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