Acne Scars

LDM® Treatment

LDM® or Local Dynamic Micro-Massage treats skin problems in the epidermis and dermis. It utilises dual-frequency ultrasound technology at high frequencies to exert a strong micro-massage effect on tissue structures. The micro-massage activates fibroblasts, rejuvenates the skin matrix and connective tissue, enhances collagen cross-linking, and encourages healing at a cellular level. It treats a variety of dermatological issues and medical aesthetics concerns, improving overall skin health without any downtime.
LDM Treatment - 1
LDM Treatment - 2

Three primary benefits of LDM treatment

1. Reduces “bad enzymes” Matrix Metalloproteinases (MMPS)
MMPs contribute to inflammation and collagen degradation, they also appear to be involved in connective tissue metabolic disorders resulting in conditions such as acne, eczema and dermatitis. Inhibiting MMPs returns the skin back to its normal collagen metabolic state.

2. Activates HSPs (heat shock proteins)
HSPs aid in skin immunity and strengthens its ability to heal. They are produced to help the skin combat stressful conditions such as exposure to extreme temperatures and UV radiation.

3. Increase GAGs (glycosaminoglycans)
GAGs accelerate cell metabolism and hyaluronan content in skin. By increasing tissue turgor, it improves texture, tone and strengthens the skin barrier.

Skin Ageing and Laxity Fine lines, Wrinkles, Prominent Nasolabial Folds and Marionette Lines, Integral Skin Rejuvenation and Firming, Body Firming and Toning.LDM Treatment - 2Treatment of Chronic Skin Diseases Eczema, Acne, Psoriasis, Rosacea, Dermatitis, Flushing.LDM Treatment - 3Scar Regeneration & Wound Healing Hypertrophic Scars, Keloids, Stretch Marks, Bruises, Contusion, Post – Operative Wound, Post – Traumatic Scar.

Most ultrasound systems use a single frequency, typically in the range of 1 to a maximum of 5 MHz, the therapeutic effect is thus far below the superficial skin layers. LDM uses a special frequency of 10 MHz other than 1 and 3MHz, which allows the energy to work effectively on the epidermis and dermis, where disease processes take place. In addition, the system switches and combines frequencies at timed intervals, ensuing better dynamic pressure distribution in the tissue over several skin layers.


After cleansing the skin, a layer of gel is applied onto the treatment area, an ultrasound probe is then gently rolled over the intended area. The treatment is comfortable without any pain and downtime.
The treatment ranges from 15 to 30 minutes, depending on the indication or condition.

While improvement may be observed after just one session, for optimal and full results, LDM should be performed once every week or fortnight for the first six weeks. Maintenance sessions are recommended once every month to two months.

Dermatological conditions such as eczema or psoriasis may need up to eight treatments and in more complex and severe cases, ten to sixteen sessions.

Although LDM® is a great treatment on its own, results are augmented when combined with other medical facial services, energy-based devices or injectables. In fact, it helps shorten procedural downtime by reducing inflammation, and increasing cell regeneration and metabolism.
Yes, LDM is suitable and safe for all skin types and colour.

Exosome Treatment

Exosomes are tiny vesicles or “bubbles” released by various cells in the human body. They contain bioactive molecules such as growth factors, amino acids, lipids, peptides and genetic material. These nanoparticles act as messengers and transmit signals to unhealthy cells, triggering them to regenerate. As ageing occurs, our skin cells shrink and exosomes deplete, exosome treatment allows fresh exosomes to swoop in to instruct skin cells to repair and regenerate. Depending on the signal transmitted, this results in an exponential increase in collagen and elastin, reduced pigment production, improved wound healing, and reduced inflammation. Skin becomes visibly plumper, firmer, brighter and smoother.

The exosomes we use at s.k.MED are extracted meticulously from botanical stem cells and processed using patented technology. The end product is highly purified, contains 6 billion particles, 71 types of growth factors, more than 1000 regenerative proteins, and together with premier activators, ensures a holistic experience in skin rejuvenation.

Benefits of Exosome Treatment

The following six images depict the penetration of exosome nano particles into the skin over 24 hours.

Anti-inflammation


Exosomes have formidable anti-inflammatory capacity. It complements the management of conditions such as acne, rosacea, hair loss and eczema.

Potent antioxidant


Mitigation of oxidative stress is a pivotal factor in the retardation of cellular ageing. Exosome treatment is fortified with potent antioxidants that neutralise reactive oxygen species and enhance dermal resilience.

Regeneration


Exosome treatment stimulates comprehensive cellular regeneration. It initiates the repair of damaged tissues, promotes angiogenesis, and restores skin barrier. These regenerative effects are vital for revitalising unhealthy tissues.

Melanin modulation


Exosomes downregulate cellular melanin synthesis and enhance luminosity and radiance.

The exosome treatment is performed alongside microneedling or laser therapy. These procedures create micro-channels in the skin which facilitate the penetration and absorption of the exosomes. In addition, exosomes work synergistically with the skin’s natural healing processes to maximise the benefits of the device-based treatments.

Exosome treatment addresses the following:

  • Fine lines and wrinkles
  • Pigmentation and dull, uneven skin tone
  • Uneven texture and enlarged pores
  • Hair loss
  • Dry and eczema-prone skin
  • Acne and acne scars
  • Rosacea
Most patients require 4 to 6 sessions performed at 3 to 4-weekly intervals.
The procedure is generally well tolerated apart from mild redness which typically resolves within an hour.

