Botulinum Toxin Brand available in Malaysia: Botox & Dysport

http://www.mims.com/Malaysia/drug/search?q=botulinum%20toxin

There are only 2 brands Registered with our MOH Ministry of Health in Mlaysia

Botox

Dysport

Make sure you (or your doctor) use the genuine Product for your aesthetic treatments related with botulinum toxin treatment.

没有时间做运动只是一个借口

你有开始健康的生活习惯，至少你有开始做一些运动了吗？

“我没有时间。”

常常我问病人们，这是典型会接到的答案。
要有良好的作息，运动，均衡的饮食，和充足的睡眠，不过在这一个忙碌压抑的大城市里，有谁可以时刻保持这些健康的因素？

而我该如何回答呢？

“如果要等空闲时间才来开始运动，那么我相信大部分的人都不会有空闲时间来做运动，而且也会把运动和空闲划上等号，会觉得运动其实不重要，有空闲时间才来开始做吧！”

“如果要把运动认真看待，那么，把时间分配出来，把一段时间分配专属运动，那么，我相信，每一个人都会有这样一个时间，可以用来做运动的。”


分配时间，那么就一定会有做运动的时间的。
等空闲时间，那么等待会无止境，就不会有时间做运动的。

其实这只是一个简单的道理
生活里很多东西，只有有策划，有分配，我们可以完成很多目标的。
对不？

Dr William

Happy Deepavali

Birthmarks Reduction

Birthmarks are often referred to irregularity of the skin. These are actually misnomer as some actually appears after birth. These irregularities may form from abnormal pigments or blood vessels and they stand out from the surrounding skin, causing emotional unease. For ease of description, we shall refer them collectively as “birthmarks”.

There are several types of birthmarks that respond very well to laser treatment. Café-au-lait macules, which are brown birthmarks of varying size appearing over the body; Nevus of Ota, are dark coloured birthmark that normally appears around the eye on one side of the face while Portwine stains are flat vascular birthmarks that appears dark reddish. When they appear on the body, they may not be as disturbing but to the unfortunate few who are plagued by these condition on the face, they may feel inferior to others.

Laser emits light in nanoseconds, targeting specific layer of the skin. When the laser light hits the birthmark, the laser energy is absorbed by the pigment cells in the birthmark and destroys them. Depending on the kind of birthmark and severity of the lesion, several sessions of treatment is usually required for total resolution. The treatments are usually performed once every 1 to 3 months. Café-au-lait macules usually require five or more treatments, while Nevus of Ota can require more than 10 sessions.

While we aim for complete clearance, often, a significant lightening of the birthmark to about 70-90% is achieved. The lightened birthmark is easily concealed with a light foundation or sunscreen. Almost all of our patients are satisfied with such level of treatment results.

Artist or Scientist ?

修复与增强

记得开始学习施打玻尿酸Dermal Filler的时候，大多数讲师都是来自国外的医生，他们所教导的也都是国外的审美观而带来的疗程后效果。那个时候学习的都是经典教科书所教导的方式，在什么部位，使用什么样的题材，需要注意安全的地方，每一个部位，每一个地方都是千遍一律的相同施打方法与技术，出来的效果，也大同小异。

不过，那个是我们所需要的吗？

答案是： 不


那个只是一个过程，让我们学习基础的过程，确保我们所学的技术活儿是安全的方法。当我们掌握后，就下来的就是另一个层次的升华，学习“修复与增强”的差别。

修复与增强，有什么差别？
难道打针，一针打下去还有那么多的讲究？


修复的施打方式 ，注重于改善岁月催人老而带来的面部体积流失的问题(volume loss)，骨质流失，地心引力带来的下垂影响，和皮肤里组织流失。简单的说，玻尿酸是用来填补流失的体积与空间，带回来年轻时的模样。

