮她联络产品公司的负责人,让他们知道这病人的问题,然后让他们接手处理了。有道德的公司,必然会安排公司的医生好好的善后和处理。

阿芳会有什么选择呢?

一是按兵不动,如果已经注射过的部位没有问题,就不要理会,往后再不要在同一个地方注射任何产品。

如果还想要同一部位进行疗程,为了安全起见,必须找外科医生开刀把从前残留的物质清除。如果还是坚持不开刀直接重新注射,就得自负后果了。想一想,万一感染了细菌,脸上会留下怎样的伤痕呢?

爱美,要更爱安全。




By William Hoo @符气廉
本文刊登于《红番茄周报》医生看人生专栏

不老传说



抗老,抗老,越来越多人把抗老挂在口边,走一趟书局,多少蔬果饮食、瑜伽等都打着抗老的标签。好像Twilight里头的吸血僵尸那样永远不老,可能吗?我想大家心中都有数。打肉毒杆菌也好,打皮下填充液也好,皮不老肉老,肉不老骨老。

随着年龄身体正常的老化,荷尔蒙内分泌的逐渐减少是必然的。荷尔蒙分泌减少了,身体细胞也失去推动力,所以肌肉萎缩了,皮肤松弛了,眼皮下垂了,肚腩凸出了,睡眠不好了,精神体力都往下坡走。于是,有人提出以口服或注射的方式补充体内的荷尔蒙,把人的各种荷尔蒙维持在正常但偏高的水平,正好是年轻时代的水平,希望因此可以让身体可以维持在年轻时代的状态。

最近上了一堂以荷尔蒙抗老的课程。以荷尔蒙抗老在医学界是一个蛮新的领域,说蛮新其实也面市好几年了,但仍未有足够的研究和报告来确保它的安全、支持它的广泛使用。保持着年轻时代的荷尔蒙水平,真的可以让身体也可以保持在年轻时代的状态吗?你相信这一个概念吗?

对我来说,因为荷尔蒙就如身体功能的运转的润滑剂,要抗老,维持年轻时代的荷尔蒙水平理论上来说是可行的,不过要如何执行呢?接受这所谓“抗老治疗”的都不是病人,而是身体健康但不愿老去的人,治“病”和治“健康”是不一样的,若真要使用荷尔蒙药物,如何才能确保足够的安全性呢? 

首先,药物的来源非常重要。在大马,卫生部负责为我国的药物把关。所有本地与入口药物都必须有足够的科研与安全测试报告才可获得准证。荷尔蒙药物被批准用于各种荷尔蒙失调症。无论是用于荷尔蒙失调症或正常健康的人,它都个双面刃,使用得适量就会达到想要的效果,若服用过量则会带来反效果。

抗老,非人力所能及,与其逃避,不如优雅而从容的面对。至于如何面对?是顺其自然、顺应天命还是试图用荷尔蒙治疗扭转乾坤?荷尔蒙治疗或许越来越普遍,但至今仍非主流医疗,你如果愿意相信、愿意尝试它,就得愿意接受它或正面或反面的疗效。



By William Hoo @符气廉
刊登于《红番茄周报》

关于“美”的扭曲观念:美容外科广告必须遵守12条最低要求

当一位5岁的小女孩,开口对你说:“我觉得我也许需要抽一点点脂肪了(Liposuction)。”
你会有什么感想?
(不就是婴儿胖,控制饮食和多一点运动就好了啊!小孩子还在发育着啊!)

这世道,关于外表上的美观,都快被陈出不穷,无所不入的电视广告给扭曲了。
一些为了提高“生意”而让所有人对于“美”有着错误见解的不道德广告,对于新一代,真的影响深远。

在万能国,是不是也会发现市道上的广告逐渐走上这一条将会扭曲大众对于“美”的歧途?
是不是开始有人在网站上促销特定服务?
是不是在公众场所开始随处可见关于美容外科的广告?
是不是开始有代理机构招募人群进行促销服务?
是不是发现可以加入会员享受更好的服务与价格?

