Conditions We Treat

Medical Dermatology

At Livingstone Dermatology, we understand that your skin is a reflection of your health and well-being. We are committed to the latest advancements in dermatological science, and dedicated to providing you with quality care.

What is Acne?

At some point in our lives, we may experience the frustration of pimples, otherwise known as acne. It generally starts in our teenage years, and may even follow us into adulthood. Sometimes, even though the breakouts are gone, we are left with a lasting reminder: acne scars.

While these scars are harmless, they can still take a toll on confidence, making it harder to achieve smooth, glowing skin. Thankfully, there are a variety of medical-grade dermatological treatments available to treat facial imperfections like acne scarring.

What Causes Acne?

Acne occurs when hair follicles become clogged with excess oil (sebum) and dead skin cells. This creates an environment where bacteria thrive, leading to inflammation and the formation of various types of acne lesions.

Treatment Options for Acne

  1. Topical Treatments: These include creams, gels, and lotions containing ingredients like retinoids, benzoyl peroxide, and salicylic acid. They work by unclogging pores, reducing inflammation, and controlling oil production.
  2. Oral Medications: In cases of moderate to severe acne, oral antibiotics or hormonal therapies may be prescribed to address underlying causes like bacterial infection or hormonal imbalances.
  3. Advanced Procedures: For stubborn or severe cases, procedures such as laser therapy, chemical peels, and drainage and extraction may be recommended to target deep-seated acne and minimize scarring.

Managing Acne Scars

What are Acne Scars?

Acne scars are the result of the skin’s attempt to heal after severe acne lesions. They can manifest as depressions (atrophic scars), raised lumps (hypertrophic scars), or hyperpigmentation.

Treatment Options for Acne Scars

  1. Dermal Fillers: Injectable fillers can be used to plump up depressed scars, providing a smoother and more even skin surface.
  2. Microdermabrasion: This non-invasive procedure uses a specialized tool to exfoliate the top layer of skin, reducing the appearance of shallow scars.
  3. Laser Resurfacing: Laser treatments stimulate collagen production, improving skin texture and reducing the visibility of scars.
  4. Chemical Peels: Chemical solutions are applied to the skin, causing it to exfoliate and eventually reveal smoother, less scarred skin.

Livingstone Dermatology offers a comprehensive approach to treating acne and its associated scars. Our experienced dermatologist will work closely with you to develop a personalized treatment plan that addresses your unique needs.

Ready to regain control over your skin health?

Schedule a consultation with Livingstone Dermatology today.

Understanding Corns and Calluses

Corns and calluses are common skin conditions caused by repeated friction or pressure on specific areas of the skin. They typically form on the feet and hands as a protective response to prevent further irritation.

What Causes Corns and Calluses?

Corns often develop on the tops and sides of toes, or on the sole of the foot, as a result of ill-fitting shoes, abnormal gait, or deformities like hammertoe. Calluses, on the other hand, typically form on the palms, fingers, or soles of the feet due to repetitive actions or pressure.

Treatment Options for Corns and Calluses

  1. Proper Footwear: Wearing well-fitting shoes that provide ample room for your toes can help prevent further friction and pressure.
  2. Orthotics or Inserts: Custom-made or over-the-counter orthotic inserts can redistribute pressure on your feet, alleviating discomfort.
  3. Padding or Cushions: Non-medicated pads or cushions can be applied to protect sensitive areas from further irritation.
  4. Topical Treatments: Creams or ointments containing salicylic acid can help soften and reduce the thickness of corns and calluses.
  5. Professional Removal: In cases of severe or painful corns and calluses, a dermatologist can safely remove them using specialized tools.
  6. Addressing Underlying Issues: Addressing any underlying causes, such as deformities or gait abnormalities, may be necessary for long-term relief.

Preventing Recurrence

To prevent the recurrence of corns and calluses, it’s essential to continue wearing well-fitting shoes, using orthotics if recommended, and maintaining good foot hygiene.

Livingstone Dermatology provides comprehensive care for corns and calluses. Our experienced dermatologist will assess your condition and recommend a personalized treatment plan to alleviate discomfort and help you achieve healthy, pain-free skin.

Ready to take the first step towards relief?

Schedule a consultation with Livingstone Dermatology today.

Understanding Cysts and Abscesses

Cysts and abscesses are common skin conditions characterized by the formation of enclosed pockets of fluid, pus, or other materials within or beneath the skin. While they may appear similar, they have distinct characteristics and treatment approaches.

What Are Cysts?

Cysts are closed sacs filled with fluid, semi-solid material, or air. They can develop anywhere on the body and vary in size. Cysts are typically non-cancerous and can be caused by a variety of factors, including infection, blockage of ducts, or genetic predisposition.

What Are Abscesses?

Abscesses, on the other hand, are localized infections that result in the accumulation of pus. They often occur in response to bacterial infections, usually as a result of a wound or hair follicle infection. Abscesses are characterized by redness, swelling, pain, and often have a visible “head” or opening.

Treatment Options for Cysts and Abscesses

  1. Incision and Drainage: This common procedure involves making a small incision to drain the contents of the cyst or abscess, relieving pain and promoting healing.
  2. Antibiotics: If an abscess is caused by a bacterial infection, a course of antibiotics may be prescribed to clear the infection.
  3. Excision: For larger or recurrent cysts, surgical removal may be recommended to prevent future occurrences.
  4. Steroid Injections: In some cases, injecting a steroid medication into a cyst can reduce inflammation and promote shrinkage.
  5. Warm Compresses: Applying warm compresses to an abscess can help promote natural drainage and alleviate discomfort.
  6. Topical Treatments: Depending on the type and location of the cyst, topical treatments may be recommended to encourage resolution.