增强的施打方式则不一样，通常是修复完毕后，再进行面部特征／特质的外观增强，如鼻梁更高一些会更好看，那么可以使用玻尿酸打针让鼻梁更高一些。如果下巴不够尖，玻尿酸可以让下巴变得更明显好看些。如果嘴唇看起来薄情的薄弱，玻尿酸可以让它丰满更吸引人一些。

修复让你年轻化。
增强让你更出众。

20岁左右，年轻岁月的脸庞需要的只是增强让好看的特征更明显。
30岁左右，需要的是预防性的修复，与增强的效果。
40岁以上的，岁月的痕迹开始凸显，这阶段就需要修复的效果，当修复后才可以考虑其他了。

不同年龄阶段，需要不同的施打方式。

如果觉得特征考玻尿酸增强并没有带来你所想要的效果，那么，接下来的考虑，就是动刀整容了。

修复与增强带来的效果也不一样
增强让你看起来更自信的自己，修复让你看起来年轻化。
都可以借由施打玻尿酸带来良好的改善。
你所需要的，就是找到一个懂得这个修复与增强施打技术与审美观的医生。

Dr William

肉毒杆菌素 ＝ 神经调节物质

Botulinum Toxin A 简称 BTA 一直是我们对 BOTOX, Dysport 的通用名称。
Botox 或 Dysport 其实是厂方或品牌的名称。
不过最近在欧洲，医生们开始称呼肉毒杆菌素为神经调节物质
Botulinum Toxin A = Neuro Modulator

原因是大众听到 Toxin 这一个 毒素的称号，就下意识感觉这是一个具有危险性的物品。
事实上，只要是药物，都会有它的危险性，不过据市场调查员得回来的报告，大众对于这一个新称呼： 神经调节物质 会感觉比较有安全感，和觉得这疗程听起来很专业。

其实是一样的，不过是换了另一个更文明，更好听的称呼。
对医生来说，其实都是一样的。

不过，如果问您，您觉得打针肉毒杆菌素除皱，或使用神经调节物质疗程除皱，哪一个会让你觉得更好一些？
如果是后者，那么我得让自己习惯的说神经调节物质，而不是肉毒肉毒的称呼了。

Dr William Hoo

Can we treat mood with aesthetics?

I attended an interesting talk recently, it was delivered by a renowned plastic surgeon, Dr Steven H. Dayan from Chicago.  Dr Dayan shared his experience and research on whether we can uncouple the cerebral circuits that process negative emotions and treat mood aesthetically.

Botulinum toxin can improve an individual’s self-esteem and quality of life by improving physical appearance, could it have extra benefit in playing a role as an “antidepressant”?

My immediate response to this question was “Wow, why I have never thought of it?  If it really does, BOTOX will not only enhance outlook, it will also elevate mood and make patient truly happy inside out.”

Women who wear makeup reported that they feel 65% more attractive and feel 47% more confident. Why it is so? When we look good, we will feel good and we will like the way we look in a mirror or selfie.  Botulinum toxin will help to minimize the signs of aging, wrinkles around forehead, crow’s feet and glabella. When we look in a mirror every morning and notice we getting younger, looking better, definitely we will start our day with a happy mood and positive energy.

Frowning will emit negative energy; give impression of angriness, sadness and disappointment. We know that emotion can be contagious, we mimic the expression and then our own body kinaesthesia and sensation forges the emotion. When we mix with people with happy mood, we will mimic their smiles and other positive facial expression subconsciously, which will make us happy as well.

In conclusion, by reducing frowning and smile more often, this type of facial expression will  response  in a way that influences mood favorably. It would not only make the person receive botulinum toxin injection feel happy, the positive mood will be transmitted to his or her family members and colleagues. Eventually he or she will have harmony and happy life in work and family.

Positive expressions can improve quality of life. Interactions with women with positive expressions were predicted to be more rewarding. What is our mission in Anna Hoo Clinic? It is so much deeper and more meaningful than just making people beautiful.