成年人可以对这些广告有着成熟的见解,对于儿童,青少年呢?耳濡目染之下,他们对于“美”的观念会不会让这些促销与广告给“污染”了呢?

看看英国关于这一个领域的最新消息:

英国美容整形外科医师协会(BAAPS)于9月20日宣布(Mary had a little lipo? Protect children from surgery ads),已向英国广告监管部门(CAP)提交一份关于加强美容外科广告监管的提案,其中明确提出美容外科广告必须遵守12条最低要求,以保护公众(特别是青少年)免受违反伦理的医疗服务侵害及不健康的心理误导。
此前,该协会不断呼吁英国禁止所有形式的美容外科广告。 
据较今年较早前发布的一项关于英国公众“体像(body image)”的报告,半数英国公众不满意自己的体像,甚至有5岁女童为自己的外貌尺码感到忧虑。英国美容整形外科医师协会(BAAPS)将导致这一现象的原因归咎于日益泛滥的美容外科广告宣传。

 英国美容整形外科医师协会(BAAPS)此次向英国广告监管机构提交的12条美容外科广告监管最低要求包括:

  1. 禁止针对18岁以下人群的所有广告(如对青少年具有吸引力的名人代言广告)
  2. 禁止在儿童能见的公众场所发布广告(如海报、公告牌、公共汽车车身、电视等)
  3. 禁止使用一切形式的价格折扣或经济刺激促销美容外科服务(包括“新年”、“夏季”、“圣诞”等季节性促销)
  4. 禁止使用限时促销(如“周五前预定!”)
  5. 禁止针对“易感”人群(如离婚者、准新娘、产后女性等)广告或折扣促销
  6. 禁止采用“会员卡”刺激多项目或再次消费
  7. 禁止“项目捆绑”或“买一送一”等形式促销广告
  8. 禁止通过代理机构招募美容外科患者(无论英国国内外、无论传统出版物或网络)
  9. 禁止使用可能激发受众对美容外科产生不切实际期望的模特或“患者真人秀”照片(如PS修饰)
  10. 禁止使用减价和折扣券等广告促销
  11. 禁止将美容外科服务作为任何形式的奖励品
  12. 禁止通过价格折扣诱使推介亲友购买美容外科服务。


或许觉得与自己没有切身的关联,不过若有天,你5岁的女儿开口对你说:“我觉得我也许需要抽一点点脂肪了(Liposuction)。”
你会如何感受呢?



雷射、皮肤、色素与你:治疗黄褐斑(Melasma)


照片为治疗前,以及经过两次镭射疗程后的对比照,色斑的颜色与范围都进步良多


黄褐斑(Melasma),是另一种纠缠着东南亚地区大多女 性的色 素沉着问题,它在肤色暗沉者脸上较为显见,一般常 见于妊娠或服用避孕丸的女性。

对某些人而言,黄褐斑只不 过是脸颊上的 细小褐色斑 块,但对另一 些人来说,黄 褐斑简直就是 他们脸部最大 的缺陷。

不幸 的是, 黄褐 斑不能单靠 雷射作永久祛除。不过,随着医生的研究发现,这一度被视 为无法根治的毛病,如今可以透过避免日晒、雷射结合护肤 霜的使用,加以控制并遏止其扩散。

镭射在治疗此色斑也扮演着重要的角色。
如果发现脸上色斑悄悄地出现了,不要慌张,先给医生看看吧!


by William Hoo

雷射、皮肤、色素与你:治疗雀斑

雷射、皮肤、色素与你:治疗雀斑



雀斑(Freckles)则有可能遗传自父母,而且 在幼年时期就已开始出现。
或者,这是由于接触到阳光紫外 线所造成。
那 些肤色较浅的 人,尤其是白 种人,较容易 长雀斑。尽管 如此,华人和 马来人也有可 能会长出雀 斑。
色素沉着 的问题虽不足以影响你的健康或整体的养生保健,然而,许 多女士觉得,老人斑和雀斑使她们的脸部看起来“肮脏”。

