We’re back with a new #DearPauline post to talk about acne! In our last post, we covered dull and sensitive skin. This week, we address a very common skin concern: managing acne.

Managing acne

But first, an introduction to acne and its causes

Acne affects almost all teenagers. The condition results from hormones reacting with the skin’s oil glands (sebaceous glands). The sebaceous glands make an oily substance called sebum. This empties onto the skin’s surface through the hair follicle opening (pore). The mixture of oil and cells allows bacteria to grow in the follicle openings. Pores thus become clogged and pimples develop.

While there are many causes that contribute to its appearance, e.g. lifestyle and hereditary factors, the more common ones are:

  • Excess oil production
  • Hair follicles clogged by sebum (or oil) and dead skin cells
  • Bacteria (e.g P.acnes bacteria)
  • Hormonal imbalance

Managing acne

Here’s a question from Sunita Pong (@sunitapong):

 


“I’ve been battling hormonal adult cystic acne for half my life, and have tried just about everything and anything under the sun to counter the breakouts.  I haven’t tried targeted facials as I worry they might exacerbate my current skin condition. Are there any solutions to this?

– @sunitapong


…and here’s our answer:

Battling hormonal cystic acne is painful, both physically and emotionally. Acne treatment is our forte and we have dealt with many cases like yours. This requires professional care. Dermatologists typically prescribe topical steroids, retinol (oral or topical), antibiotics, lasers and chemical peels. But we have many clients who want more natural alternatives with less potential side-effects.

Facials can work, but as your skin is extremely delicate, we need to go through a very long process (6 months to 1 year) to help reduce bacterial infections, balance your skin’s pH and improve its resilience. However, we are treating the root of the issue, and this will help significantly reduce acne in the long run. To do this, we use a combination of treatments (with customised frequencies) with a prescribed series for homecare, and we require the client to work really closely with us.

Here are some acne-related posts we’ve done previously which will aid you in your battle:

Acne Busters

https://porcelainfacespa.com/prologue/understanding-acne-some-people-gets-it-and-others-dont/

Best Acne-Fighting Ingredients

 


 

WAIT, WHAT’S #DEARPAULINE?

Think “Aunt Agony”, except “#DearPauline” is our personal beauty column! Like our #BareWithMe campaign, in collaboration with the amazing Wear Oh Where, we meet different women from all walks of life to talk skin. Our first instalment of #DearPauline (with Hanli Hoefer) is up now.

Hanli Hoefer

Image credits: Wear Oh Where

READ MORE STORIES HERE:

Our Very Own Beauty Column! | #DearPauline

Our Beauty Guru On “Skin” | #DearPauline

Is Mid-Day Cleansing Bad for My Skin? | #DearPauline

 

Milia seeds are a skin condition that can happen to anyone at any time in life. They are most often seen in newborns and can be expected to rapidly disappear in these cases. The biggest problem with milia occurring in infancy is panicky parents, who do not know how harmless and temporary it is. Milia may not be so temporary when adults get it. In fact, these unsightly blister-like bumps can sometimes be permanent without intervention.

Milia visibly manifest in tiny blister-like protrusions on the skin. This can occur in anyone, regardless of age, sex, or race. Those on infants usually disappear over a brief period, but on adults, can be a long-term cosmetic problem. This condition is not dangerous, and it is officially unknown if there is a relationship to another underlying condition. Milia is one of the most misunderstood of all health conditions, but in itself, appears harmless by all reports.

Milia Seeds - Understanding Causes & Treatment

Causes of Milia Seeds

The truth is that no one knows the causes with certainty. It is widely believed that this condition is due to an exfoliation problem when tiny flakes of dead skin clog the pores. Our research indicates that this is likely only half of the equation. The other half is an excess of cholesterol in the skin, where the body frequently deposits its excess cholesterol. This, in turn, leads us to a third contributing factor, which is sunlight deficiency. A body removes excess cholesterol in the skin through sunlight, which helps converts it into vitamin D3.

Here are some of the other causes of Milia Seeds:

  • trauma to sweat ducts
  • radiotherapy (radiation)
  • sunscreens
  • topical corticosteroid use
  • genodermatoses (genetics)

Home-Care for Milia Seeds:

Milia Seeds: Home-Care for Milia Seeds

Credit: Anthony Tran

For those who want to care for them themselves, we recommend:

  • Take frequent showers
  • Exfoliate the skin
  • Supplementation with niacin is the single most effective treatment for some sufferers
  • Avoid heavy facial cosmetics
  • Get moderate sunlight exposure frequently
  • Reduce high cholesterol foods
  • Supplement with biotin, because many sufferers find that biotin supplementation alone cures their milia
  • CoQ10 is produced by the body during intense exercise and is found in meat and fish.  The body uses it to emulsify oils and increase energy.  Emulsifiers make oils water-soluble (like soap), which assists in its removal, thus reducing milia.

Treatment for Milia Seeds:

Milia Seeds: Extractions are the key treatment

Credit: Aiony Haust

Extractions are the key to porcelain skin.

