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青春痘 (痤瘡)

莎菲爾診所為您提供一系列的青春痘治療方案，可以為您治療最輕度到最嚴重紅腫，疤痕纍纍的青春痘皮膚。

 

什麼是青春痘？ 
青春痘是當臉部，背部和胸部的毛囊因過度的角質細胞和皮脂累積而產生堵塞後，外加細菌感染造成皮膚表面發炎紅腫的一種慢性疾病。如果不加以治療，發炎膿皰 可蔓延到周圍的組織，可能會造成結痂或囊腫，還可能留下永久疤痕。

 

誰會長青春痘呢？

任何年紀的人都可能長青春痘，年紀在15至50歲之間是長青春痘的高峰期。

青春痘的成因 

 

食物和青春痘：沒有任何資料記載可以證明我們所食用的食物和青春痘有直接的關係。 
皮膚不清潔和青春痘：增加洗臉的次數並不會減少您的青春痘。老實說，青春痘的成因還沒有完全被瞭解，但是我們在之後會和您介紹如何可以緩解和治療青春痘。

日曬和青春痘：所有青春痘治療都有光敏性，所以務必防曬，且用無油30以上的防曬系數的防曬霜最合適。

 

莎菲爾診所的除痘治療：

所有的青春痘病人需要首先和黃家聲醫師做咨詢，瞭解你生長青春痘的情況，最好可以談談您都使用過什麼方法，最後會檢查您的患處，根據您的個人情況提供不同的解決方法來治療。

 

大部分病人都已經試圖通過化妝品櫃檯的產品得到幫助或已經咨詢過自己的家庭醫師和皮膚科醫師。莎菲爾診所為所有青春痘病人找到適合他們個人的控制青春痘的方法，最大的問題就是每種治療方法，價錢皆不同。

 

如果你並沒有試過化妝品專櫃的產品或皮膚科醫師開的藥品，黃醫師推薦您以內外結合的綜合治療方式，譬如說鑽石微雕，一種溫和的方式來清潔您的皮膚去除角質，吸出已經生長出的青春痘。

 

定時的使用Multiclear藍光機可消除青春痘的座瘡桿菌。

 

對於特別嚴重的第六級青春痘，你需要考慮使用光化療。目前沒有任何方式可以比此方法更快速的讓皮膚在24小時內平滑。但臉部的青春痘開始流膿結痂，這需要幾個星期時間恢復，所以他並不是適合每一個病人。

 

對於嚴重的青春痘，並或使用過光化療的病人，黃醫生會使用肉毒桿菌素進一步預防青春痘的復發，他在這方面是專家，將要出版他所做出的成績。海外的醫師對黃醫師的青春痘治療方法非常感興趣。

前後比較：

Before / After treatment for nodularcystic acne

Before Photodynamic Therapy for Burton Grade VI (Nodular cystic acne), the most aggressive treatment for the most severe type of acne. Please note all photos unless otherwise stated are photographs of genuine patients of Dr Wong, the photographs are not altered or manipulated in any way. It is important to understand that the photos represent one persons experience and there is no guarantee that any other patient will experience similar results.

 

WHAT IS ACNE?

Acne occurs when the glands on the hair follicle of our face, back or chest become blocked which can lead to inflamed papules which have not come to the surface or inflamed pustules which have. If left untreated, the inflamed pustules can spread to the surrounding tissue leading to painful nodules or cyst which are very likely to leave permanent scarring.

 

WHO GETS ACNE?

Acne can occur at any age, but we most commonly see a peak occurrence of acne in the early 20s and again in the 50s age range.

 

ACNE MYTHS

FOOD and ACNE: There is no proven relationship between food we consume and developing acne.

DIRTY FACE and ACNE: You will not develop less acne if you wash your face more frequently. Quite frankly, it is not known why we develop acne in the first place, but we are aware of alot of contributing factors which we will discuss later.

SUN and ACNE: Because alot of the medication can induced light sensitivity, in general it is best to avoid the sun.

SEX and ACNE: This is definitely a myth. Although testosterone promotes the formation of acne, increase sex or masturbation does not increase your testosterone levels, so there is no basis for this myth.