好消息是,这些色素问题,都可以透过雷射的应用轻易的祛 除。你甚至可以短时间内静悄悄地祛除雀斑,再立刻回到工 作岗位。
经过疗程后的雀斑会慢慢的淡化,逐渐消失不见。


雷射、皮肤、色素与你:治疗老人斑

雷射、皮肤、色素与你: 治疗老人斑
老人斑,治疗前和经过两次镭射疗程一个月后的对比照片
正如以上所述,雷射的其中一个神奇的功能,就是淡化不均 匀的皮肤色素。
大多数人都有色素沉着的问题,究竟是什么 造成皮肤色素不均匀呢?
排除极少数的遗传疾病因素,色素 沉着问题多半 是由过度曝晒 和荷尔蒙改变 所致。
看看你身 边6 0 开外的 亲朋戚友,我 肯定,你一定 能在他们脸上 找到老人斑(Age Spots,又称肝斑或晒斑),它一般呈褐色 大斑块状。
这是由于老龄化、接触阳光紫外线所致。
大家都不会喜欢脸上五色杂成的肤色吧!镭射治疗可以针对不同的色斑给与相与的疗程而还你原本干净的肤色,外观看起来都会比实际年龄更年轻呢!



William Hoo

雷射、皮肤、色素与你:关于雷射

雷射、皮肤、色素与你

你是否曾想过接受雷射治疗,却又担心疗程后脸部明显的红 肿,迫使你足不出户,连续一、两个星期避见亲朋戚友?
其 实,这是大众对雷射治疗最大、最普遍的误解。当今,雷射 治疗已是最受欢迎、快速简便的午餐美容疗程(lunch time procedures)之一 。女士们利用短短的午餐时间,即兴的走 入医美诊所来个雷射治疗,然后再回到工作岗位继续工作, 已是一件稀松平常的事了。 


关于雷射 

雷射(Laser)是“Light Amplification by Stimulated Emission of Radiation”的缩写,意指藉由激发辐射产生光线增大的作 用。
要明白雷射是什么,我们必需了解其能量来源:光。
基 本上,雷射是指某一个波长的光波,集中成一道强聚的光 束。这道光束具有能量,在各个特定的波长中,雷射有不同 的反应和作用,因此可被用来处理不同的问题。

在医学美容界,常用的雷射包括:Q-Switch铷-雅铬雷射 (Q-switch Nd:YAG)、长脉冲铷-雅铬雷射(Long Pulse Nd:YAG)、二氧化碳飞梭雷射(Fractional CO2)、二氧化碳 雷射(CO2 lasers)、紫翠玉雷射(Alexandrite lasers)和钾 钛磷雷射(KTP lasers)。

雷射被用来祛除纹身、妊娠纹、晒 斑、皱纹、胎记、蜘蛛网状静脉曲张,甚至是多余的毛发。 雷射的多元功能真可谓神奇无比!


接下来会和大家分享一些关于镭射疗程的资料。





By William Hoo

整形/微整形/医学美容 会上瘾吗?

照片转载自网络Botox Cosmetic (Before and After Botox Glabella Rx)

整形/微整形/医学美容 会上瘾吗?

很多人对于整形/微整形/医学美容都有一个很大的疑问,就是会上瘾吗?
有些人就会担心,如果接受了医学美容或微整形的疗程后,是不是在数次疗程后会对这疗程产生依赖性,而不得不继而再的沉溺在其中。
如果是正规的医学美容项目,皮肤肌体组织是不会产生依赖性的。
简单的一个比喻,如汽车,在使用一段时间后,零件旧了,或者有故障了,我们是不是应该为汽车做维修,换一换润滑油,清洗外壳和内里的发动器,把有故障的零件换掉,那么汽车会不会对维修产生依赖性?

