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      Ellanse Filler

      Filler Injection

      ELLANSE FILLER IN SINGAPORE WHAT IS ELLANSE? Ellanse is a collagen stimulating filler that provides immediate and long-lasting results. It is used to reverse facial aging and improve loose skin by restoring collagen and volume that has been lost due to the aging process. It is used to lift and sculpt areas of the face including the forehead, temples, cheeks, nasolabial fold, and chin. In recent years it has been gaining popularity especially in the Chinese market, where it is known as 少女针 “young woman’s injection”. Unlike most other dermal fillers which contain hyaluronic acid and last for 9-12 months, Ellanse contains Polycaprolactone (PCL) – a potent collagen stimulator that promotes new collagen formation in the area of treatment, with long lasting results of over 24 months. The ideal candidate for Ellanse is someone who has had hyaluronic acid based dermal fillers before, liked the result and is seeking a treatment that is longer lasting. HOW DOES ELLANSE WORK? Ellanse is a dermal filler that contains 30% Polycaprolactone (PCL) microspheres suspended in a 70% Carboxymethylcellulose (CMC) gel carrier. The CMC gel provides an immediate but short-lived (8-12 weeks) volume restoration of the treated area, while the PCL microspheres break down over the next 8-12 weeks to stimulate collagen production in the skin to provide a natural and long-lasting (1-4 years) improvement in facial volume and skin quality. The PCL microspheres in Ellanse have a unique property – they stimulate the production of collagen, a protein that aids in the preservation of skin structure and elasticity. Over time, as the PCL microspheres gradually break down, they trigger the body’s natural collagen production process. This collagen production helps to rejuvenate and restore the skin from within. The collagen that is produced as a result of Ellanse treatment replaces the gel carrier, providing long-lasting improvements to the treated area. The combination of immediate volumization and ongoing collagen stimulation creates a natural and rejuvenated appearance.   WHO IS A SUITABLE CANDIDATE FOR ELLANSE? Ellanse is suitable for clients who wish to look like their younger selves by reversing age related facial volume loss and skin laxity. WHAT ARE THE CONTRAINDICATIONS FOR ELLANASE? Contraindications include major medical and dermatological disease, presence of permanent facial implant, active skin infection and pregnancy. WHY IS ELLANSE THE KEY TO FACIAL REJUVENATION? Ellanse has the unique ability to naturally regenerate volume in the skin that helps restore a youthful appearance.  The newly produced collagen helps to rejuvenate and restore the skin from within, leading to long-lasting results.  Ellanse combines immediate volumization with the ongoing stimulation of collagen production. By addressing both volume loss and collagen depletion, Ellanse offers comprehensive rejuvenation benefits. Ellanse has gained approval from regulatory bodies such as the MHRA in the UK and the HSA in Singapore. This ensures that it meets stringent safety and efficacy standards, providing patients with confidence in its use for facial rejuvenation. FREQUENTLY ASKED QUESTIONS SHOULD I GO FOR ELLANSE OR HYALURONIC ACID (HA) BASED FILLERS? Ellanse delivers a long-lasting result, making it more cost effective as compared to HA fillers. HA based fillers are recommended for delicate areas such as the lips and undereye. HA based fillers can be dissolved with the administration of hyaluronidase, while Ellanse cannot be dissolved. For clients undergoing a filler treatment for the first time, it is better to start with HA fillers. For clients who have had several treatments with HA fillers and are looking for a more lasting result, Ellanse would be a good option. ELLANSE OR SCULPTRA? Both are collagen stimulators with several key differences- Ellanse contains PCL microspheres in CMC carrier gel while Sculptra contains Poly L Lactic Acid (PLLA), Ellanse only requires a single treatment while Sculptra requires 2-3 treatments, Ellanse gives an immediate result while Sculptra gives a delayed result (1-2 months later), Sculptra requires regular massage for 5 days after injection to reduce risk of nodule formation. Both can be used concurrently, Ellanse injected into the deeper layers and Sculptra being used more superficially for skin rejuvenation. HOW MANY SYRINGES DO I NEED? A typical client in their late 30s or 40s will need 4 to 8 syringes (each syringe contains 1cc of product) for full face rejuvenation. The treatment is highly customised to the individual after a detailed discussion. IS ELLANSE SAFE? It has been approved for use by medical professionals by Singapore’s HSA and Europe’s CE Mark. Polycaprolactone (PCL) and Carboxymethylcellulose (CMC) are classified as Generally Regarded as Safe substances due to their long history of use in medical implants such as sutures. HOW MUCH DOES ELLANSE COST? The price of Ellanse is $1200 per 1ml syringe ala carte, $1100 per syringe (package of 4 syringes), $1000 per syringe (package of 8 syringes). Prices are nett, inclusive of GST. WHAT ARE THE BENEFITS OF ELLANSE? Ellanse restores a youthful appearance by providing immediate facial volume to areas which have been affected by age related volume loss such as the cheeks, temples, forehead, and chin. It stimulates collagen to provide a long lasting and natural effect, with firming and tightening of the skin. HOW DOES ELLANSE DIFFER FROM OTHER DERMAL FILLERS? The usual dermal filler contains Hyaluronic acid (HA)- which is a gel like substance. Ellanse is longer lasting than HA based dermal fillers and provides an improvement in skin quality from the collagen stimulation. WHAT AREAS CAN BE TREATED WITH ELLANSE? Common treatment areas include the cheeks, laugh lines (nasolabial fold), chin, temple, forehead. Areas which cannot be treated include the nose and lips. HOW LONG DOES THE TREATMENT TAKE? Usually less than 1 hour. IS THE PROCEDURE PAINFUL? Topical anaesthetic will be applied beforehand. In certain cases, local anaesthetic can also be injected to the treatment area. IS THERE ANY DOWNTIME AFTER THE TREATMENT? There is no downtime and clients can resume normal activity right away. Expect mild swelling in the treated area for a few days. HOW LONG DO THE RESULTS OF ELLANSE LAST? 18-24 months. ARE THERE ANY SIDE EFFECTS ASSOCIATED WITH ELLANSE?