The treatment is virtually painless with numbing cream.

Exosome Treatment is usually combined with microneedling, microneedling radiofrequency or MicroLaserPeel.

Sciton® MicroLaserPeel®

Sciton® MicroLaserPeel® removes the top layer of damaged skin. As skin heals, fresh cells grow and populate the treated area. The result is healthier-looking skin, often with improved texture, tone and colour.

  • Acne scars
  • Enlarged pores
  • Pigmentation
  • Irregular skin tone/ texture
  • Superficial wrinkles
Depending on the severity of the condition, results can be observed in one treatment. For maintenance, MicroLaserPeel can be done every 6-8 weeks.
Topical numbing cream will be applied pre-procedure. In addition, a cooling device will be used during procedure to reduce discomfort.

Immediately following the procedure, you may experience redness, mild swelling and a sensation resembling sunburn. The treated skin will peel within the next few days.

Depending on the depth of treatment, most patients feel comfortable enough to return to work within 3-4 days.

MicroLaserPeel can be combined with BBL for better brightening results or ProFractional for severe acne scars.

Sciton® Profractional™ Resurfacing Erbium YAG Laser

Sciton® Profractional™ erbium YAG laser creates thousands of microscopic channels in the skin which are surrounded by areas of healthy, untreated skin. The zones of untreated skin invigorate the body’s natural healing process, while the treated areas stimulate production of new collagen. This process improves the appearance of acne scars, wrinkles and textural or colour irregularities.

  • Acne scars
  • Enlarged pores
  • Wrinkles and fine lines
  • Pigmentation
  • Aged and photo-damaged skin
Depending on the severity of the condition, results can be observed in one treatment. For maintenance, ProFractional can be done every 4-6 months.
Topical numbing cream will be applied pre-procedure. In addition, a cooling device will be used during procedure to reduce discomfort.

Immediately following the procedure, there will be redness, swelling, and a sensation resembling sunburn. The treated skin will scab and peel within a week. The application of aftercare products will aid with wound healing.

Depending on the depth of treatment, most patients feel comfortable enough to return to work after 7 days.

ProFractional can be combined with MicroLaserPeel to treat severe acne scars.

Injectable Polynucleotides 婴儿针

Rejuran® is one of the latest anti-ageing treatments that has surged in popularity across Asia. It delivers lasting results and offers a holistic approach to skin rejuvenation, addressing multiple signs of ageing and skin concerns in a single treatment. Manufactured in South Korea, Rejuran® contains polynucleotides that are derived from salmon DNA, which are known for their regenerative properties. The treatment boosts skin’s renewal ability, improves elasticity, and has an anti-inflammatory effect.

For scar treatment, we offer Rejuran® s, which is specially formulated to target scars and enhance skin healing processes. The thicker viscosity lifts depressed scars, prevents them from collapsing, and initiates repair of scar tissue more effectively. 

For the delicate eye area, we offer Rejuran® i, which is specially formulated to treat dark circles, wrinkles and puffiness. It is less viscous and softer compared to regular Rejuran®, therefore, more comfortable and a shortened downtime as it causes fewer bumps post-procedure.

  • Improves skin texture, tone and elasticity
  • Reduces pore appearance
  • Improves radiance and luminosity
  • Improves the appearance of acne scar
  • Reduces fine lines and wrinkles
  • Reduces the appearance of dark eye circles
  • Regulates sebum

Common post-treatment complications include redness, swelling and bruising. You may begin to notice gradual improvement 3-4 weeks after the first treatment, full results are observed after four treatment sessions.

A typical treatment program is made up of four initial syringes, with a syringe administered once every three weeks. Thereafter, one syringe every six months is recommended for maintenance.

Injectable polynucleotides is usually combined with subcision, TCA Cross, MicroLaserPeel and resurfacing erbium YAG laser as part of our scar revision treatment program.

TCA CROSS

TCA CROSS is the chemical reconstruction of skin scars using trichloroacetic acid (TCA). It is most often indicated for the treatment of atrophic acne scars, including icepick, rolling and boxcar scars. It is inexpensive and safe but should be performed with other scar revision treatments for optimal results.

The procedure involves depositing precise small amounts of 70%-100% TCA right onto the surface of the atrophic scar. This causes a local inflammatory response which leads to the formation of collagen fibers, dermal thickening, and resultant cosmetic improvement in the appearance of acne scars.

Most patients require 4 to 6 sessions performed at 4-weekly intervals.
The procedure is generally well tolerated. Immediately following the treatment, the treated areas may be red and slightly sore. Scabs may develop which will peel within 3-5 days. Full results may only be observed after 3-4 months.

TCA CROSS is usually combined with subcision, injectable polynucleotides, MicroLaserPeel and resurfacing erbium YAG laser as part of our scar revision treatment program.

Subcision

Subcision is a simple in-office surgery for treatment of depressed acne scars. The principle of this procedure is to manually break down scar tissue that is anchoring the outer skin to the underlying deeper tissue. The release of the scar tissue and new collagen deposition lead to cosmetic improvement of the scars.

The number of treatment sessions required depends on the severity of the condition. 3 treatment sessions done once every 4 weeks suffice for the majority.
The procedure will be performed with local anaesthesia.

Subcision is safe. Common complications include bruising, redness and swelling. Aftercare advice will be given.

The redness and bruising typically resolves within 4-5 days.

Subcision is usually combined with Sciton MicroLaserPeel and ProFractional to treat acne scars.