如果说会产生依赖性,那不是对医学美容的依赖性,而是对“美”的追求产生了依赖性。

有人会说医学美容/微整形会上瘾,其实是爱“美”的一颗心在作祟。试想,如果已经习惯了让自己处在“美”的状态,当年华老去,当疗效逐渐失去,是不是会很渴望曾经拥有的“美”呢?正常的人都是爱美的,谁都不会觉得自己的“美”会有尽头。

“美”在不同的社会,不同的时代,不同的年龄层,甚至不同的性别都会有不同的诠释,而微整形/医学美容恰好是可以赶这时尚和潮流的美,与其说我们会上瘾,不如说是自己对“美”的追求没有停止之心吧!

当然,也有些是病态的爱“美”状态。有一种病症叫做躯体变形障碍 (Body Dysmorphic Disorder),病人们会对想象或轻微外表缺陷有先占观念,意思是总会自我想象自己的外表有缺陷,无论多少次的整形/微整形或医学美容,都无法满足,他们需要的疗程是见精神科医生治疗。这是会让人误解会上瘾的原因。




by William Hoo

网购医学美容疗程


肤质稍偏黑的阿雪脸上有很多雀斑,文静的她第二次过来做镭射疗程的时候忽然开口: “现在我总算才可以放心的在这里进行疗程了。”

 “怎么说呢?”我有点好奇。 阿雪叹了口气,才娓娓道来。

原来,在过来这里以镭射治疗雀斑以前,阿雪曾经尝试脉冲光除斑,不料却留下了惨痛的回忆。

 “都怪我自己贪小便宜,看到网上有促销配套,就赶紧签购。”

 “然后呢?”

 “大概是新买的机器,那一家中心也没什么经验吧!把我的脸颊烧伤,好几天都不敢出门,烧伤的部分好了,雀斑反而更深更明显。我再也不敢回去了,买下得配套却不能退款,真是花钱找罪受,悔得我的肠子都绿了。”

 阿雪的皮肤肤色比较黝黑,进行光疗疗程,色素反黑的机率比皮肤白皙的人高多了。

 “那么惨啊?你怎么没被吓坏,还敢来这里做镭射?”我开玩笑的说。

 “我的朋友也在这里做镭射除斑,看起来效果不错。我也是想了好几个月才鼓起勇气过来尝试。”阿雪笑着说:“老实说,第一次给你打镭射的时候,我可是提心吊胆,不断在心里祷告千万不要好像上次那样把整个脸弄黑掉。还好回家不断照镜子,没有变成包公,总算松了一口气,现在终于比较放心了。”

 近几年,医学美容在国内越来越普遍,也越来越商业化,市面上的广告越来越多,促销也越来越响,一些诊所还在报章、杂志、甚至网上推出林林种种的配套,使医学疗程成了百货公司的商品,不必见到医生,就可以轻易购买。

贪小便宜本就是人的天性,只是,如果没有深入的了解和详细的打听就草率的付钱买所谓的配套,一旦疗程效果不如人意,伤的不只是钱包,还有自己的脸皮、自尊和信心。

 人与人之间的信任是需要时间培养的。医生和患者之间也是一样。对于每一个初次来到诊所的病人,咨询与会谈是和医生的第一次接触。在咨询与会谈中互相了解,建立了信任,达成共识以后才决定需要什么疗程和疗程的次数,是最基本的“手续”和“过程”。

 爱美是人的天性,不过医学美容还是必须建筑在安全的基楚之上。把脸颊交在一双安全的手上才是聪明的做法。



 By William Hoo @ 符气廉
刊登于红番茄周报周末专栏
医生看人生

“Enough, is enough !”



With the general public beginning to accept aesthetic treatment as a way to enhance a person’s appearance, just as cosmetics do, more and more patients come for treatment to improve the facial aging sign.

Belle, a mother of two teenage children first came to my clinic feeling uncertain about aesthetic procedures. She is a stay-home mum for her kids. Now that her kids are grown up, she wanted a new lease of life.

A consultation was carried out. We focused our discussion on the problem areas that she is concerned the most, and as usual, I asked her to go home to think about it and come back when she is mentally prepared for the treatment.
She appeared two weeks later. A procedure was carried out. She went home happily.