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      Type of Facial Moles

      Skin cancer

      TYPE OF FACIAL MOLES Facial moles, or nevi, come in various shapes, sizes, and colours, and are often a distinctive part of one’s appearance. While many are benign and harmless, it’s essential to understand the different kinds and what they may indicate. COMMON TYPES OF FACIAL MOLES CONGENITAL MOLES Present from birth, these moles vary in size and shape. Large congenital moles can increase the risk of developing melanoma and often require monitoring. ACQUIRED MOLES These appear during childhood or early adulthood. Most are benign, but an increase in number or a change in appearance warrants a check-up. JUNCTIONAL MELANOCYTIC NEVI Examples of melanocytic nevi: (A) junctional nevus, (B) intradermal nevus, (C) compound nevus, (D) dysplastic nevus.  JUNCTIONAL MELANOCYTIC NEVI Flat and brown, these moles occur where the epidermis and dermis meet. They’re generally harmless but should be observed for changes. COMPOUND MELANOCYTIC NEVI Slightly raised and light brown, these moles have cells in both the epidermis and dermis. They’re common and typically non-cancerous. DERMAL MELANOCYTIC NEVI These moles are usually raised, flesh-coloured, and contain nevus cells primarily in the dermis. They might have hair growing from them. DYSPLASTIC NEVI (ATYPICAL MOLES) Larger than average and with irregular borders and mixed pigmentation, atypical moles can be familial. They carry a higher risk of becoming malignant, so regular skin checks are advised. HALO NEVI Recognized by the white ring or ‘halo’ that surrounds them, these moles occur when the body’s immune system attacks the cells in the mole. BLUE NEVI They appear blue because of the pigment deep within the skin and are usually benign but should be monitored for changes. MONITORING AND MANAGEMENT WHEN TO SEEK MEDICAL ADVICE To assess whether your mole may be cancerous, you can look for certain indicators, such as: A: Asymmetry. A mole that appears uneven or imbalanced could potentially be cancerous. B: Borders. Clear, well-defined edges on a mole are generally a good sign, whereas irregular or blurred borders could indicate cancer. C: Colour Variation. A mole that has multiple colours or is inconsistent in its coloration might be a warning sign of cancer. D: Diameter. A mole larger than 6mm across might be a cause for concern. E: Evolution or Expansion. Growth or change in the size of your mole may suggest it is cancerous. If any of your moles exhibit the above changes or they develop characteristics like itching, bleeding, or colour change, it’s important to seek medical evaluation. TREATMENT OPTIONS For benign moles that cause discomfort or cosmetic concern, removal options include surgical excision, laser therapy, or cryotherapy. Malignant moles require more extensive treatment, often involving surgery and oncological management. LIVING WITH FACIAL MOLES COSMETIC CONSIDERATIONS Some people choose to embrace their moles as beauty marks, while others prefer removal for aesthetic reasons. Consultation with a dermatologist can help decide the best course of action. SUN PROTECTION Protecting skin from the sun is crucial to prevent the development of new moles and changes in existing ones. Sunscreen, protective clothing, and avoiding peak sunlight hours are effective strategies. REGULAR CHECK-UPS Especially for those with multiple or atypical moles, regular skin checks with a dermatologist are essential for early detection of any issues. CONCLUSION Facial moles are unique to each individual and usually harmless. Understanding the types and practicing vigilant monitoring is key to maintaining skin health. If you have concerns about your moles, a dermatologist can provide guidance tailored to your needs. Whether you choose to remove them or wear them proudly, the most important thing is to ensure they remain benign and healthy. BOOST YOUR CONFIDENCE: SPECIALIST MOLE REMOVAL BY DR SANDEEP Feel like moles are overshadowing your natural beauty? Whether it’s a prominent mole that’s drawing unwanted attention or a changing mole that’s causing you concern, we recognize the personal impact it can have. That’s why our Mole Removal Service is dedicated to addressing your unique needs with precision. We aim to amplify your skin’s inherent allure while ensuring your wellbeing with our compassionate and skilled approach. Embrace the radiance of your true self, unmarred by moles. Start your path to flawless skin today. Schedule a personalized mole removal consultation with Dr Sandeep. UNDERSTAND YOUR MOLES: BOOK YOUR SKIN ASSESSMENT TODAY! Get a clear understanding of the moles on your face with a professional assessment. This evaluation is essential for distinguishing between cosmetic concerns and potential health issues. Consult with our seasoned Facial Plastic Surgeon, Dr Sandeep, to determine the nature of your facial moles. Whether they’re a sign of your unique beauty or need medical attention, our clinic offers thorough examinations using the latest dermatological techniques. Schedule your appointment now to ensure the health and beauty of your skin are maintained.

