Journal · Topic · 19 articles

Acne, scars and texture

Active acne, the marks it leaves, scars, pores, keloids and peels: what a doctor checks first and which treatment suits which problem.

Watercolour of translucent sheets of paper layered and curling back at the corners, beside a glass dish and a soft brush on a stone tray

Foundations

Phenol and TCA peels in Malaysia: what medium and deep peels do, and the risks on Asian skin

What a medium-depth TCA peel and a deep phenol-croton oil peel do, the downtime, the published risks of dark marks, scarring and heart rhythm problems on Asian skin, who should not have one, and why TCA CROSS for icepick scars is a different use.

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Watercolour of two leaves on cream paper, one with rosy red spots and one with brown spots, beside a small dish and a sprig of green

Foundations

Red or dark marks after acne: PIE or PIH, which is which and what helps

How to tell post-inflammatory erythema from post-inflammatory hyperpigmentation, how long each lasts, and what the studies say helps, including why some lasers can make dark marks worse.

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Foundations

Cystic, hormonal and fungal acne: how they differ and what a doctor checks

Deep painful lumps, jawline flares in adult women, and itchy uniform bumps on the chest are three different problems. What each looks like, what drives it, what a doctor checks, and what the guidelines name.

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A watercolour still life of a halved fresh orange showing its textured peel beside a folded white towel and a small glass bowl of water on a pale wooden table

Foundations

Large pores: what shrinks them and what does not

Why pores look large, what published studies support for open pores, what has no support, what to expect, and when large pores point to something else.

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A watercolour still life of a few dimpled pale pebbles in a shallow white ceramic dish beside a folded cotton cloth on a pale wooden table

Foundations

Acne scar treatment cost in Malaysia: what decides the fee

The fee for acne scar treatment follows the scar type, how many scars, the method and the number of sessions. Which methods suit which scars, what trials used and reported, and what a quote should state.

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Foundations

Skin purging after a new product or facial: a breakout that passes, or a reaction?

Purging is a lay word, not a diagnosis. What people mean by it, how a retinoid flare differs from irritation, an allergy, a pore-clogging product or a fungal look-alike, and when to stop.

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A quiet still life on pale linen in soft daylight: a clear silicone gel sheet, a pair of soft earlobe pressure clips and a plain white tube, no lettering, no people; a generated image, not a photograph of the clinic

Foundations

Keloid-prone skin: piercings, acne, surgery and aesthetic procedures, and how to lower the risk of the next one

If you or a relative has grown a keloid, a piercing, a mole removal or a peel needs a different plan. How to tell you are keloid-prone, which procedures matter, what to do in the first weeks, and when to say no.

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Foundations

Recurrent keloids: why they come back, and is there such a thing as an acute keloid?

Why a keloid grows back after it is cut out, what people mean by an acute keloid, which treatments the evidence supports, and why none of them cures the tendency.

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A hand-drawn ink and watercolour cutaway of skin showing one blocked pore with a dark plug beside one clear open pore, each with its hair and oil glands, warm paper, no face, no text; a generated illustration, not a photograph

The Consulting Room

Acne treatment in Setia Alam: what should happen before any facial, peel or laser

Acne is several problems under one name, and a facial is the wrong first step for some of them. What a doctor sorts out before any facial, peel or laser touches acne-prone skin in Setia Alam.

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Foundations

Fractional CO2 laser for acne scars: what it does, the downtime on Asian skin, and who should wait

Fractional CO2 laser can improve dipped acne scars, and on Asian skin the cost is a longer recovery and a real chance of dark patches. What it does, who should wait, and the alternatives.

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Foundations

Acne scars: icepick, boxcar and rolling, and what each type needs

Icepick, boxcar and rolling scars sit at different depths and need different work, so naming the type comes first. What each type needs, what a doctor checks, and what improvement is realistic.

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Foundations

Chemical peels in Malaysia: types, depths and who they suit

Superficial, medium and deep peels, what each common acid does, who they suit, and why Asian skin changes the plan.

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Foundations

Salicylic acid peel for acne and oily skin: who it suits, how many sessions, and what to expect

What the trials show, who should wait, what a session feels like, and why sun protection matters on Asian skin.

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A single folded linen cloth and a small stack of smooth grey stones on pale wood in soft daylight, a quiet still life with no needles, skin, faces or packaging

Foundations

Microneedling in Malaysia: what it does and where the evidence stops

Fine needles make small punctures and the skin builds collagen in repair. What the reviews find for acne scars and wrinkles, the risks they name, and where the evidence thins.

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A closed notebook and a pencil beside a glass of water on a pale wooden table in soft window light, a still life with no people, no medicine packaging and no logos

Foundations

Isotretinoin (Roaccutane) for acne: what a doctor checks before, during and after

Isotretinoin is a prescription-only medicine for severe acne, with one absolute rule and a set of checks around it. What a doctor looks at before, during and after a course, and who may prescribe it in Malaysia.

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A plain daylight photograph of bare skin texture along a cheek and jaw, calm and undramatic, no face, no product, no result imagery

Foundations

Active acne in adults: what a doctor checks before treating it

Adult acne is not one problem and does not have one treatment. What a doctor actually looks at before recommending anything, and when the right next step is a referral rather than a prescription.

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A folded cotton sports shirt and a towel on a wooden bench, soft window light, no lettering and no people

Foundations

Back acne: why it needs a different plan from facial acne

Back and chest skin is thicker, sits under sweat and fabric for hours, and is hard to reach with a cream. Why back acne needs its own plan, what can mimic it, and when to see a doctor.

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A single glass vial and dropper on plain linen, still life, soft light, no branding and no lettering

Insider Lens

Is a 'medical grade' peel actually medical, and how would you know

Malaysia's own regulatory guideline already sorts chemical peels into a real, checkable classification. "Medical grade" on a menu is not that classification, and the two are worth telling apart.

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A clinical cross-section illustration of a skin pore in cream and teal, showing the follicle opening, sebum, and surrounding collagen scaffold

Foundations

You cannot shrink a pore. Here is what actually makes one look smaller.

A pore has no muscle to close. What you can change is what holds it open.

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