As she came for her follow up, I noticed that she was wearing brighter coloured clothes and she was happy. I was happy for her too. I felt that I have helped her improved her quality of life.

A month later, she came back for more enhancement treatment. She was wanted to add volume to plush up her lips. Two months later, she wanted more fillers on the lips.  “Doctor Hoo, I want to have even fuller lips,” she said. “But you look absolutely fabulous right now!”, I replied.  I assessed her face again, with the current ratio of the thickness of the upper and lower lips, it’s considered fulfilling the golden ratio of the face, and instituting more hyaluronic acid treatment would over do her face. I politely declined.

As one sees results in the treatment, it encourages the person to seek more treatment to perfect the treatment area. Just as all other good things in life, it is never enough because when a patient looks at the problem area, he/she will magnify the problem. Instead, we should look not only at the problematic part, but how to optimize it so that the treated area matches well with the rest of the face, and in the same time, reserves one’s signature feature. This is the challenging part of aesthetics. And it’s never easy. The patient and doctor will need to have the same aim.

Though it is tempting for more, we constantly need to remind ourselves the purpose of the treatment - to improve our image and quality of life. Over treatment may jeopardise one’s beauty; I have seen people’s lives turned dysfunctional or their beauty being jeopardised during his/her overly enthusiast quest to beautify themselves. Then, the whole purpose of aesthetic treatment has already swayed. It should help to improve lives rather than ruining them.

The wisdom now lies in finding the balance; finding the grey between the black and white, and the centre between the extremes. Once balance is struck, take a deep breath, and say to ourselves, enough is enough.   

说“不,够了”




符医生,我觉得还是不够呢! 嘴角边可以再多加一点玻尿酸吗?贝丽照着镜子,一边不满意的说。

法令纹,是一直困扰着贝丽的问题。两道深深的法令纹让她不笑的时候好像很严肃的板着脸,当她笑脸的时候法令纹更深地陷入脸颊,看起来比实际年龄苍老。偶尔身边有朋友表达善意的关心反而令她更在意。贝丽今年才28岁。

贝丽做了两次玻尿酸注射,今天过来复诊。

“现在应该是刚刚好了。我把疗程之前和之后的照片放在左右,让贝丽自己做比较。
没有笑的时候效果很好,可是当我一笑,讨厌的法令纹又跑出来了。贝丽一边说,一边扯着嘴角做出笑的表情。

每个人笑的时候,脸部的肌肉都会牵动表层的皮肤,留下一点点法令纹,效果才自然啊!要把法令纹完全消除不是不可以,不过看起来也许会很怪和不自然。你不是很担心别人知道你做过医学美容而指指点点,甚至带着有色的眼光看你吗?

“可是,法令纹很讨厌呢!”
来,我画给你看。我一边解释一边在白纸上描绘脸部肌肉在笑的时候牵动皮肤出现的效果。
说的也是,那好吧!贝丽对着桌子上镜子里的自己点点头说。

有些时候,当我们当局者迷对于疗程效果有不现实的期望,寻找一位会对你说不的医生替你把关是非常重要的。许多寻求医学美容帮助的病人,看到自己的“大”缺点慢慢的退为“小”缺点,就会有把缺点完全消除、力求完美的心态。却不知道,保留一点小缺点,一点的个人特色,不把自己改变成真人版芭比娃娃,才是比较明智的做法。你没有看到很多成名演员就算进行疗程,也从不改变自己的脸部特征,如嘴角痣、鹰勾鼻、薄唇等等吗?
过犹不及,适可而止也是一门学问。
有一句格言是这么说的:“少,既是多。”不止是美容,生活中哪一件事又不是如此呢?太多宠爱造就草莓族小孩、太多管教引来叛逆反抗、太多金钱造使得挥霍浪费、太多工作造成精神压力、太多游玩成了不务正业、太多自由造就目无法纪。

如何不多不少刚刚好,在适当的时候,对自己说:“不,够了”就是最大的智慧。



By
William Hoo @ 符气廉
刊登于红番茄周报周末专栏
医生看人生

Dark eye circle



I sensed trouble in the air as Rebecca walked hurriedly into my office without an appointment. Well, Rebecca is a close friend of mine and she has a successful career and an appearance that make her peers envy.  She came looking for me for an “emergency”. 
She is due for a photo shoot and she has dark eye circles from her previous weeks of hectic schedule working on a project. 
“You have got to get rid of this dark eye circles and make me look stunning,” she said with a grin.