Preventing Recurrence

Proper wound care, maintaining good hygiene, and seeking prompt treatment for any skin infections can help prevent the recurrence of cysts and abscesses.

Livingstone Dermatology offers specialized care for cysts and abscesses. Our experienced dermatologist will assess your condition and recommend a personalized treatment plan to promote healing and prevent future occurrences.

Ready to take the first step towards relief?

Schedule a consultation with Livingstone Dermatology today.

Understanding Eczema: Your Guide to Relief

Eczema, also known as dermatitis, is a common skin condition characterized by red, itchy, and inflamed skin. It often appears in patches and can range from mild to severe. Livingstone Dermatology is here to provide comprehensive care and relief for individuals dealing with eczema.

What is Eczema?

Eczema is a chronic skin condition that results from a combination of genetic and environmental factors. It is characterized by inflammation of the skin’s outer layer, leading to symptoms such as redness, itching, and the development of dry, scaly patches.

What Causes Eczema?

While the exact cause of eczema is not fully understood, it is believed to be related to a combination of factors, including genetics, an overactive immune response, and environmental triggers like allergens or irritants.

Treatment Options for Eczema

  1. Topical Treatments: Emollients, corticosteroids, and topical calcineurin inhibitors can help reduce inflammation, relieve itching, and moisturize the skin.
  2. Biologic Therapy: Newer targeted therapies including dupilumab may be a safe and suitable option for the treatment of your eczema. Your dermatologist may discuss this with you.
  3. Oral Medications: In more severe cases, oral medications may be prescribed to control inflammation and manage symptoms.
  4. Wet Wrap Therapy: This technique involves applying wet dressings over topical treatments to enhance absorption and provide additional moisture.
  5. Phototherapy: Controlled exposure to UVB light can help alleviate eczema symptoms by reducing inflammation and itching.
  6. Identifying Triggers: Understanding and avoiding specific triggers, such as certain foods, allergens, or irritants, can help manage and prevent flare-ups.

Managing Eczema

In addition to medical treatments, adopting a consistent skincare routine and avoiding known triggers can significantly improve the management of eczema.

At Livingstone Dermatology, our experienced dermatologist is dedicated to providing personalized care for individuals with eczema. We work closely with each patient to develop a customized treatment plan aimed at providing relief and improving the overall health of the skin.

Ready to find relief from eczema?

Schedule a consultation with Livingstone Dermatology today.

Hyperhidrosis is a relatively common medical condition that involves excessive sweating, and affects different parts of the body.

Overview

Sweating is a normal bodily function that helps regulate temperature. However, for some individuals, excessive sweating occurs regardless of temperature or physical activity. This condition, known as hyperhidrosis, affects daily life, causing discomfort, and social anxiety. Fortunately, various treatments are available to help manage excessive sweating effectively.

What is Hyperhidrosis?

Hyperhidrosis is a medical condition characterised by excessive sweating that goes beyond what is necessary for temperature regulation. It can affect different parts of the body, including the palms, soles, underarms, and face. This condition is typically caused by overactive sweat glands, leading to persistent sweating – even when at rest.

Types of Hyperhidrosis

Hyperhidrosis is categorised into two main types, which are:

  • Primary Focal Hyperhidrosis – primary focal hyperhidrosis is usually inherited, affects specific areas such as the hands, feet, underarms, and face. It typically starts in childhood or adolescence, and is not caused by an underlying medical condition.
  • Secondary Generalised Hyperhidrosis – secondary generalised hyperhidrosis is triggered by an underlying medical condition or medication. It causes excessive sweating over large areas of the body, and can occur during sleep.

What causes Hyperhidrosis?

The overstimulation of the sweat glands, due to the influence of the nervous system, is typically the cause of hyperhidrosis. Be that as it may, the causes can be divided into two categories:

Primary Hyperhidrosis

  • Primary hyperhidrosis is caused by overactive nervous system that trigger excessive sweating, even without external heat or stress.
  • Primarily affects specific areas like hands, feet, armpits, and face.
  • Thought to be genetic, as it often runs in families.

Secondary Hyperhidrosis

What are the common symptoms of Hyperhidrosis?

Prolonged moisture on the feet, which causes irritated or peeling skin, is a common symptom of hyperhidrosis.

Some of the common symptoms of hyperhidrosis are:

  • Body odour, caused by bacteria mixing with sweat, leading to potential skin infections.
  • Clammy hands, and feet, making it difficult to grip objects or wear certain footwear.
  • Irritated, cracked or peeling skin, particularly on the feet, due to prolonged moisture exposure.
  • Persistent wetness on the skin, causing damp clothing, and visible sweat droplets.
  • Sweat pooling or dripping, especially from the palms, forehead, or underarms.

Emotional and Social Impact

Beyond physical discomfort, hyperhidrosis can significantly impact daily life, and mental well-being:

  • Avoidance of physical contact, such as handshakes, due to clammy or wet palms.
  • Anxiety, and emotional distress, sometimes resulting in social withdrawal.
  • Concerns about personal hygiene, and body odour, even with frequent washing.
  • Constant worry about visible sweat stains on clothing.
  • Self-consciousness or embarrassment, leading to reluctance to engage in social interactions.

Where will these symptoms show up?