 

ACNE TREATMENTS AT SAPPHIRE APPEARANCE MEDICINE CLINIC:

All patients require a consultation with Dr Garsing Wong, to go through your history (it is good to bring to the consultation all the different things you have tried for your acne), examine the lesions and then recommend the optimum treatment depending on the severity of your acne, the acceptable downtime you are willing to endure, and your budget. Please note that a normal medical consultation fee is applicable.

Most patients have already tried over the counter remedies and may have already consulted their own family doctor or skin specialist. Sapphire Clinic can offer ALL patients a solution to control their acne, however the biggest restraining factor is the cost of various treatments.

 

If you have not tried the traditional over the counter remedies, or medications that your doctor or dermatologist has prescribed, then Dr Garsing Wong will often recommend that you do. This is then combined with various other modalities such is using microdermabrasion with acetyl salicylic acid dermal infusion, a painless method to cleanse the skin mechanically and to suck out and dissolve some of the comedomal plugs.

 

Using the Light Emitting Diodes (LED) Blue Light on a regular basis offers a natural, non pharmaceutical method to destroy the P. acne bacteria and then healing the tissue with LED Red Light.

 

For the very severe nodular cystic Burton Grade VI acne, you may consider the extremely novel off-label use of Metvix® (Methyl aminolevulinate 160mg/g) Photodynamic Therapy which is activated using the 630nM LED Aktilite lamp. Nothing to date can work faster than this method to give smooth skin within 24 hours. However there is a considerable downtime associated with this procedure as the area will have alot of serious ooze for two weeks, so this is not suitable for all patients.

 

For minor acne or for maintenance after PDT, the off-label use of Intradermal Botox® combined with standard acne medical treatment is also an option. Dr Garsing Wong is a pioneer in this field of using intradermal Botox® in off label treatments.

 

Contact us today to have a thorough consultation with Dr Wong to discuss your Acne requirements at Sapphire Clinic - Auckland Cosmetic Medicine Clinic, 26 College Hill, Freemans Bay, Auckland. Please click this link to make an online booking with Dr Garsing Wong. Please note a normal consultation fee is charged for consultations.

 

BOTOX® is a Prescription Medicine containing 100 units of botulinum toxin type A for injection. It is used for the treatment of frown lines. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine.

 

Cautions: People with defective neuro-muscular transmission disorders, infection at site of injection, glaucoma, pregnancy and lactation.
Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have any side effects or concerns speak to your doctor.
You will need to pay for this medicine. Normal doctors visits apply. Note: The treatment lasts about four months and after this time further courses of treatment may be necessary. Speak to your doctor about your own situation.

BOTOX® is a registered trademark of Allergan Inc.

All our procedures are office base, requiring no time off work, with a compliment of pain free methods to give you the best results.

Speak to us about how we can help to maintain and care for your skin to keep you healthier and look more youthful

 

Updated 15 May 2013

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Sapphire Appearance Medicine Clinic