Well, dark eye circle is not something uncommon, but it is truly embarrassing problem. It makes people appear tired and it steals the gleam in the eyes. It remains one of the problems that rattles around our brain albeit us trying hard to ignore it. Why, oh why do we have dark eye circle? The causes are many. Some people have it because of the underlying inflammation at the nasal sinuses; while some others get it because of hereditary pigment problems. More often than not, people get it because of the loss of the tissues around the under-eye area or the so called tear trough. The skin under eye thins out in the same time. When light shines, a deficient tear trough would be cast dark hue making it darker than the surrounding tissue.

Well the loss is part of aging. We cannot stop aging, but we certainly can prevent causes that accelerate it.  Unhealthy eating habits, lack of rest, smoking and drinking are some of the shenanigans that we so badly adore which may affect the tear trough. Peering on screen (computer or the television) for long hours is one of the culprits too. Logic tells us that if the cause for it is lacking in underlying tissue, a quick fix, though not permanent, will mean to replenish the under-eye tissues, giving it volume to prevent hue from building up at the eye trough.  This can be done using ultrafine needles which leave mosquito sting-size marks.

Two sessions of under eye hyaluronic acid injections later, Rebecca was seen beaming with big smile. “I know you can fix this,” she said while looking satisfactorily in the mirror. “Stop the fags and the effect of the injections will last even longer,” I nagged like a grandmother.

“I will try, but no promises,” as she walks out of my office feeling chirpy as usual.

黑眼圈




最近两个星期工作忙碌,早上一照镜子,那么深的黑眼圈,把我自己都吓了一跳。这么病恹恹的,哪里像我呢?我明天还要上镜拍照,符医生,快给我的脸皮急救一下!

米雪幽默风趣,每次开口,都让人忍俊不住,难怪她工作邀约不断。工作不断对荷包是好事,对皮肤就不那么好了。 

我仔细检查一遍,发觉米雪看起来劳累最大原因不是黑眼圈,而是泪沟皮下组织体积流失,这样一来,在灯光下在眼周留下阴影,而形成黑眼圈的错觉,难怪看起来很累。

谈起黑眼圈,其实并不是一个简单的问题。黑眼圈的形成因人而异。有些人因为色素沉着(色素疾病),眼沟地带显黑、有些人因为敏感性的鼻窦炎牵连至眼睛下的部位发炎而肤色加深、有些人因为长期皮肤敏感再三发炎而色素沉着、有些人是家族遗传,兄弟姐妹都会有类似的烦恼。另外,还有些人是经常晒伤引起了色素活跃,也有些人是不良生活习惯,如抽烟、喝酒、熬夜或精神上的压力导致严重的黑眼圈。然而,最普遍的原因大概是因正常的老化,使皮肤的真皮层薄弱,脂肪和胶原的流失使泪沟地带凹陷,而在光线下形成眼周阴影。
什么时候应该针对黑眼圈寻求治疗呢?

我想,这个问题见仁见智。黑眼圈不是疾病也不会致命,但当它影响你的自信,那就是寻求治疗的时候了。

黑眼圈的治疗一定要对症下药。或雷射疗程淡化色素斑,或化学换肤疗程或以药物控制敏感性鼻窦炎,或改善生活作息。适当的使用护肤品或以化妆遮盖都是必需的。至于类似米雪这样泪沟皮下组织体积消失,注射皮下填充液玻尿酸是最快捷有效的治疗。

怎么样,感觉如何?
好了?不错,都不痛呢!