The eccrine glands are responsible for producing sweat. As it exists in the skin throughout the body, symptoms of hyperhidrosis can occur anywhere, with the following areas being the primary areas:

  • Armpits or the underarms (axillary hyperhidrosis)
  • Cheeks or forehead (craniofacial hyperhidrosis)
  • The palms of your hands (palmar hyperhidrosis).
  • The soles of your feet (plantar hyperhidrosis)
  • Genitals
  • Lower back

What triggers Hyperhidrosis?

When it comes to hyperhidrosis, it is important to manage the triggers. There are certain factors that can worsen hyperhidrosis episodes, including:

  • Emotional stress – anxiety, excitement or nervousness can stimulate sweat glands.
  • Hormonal fluctuations – changes due to puberty, pregnancy or menopause can exacerbate hyperhidrosis symptoms.
  • Hot, and humid weather – high temperatures can trigger excessive sweating, even in people without hyperhidrosis.
  • Physical activity – while sweating is normal during exercise, those with hyperhidrosis may sweat excessively even with minimal effort.
  • Spicy foods, and caffeine – consumption of spicy foods, and caffeinated beverages can increase sweating.

How is Hyperhidrosis diagnosed?

Dermatologists will perform a physical examination to identify potential triggers for hyperhidrosis.

Diagnosing hyperhidrosis involves a thorough evaluation to determine the type, severity, and potential underlying causes of excessive sweating. At Livingstone Dermatology, our dermatologists begin with a detailed consultation, and physical examination.

Physical Examination and Assessment

During the initial consultation, our dermatologists will assess your symptoms through:

  • Checking for underlying conditions – the purpose of this step is to rule out medical conditions such as hyperthyroidism, diabetes or infections that could contribute to excessive sweating.
  • Identifying potential triggers – by discussing factors such as stress, temperature, and physical activity, it will help our dermatologists determine your potential triggers that may exacerbate symptoms.
  • Symptoms severity assessment – this refers to evaluating how hyperhidrosis impacts daily life, including work, social interactions, and emotional well-being.
  • Sweat distribution analysis – the analysis is conducted to identify the areas most affected by excessive sweating.

Diagnostic Tests

In addition to a physical examination, our dermatologists may recommend specific tests to confirm the diagnosis, and assess the severity of the condition:

  • Blood tests – blood work may be conducted to rule out medical conditions such as hyperthyroidism, diabetes or infections that could contribute to excessive sweating.
  • Gravimetric sweat test – the Gravimetric Sweat test is performed to measure the exact amount of sweat produced over a specific period using a filter paper placed on the affected skin. This helps quantify sweating severity.
  • Starch-iodine test – a topical iodine solution is applied to the affected area, followed by starch powder. Areas of excessive sweating will turn dark blue, highlighting the most active sweat glands.
  • Thermoregulatory sweat test (TST) – a whole-body assessment where a special powder changes colour in response to excessive sweating, allowing for a comprehensive evaluation of sweat patterns.

How is Hyperhidrosis treated in Singapore?

Treatment for hyperhidrosis is primarily focused on managing the condition, and preventing it from exacerbating. As such, it includes a variety of treatment options, ranging from conservative measures to more invasive forms of medical intervention – all of which are tailored specifically to each patient. 

Conservative Treatments

For mild to moderate hyperhidrosis, conservative methods can help manage excessive sweating:

  • Topical antiperspirants – topical antiperspirants, such as aluminium chloride-based solutions, work by temporarily blocking the sweat glands, reducing sweat production in targeted areas like the underarms, hands, and feet. For more persistent cases of hyperhidrosis, prescription-strength antiperspirants may be recommended.
  • Oral modifications – oral modifications like anticholinergic medications (glycopyrrolate or oxybutynin), suppress nerve signals that activate sweat glands. 
  • Lifestyle modifications – wearing loose, breathable fabrics, using absorbent powders, and maintaining good hygiene can help keep moisture under control. Additionally, stress management techniques such as meditation, and breathing exercises may also reduce stress-induced sweating.

Minimally Invasive Treatments

Botulinum toxin injections is one treatment option that helps manage excessive sweating by blocking nerve signals that stimulate sweat production.

For moderate to severe hyperhidrosis, medical treatments offer longer-lasting relief:

  • Botulinum toxin injections – Botulinum toxin temporarily blocks nerve signals responsible for sweat production. It is commonly used for underarm, hand, and forehead sweating, as botulinum toxin injections can provide relief for four to six months before requiring repeat treatment.
  • Iontophoresis – iontophoresis is a procedure that delivers mild electrical currents through water to temporarily disable sweat glands in the hands, and feet. This treatment requires multiple sessions for optimal results, and is particularly beneficial for palmar, and plantar hyperhidrosis.

Surgical Treatments

For severe hyperhidrosis that does not respond to other treatments, surgical interventions may be considered:

  • Endoscopic Thoracic Sympathectomy (ETS) – ETS is a procedure that involves cutting or clamping the sympathetic nerves that trigger excessive sweating. It is primarily used for palmar hyperhidrosis. However, it is considered a last-resort option due to potential side effects like compensatory sweating in other areas of the body.
  • Microwave Thermolysis – microwave thermolysis is an innovative treatment that uses microwave energy to destroy overactive sweat glands in the underarms. This procedure is minimally invasive, with long-lasting results, and requires minimal downtime.

Conclusion

Excessive sweating can be disruptive, and challenging to manage on your own. Thankfully, there are several medical-grade treatments that can help you manage hyperhidrosis symptoms effectively. 

Schedule a consultation today for a detailed diagnosis and personalised treatment plan.

Frequently Asked Questions

How can I differentiate between normal sweating from excessive sweating?

Normal sweating occurs as a natural response to heat, physical activity or emotional stress, helping to regulate body temperature. It usually stops once the triggering factor subsides.