Water & YOU

EQ的情绪管理

“当我们遇到不开心的人的时候，不必跟着他们的心情走的，反而要这样想，不开心的他们过来，是给予我们机会改变他们的情绪心情，至少我们说的话，讲的话题，可以让他们有多一些的正面能量，至少当他们离开的时候，想到我们是会感觉到正面的能量的。”

Dr Anna 和我们分享她以前面对很多情绪低潮的病人的时候，如何应对。

“他们已经很惨了，所以心情情绪难免会有些让人接受不到；不过他们这样是他们的态度问题，我们明白情况的应该包容他们，倾听多一些，不好听的话自己自动过滤一下，等那一个愤怒的情绪过去后，他们会知道的，谁有在关心他们，谁不愿意接受他们；而不是因为他们态度差而以更差的态度回复他们。”

这个就是EQ的情绪管理吧！
总要自己可以控制好自己后，才能够帮助别人啊！
所以啊！当身边人，或许心情不好，面对挫折，或生活里承受太多的压力，倾听他们，给予他们一个疏泄的管道，给予他们正面能量的支持，让他们觉得并不是孤单面对全世界，世界也就不会可能出现多一位忧郁症的病人了。
如果是自己的家人或朋友，倾听不够的话，给多一个拥抱吧！

自己要清楚

与病人闲聊，这是面部有色斑的病人，过来咨询治疗方案。

“听说别间诊所和你们有一样的镭射疗程，可是价格比你们便宜得很多，你可不可以也给我和他们一样的价格呢？”

“谁说的？”我问道， 道听途说的消息很多时候都不准确。

“我亲自去询问过了，使用的镭射机器和你们是一样的，不过治疗的方案和你的所说的很不一样。”

“怎么不一样呢？”

“那医生建议的，是每一个星期进行一次疗程，总共六次，在两个月内可以完成；而你所说的，每一个月一次，得需要半年左右的时间才能够有好效果。”

“其实每一个医生的治疗方式，虽然可能同一样的机器，可是使用的设置，和治疗的方法，和技术都不会一样的，出来的效果当然也会不一样。有些医生相信重病需要下重药，有些医生却觉得重病需要慢慢调养，重药可能会反效果；慢慢调养或下重药每一个医生都晓得使用的方案，差别的就是，是不是每一个人都可以适合或可以承受治疗的方式呢？”

“你好像说得有点道理哦！”

“我们会根据自己的经验，建议最适合你现在皮肤状况的疗程方案，你也应该听听不同医生的建议或方案，再选择你觉得最适合你的建议。另外一个要注意的事情，就是你应该清楚的知道你的皮肤问题，然后有什么治疗可以选择，每一个选择的好坏，不要道听途说，自己要清楚到底发生了什么事，和如何解决。”

色斑镭射祛除疗程是一个不简单的疗程，要达到好效果，很多时候镭射并不是唯一最重要的因素，其它方面如生活习惯，防晒措施等也扮演着不轻的角色。

而医生的治疗方案，就取决于那医生对解决问题的掌握度。
老话一句，条条大路通罗马。
你要懂得为什么你要去罗马，和那些去罗马的路有什么不一样。
差别的就可能在于大路的路程，风景，崎岖难走或通顺无阻。

“我建议或许你可以见见多一位医生，再听听不同的意见，然后再决定好不好？顺便回家自己google一下刚才我解释的问题和看看色斑的更多资料，对你的了解会有帮助的。”

最重要的，自己要清楚状况啊！

By Dr William Hoo

The Medical Power of Light - IncontiLase

Things you shouldn't do after the treatment of Botulinum Toxin A (BTA)

Botulinum toxin A (BTA) has gained more recognition in the field of cosmetic, aesthetic and anti-aging medicine in recent years. The appeal of BTA is undeniable in a society that places great emphasis on personal appearance. Even so, many are hesitant to take the first step because of niggling fears and negative perceptions. I had a patient asking me this after a BTA injection, “Doctor, can I go for jogging later?” And this was my answer, “It’s not advisable to jog immediately but there is no reason why you cannot do so by tomorrow.” I notice many patients harbor various concerns regarding BTA treatment and most are curious about the dos and don’ts after the treatment. I shall try to elaborate on that as well as provide the rationale behind them.