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      Facial Lacerations

      Facial Injury

      REPAIR OF FACIAL LACERATIONS Welcome to Dr Sandeep’s Clinic – Premier Care for Facial Injuries and Lacerations. When accidents leave their mark, it’s not just your skin that needs healing—it’s your peace of mind. At Dr Sandeep’s Clinic, we understand that facial injuries are more than skin deep, and that’s why we go beyond standard care. We are your advocates for a restored appearance and well-being. YOUR FACIAL RESTORATION, OUR PROMISE Under the expert care of Dr Sandeep and his team, our clinic delivers up-to-date treatment for facial trauma and lacerations, ensuring that you receive both immediate care and long-term cosmetic excellence. Whether you face a minor injury or require complex reconstructive surgery, we prioritize your individual needs, offering a tailored approach to bring back the natural harmony of your features. EXPERTISE BEYOND THE ORDINARY With an adept team led by Dr Sandeep, our clinic is a fusion of advanced medical proficiency and artistic finesse. We bring years of specialized experience to the table, making us passionate in both emergency medicine and facial reconstruction. Our commitment is to deliver not just healing, but the reclamation of your facial identity. PRECISION MEETS HEALING We’re equipped with the latest in medical technology, ensuring that each procedure is executed with the utmost precision. Our clinic boasts 3D imaging and modern treatments, setting the stage for effective, minimally invasive interventions that promote rapid healing and discreet scarring. CLIENT-FIRST PHILOSOPHY We believe in the power of personalization. Every face tells a story, and every injury requires a unique narrative of care. That’s why we offer a comprehensive assessment to craft a treatment plan that’s as individual as you are, focusing on optimal recovery and aesthetic discretion. IMMEDIATE, EXPERT FIRST AID Our express check-in is designed to address your needs without delay. From swift haemostasis to initial wound care, our skilled nursing staff lay the foundation for the exceptional, specialized treatment to follow. SURGICAL INTERVENTIONS OF THE HIGHEST QUALITY Dr Sandeep is meticulous in surgical precision, using an array of closure techniques to seamlessly blend healing with aesthetic restoration. For severe cases, immediate treatment under general anaesthesia is available to address complex concerns promptly. ANTIBIOTICS AND PREVENTIVE MEASURES We take a proactive stance in health management, offering immediate access to antibiotics and vaccinations to pre-empt complications and encourage a robust recovery. AFTERCARE AND AESTHETIC COUNSELING The journey to recovery is a continuum, and our clinic is with you every step of the way. Follow-up visits are scheduled for diligent monitoring, and consultations on cosmetic aftercare ensure that you have support for any scar-related concerns. TRANSFORMATIVE SCAR MANAGEMENT TECHNIQUES We offer a suite of advanced scar management options to reduce visibility and aid in your emotional recovery. Techniques are chosen based on your unique case, ensuring the most effective approach. COMPREHENSIVE CARE FOR ALL FACIAL INJURIES Our clinic stands at the forefront of managing an extensive array of facial injuries, from abrasions to avulsions and facial fractures. Our approach combines immediate attention with ongoing, individualized care. VIRTUAL CONSULTATIONS Distance shouldn’t be a barrier to expert care. Our virtual consultation services ensure you receive Dr Sandeep’s expertise wherever you may be. EMBRACE HEALING WITH PRECISION AND COMPASSION Accidents may happen, but their marks don’t have to define your future. Dr Sandeep blends contemporary technology with personalized care to turn back the clock on facial injuries. Join hands with a team that sees beyond the wound. Take Action Now: Reclaim your confidence and unveil the beauty that lies beneath. Schedule your consultation with Dr Sandeep today and embark on a journey to flawless healing and restored elegance. Book Your Appointment | Experience Expert Care | Begin Your Transformation

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      Facial Nerve Paralysis and Rehabilitation

      Facial Injury, Facial Nerve Paralysis and Rehabilitation

      FACIAL NERVE PARALYSIS AND REHABILITATION Facial nerve paralysis is a medical condition characterised by the loss of voluntary muscle movement in one or more areas of the face. This paralysis usually occurs due to damage or dysfunction of the facial nerve, which is also known as the seventh cranial nerve. The facial nerve is responsible for controlling the muscles of facial expression, among other functions. HOW MAY FACIAL NERVE PARALYSIS EFFECT A PERSON? Facial nerve paralysis has a significant impact not only on the physical aspects of the face but also on emotional well-being, social interactions, and quality of life. Here are some of the key effects of facial nerve paralysis: PHYSICAL EFFECTS Facial Asymmetry One side of the face may droop or become stiff, leading to an uneven appearance. Impaired Facial Expressions Difficulty in smiling, frowning, or making other facial expressions can occur. Difficulty Speaking Pronunciation and articulation can be affected, making speech less clear. Eating and Drinking Clients may have trouble eating or drinking and may experience drooling. Eye Problems Inability to close the eye on the affected side can lead to dryness, irritation, and potential vision issues. Loss of Taste The front two-thirds of the tongue may lose their sense of taste. Increased Sensitivity to Sound Known as hyperacusis, this can occur in the ear on the affected side. PHYSICAL EFFECTS Self-esteem Facial asymmetry and inability to express emotions can negatively affect self-esteem and body image. Social Anxiety Affected individuals may become self-conscious and avoid social interactions. Depression The physical limitations and social challenges can lead to feelings of depression. Communication Barriers Facial expressions play a crucial role in non-verbal communication. Paralysis can hinder this, causing misunderstandings or feelings of disconnect. SOCIAL AND PROFESSIONAL IMPACT Workplace Challenges Depending on the severity, facial nerve paralysis can impact professional life, particularly for those in roles requiring public speaking or customer interaction. Relationship Strain Communication barriers and self-esteem issues may put a strain on personal relationships. LONG-TERM HEALTH CONCERNS Eye Health Long-term inability to properly close the eye can lead to corneal ulcers or vision loss. Muscle Atrophy Prolonged paralysis can lead to muscle wasting on the affected side of the face. REHABILITATION AND COPING Management of facial nerve paralysis often requires a multidisciplinary approach involving neurologists, facial plastic surgeons, physical therapists, and psychologists. Treatment may include physical therapy to improve muscle function, surgical interventions for nerve repair, and psychological support to help individuals cope with the emotional and social impact. In summary, the effects of facial nerve paralysis are multi-faceted, affecting physical function, emotional well-being, and social interactions. Timely and comprehensive care is crucial for improving outcomes and quality of life. WHAT CAUSES FACIAL NERVE PARALYSIS OR WEAKNESS? Facial nerve paralysis can be caused by a variety of factors, including: BELL’S PALSY Bell’s palsy is a condition that causes sudden, temporary weakness or paralysis of the muscles on one side of the face. It is the most common cause of facial nerve paralysis. The exact cause of Bell’s palsy remains unknown, but it is thought to occur due to viral infections that cause inflammation of the facial nerve. Symptoms The onset of Bell’s palsy is usually abrupt, and symptoms may include: Sudden weakness or paralysis on one side of the face. Difficulty smiling, frowning, or making facial expressions. Loss of the sense of taste on the front two-thirds of the tongue. Increased sensitivity to sound in one ear. Tearing or drooling. Impaired speech. Difficulty eating and drinking. Diagnosis Diagnosis of Bell’s palsy generally involves ruling out other potential causes of facial nerve paralysis. History: This includes detailed history taking regarding the onset of facial paralysis, it is duration , history of trauma, ear problems or surgery, facial swelling, and other medical conditions that the client may have. Clinical Examination: A clinical examination to assess the extent of facial weakness. Blood tests: To rule out other medical conditions like diabetes or Lyme disease. Imaging tests like MRI or CT scans to exclude other causes such as tumours or brain abnormalities. Electromyography and Electroneuronography: These tests are performed to determine the degree of damage to the facial nerve and the potential for recovery. Treatment Treatment for Bell’s palsy aims to relieve symptoms and promote nerve recovery. Common treatment options include: Corticosteroids: Prednisone is often prescribed to reduce inflammation and swelling. Antiviral Medications: If a viral infection is suspected, antiviral medications may be administered. Physical Therapy: Exercises may help improve muscle strength and coordination. Eye Care: Artificial tears or an eye patch can protect the eye if you are unable to close it completely. Prognosis The prognosis for Bell’s palsy is generally good. Most people start to recover within a few weeks, and many regain normal facial function within three to six months. However, some people may continue to experience mild weakness or other symptoms, which may be permanent. Prevention There’s no guaranteed way to prevent Bell’s palsy, but maintaining a healthy lifestyle and managing medical conditions like diabetes can potentially reduce the risk. If you suspect you have Bell’s palsy, it’s important to seek medical advice promptly for an accurate diagnosis and to begin treatment as soon as possible to achieve the best outcome. TRAUMA Traumatic facial paralysis refers to the loss of facial muscle control due to physical injury or trauma. Unlike Bell’s palsy, which usually has an idiopathic (unknown) cause, traumatic facial paralysis is directly linked to an external event, such as an accident, surgical complication, or violent encounter. Causes The most common causes of traumatic facial paralysis include: Skull Fractures: A fracture in the temporal bone can damage the facial nerve. Blunt Force Trauma: Accidents such as car crashes or falls can injure the facial nerve. Penetrating Injuries: Gunshot wounds or stab wounds can cause nerve damage. Surgical Complications: Some surgeries, particularly those involving the head, neck, or ear, may inadvertently damage the facial nerve. Sports Injuries: High-impact sports can sometimes lead to facial nerve damage. Diagnosis Diagnosing traumatic facial paralysis usually involves: Medical History: A detailed