Excessive sweating, on the other hand, happens regardless of external conditions, and can interfere with daily activities. The key differences include:

  • Emotional or physical discomfort.
  • Frequent or persistent sweating.
  • Sweating without a clear cause.
  • Sweat dripping or soaking through clothing.

Hyperhidrosis affects approximately 2 – 3% of the global population, with many cases remaining undiagnosed or untreated. This is largely due to a lack of awareness, and education related to the condition.

Most people with hyperhidrosis do not experience body odour. However, to prevent body odour (bromhidrosis), you can:

  • Apply shoe spray to reduce odour.
  • Avoid foods like asparagus, curry, and garlic that may contribute to body odour.
  • Change socks and shoes frequently.
  • Use antiperspirants or deodorants under your arms.

There is no conclusive evidence linking regular use of these products to breast cancer. Many formulations, including natural and clinical-strength options, are available, allowing individuals to choose what suits them best.

It is important to seek medical attention for hyperhidrosis to prevent the following potential complications:

  • Difficulties handling objects due to sweaty palms
  • Emotional distress
  • Skin infections, and irritation
  • Social withdrawal

Although treatment-related side effects are uncommon, it is important to be aware of the potential side effects. These side effects depend on the treatment method, but may include:

  • Blurred vision, and dry mouth from oral medications.
  • Skin irritation from topical antiperspirants.
  • Temporary muscle weakness from botulinum toxin injections.

It is important to understand that most treatments provide temporary relief. As such, it requires repeated sessions or long-term management. However, surgical options may offer a permanent solution, but they do come with their own set of risks.

While hyperhidrosis itself may not be preventable, triggers can be managed through lifestyle adjustments, appropriate treatments.

Yes, some lifestyle adjustments can help. This includes:

  • Managing stress through relaxation techniques.
  • Staying hydrated to regulate body temperature.
  • Using absorbent powders to keep skin dry.
  • Wearing breathable, and loose-fitting clothing.

Improving Quality of Life

Living with hyperhidrosis can be challenging, but effective treatment options are available. Our experienced dermatologist will work with you to develop a personalized treatment plan that addresses your specific concerns and provides lasting relief.

Ready to regain control over excessive sweating?

Schedule a consultation with Livingstone Dermatology today.

Dealing with hair and nail disorders can be frustrating, especially when they begin to affect your confidence and well-being. Whether it is thinning hair, brittle nails, or unexpected changes in your scalp, or nail health, these conditions can leave you feeling concerned, and self-conscious.

The good news is that many of these disorders are more common than you might think, and with the right treatment, you can reclaim healthier hair, and nails. In fact, by understanding the root causes, and identifying the early symptoms can make all the difference in getting the relief you need.

hair nail disorders Singapore.
Hair and nail disorders can indicate underlying health issues, affecting strength, growth, and overall appearance.

What are hair and nail disorders?

Hair and nail disorders encompass a wide range of conditions that affect the scalp, hair follicles, and nails. These issues can lead to a variety of symptoms like hair loss, nail deformities, itching, and infections.

In Singapore, where the climate is humid, and warm all-year-round, these conditions are quite prevalent, impacting people of all ages. Beyond the climate, factors such as genetics, lifestyle, environmental stressors, and diet can contribute to the development of these disorders.

Types of hair and nail disorders

Not all hair, and nail disorders are the same, as they vary in terms of causes, characteristics, symptoms, and treatments. Some of the more common conditions include, but are not limited to:

Hair Disorders

  • Androgenetic alopecia — androgenetic alopecia, or more commonly known as male or female pattern baldness, is characterised by gradual hair thinning, particularly at the crown, and hairline.
  • Alopecia areata — alopecia areata is an autoimmune condition where patches of hair fall out suddenly, leaving round, smooth bald spots on the scalp, or other parts of the body.
  • Telogen effluvium — telogen effluvium is a temporary hair shedding caused by stress, illness, or hormonal changes, resulting in hair thinning across the scalp.
  • Scalp infection — scalp infection, either due to bacterial or fungal infections such as tinea capitis, can cause itching, scaling, and hair loss.
  • Seborrheic dermatitis — seborrheic dermatitis is a chronic scalp condition marked by red, scaly patches, and persistent dandruff, often exacerbated by stress, or weather changes.
  • Lichen planus — lichen planus is an autoimmune condition that affects both the scalp, and skin, leading to hair loss, itching, and scalp inflammation.
ingrown toenail treatment singapore
Ingrown toenails occur when the nail grows into the surrounding skin, causing pain, swelling, and potential infection if left untreated.

Nail Disorders

  • Ingrown toenails — ingrown toenails occur when the edges of the nail grow into the surrounding skin, often due to improper nail trimming, tight footwear, or trauma.
  • Onychoschizia — onychoschizia, or better known as brittle nail syndrome, is a condition that leads to nail splitting, or peeling.
  • Onychogryphosis — meanwhile, onychogryphosis is described as thickened, curved nails that resemble a ram’s horn, often caused by trauma, or pressure.
  • Onychomycosis (fungal infections) — onychomycosis is a fungal infection that causes thickened, discoloured, and brittle nails.
  • Onycholysis — onycholysis is the separation of the nail from the nail bed, often due to trauma, or infections.
  • Psoriasis of the nails — psoriasis of the nails is a condition where psoriasis affects the fingernails, or toenails, causing changes such as pitting, discolouration, thickening, or lifting of the nail plate.
androgenetic alopecia Singapore.
Androgenetic alopecia is a common hair condition that causes gradual hair thinning, often due to genetics or a family history of the condition.