Director Aesthetician, Jenny Teng, who has had over 17 years of experience as an aesthetician, explains.

Throughout my career, there is one core finding in my approach to effective skincare treatment. That is the thorough deep cleansing of the skin using specific extraction techniques for different skin problems. It has been my mantra and Porcelain’s mantra. With proper deep cleansing, nutrients from the products we use can penetrate much easily into the dermis and that is what makes Porcelain facials different.”

Porcelain’s Director Aesthetician has been known widely for her skills to remove milia seed through extractions. Find out more about Precision Facial and how our Director can help your skin.

Blog Reviews by Clients:

  • Despite the red spots, I was happy. No, ECSTATIC. My skin was not only silky smooth but BABY SOFT! Every painful moment through the extraction that I tried to trace back, was well compensated with the pure glow and light that I was looking myself in the mirror.” – Grace Lim
  • Jenny then starts working and she left no pore untouched. Every single one of my pores was pulled, poked, squeezed and some, multiple times. I held a hand-mirror as she worked; explaining her meticulous process at the same time. I looked on with an amalgamated mix of excitement, surprise and embarrassment. Out of my pores came deep-seated milia seeds (oilseeds) and gunk produced by my over-active sebaceous glands.” – Nicolas Travis
  • “When the redness subsided, my skin was smooth as a baby’s bottom. Well, maybe not that smooth but smoother and clearer than it had been in years. Some of the pigmentation was also considerably lighter and I was loving my new glowing Photoshopped complexion. In fact, I’m so sold that I’m willing to go through the entire ordeal all over again.” – Mother Inc, Daphne Ling

Deep Pore Cleansing

Extraction is a traditional procedure that is performed using a metal loop extractor and a medical syringe needle. The process can be slightly uncomfortable, but it helps remove comedones, milia seeds, acne, pimple, black/whitehead and other impurities that clog up the surface of your skin.

This process must be performed by highly skilled aestheticians, as improper techniques may cause scarring or undesirable outcomes.

 

Cleansing Is Never Enough

The first step in our daily skin care regimen is cleansing. No doubt, it is very important! Cleansing away the dirt, oil, make up that lead to clogged pores and surface impurities is pivotal part of clean pores and a clear complexion. When your pores become clogged with excess sebum, dead skin cells, sweat and other environmental dirt, your face start developing blackheads, whiteheads and other forms of acne.

There are several benefits to pore extraction, most notably unclogging your pores which can lead to healthier-looking skin. Keeping your pores clean and clear can also help to prevent future acne breakouts as well as to keep your pores from looking larger than they are.

Extractions Vs Technology

Despite current advancement in cosmetic equipment and product technology, Porcelain has no intentions to do away with the traditional extraction method. According to our experience, it is proven that extraction is by far the most effective, albeit, tedious way of deep cleansing.

Without thorough extraction, the impurities in the pores will prevent any precious nutrients from serums/ampoules to be effectively penetrated into the skin. With clogged pores, the skin will look and feel rough, uneven and dull.

Extraction, The Key To Porcelain Skin

Director Therapist, Jenny Teng, who has had more than 17 years of experience under her belt as an aesthetician, explains, “Throughout my career, there is one core finding in my approach to effective skincare treatment, and that will be thorough deep cleansing of the skin using specific extraction techniques for different skin problems. It has been my mantra, and Porcelain’s mantra. With proper deep cleansing, nutrients from the products we use can penetrate much easily into the dermis and that is what makes Porcelain facials different.”

At Porcelain, nobody wears foundation; clients and staffs. No one has to cover up any flaws or imperfections. They advocate beauty from within and help clients achieve that with their solutions.

We are a premium skin care solution provider with an unpretentious and intimate touch one finds in a traditional facial salon. Porcelain is designed such that clients feel at home on our premise; they know they can trust our professionalism and our sincerity”, Pauline Ng (Managing Director) added.

Try out our Award-Winning Quintessential Facial today. Click here to find out more.

 

By Jenny Teng, Director Aesthetician, Porcelain The Face Spa

FREQUENTLY ASKED QUESTIONS

1. Anti-Aging is….

Achieving a balance within your skin between moisture and sebum level. It means maintaining a high level of collagen and elastin production, and low level of oxidation within the skin hence, reducing signs of aging.

2. How do I stop the clock?

Unfortunately, it is impossible to do so as chronological aging is part of life. We can prevent the signs of aging from showing by increasing our level of anti-oxidants to prevent free radical damages, stimulating collagen, elastin production and skin’s natural regenerating ability with technology such as Radio Frequency, Intense Pulsed Light, LED and reduce our sun exposure by applying sunscreen.

3. At what age should I start my anti-aging regime?

You should start your general skincare regime during puberty. Anti-aging should not be separated from your routine skincare regime. Revise your home care and professional treatments with your aesthetician or doctor every year to evaluate your changing needs. The skin begins to age around 25 to 30, however, many young skin display signs of premature aging due to improper care and lack of sun protection.