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      Middle Ear Infections

      Ear

      MIDDLE EAR INFECTIONS Middle ear infections, also known as otitis media, are a common ailment that can affect individuals of all ages, although they are particularly prevalent among children. The symptoms of a middle ear infection can range from mild to severe and may include ear pain, fever, and hearing difficulties. Recognising the debilitating impact such conditions can have on a patient’s quality of life, Dr Sandeep prioritises prompt and accurate diagnosis. ACUTE OTITIS MEDIA (AOM) Acute Otitis Media (AOM) is a type of middle ear infection that is characterised by the sudden onset of symptoms such as ear pain, fever, and sometimes hearing loss. It is a condition primarily affecting the middle ear, which is the air-filled space located behind the eardrum that contains the tiny vibrating bones of the ear. AOM is most commonly caused by bacterial or viral infections and is particularly prevalent among children, although it can occur at any age. Clinical Features In AOM, the middle ear becomes inflamed and filled with pus or fluid due to an infection. The following are common symptoms: Severe ear pain Fever Irritability or fussiness (commonly observed in children) Hearing difficulties Fluid drainage from the ear How It Differs from Otitis Media with Effusion It’s important to distinguish AOM from Otitis Media with Effusion (OME), another type of middle ear condition. While AOM is an active infection with symptoms like pain and fever, OME is a condition where fluid remains trapped in the middle ear but without the acute symptoms of infection. OME often follows an episode of AOM but can also occur independently. DIAGNOSIS At The ENT Clinic, Dr Sandeep Uppal takes a meticulous approach to the diagnosis of Acute Otitis Media (AOM). Understanding that accurate diagnosis is the cornerstone of effective treatment, our team employs a multi-faceted methodology: Clinical Interview The first step often involves a detailed clinical interview where the patient or the caregivers are asked about the onset, duration, and nature of symptoms. Questions may include: When did the ear pain start? Are there any accompanying symptoms like fever or hearing loss? Is there a history of upper respiratory infections or allergies? Otoscopic Examination An otoscope, a medical device equipped with a light and a magnifying lens, is used to closely examine the ear canal and eardrum. The team looks for: Redness and inflammation of the eardrum Presence of fluid or pus behind the eardrum Eardrum immobility Any perforation or rupture of the eardrum Tympanometry This diagnostic test measures the movement of the eardrum in response to air pressure changes. Lack of normal eardrum movement usually indicates the presence of fluid in the middle ear, which is a hallmark of AOM. Pneumatic Otoscopy This advanced form of otoscopy allows the practitioner to not only visualise the eardrum but also to assess its mobility by blowing a small puff of air into the ear canal. Reduced or absent movement of the eardrum suggests fluid accumulation and middle ear infection. Audiometry In cases where hearing loss is reported or suspected, an audiometric test might be conducted to assess the extent of hearing impairment. Microbiological Tests Although less common in routine practice for AOM, swabs for microbiological culture may be taken in recurrent or persistent cases to identify the specific bacterial or viral pathogen responsible for the infection. Through a combination of these diagnostic tools and methods, we aim to provide a comprehensive and accurate diagnosis of Acute Otitis Media. This thorough diagnostic process is essential for devising an effective treatment plan tailored to the needs of each individual patient. TREATMENT At The ENT Clinic, Dr Sandeep and his team are adept at offering evidence-based treatments for Acute Otitis Media (AOM), customising the approach based on the severity of the condition, the age of the patient, and any accompanying medical concerns. Here’s a closer look at their treatment modalities: Antibiotic Therapy For bacterial AOM, antibiotics are often the first line of treatment. The choice of antibiotic may vary based on the suspected causative agent and the patient’s medical history. Pain Management Symptomatic relief is crucial in managing AOM, especially in the initial stages when pain can be intense. Analgesics such as paracetamol or ibuprofen are commonly prescribed for pain and fever. Observation In certain cases, especially when the infection is suspected to be viral or when symptoms are mild, a “watchful waiting” approach may be adopted. This involves monitoring symptoms closely for 48 to 72 hours and initiating antibiotic treatment only if there is no improvement. Myringotomy In severe or recurrent cases of AOM where fluid accumulation is significant, a surgical procedure known as myringotomy may be considered. This involves making a small incision in the eardrum to allow drainage of the trapped fluid. Tympanostomy Tubes For chronic or recurrent AOM, the insertion of tympanostomy tubes (also known as grommets) may be recommended. These tubes help to equalise pressure and allow fluid to drain from the middle ear, thereby reducing the frequency of infections. Adjunct Treatments In some cases, adjunct treatments like decongestants or antihistamines may be recommended, especially if the patient has concurrent issues like allergies or sinusitis that could be exacerbating the condition. Follow-up and Monitoring We place a strong emphasis on follow-up care to monitor the patient’s response to treatment. This often involves another otoscopic examination and possibly repeat tympanometry to confirm that the infection and any fluid accumulation have resolved. Potential Complications of Acute Otitis Media Through a comprehensive and individualised treatment plan, Dr Sandeep Uppal and his team at The ENT Clinic aim to manage Acute Otitis Media effectively, alleviating symptoms and preventing complications. Our experienced team are well aware of the potential complications that can arise from untreated or inadequately managed Acute Otitis Media (AOM). Their focus on thorough diagnosis and effective treatment is geared towards minimising these risks. Here are some complications associated with AOM: Hearing Loss One of the most immediate complications of untreated AOM is temporary hearing loss. The accumulation of fluid in the middle ear can impede