What causes hair and nail disorders?

The causes of hair and nail disorders vary depending on the type. However, there are several factors that can trigger, or even worsen hair and nail disorders. This includes:

  • Autoimmune disorders — conditions such as alopecia areata, and lichen planus are triggered by the immune system attacking hair follicles, or nail beds.
  • Environmental factors — constant exposure to moisture, chemicals, and pollutants can lead to weakened nails, and scalp issues.
  • Genetic predispositionfamily history plays a significant role in conditions like androgenetic alopecia, and certain nail disorders.
  • Hormonal changes — hormonal fluctuations, especially during pregnancy, menopause, or thyroid diseases, can affect hair health.
  • Stress, and dietpoor nutrition, and high levels of stress can result in hair thinning, brittle nails, and scalp inflammation.

What are the symptoms of hair and nail disorders?

Each hair and nail disorder carries different symptoms, with the potentiality of overlapping. As such, you should seek medical attention if you begin to experience any of the following symptoms:

Hair Disorders

Androgenetic alopecia

  • Gradual hair thinning, usually starting at the temples, and crown in men (receding hairline).
  • Widening part, or thinning at the top of the scalp in women.
  • Hair becomes finer, softer, and shorter over time.

Alopecia areata

  • Sudden, round patches of hair loss on the scalp, beard, or other parts of the body.
  • Smooth, hairless skin in the affected areas.
  • Tingling, itching, or burning sensation before hair falls out.
  • Can affect the eyebrows, eyelashes, or facial hair.

Telogen effluvium

  • Diffuse thinning or shedding hair all over the scalp.
  • Increased hair fall, especially while washing or combing.
  • Hair appears less dense, and may appear lifeless.
  • Often triggered by stress, illness, or hormonal changes.

Scalp infections

  • Scaly patches on the scalp, often appearing red, and itchy.
  • Hair may break off close to the scalp, leaving bald spots.
  • Pus-filled sores, or crusty lesions.
  • Swollen lymph nodes in severe cases.

Seborrheic dermatitis

  • Persistent dandruff with white, or yellow flakes.
  • Red, greasy patches of skin, particularly along the hairline.
  • Itchy scalps that may feel irritated, or sore.
  • Hair loss in areas with severe inflammation.

Lichen planus

  • Itchy, reddish-purple bumps on the scalp.
  • Patches of hair loss with scarring.
  • Scales, or crusts, may form on the affected areas.
  • May cause permanent hair loss if left untreated.
Seborrheic dermatitis causes symptoms such as redness, and severe itchiness, leading to hair loss in areas with high inflammation.

Nail Disorders

Ingrown toenails

  • Pain, redness, and swelling along the nail edge.
  • Tenderness around the nail fold.
  • Pus, or infection.
  • Throbbing sensation, especially when walking, or wearing tight shoes.
  • Can either be acute, or chronic.

Onychoschizia

  • Brittle, thin, and uneven nail edges.
  • Nails that peel, split, or break easily.
  • Nails may appear dull, or rough.
  • Often associated with frequent wetting, and drying of hands.

Onychogryphosis

  • Thickened, overgrown, and curved nails, often resembling a ram’s horn.
  • Nails are difficult to trim, and may cause discomfort.
  • Yellow, or brown discolouration.
  • Typically affecting the big toes.

Onychomycosis

  • Foul odour from the affected nails.
  • Yellow, white, or brown discolouration of the nails.
  • Nails become thickened, brittle, or crumbly.
  • Separation of the nail from the nail bed.

 

Onycholysis

  • Nails detach, or lift from the nail bed, usually starting from the tip.
  • Discolouration in the detach area, typically white, yellow, or green.
  • Pain, or discomfort, particularly when pressure is applied.
  • Triggered by trauma, infections, or exposure to irritants.

Psoriasis on the nails

  • Pitting, or small dents on the nail surface.
  • Thickening, or crumbling of the nail plate.
  • Discolouration, with the nails appearing yellow, brown, or white.
  • Nails may lift, or separate from the nail bed.
  • Pain, or tenderness in severe cases.
Brittle nails is a common symptom for a variety of nail disorders. ALT-text: what is brittle nails
Brittle nails is a common symptom for a variety of nail disorders.

How are hair and nail disorders diagnosed in Singapore?

Diagnosing hair and nail disorders is essential to providing targeted treatment, and preventing further complications. These conditions can often be assessed during a visit to a dermatologist, who will use a combination of clinical evaluations, and diagnostic tests to determine the root cause.

Prior to any tests, our dermatologists at Livingstone Dermatology will discuss your symptoms, medical history, family history, and lifestyle factors, including stress levels, diet, and exposure to chemicals.

Based on the initial assessment, the following diagnostic procedures may be performed to diagnose hair disorders:

  • Scalp biopsy — a scalp biopsy entails a small sample of scalp tissue being taken, and examined under a microscope to identify inflammation, infections, or autoimmune disorders like alopecia areata, or lichen planus.
  • Trichoscopy — a trichoscopy refers to a non-invasive test using a dermatoscope to examine the hair, and scalp closely. It allows our dermatologist to assess hair shaft abnormalities, scalp conditions, and patterns of hair loss, such as those seen in androgenetic alopecia, or telogen effluvium.
  • Pull test — a pull test is a diagnostic test, whereby the dermatologist gently tugs on a small section of hair to see how many strands come out. A positive pull indicates active hair shedding, which may suggest telogen effluvium, or an underlying scalp disorder.
  • Fungal culture — in the event our dermatologist suspects fungal infections, a sample of the hair, or scalp debris is collected, and cultured to identify the specific fungus responsible for the infection.
  • Blood tests — a blood test is often conducted to check for hormonal imbalances, nutritional deficiencies, or autoimmune markers. These can provide insights into conditions like androgenetic alopecia, or telogen effluvium triggered by internal factors.
fungal infection Singapore
A fungal culture can help dermatologist determine if certain hair disorders are caused by fungal infection.

