Journal · Topic · 31 articles
Pigmentation, lasers and tattoos
Melasma, sun spots, freckles, birthmarks, dark patches and tattoos: telling them apart first, then what lasers, creams and sunscreen can and cannot do.
Foundations
PicoSure: how many sessions, does it hurt, and what you look like afterwards
How many PicoSure sessions studies report for tattoos, freckles and sun spots, Hori's naevus and melasma, whether it hurts, what skin looks like afterwards, and the risks in darker skin.
Read →Foundations
PicoSure cost in Malaysia: what decides the fee
What decides the fee for PicoSure pico laser: what is being treated, how many sessions, the area, skin type and a test spot, who performs it, and what a quote should state.
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Foundations
Tattoo removal with PicoSure in Malaysia: how many sessions, and why picosecond
What the trials report on picosecond lasers for tattoos, how many sessions and how far apart, which colours respond to the 755 nm wavelength, the risks, and who should wait.
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Foundations
Dark patches after laser: why they happen and what helps
Why skin darkens after a laser, how often it is reported in Asian skin, whether picosecond lasers cause fewer dark patches than Q-switched ones, what prevents it, and what helps once it has appeared.
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Foundations
Freckles in Malaysia: laser, creams and why they come back
What freckles are, how they differ from sun spots and melasma, what laser studies on Asian skin report, what creams and sunscreen can and cannot do, and when a spot needs a doctor first.
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Foundations
Melasma creams in Malaysia: what works and what is legal
Which creams have trial support for melasma, what each class does, what Malaysian law says about hydroquinone, tretinoin, azelaic acid and tranexamic acid, why mercury creams are a danger, and when to see a doctor.
Read →Foundations
Dark or uneven lip colour: what causes it, what is a warning sign, and what a doctor can and cannot do
Why lips darken or look uneven, which patches need a doctor to look at them, what has evidence, the danger of unregulated whitening creams, and what laser and other procedures have been reported to do.
Read →Foundations
Black henna: how to tell it from real henna, and what to do if it itches
Real henna stains the skin orange-brown. Black henna is usually henna with a hair dye chemical added, and that chemical is what can blister, scar and leave an allergy behind. How to tell them apart before Deepavali or a wedding, and what to do if a design itches.
Read →Foundations
Back from the school holidays with a tan and uneven patches: tan, sun spots or melasma?
A holiday tan fades. A patch that stays, looks blotchy or comes back every year is something else. How to tell a tan from sun spots, melasma and a leftover mark, and what to do first.
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Foundations
White or brown patches on the skin: panau, vitiligo, or a leftover mark?
Panau (tinea versicolor), vitiligo and the pale mark left by eczema look alike and are three different things. How to tell them apart, what each one needs, and who to see.
Read →The Consulting Room
Pigmentation treatment in Setia Alam: what a doctor checks before any laser or cream
Melasma, sun spots, acne marks, Hori's naevus and a lesion that is not pigment at all: what a doctor in Setia Alam checks first, and why the plan differs.
Read →Foundations
PT-141 (bremelanotide): the libido injection and the pigment it leaves behind
PT-141, also written PT141 and sold as Vyleesi, is a libido injection that switches on the receptor behind skin pigment. What the label says about face and gum darkening, why it happens, and what a skin doctor checks.
Read →Foundations
Dark neck or underarms that will not scrub off: when it points to insulin resistance
Why velvety dark skin in the folds is not dirt, what it most often goes with, the tests a doctor may ask for, and what to avoid.
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Foundations
Mole removal in Malaysia: why a check comes before a laser
A mole becomes a cosmetic decision only after someone has examined it. What the check looks for, what each removal method gives up, and what Malaysian law says about the laser.
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Foundations
Laser tattoo and eyebrow embroidery removal: what to expect
How a laser clears ink, how many sessions the studies report, why other colours can appear as eyebrow embroidery fades, and the risks the reviews name.
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Foundations
Whitening drips and glutathione injections in Malaysia: are they safe, and are they legal?
What the Health Ministry lists as illegal, what the trial evidence on injected glutathione shows, and what to check if you have already had one.
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Foundations
Melasma, sun spots or Hori's naevus? How to tell them apart
Three different conditions can look like the same brown patch on the cheeks. How they differ in pattern, colour and depth, and why the name has to come before the treatment.
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Foundations
Tranexamic acid for melasma: tablets, creams and injections, and what the evidence shows
How tranexamic acid is thought to work in melasma, what trials of the tablets, creams and injections show, who should not take the tablets, and why melasma relapses.
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Foundations
Pigment laser side effects on Asian skin: darker patches, pale spots and what reduces them
In richly pigmented skin the risk of a laser is the skin answering with more pigment. What that looks like, how often it is reported, and what lowers it.
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Foundations
Pigmentation and redness treatments before an event: what the timeline actually allows
PicoSure clears pigment over days and weeks, not instantly. A chemical peel is classified by depth, not by the word "medical grade". And redness after any treatment has its own healing timeline before it should be judged. What each actually allows before an event.
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Foundations
Whitening creams and mercury: how to check a cream before it goes on your face
What mercury does in an illegal whitening cream, the other scheduled poisons found alongside it, and how to check a cream in Malaysia before you use it.
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Foundations
Melasma in Malaysia: why the climate changes the disease itself
Same word, harder disease in this heat: what melasma has to fight here that a temperate protocol never accounts for.
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Foundations
Post-inflammatory hyperpigmentation after acne: why richly pigmented skin holds it longer
The pimple fades in days. The mark it leaves can outlast it by years, and treating it aggressively is often what makes that worse.
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Foundations
Why we do not offer IPL or a vascular laser
Intense pulsed light is not a laser. A vascular laser targets haemoglobin, a pigment laser targets melanin. What each is for, and where this clinic sends that work.
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Foundations
Skin tags and small growths: when a laser is the wrong tool
In the reference texts, a pair of scissors beats a laser on the commonest version of this. The harder question is what the growth actually is.
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Foundations
The Fitzpatrick scale, and what it changes in a laser plan
A sunburn questionnaire written in the 1970s to dose ultraviolet light for psoriasis now sits behind most decisions made with a laser.
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Foundations
Naevus of Ota: what a pigment laser reaches, and what it does not
The laser works on the skin. The pigment inside the eye is in different tissue, and no skin laser goes there.
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Insider Lens
Can laser make melasma worse?
With most brown patches, the instinct to laser is right. With melasma, it can leave you darker than before.
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Foundations
Are age spots permanent? Usually not, but the diagnosis comes first
Most brown marks that appear after 35 can be addressed. The catch is that not every brown mark is the same thing.
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Foundations
Why pigmentation comes back, and the trigger no one in Malaysia talks about
Why pigment returns after a laser session, the Malaysian heat trigger nobody talks about, and what a realistic multi-year pigment plan looks like in this climate.
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Foundations
How Pico actually works, and what its limits are
The picosecond laser in plain English. What it does well, what it cannot fix, and why pigment returns even when the laser worked.
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