Address: 26 College Hill,

Freemans Bay,  Auckland 1011

Phone: 09-360 0066

Email: sapphireclinic@gmail.com

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Mandatories:WEGOVY® (semaglutide) injection 2.4 mg is an injectable self funded ie not subsidised prescription medicine used with a reduced calorie diet and increased physical activity:  Doctors fees are in addition to the medication costto reduce the risk of major cardiovascular events such as death, heart attack, or stroke in adults with known heart disease and with either obesity or overweight.that may help adults and children aged 12 years and older with obesity, or some adults with overweight who also have weight-related medical problems, to help them lose excess body weight and keep the weight off. Full information on the bottom of this page. Wegovy® contains semaglutide and should not be used with other semaglutide-containing products or other GLP-1 receptor agonist medicines.It is not known if Wegovy® is safe and effective for use in children under 12 years of age.Wegovy® may cause serious side effects, including:Possible thyroid tumors, including cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rodents, Wegovy® and medicines that work like Wegovy® caused thyroid tumors, including thyroid cancer. It is not known if Wegovy® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in peopleDo not use Wegovy® if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Do not use Wegovy® if:you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)you have had a serious allergic reaction to semaglutide or any of the ingredients in Wegovy® Before using Wegovy®, tell your healthcare provider if you have any other medical conditions, including if you:have or have had problems with your pancreas or kidneyshave type 2 diabetes and a history of diabetic retinopathyhave or have had depression, suicidal thoughts, or mental health issuesare scheduled to have surgery or other procedures that use anesthesia or deep sleepiness (deep sedation)are pregnant or plan to become pregnant. Wegovy® may harm your unborn baby. You should stop using Wegovy® 2 months before you plan to become pregnantare breastfeeding or plan to breastfeed. It is not known if Wegovy® passes into your breast milkTell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Wegovy® may affect the way some medicines work and some medicines may affect the way Wegovy® works. Tell your healthcare provider if you are taking other medicines to treat diabetes, including sulfonylureas or insulin. Wegovy® slows stomach emptying and can affect medicines that need to pass through the stomach quickly.Wegovy® may cause serious side effects, including:Possible thyroid tumors, including cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rodents, Wegovy® and medicines that work like Wegovy® caused thyroid tumors, including thyroid cancer. It is not known if Wegovy® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in peopleDo not use Wegovy® if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Do not use Wegovy® if:you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)you have had a serious allergic reaction to semaglutide or any of the ingredients in Wegovy® Before using Wegovy®, tell your healthcare provider if you have any other medical conditions, including if you:have or have had problems with your pancreas or kidneyshave type 2 diabetes and a history of diabetic retinopathyhave or have had depression, suicidal thoughts, or mental health issuesare scheduled to have surgery or other procedures that use anesthesia or deep sleepiness (deep sedation)are pregnant or plan to become pregnant. Wegovy® may harm your unborn baby. You should stop using Wegovy® 2 months before you plan to become pregnantare breastfeeding or plan to breastfeed. It is not known if Wegovy® passes into your breast milkTell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Wegovy® may affect the way some medicines work and some medicines may affect the way Wegovy® works. Tell your healthcare provider if you are taking other medicines to treat diabetes, including sulfonylureas or insulin. Wegovy® slows stomach emptying and can affect medicines that need to pass through the stomach quickly. What are the possible side effects of Wegovy®?Wegovy® may cause serious side effects, including:inflammation of your pancreas (pancreatitis). Stop using Wegovy® and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your backgallbladder problems. Wegovy® may cause gallbladder problems, including gallstones. Some gallstones may need surgery. Call your healthcare provider if you have symptoms, such as pain in your upper stomach (abdomen), fever, yellowing of the skin or eyes (jaundice), or clay-colored stoolsincreased risk of low blood sugar (hypoglycemia), especially those who also take medicines for diabetes such as insulin or sulfonylureas. This can be a serious side effect. Talk to your healthcare provider about how to recognize and treat low blood sugar and check your blood sugar before you start and while you take Wegovy®. Signs and symptoms of low blood sugar may include dizziness or light-headedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, or feeling jitterykidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydrationsevere stomach problems. Stomach problems, sometimes severe, have been reported in people who use Wegovy®. Tell your healthcare provider if you have stomach problems that are severe or will not go awayserious allergic reactions. Stop using Wegovy® and get medical help right away, if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeatchange in vision in people with type 2 diabetes. Tell your healthcare provider if you have changes in vision during treatment with Wegovy®increased heart rate. Wegovy® can increase your heart rate while you are at rest. Tell your healthcare provider if you feel your heart racing or pounding in your chest and it lasts for several minutesdepression or thoughts of suicide. You should pay attention to any mental changes, especially sudden changes in your mood, behaviors, thoughts, or feelings. Call your healthcare provider right away if you have any mental changes that are new, worse, or worry youfood or liquid getting into the lungs during surgery or other procedures that use anesthesia or deep sleepiness (deep sedation). Wegovy® may increase the chance of food getting into your lungs during surgery or other procedures. Tell all your healthcare providers that you are taking Wegovy® before you are scheduled to have surgery or other procedures The most common side effects of Wegovy® may include: nausea, diarrhea, vomiting, constipation, stomach (abdomen) pain, headache, tiredness (fatigue), upset stomach, dizziness, feeling bloated, belching, low blood sugar in people with type 2 diabetes, gas, stomach flu, heartburn, and runny nose or sore throat.

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