Ladies love their facial spas and massages. And there is absolutely nothing wrong with indulging in this form of self-pampering activity. However, it is best to schedule your appointments at least 48 hours after BTA treatment. This is to prevent diffusion of the BTA into adjacent muscles, which may result in unwanted effects such as drooping of eyelids.

Strenuous exercise or activities should be avoided at least a day after the treatment.  During the procedure, as a needle is inserted into the skin, it may nick a small capillary or vein. This minor bleeding is easily arrested with gentle compression without leaving any trace of bruising. Be that as it may, if you exert yourself, your heart rate will increase and more blood will be pumped to the face. The increase in blood flow to the already injured capillary or vein may cause it to re-bleed and increase the risk of bruising.

The same theory applies to alcohol intake, which should be avoided for at least 24 hours after treatment. Alcohol causes dilatation of the capillaries and veins. As previously explained, the injured capillary or vein tends to bleed again and the risk of bruising is increased.

Patient should make a concerted effort to avoid sauna or exposure to heat immediately after BTA. After BTA injection, you may experience redness and swelling at the site of injection. Under normal circumstances, these effects will gradually fade away without any treatment. However, the redness and swelling may persist and take longer duration to subside when exposed to heat.

Swimming is also not advisable right after BTA treatment. There will be minute puncture wounds over the face where BTA was injected. The number of puncture wounds is dependent on the extent of treatment. There is an increased risk of infection when these wounds come into contact with water from the swimming pool, which most often than not, are not very hygienic.

Lastly, avoid consuming blood-thinning supplements such as ginseng, ginko bilboa, vitamin E, fish oil and etc. These supplements may increase the risk of bruising. This may not be feasible for those suffering from heart-related conditions and are on long-term aspirin or warfarin. Considering the pros and cons of withholding the medication, it is far better to continue taking your medication and endure temporary aesthetic inconvenience than risk succumbing to your disease.

If there are further questions, feel free to approach any of us in Anna Hoo Clinic. We are more than happy to address whatever doubts and concerns you might have.

Sharing by Dr Ian Tan

The Medical Power of Light - IntimaLase

Botulinum toxin injection Experiences by Dr Amy Wee

Botulinum toxin injection is getting more popular and more easily accepted by general population nowadays. However still have some people are worried about getting botulinum toxin injection on their face due to some misconceptions they have.

I aware about this during a gathering with old friends recently. My friend compliment I look younger, happier and more fresh looking now. She also noticed my face was lifted and more oval shape now, not as round as before. I noticed she has wrinkles around the eye ( crows feet ), and suggested her to get botulinum toxin injection which can soften the wrinkles and make her look younger.

She was not keen for it, because she was worried the “ plastic look” she might get after botox injection. She does not want others to notice a dramatic changes on her and commented her has aesthetic procedure done on her.

After listening to her concerns, I revealed the secret of how I get younger look now, which was I had  botulinum toxin injection two months ago. She was surprised , as my look was so natural and definitely not have “plastic look”. I explained to her that botulinum toxin is not used to keep us from making facial grimaces and frowns that have become habits and are unintended. Botulinum toxin does not actually erase lines but relaxes them, which mean deeper lines will become somewhat less deep and superficial lines will nearly disappear. When done correctly, most people who are not trained in aesthetic will not notice that a BTA procedure has been performed but you will look more rested or happier.

My friend felt more ease after listening to my explanation about injection of botulinum toxin. However she still has another concern , which was she may need to get botulinum toxin injection on regular basis, if not her wrinkles will get worse. The effect from botulinum toxin will last four to six months. As muscle action gradually returns, the lines and wrinkles begin to reappear and need to be treated again. The lines and wrinkles often appear less severe with time because the muscles are being trained to relax.

Sharing by Dr Amy Wee