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      Laser Skin Rejuvenation for Ageing and Pigmentation

      Laser and Light Therapy

      LASER SKIN REJUVENATION FOR AGEING AND PIGMENTATION Laser skin rejuvenation is a cosmetic procedure designed to improve the appearance of the skin. This treatment targets various skin concerns like wrinkles, fine lines, sunspots, and uneven skin tone by stimulating collagen production and removing the top layer of damaged skin. TYPES OF LASER SKIN REJUVENATION ABLATIVE LASERS This treatment targets various skin concerns like wrinkles, fine lines, sunspots, and uneven skin tone by stimulating collagen production and removing the top layer of damaged skin. It removes the outer layers of the skin, promoting new skin growth. This is generally more effective but comes with longer downtime and more potential risks. Here are some common types of ablative lasers: CO2 Laser (Carbon Dioxide Laser) This is one of the oldest and most effective types of ablative lasers. It is commonly used to treat deeper facial lines, acne scars, and sun-damaged skin. Erbium YAG (Er: YAG) Laser This laser is less aggressive than the CO2 laser and is more finely tuned to remove thinner layers of skin. It is often used for finer wrinkles and for clients with darker skin tones to minimize the risk of hyperpigmentation. Erbium: Glass Laser This type is a variant of the Er: YAG laser and is typically used for moderate skin resurfacing. Each type of ablative laser comes with its own set of risks, benefits, and recovery times. For instance, CO2 lasers generally require a longer healing time but offer more dramatic results, while Er: YAG lasers might offer quicker recovery but may need multiple sessions for optimal outcomes. NON-ABLATIVE LASERS Non-ablative lasers are less invasive than ablative lasers and work by heating the underlying layers of the skin without damaging the surface layer. These do not remove the top layer of skin. Recovery time is usually quicker but may require multiple sessions. This stimulates collagen production and can improve the skin’s tone and texture. Laser treatment for pigmentation issues like age spots, melasma, and hyperpigmentation is an increasingly popular cosmetic procedure. The lasers work by targeting the melanin, or pigment, in the skin, breaking it down into smaller particles that are eventually eliminated or absorbed by the body. Here are some examples of non-ablative lasers commonly used for skin rejuvenation: MOXI Laser MOXI Laser is a type of fractional non-ablative laser treatment that operates at a 1927nm wavelength, specifically designed to target the water molecules within the skin. This innovative technology creates microscopic zones of controlled injury in the skin, prompting a natural healing process that enhances collagen production and facilitates pigment shedding. Here are the primary applications and advantages of MOXI Laser treatments: Skin Rejuvenation: Revitalizes aging skin, improving texture, firmness, and overall radiance. Fine Lines and Pigmentation: Effectively reduces the appearance of fine lines and addresses various forms of pigmentation, including melasma and sun damage. Skin Tone and Texture Improvement: Promotes a more uniform skin tone and smoother texture through the renewal of skin cells. Versatility for All Skin Types: Safe and effective across different skin types and tones, including darker complexions, making it suitable for a wide range of patients. Customizable Intensity Levels: Offers three levels of treatment intensity, catering to individual skin concerns from light “prejuvenation” to more intensive transformation. The MOXI Laser procedure is relatively quick, taking about 30-45 minutes per session, with minimal to no downtime, especially at its lower intensity level. It is ideal for those seeking efficient treatments without significant recovery time, like working professionals. A typical course involves monthly sessions for three months, followed by maintenance treatments every 2-3 months to sustain the rejuvenated skin appearance. LEARN MORE ABOUT MOXI LASER>> PicoSure Laser The PicoSure Laser is a leader in advanced laser technology, harnessing the power of picosecond pulses to deliver treatments that are not only fast but also highly effective. Operating at a 755nm wavelength, this US FDA-approved Alexandrite laser by Cynosure is renowned for its precision and versatility. Here are the fundamental applications and benefits of the PicoSure Laser: Efficient Pigmentation Treatment: Offers a superior solution for addressing pigmentation issues due to its high melanin absorption rate, making it ideal for treating conditions like melasma and sunspots. Tattoo Removal: Utilizes ultra-short pulse durations to shatter tattoo ink into minuscule particles, allowing for effective removal with fewer sessions. Acne Scars and Sun Damage: By creating a photomechanical effect rather than a thermal one, PicoSure effectively repairs acne-scarred and sun-damaged skin without the associated risks of burns or post-inflammatory hyperpigmentation. Skin Revitalization: The patented Focus Lens Array technology induces Laser Induced Optical Breakdowns (LIOBs), spurring collagen and elastin production, leading to a rejuvenated skin appearance. Minimized Downtime: Thanks to its precision and the gentle nature of its mechanism, PicoSure treatments result in minimal redness and bleeding, enabling a quick return to daily activities. PicoSure’s edge over other picosecond lasers, especially those with a 1064nm wavelength, is its unparalleled ability to target melanin effectively while preserving surrounding tissues, offering outstanding results with less discomfort and fewer side effects. With a decade of proven effectiveness, supported by extensive clinical research, PicoSure stands out as the picosecond laser of choice for discerning clients seeking the best in skin rejuvenation and repair. LEARN MORE ABOUT PICOSURE LASER>> Long Pulse Nd: YAG (Neodymium-Doped Yttrium Aluminium Garnet) Laser This laser is used for a variety of skin issues, including acne scarring and spider veins. It is also suitable for darker skin tones. Fraxel Laser Fraxel lasers work by delivering laser beams in a fractional manner, targeting only a “fraction” of the skin at a time. This allows for the treatment of microscopic columns of skin while leaving the surrounding areas untouched. The targeted areas stimulate the natural healing process, encouraging the production of new collagen and elastin. Common uses include: Skin resurfacing. Treatment of fine lines and wrinkles. Hyperpigmentation and sun spots. Acne and surgical scars. Improving skin texture and tone. Q-Switched Nd: YAG Lasers The Q-Switched Nd: YAG (Neodymium-doped Yttrium Aluminium Garnet) Laser has the ability to deliver high-powered energy in