4. How do I prevent premature aging?

The number one cause of premature aging of the skin is caused by sun overexposure. It causes skin dehydration and discoloration of the skin’s pigment, which results in the formation of wrinkles and fine lines, freckles and other forms of pigments. We recommend that sunscreen to be applied daily prior to sun exposure, even when you are spending most of your time indoors. Next, frequent exfoliation of your skin can reduce dead skin cell buildup and stimulate cell regeneration.

That will help prevent and reduce existing signs of aging. Keeping your cells moist keep skin looking plump and firm. Use products such as Hyaluronic Acid to enable that and eat foods that are high in water content to keep your skin well hydrated at the cellular level.

Book an Age-Defying Quintessential Facial with Jenny Teng now!

As much as we hate it, pimples are part of our lives. Although we see more of it during our teenage years, keep in mind that they continue to pay a visit at any age, anytime and without any notice. It’s all good, okay, at least tolerable, if they come and go quickly. The problem occurs when they leave a mark on our face after they’re gone. And of course with time, as more acne appears, the chances of more scarring increases. What’s worse? If you don’t treat acne scars swiftly, they’re likely to stay with you forever. For those of you are thinking time will do the trick, you may be right, only if you are in your younger years when the body is quick to recover. As an adult, it’s best to procrastinate no more, and get a scarring treatment system right away, before chaos ensues.

When Do Pimples Leave Scars Behind?

There are multiple grades of pimples. The mildest and common ones are small and tiny bumps of comedones such as blackheads and whiteheads. Another form of mild acne are small papules or red, inflamed, tender bumps with no head. More severe ones are pimples or cyst, which are pus-filled. While a mild pimple or clusters of pimples may just be temporary guests, cystic acne can be far more severe and highly prone to permanent scarring unless you take care, and avoid scratching or squeezing. Finally the severe type of acne that is almost definitely going to leave a scar is the big boils you get on your face.

What Are The Causes Of Acne?

Cystic acne strikes males more than females, but it can occur in either gender. If there is a family tendency to have the condition, parents of those entering their teens should be on the lookout for symptoms such a reddening of the skin or visible skin lesions.

Other factors causing severe acne are the same as those for other forms of acne. All types of acne often occur due to overactive oil glands, which means your sebaceous or fat glands are very active in producing oil on the skin. This excess oil can clog the pores, blocking bacteria inside. Hormonal imbalance and stress often stimulate the sebaceous gland activity. Acne also comes from excess dead skin cells within the hair follicle or pores. Externally acne can be caused by clogging pores with too much cream or cosmetics.

How Can You Treat Acne Scars?

First, you’ll have to know that whichever treatment you go for, skincare is a long-term commitment. Having good complexion is like hitting the gym and getting that six-pack abs. It requires effort and maintenance. And because skincare is long term, at Porcelain, we work hard to educate our clients and develop a trusted relationship to better cater to your needs.

If you want real improvement for severe scars, then you have the choice of skin resurfacing treatments. This is primarily used to get rid of nasty wrinkles and scars that appear on the surface of the skin. The laser emits a power beam of light that burns affected skin away. An even more efficient technology would be Sublative Rejuvenation which uses can go deeper than traditional laser heat your subcutaneous dermal tissue, breaking the sebum cycle that causes active acne to form. It also works to contracts and restructures collagen, resulting in skin tightening and improved skin quality. It’s also great for the reason that it doesn’t really have downtime, pigmentation or scarring and very little side effects.

How Effective Is Treating Scarring With Dermabrasion?

Dermabrasion was more common in the past, but not so much anymore. The procedure needs to be performed by a highly skilled doctor and hygiene vice, there’s lots of blood splattering. With laser you know exactly how deep you want to go and can adjust the energy to be as deep as you want to fix, as for dermabrasion although you can do this, it’s not as precise. I’d would just say, for red scars it’s good to get a laser done, for severe scars usually fractional radio frequency works best, for indented scars, fillers do the magic and for ice pick scars nothing really helps. But this is just a general statement. Depending on each individual case, it may differ and sometimes you’ll need a combination of treatments.

How Can I Avoid The Recurrence Of Acne?

If all of these techniques and treatment options have your head spinning, do your best to prevent adult acne, before it gets to an uncontrollable point. If the cause is hyperactive of sebaceous gland then you may have to may have to consider medication that reduces its activity. If your lifestyle induces acne, such as too much sun exposure, cream or make up, then try and go low on it.

Porcelain, The Face Spa

We at Porcelain, The Face Spa provides premium skin care solutions to make porcelain complexion a reality for our customers.

Our Quintessential Facial is fully customized to cater to all skin problems starting from dull/uneven skin tone, severe acne/pimple problems, acne scars, age spots all the way to pigmentation and even sensitive skin! There is no ‘one size fits all’ in skincare, that’s why all our treatments are customized.

The Porcelain Team is equipped to educate our clients on what is best for them. We live and breathe skincare; you can treat your skin is in good hands at Porcelain.

Click here to find out more!