注射了玻尿酸的米雪,看起来精神奕奕。玻尿酸注射没有复原期,只要一点点的底妆,就可以遮盖小小的针孔。

保持良好的生活习惯,充足的休息、睡眠与水分,适量的护肤品温润泪沟区域的皮肤,玻尿酸的效果也可以更耐久一点,人也看起来比较精神噢!

看着米雪开心和变得更精神的样子,我也不自觉地心情愉快。我们每一天的生活啊!都要好好地过呢!




by
William Hoo 符气廉
(刊登于红番茄周报)

Guidelines soon on aesthetic treatment

Guideline for Aesthetic practice are soon available. For those who aim to get aesthetic treatment procedure done, please get a proper clinic and trained doctor to do so. What we want is improvement, but not complications.

Today news on Star:

Malaysian Society of Aesthetic Medicine president Dr Louis Leh said the main aim was to promote safe aesthetic medicine and cut down on people turning to fly-by-night operators.
“Many don’t know where to go for such treatment and they end up with botched jobs,” he said, adding that beauty consultants were not supposed to handle tasks that required the use of needles or knives


“On whether beauty consultants could hire trained aesthetic doctors to do minor procedures at their centres, he said doctors were not allowed to do so because the Private Facilities and Services Act required them to practise in a proper medical set-up." 



Further reading @http://thestar.com.my/news/story.asp?file=%2F2012%2F7%2F15%2Fnation%2F11667960&sec=nation#.UANmuAFuJ3o.facebook




By Dr William

嘘… …不要告诉她!





“符医生,我就快结婚了,下两个星期要拍婚纱照,有什么疗程可以让我的样子看起来精神奕奕,漂亮上镜呢?”小美和小刚前几天刚一起过来咨询医学美容的疗程,不过两个人在咨询的时候一致表现得兴致缺缺,好像不甚感兴趣,没有想到第二天小美就打点预约,过来进行疗程了。

“对了,千万不可以让我的未婚夫知道噢!他好像不太赞同医学美容,我只是不想让他觉得我是那种很注重外表的肤浅女人。”

小美接受了我所建议的镭射洁肤祛斑、肉毒杆菌素瘦脸和除皱,开开心心的回去准备拍婚纱照了。

过了两天,诊所里接了另一个预约。

“小刚,是你?”

“符医生,我对你所说过的镭射疗程和皮下填充液(Filler)很有兴趣。最近,为了筹备婚礼,我累得看起来比实际年龄老了起码十岁,看来不对自己做一些‘投资’是不行了。一辈子一次的婚纱照,我不希望看起来比我的未婚妻苍老太多。”小刚说。

由于婚纱照的拍摄就在近期,我建议小刚不要进行任何创伤性的疗程,以免在所谓的“康复期”间露出马脚。小刚接受我的建议,只做了镭射紧实洁肤,加上颧骨周遭小量的皮下填充液注射,让脸部的整体呈现比较男性化的棱角分明。

“对了,万一,我是说万一碰上我的未婚妻,不要向她提起我有来做过疗程噢!”

“当然没问题,保护病人们的隐私本来就是我的责任。不过,你们不是一起过来咨询的吗?为什么忽然要求对她保密呢?”

“她一直嚷自己眼角的那一点点鱼尾纹,我都告诉她那一点都不影响她的美丽。”小刚搔了搔头皮,腼腆的笑:“如果她知道我过来做过镭射美容,一定取笑我爱美。”

近年来,医学美容已经超越传统的外科手术整容,成为较多人的选择。不只是女性,男性的需求也日渐越高。如今,医疗美容不只风行娱乐圈和所谓的富豪圈子,很多中薪阶级的男性白领,也承认依靠医学美容让自己看起来精神奕奕、神采飞扬。这一种对自己脸部的保养被喻为对自己的“投资”。当然,类似小美和小刚这样要求保密的亦不在少数。

从事医学美容数年,我发现很多人都有小刚的心态。哥儿们,你不做美容?是真的不想做,还是不好意思呢?


(故事如有雷同,纯属巧合哦!)

by
William Hoo