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      Intense Pulsed Light Therapy

      Laser and Light Therapy

      INTENSE PULSED LIGHT (IPL) THERAPY Intense Pulsed Light (IPL) therapy is a dermatological treatment used for various skin conditions and cosmetic improvements. It’s a type of light therapy that uses a broad spectrum of light with various wavelengths to target different skin issues. Here are some key aspects of IPL therapy: SKIN CONDITIONS TREATED IPL therapy is effective for the following: Reducing the appearance of fine lines and wrinkles. Treating sun damage and age spots. Improving skin tone and texture. Reducing redness and broken capillaries. Treating hyperpigmentation and melasma. Treating Freckles Rosacea Certain types of acne Scars Hair removal HOW IT WORKS IPL devices emit a range of light waves that are then absorbed by the pigment in the skin or the blood vessels depending on the condition being treated. The light energy is converted into heat, which damages the targeted cells, eventually fading spots or removing unwanted hair. PROCEDURE STEPS CONSULTATION Dr Sandeep offer a thorough initial assessment for clients considering Intense Pulsed Light (IPL) therapy. This assessment is a crucial step in determining the appropriateness of IPL for treating various skin issues, such as pigmentation, redness, and signs of ageing. Discussion and Medical History The consultation commences with Dr Sandeep enquiring about the client’s specific skin concerns, expectations, and desired outcomes for IPL treatment. A meticulous medical history is taken to note any pre-existing skin conditions, allergies, or medications that the client may be on. Information about any prior skin treatments or surgeries the client has undergone is also collated. Physical Examination Dr Sandeep assesses the client’s skin type to gauge its likely response to IPL treatment, considering that IPL is generally more effective on lighter skin tones. He also examines the specific areas that the client wishes to treat, evaluating the severity of the skin issues at hand. Treatment Discussion and Planning Dr Sandeep discusses the feasibility of IPL as a treatment option for the client’s particular concerns. If IPL is deemed appropriate, a comprehensive treatment plan is outlined, detailing the number of sessions needed and their frequency. Potential risks, such as redness, swelling, and possible pigmentation changes, are transparently discussed. Cost and Logistics A detailed cost breakdown is provided, which includes the cost per session and any additional charges that may apply. Scheduling details, including the duration of each IPL session and the total number of sessions likely needed, are also discussed with the client. Informed Consent and Documentation Clients are required to sign an informed consent form, acknowledging their understanding of the procedure, associated risks, and expected outcomes. Dr Sandeep’s team may also take before-and-after photographs for medical records and to monitor the treatment’s effectiveness. PRE-TREATMENT GUIDANCE Clients may receive instructions on how to prepare their skin before undergoing IPL therapy, which may include avoiding sun exposure and certain skincare products. In some cases, a test patch is performed to assess the skin’s reaction to the IPL treatment. By the end of the initial assessment, clients should have a comprehensive understanding of what IPL entails. They should feel well-informed and prepared, knowing whether IPL is the suitable treatment option for them and what steps they need to undertake prior to treatment. As always, Dr Sandeep and his team prioritize client care and satisfaction, providing tailored treatment plans that align with each individual’s specific needs. TREATMENT The skin is cleansed, and a cooling gel is often applied. Topical anaesthesia may be applied for greater comfort. Protective eyewear is used. The IPL device is placed against the skin, and light pulses are emitted. POST-TREATMENT You may experience some redness and swelling, akin to a mild sunburn, which usually subsides within a few days. After undergoing Intense Pulsed Light (IPL) treatment, Dr Sandeep and his expert team provide clients with an exhaustive set of post-treatment guidelines to ensure optimal results and a smooth recovery. The following outlines the advice generally offered: Immediate Aftercare Cooling the Skin: Dr Sandeep often recommends applying a cold compress to the treated area to reduce immediate redness and swelling. It is crucial not to apply ice directly to the skin to avoid frostbite. Topical Ointment: A soothing ointment or gel, often containing ingredients like aloe vera, may be recommended to alleviate any discomfort and promote healing. Sun Avoidance: Clients are advised to steer clear of direct sun exposure immediately after treatment. If sun exposure is unavoidable, a broad-spectrum SPF 30 or higher sunscreen should be applied. First 24-48 Hours Gentle Cleansing: The treated skin should be gently cleansed with a mild, soap-free cleanser. Scrubbing or using abrasive products is strictly discouraged. Hydration: A fragrance-free moisturizer is suggested to keep the skin hydrated and comfortable. Makeup: Dr Sandeep generally advises against applying makeup for at least 24 to 48 hours to allow the skin to breathe and recover. First Week Avoid Heat Exposure: Activities that can heat the skin, such as saunas, hot showers, or strenuous exercise, should be avoided for at least 48 hours post-treatment. Moisturise: Keeping the skin well-moisturised is essential. Dr Sandeep often recommends a hypoallergenic, non-comedogenic moisturizer. Monitor for Adverse Reactions: Clients are advised to be vigilant for any signs of adverse reactions, such as excessive swelling, blistering, or prolonged redness, and to contact us immediately if these occur. Ongoing Care Sustained Sun Protection: Sun protection remains crucial for several weeks following treatment. A high SPF sunscreen and protective clothing are highly recommended. Skincare Routine: Dr Sandeep may suggest a tailored skincare routine to enhance and maintain the results of the IPL treatment. Signs to Watch For Unusual Symptoms: Clients are advised to report any unusual symptoms, such as significant pain, blistering, or signs of infection, to Dr Sandeep’s team promptly. By meticulously following the post-treatment advice provided by Dr Sandeep and his team, clients can expect to see optimal results and experience a smoother, more comfortable recovery process. As always, individualised care is at the forefront of the services offered, ensuring each client receives the most appropriate and effective post-treatment guidance. POTENTIAL RISKS AND SIDE EFFECTS Intense Pulsed