Meanwhile, our dermatologist may perform one of the following diagnostic procedures to diagnose nail disorders:

  • Nail clipping for microscopy, and culture — a nail clipping for microscopy, and culture refers to a small portion of the affected nail being clipped, and examined under a microscope. It is then cultured to detect fungal infections, such as onychomycosis.
  • Nail biopsy — in cases of severe nail deformities, or suspected malignancies, a biopsy may be performed. A sample of nail tissue is taken to look for conditions like lichen planus, psoriasis, or melanoma.
  • Digital dermoscopy — a digital dermoscope uses a specialised microscope to examine nail plate abnormalities, pigmentation, and subungual lesions, helping to diagnose conditions like onycholysis or paronychia.
  • Patch test — For patients with suspected contact dermatitis around the nails, a patch test can identify potential allergens. This is particularly useful if nail changes are due to exposure to chemicals, cosmetics, or nail products.
  • Blood tests — a blood test may be ordered to evaluate for systemic conditions like thyroid disorders, anaemia, or autoimmune diseases, which can contribute to nail abnormalities like brittle nails or onychoschisia.
Our dermatologist may collect samples under the nails to be tested for fungal infection.

How are newborn hair and nail disorders treated in Singapore?

We understand that hair, and nail disorders can significantly affect one’s self-esteem, and quality of life. While prevention is ideal, it may not always be possible to avoid these conditions entirely.

However, a range of effective treatment options are available to help manage symptoms, and promote healing. For hair disorders, this includes:

Topical Treatments

  • Minoxidil — minoxidil is often used to stimulate hair growth in androgenetic alopecia. It is applied directly to the scalp, helping prolong the hair follicle’s growth phase.
  • Medicated shampoos — medicated shampoos, which are shampoos containing ketoconazole, zinc pyrithione, or selenium sulfide, can reduce inflammation, and flaking, especially for patients with seborrheic dermatitis.

Oral Medications

  • Finasteride — finasteride is commonly prescribed for men with androgenetic alopecia, helping to slow hair loss, and promote regrowth by reducing dihydrotestosterone (DHT) levels.
  • Corticosteroids — corticosteroids are often administered orally, or injected as it helps with managing autoimmune-related hair loss like alopecia areata, reducing inflammation that damages hair follicles.

Therapy

  • Immunotherapy — immunotherapy is often recommended for severe cases of alopecia areata as it helps stimulate hair regrowth by triggering an immune response on the scalp.
  • Phototherapy — phototherapy, or light therapy, is effective for treating scalp conditions such as lichen planus as it helps in reducing inflammation, while promoting healing.

Supplements

  • Nutritional supplements — our dermatologists may also recommend consuming nutritional supplements that contain biotin, zinc, and iron to support hair growth, and improve hair strength, especially for those with deficiencies contributing to telogen effluvium.

When it comes to treating nail disorders, our dermatologist may opt to proceed with one of the following treatment procedures:

Topical Treatments

  • Antifungal creams — antifungal creams are usually prescribed to treat nail disorders caused by fungal infections, such as onychomycosis. These creams contain ingredients such as ciclopirox, or amorolfine to help clear the infection.
  • Topical steroids — topical steroids are used to reduce inflammation, and help the nail reattach to the nail beds.

Oral Medications

  • Antifungal medications — in severe fungal infection cases, our dermatologist may prescribe oral antifungal medications to help clear the infection.
  • Antibiotics — oral antibiotics usually given in the event the nail disorders are caused by a bacterial infection, accompanied by pus formation.

Nail Procedures

  • Nail surgerynail surgery is often the course of treatment to remove the affected nails, while facilitating a smooth recovery.
  • Therapeutic procedures — depending on the type of nail disorder, cryotherapy or laser therapy may be recommended to help improve the condition.

Lifestyle Changes

  • Nail care — nail care such as keeping nails trimmed regularly, and avoiding prolonged exposure to water can prevent nail disorders from exacerbating, while allowing it to heal smoothly.
  • Protective gloves — by wearing protective gloves while performing tasks involving chemicals can help maintain nail health.
  • Applying moisturiser — applying urea-based moisturisers can help reduce symptoms of brittle nails. In fact, taking biotin supplements can help strengthen brittle nails, thereby reducing the likelihood of splitting, and breakage.
nail disorders Singapore
By keeping your nails trimmed, and practicing good hygiene, it will help reduce the likelihood of developing nail disorders, especially those that are caused by bacterial, or fungal infections.

The state of our hair and nails can reflect our overall health, and understanding the root cause of your symptoms is the first step to effectively treating hair and nail conditions. With the right treatment approach, these symptoms can be managed effectively.

At Livingstone Dermatology, we offer tailored solutions to restore your hair and nail health. If you have been experiencing concerning symptoms, reach out to us for a thorough consultation and personalised treatment plan tailored to your needs.

Frequently Asked Questions

Can hair loss be prevented?

Although hair loss is a natural part of ageing, there are some preventive measures that you can take to prevent, or minimise the hair loss. These steps include:

  • Maintaining a healthy diet.
  • Managing your stress level.
  • Minimising exposure to environmental damages, such as UV rays, and harsh weather.
  • Practicing proper hair care.
  • Undergoing routine medical check-ups, especially if you have a genetic condition that leads to hair loss.
  • Quitting smoking, and reducing alcohol intake.