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      Picosure Laser

      Laser and Light Therapy

      PICOSURE LASER WHAT IS PICOSURE? PicoSure is an US FDA approved 755nm Alexandrite picosecond laser developed by Cynosure, Boston Massachusetts, USA. It is able to treat a variety of skin concerns including pigmentation, tattoo removal, post inflammatory hyperpigmentation, acne scars, sun damage, dull skin, and open pores. PicoSure treatments are able to clear blemishes and revitalise skin safely and effectively. HOW DOES PICOSURE WORK? Picosure is a picosecond laser which emits a focused laser beam for a trillionth of a second. The shorter pulse duration means that the laser energy is highly concentrated to produce a photomechanical effect- the direct conversion of laser energy to mechanical energy upon contact with the target tissue. Melanin or tattoo pigment in the skin is thus shattered into dust like fragments and cleared by the lymphatic system. In addition, a PicoSure laser treatment includes the use of the patented Focus Lens Array- a diffractive lens that concentrates laser energy to create Laser Induced Optical Breakdown (LIOB) in the skin- a controlled injury that spares the epidermis and stimulates a wound healing response that increases collagen and elastin production, with the end result being skin rejuvenation. WHY CHOOSE PICOSURE? PicoSure has a pulse duration measured in picoseconds (a trillionth of a second), which is an advancement from the traditional Q Switched nanosecond lasers which emit a laser beam for nanoseconds (billionth of a second). The fast pulse duration allows for laser energy to be directly converted to mechanical energy (“photomechanical effect”) instead of thermal energy (“photothermal effect”). In layman’s terms- better and faster results with lower risk of traditional laser complications such as burns or post inflammatory hyperpigmentation. Compared to other picosecond lasers that utilise the 1064nm wavelength, PicoSure is unique as it is the only picosecond laser utilising the 755nm wavelength. The 755nm wavelength is ideal for treatment of pigmentation as it has 50 times more affinity for melanin than blood (melanin: blood absorption coefficient), as compared to the 1064nm wavelength which has a melanin: blood absorption coefficient of 16 times. The 755nm wavelength allows for more precise targeting of melanin in pigmentation, while sparing the surrounding blood vessels. In short- better results with less pinpoint bleeding and redness. Lastly- PicoSure is the First picosecond laser to obtain US FDA approval in 2012, and has been clinically validated, with 26 publications and 59 abstracts to date. With a track record of over 10 years and a reputation as industry leader- it is the picosecond laser of choice for discerning clients. WAVELENGTH, NMAbsorption coefficient data source: S.L Jacques—–MELANIN—–ARTEREIS—–VEINS Watch to learn more >> WHAT IS THE DIFFERENCE WITH PICOSURE AND OTHER PICO LASERS? PicoSure is a specific brand of picosecond laser technology, while “Pico laser” is a broader term that encompasses laser systems that deliver ultra-short pulses of energy in picoseconds (a trillionth of a second). The main difference lies in each laser system’s specific features and capabilities. PicoSure is known for being one of the pioneers in picosecond laser technology. It utilizes a unique wavelength (755 nm) and laser medium (Alexandrite). PicoSure’s patented focus lens array allows for the generation of areas of laser induced optical breakdown (LIOBs) that promote collagen deposition and rejuvenation. This allows for precise and targeted treatment of various skin concerns, including tattoo removal, pigmented lesion removal, acne scar treatment, and skin rejuvenation. Other brands of Pico lasers also operate in the picosecond range but use different wavelengths, usually 1064 nm and using a Neodymium Yag laser medium (“Nd: YAG”). Compared to the 1064nm wavelength, PicoSure’s 755nm wavelength has three times more affinity for melanin than blood, meaning pigmentation is targeted more efficiently with minimal injury to the blood vessels of the skin- with no bleeding and minimal redness after a PicoSure laser treatment. This allows clients to go back to usual activity almost right away without the telltale pinpoint bleeding marks known as petechia which are often seen after a 1064nm PicoLaser treatment. Furthermore, results can be achieved more quickly and with fewer treatment sessions using PicoSure’s ideal 755nm wavelength. While the cost per treatment of PicoSure is typically higher than other PicoLasers, the overall cost is often lower due to fewer sessions required. FREQUENTLY ASKED QUESTIONS HOW LONG DOES A TREATMENT TAKE? The laser treatment takes 10-15 minutes, with topical anaesthetic applied for 15-20 minutes before. ANY DOWNTIME? Skin will be mildly red and tight for a few days, similar to a mild sunburn. There will not be any peeling or flaking. HOW TO TAKE CARE OF THE SKIN AFTER A TREATMENT? Clients are advised to avoid sun exposure for a week and to use post laser recovery skincare. Retinols, AHAs/BHAs and Vitamin C serums should be stopped for 3 days prior and 7 days after a treatment. REVEAL RADIANT SKIN WITH PICOSURE LASER THERAPY BY DR SANDEEP Discover the power of precision with PicoSure Laser Therapy at Dr Sandeep’s clinic. Renowned for its efficacy in tackling a wide array of skin issues, PicoSure is your ally in the fight against pigmentation, acne scars, and unwanted tattoos. Dr Sandeep combines medical expertise with this effective technology to offer you a treatment experience that promises remarkable results. Embrace the cutting-edge PicoSure Laser, which works wonders by delivering ultra-short pulses of energy to rejuvenate the skin at a cellular level. Whether you’re looking to refresh your complexion or bid farewell to past ink, Dr Sandeep’s personalized approach ensures your skin is in expert hands. Don’t let blemishes define your look. Take control of your beauty journey with Dr Sandeep’s PicoSure Laser Therapy. Book your transformative PicoSure treatment with Dr Sandeep today or get in touch through WhatsApp to learn more. A more confident, radiant you awaits!