Yes, certain hair loss can be reversed, especially if treatment begins early. In fact, topical treatments such as minoxidil, oral treatments such as finasteride, and therapies like platelet-rich-plasma (PRP) can stimulate hair regrowth.
However, it is important to understand that the success rate varies depending on the cause, and severity of hair loss.

Temporary hair loss, such as telogen effluvium, often follows a stressful event, or illness, and typically resolves on its own within a few months. In contrast, androgenetic alopecia, and certain autoimmune conditions may lead to more permanent hair loss if not treated early.

While some natural remedies like rosemary oil, aloe vera, or coconut oil may improve scalp health, they are usually not as effective as medically-proven treatments like minoxidil, or finasteride.

If you have been experiencing hair loss, with a family history of hair conditions, then it is best to consult a dermatologist for personalised advice.

It may take approximately between 3 to 6 months to notice significant improvements. However, it is important to note that when it comes to undergoing hair loss treatments, consistency is the key to seeing results.

Yes, brittle nails can function as a health indicator as it usually indicates a deficiency in nutrients like biotin, or iron. They may also be a sign of an underlying condition such as hypothyroidism. However, they can also result from regular exposure to water, harsh chemicals, or ageing.

While mild fungal infections can sometimes be treated with over-the-counter antifungal creams, or medicated nail lacquers, persistent infections typically require prescription oral antifungals for more effective results.

If you have a nail disorder, it is best to consult with a dermatologist before getting manicures, or pedicures done. In the event your dermatologist says it is permissible to have these treatments done, it is important to ensure the salon uses sterilised tools, and practices proper hygiene to avoid exacerbating the condition, or introducing new infections.

One of the best ways to help make your nails stronger is by keeping them moisturised, trimming them regularly, and avoiding using them as tools. Additionally, it is best to protect them from harsh chemicals by wearing protective gloves.

While using a nail hardener may be beneficial for some individuals, it is encouraged to speak with your dermatologist if it is recommended to use a nail hardener if you are diagnosed with a nail disorder.

Ready to take the first step towards
healthier hair and nails?

Schedule a consultation with Livingstone Dermatology today.

Keloid scars develop due to an overproduction of collagen while an active wound or injury is healing.

Scars are our body’s way of protecting us after the skin is injured. When the dermis is damaged, our body produces collagen fibres to repair the wound. This is laid down rapidly and densely, creating a scar. 

However, when excess collagen is produced during the healing process, keloid scars can form. These are raised scars that form beyond the original wound — thick, raised, and sometimes, darker than the surrounding skin. While they do not pose serious health risks, their appearance, and potential discomfort can be distressing. Fortunately, various treatments are available to help reduce, and manage keloid scars, restoring both skin appearance and self-assurance.

What are Keloid Scars?

Keloid scars are an overgrowth of scar tissue that forms at the site of a skin injury. Unlike regular scars, keloids extend beyond the original wound, and may continue to grow over time. This occurs due to excessive collagen production during the healing process. Instead of gradually fading, keloid scars become thick, raised, and sometimes itchy or uncomfortable. They can develop after minor skin injuries such as cuts, burns, acne or even piercings. Although harmless, their noticeable appearance can be a cosmetic concern for many individuals.

Characteristics of Keloid Scars

Identifying, and differentiating keloid scars is essential for seeking the right treatment. In fact, understanding their unique characteristics can help individuals determine the most ideal course of action.

Where do keloid scars grow?

Keloids can appear anywhere on the body but are more common in areas with high skin tension, and movement, including:

  • Arms
  • Chest
  • Earlobes
  • Jawline
  • Shoulders
  • Upper back

What do they look like?

Keloid scars have distinct visual, and physical characteristics, such as:

  • Continual growth beyond original wound
  • Firm or rubbery texture
  • Pink, red, or dark brown coloration
  • Potential itchiness or tenderness
  • Raised and thickened scar tissue
  • Smooth and shiny surface

What causes Keloid Scars?

Keloids form when the body produces excessive collagen while healing an injury. Collagen is a structural protein that helps repair, and strengthen the skin. However, in some individuals, an overproduction of collagen leads to the formation of keloid scars. Unfortunately, the exact reason behind this excessive collagen production remains unclear.

Keloids may develop after various skin injuries or conditions, including:

  • Acne
  • Chickenpox
  • Cuts or burns
  • Insect bites
  • Piercings, and tattoos
  • Shaving wounds
  • Surgical incisions, such as C-section

What are the symptoms of Keloid Scars?

Keloid scars often cause itching, irritation, and pain.

In addition to medical treatments, adopting a consistent skincare routine and avoiding known triggers can significantly improve the management of eczema.

The symptoms of keloid scars can vary but often include:

  • Itching, and irritation
  • Pain or tenderness
  • Persistent growth beyond the initial wound
  • Skin tightness around the affected area
  • Thick, raised scar formation

What are the risk factors of Keloid Scars?

Although anyone can have keloid scars, there are certain individuals that are more prone to developing keloid scars due to genetic, and environmental factors. The risk factors include:

  • Age – individuals who are aged 30 years old, and younger are more at risk of developing keloid scars.
  • Ethnicity – individuals with Asian or African ethnicity are more prone to keloid formation.
  • Genetics – individuals with a family history of keloids have an increased likelihood of developing them.
  • Health status – individuals with a history of excessive scarring or poor wound healing are at higher risk of developing keloid scars.
  • Injury type – wounds in high-tension areas, such as the chest and shoulders, have a greater risk of forming keloids.
  • Previous keloid formation – individuals who have had keloids before, are more likely to develop them again.
  • Skin type – individuals with darker skin tones are more prone to keloid formation.