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      Moxi Laser

      Laser and Light Therapy

      MOXI LASER WHAT IS MOXI LASER? MOXI Laser is a US FDA approved treatment developed and trademarked by Sciton Inc (Palo Alto, California, USA). This 1927nm diode fractional non ablative laser delivers targeted laser energy to address a wide range of skin concerns, including ageing skin, fine lines, pigmentation, melasma, sun damage and dull skin. Enthusiasts of MOXI Laser treatments include celebrities such as Kim Kardashian, who recently shared her experience with the treatment. HOW DOES MOXI LASER WORK? MOXI is a 1927nm diode fractional non ablative laser that targets the water in the skin layer. It works by creating numerous microscopic areas of controlled injury in the skin, which triggers a rejuvenating wound healing process that causes the skin to generate new collagen and shed unwanted pigment. This results in smoother, radiant, and firmer skin. This treatment can be performed in all skin types (including darker skin tones), all year round and is safe and effective for melasma2,3. The treatment is highly customisable and has 3 levels of intensity. Level 1 treatment – a light “prejuvenation” treatment, suitable for a younger client (age 20-30) seeking to refresh the skin. No numbing cream is required and there is no downtime. Level 2 treatment – a moderate intensity treatment to revitalise and maintain, suitable for clients with more significant skin concerns. Numbing cream is recommended and skin will take 3-5 days to recover. Level 3 treatment – a high intensity treatment that transforms and renew, for clients who have experienced a level 2 treatment before and are able to tolerate a longer downtime. Numbing cream is recommended and the skin will take 5-7 days to recover. WHY CHOOSE MOXI LASER? MOXI Laser treatments are quick (~30-45minutes) and involve no to minimal downtime, which is ideal for the working professionals. For those looking for even more significant results, the MOXI Laser treatment can be performed together with the BBL HERO treatment. Bay Aesthetics Clinic, where Dr Sandeep performs these treatments, is amongst the first 2 clinics in Singapore to offer this combined treatment. ABSORPTION RATIO OF MELANIN TO BLOOD Moxi Laser works at 1927nm wavelength and has 3 times the absorption ratio of melanin to blood (vs 1064), making it very effective for skin rejuvenation. Watch to learn more >> FREQUENTLY ASKED QUESTIONS HOW LONG DOES A TREATMENT TAKE? HOW OFTEN ARE TREATMENTS? The MOXI Laser treatment takes 30-45minutes, depending on the body area treated. A typical treatment course would be monthly sessions for 3 months, followed by maintenance treatments every 2-3 months. ANY DOWNTIME? At Level 1, there is no downtime. At level 2 and 3, skin will be mildly red and tight for 2-3 days, similar to a mild sunburn. For days 3-7, the skin feels like sandpaper and may flake gently, as new collagen is being produced to renew the skin. A week after treatment, the skin appears refreshed and glowing. HOW TO TAKE CARE OF THE SKIN AFTER A TREATMENT? Clients are advised to avoid sun exposure for a week and to use post laser recovery skincare. Retinols, AHAs/BHAs and Vitamin C serums should be stopped for 3 days prior and 7 days after a treatment. WHO IS NOT SUITABLE FOR THE TREATMENT? Clients with open wounds should defer the treatment. WHAT OTHER TREATMENTS CAN BE PERFORMED CONCURRENTLY? A Moxi Laser treatment pairs well with a BBL HERO treatment. STEP INTO THE GLOW WITH MOXI LASER TREATMENTS BY DR SANDEEP Brighten and smooth your complexion with the innovative MOXI Laser Treatments provided by the skilled hands of Dr Sandeep. Tailored to meet the needs of individuals seeking to address a plethora of skin concerns, MOXI Laser stands as a beacon of dermatological excellence.   Dr Sandeep’s skill in laser therapy transforms skin by diminishing signs of aging, reducing pigmentation, and enhancing overall skin radiance. With MOXI Laser’s gentle yet effective approach, suitable for all skin types and tones, you can indulge in a treatment that’s as unique as you are. Why wait for confidence when you can wear it? Embark on a journey to flawless skin with Dr Sandeep’s MOXI Laser Treatments. Contact us to schedule your MOXI Laser session with Dr Sandeep. Your path to luminous skin is just an appointment away!

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      Dimple

      Dimple Creation

      DIMPLE CREATION SURGERY Enhance your smile with the bespoke Dimple Creation Surgery offered by Dr Sandeep and his team. Meticulously designed to add that endearing touch to your smile, this procedure promises a natural and charismatic outcome. LEARN MORE ABOUT TYPES OF FACIAL DIMPLES>> THE DIMPLE DESIGN PROCEDURE EXPLAINED Begin your journey with a comprehensive consultation with Dr Sandeep, where your medical history is reviewed, a facial analysis is conducted, and your aesthetic goals are discussed. Bring along photos of the dimple style you desire to aid in surgical planning. ADVANTAGES OF DIMPLE CREATION Minimally Invasive Quick Procedure Swift Recovery Concealed Scarring Immediate Results Tailored to Preference Potentially Reversible DISADVANTAGES AND CONSIDERATIONS Cosmetic Procedure Costs Permanent Results Healing Time and Scarring Risk Natural Appearance Challenges Aesthetic Satisfaction Unpredictability and Candidacy Limitations POTENTIAL RISKS AND COMPLICATIONS While the procedure boasts safety, it is crucial to consider the potential risks, which include bleeding, hematoma, nerve damage, foreign body reactions, and asymmetry. LEARN MORE ABOUT DIMPLE CREATION SURGERY>> CRAFTING YOUR UNIQUE SMILE Dr Sandeep specializes in designing dimples that resonate with your personal style, ensuring a smile that captivates. Book your consultation to explore the enchanting charm of custom-created dimples.

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