How are Keloid Scars diagnosed?

Several methods for assessing keloid scars include:

  • Clinical examination – our dermatologists will assess the size, shape, color, and texture of the scar. Additionally, symptoms such as itching, pain or continued growth beyond the wound site are also evaluated.
  • Dermatoscopy – a dermatoscopy is a technique that involves using magnification tools to examine the skin’s surface, and subsurface structures, aiding in accurate detection, and differentiation of keloid scars.
  • Biopsy in cases where further confirmation is needed, a small sample of the scar tissue may be taken for analysis to rule out other skin conditions, such as skin cancer.

How are Keloid Scars treated in Singapore?

Treatment for keloid scars will depend on the size, location, and extent of the scars.

Treatment for keloid scars is tailored based on the severity, size, and location of the scar. At Livingstone Dermatology, our dermatologists may recommend one or a combination of the following treatment options:

  • Corticosteroid injections – corticosteroid injections are a first-line treatment for keloids. These injections help reduce inflammation, suppress excess collagen production, and flatten the scar over time. Multiple sessions may be required, spaced several weeks apart, to achieve noticeable improvement. Additionally, this treatment is particularly effective for reducing itching, pain, and discomfort associated with keloids.
  • Cryotherapy – cryotherapy involves freezing the keloid using liquid nitrogen. This process helps shrink the scar, making it less noticeable. It is especially useful for smaller keloids, and can be combined with other treatments, such as corticosteroid injections, for enhanced effectiveness. Cryotherapy may require multiple sessions, and mild skin irritation or temporary pigmentation changes may occur post-treatment.
  • Laser therapy – laser therapy targets the excess collagen within the keloid to gradually reduce its size, and improve its appearance. Specific laser types, such as pulsed dye lasers, help to fade the redness, and flatten the scar. Laser treatment is often combined with other therapies to maximise its effects, and multiple sessions are typically required for optimal results.
  • Radiation therapy – in cases where keloids are particularly stubborn or recurrent, radiation therapy may be considered. This treatment is usually performed after surgical removal to prevent the regrowth of keloid tissue. It involves the use of low-dose radiation to inhibit excessive collagen production, reducing the likelihood of the keloid returning. Radiation therapy is carefully administered to minimise potential risks and side effects.
  • Silicone sheets or Gels – silicone-based treatments, including sheets and gels, provide a non-invasive method for softening, and flattening keloid scars. These products work by hydrating the scar tissue, regulating collagen production, and improving overall skin texture. Consistent application over several months is necessary for significant results, and it is often recommended as part of a long-term scar management plan.
  • Surgical removal – for larger or persistent keloids, surgical excision may be an option. However, keloids have a high recurrence rate after surgery, so additional treatments, such as corticosteroid injections or radiation therapy, are often recommended to prevent regrowth. Our dermatologists use precise techniques to minimise scarring and optimise healing outcomes.

Summary

While keloid scars can be persistent, and impact self-confidence, they are manageable with the right treatment approach. It is important to remember that early intervention is key to preventing excessive scar growth. At Livingstone Dermatology, we offer comprehensive keloid scar assessments, and medical-grade treatment options to help you achieve smoother, healthier skin. Contact us today for a personalised treatment plan.

Frequently Asked Questions

Are hypertrophic scars the same as keloid scars?

Keloids are often mistaken for hypertrophic scars, a more common type of scarring. Hypertrophic scars are typically flat and vary in colour from pink to brown. They are smaller than keloids and, unlike keloids, may gradually fade over time.

Both men and women experience hypertrophic scars at similar rates, and they can affect individuals of all skin tones. These scars often result from physical or chemical injuries, such as piercings or exposure to harsh substances. Initially, hypertrophic scars may be itchy or painful, but these symptoms generally lessen as the skin heals.

Keloid scars are not always painful, but some people may experience discomfort, tenderness or itching in the affected area. The severity of symptoms varies from person to person, and larger keloids may cause more noticeable discomfort.

If pain or irritation is affecting your daily life, treatment options are available to help relieve symptoms and improve the appearance of the scar.

While keloid scars are not harmful to your overall health, they can sometimes lead to discomfort, restricted movement (if they develop over joints) or emotional distress due to their appearance. Additionally, keloids can sometimes continue to grow over time.

Most keloid treatments involve minimal downtime. Procedures like corticosteroid injections, laser therapy, and cryotherapy allow patients to resume normal activities almost immediately. However, surgical removal or radiation therapy may require a brief recovery period.

While keloid scars cannot always be entirely prevented, there are steps you can take to reduce the risk. If you are prone to keloids, avoid unnecessary piercings, tattoos, or elective surgeries. For necessary procedures, speak to a dermatologist about preventive measures such as silicone gel application, pressure dressings, or corticosteroid injections to minimise scarring.

Unlike normal scars that may fade over time, keloid scars tend to persist, and may even grow larger. Without treatment, they do not typically resolve on their own. However, there are various medical treatments available that can help shrink, flatten, and improve the appearance of keloid scars.

Yes, keloids have a tendency to recur, especially after surgical removal. To reduce the risk of recurrence, dermatologists often recommend combination treatments such as corticosteroid injections, laser therapy or radiation therapy after surgical excision.

Yes, keloid scars can be treated at any age, though treatment plans may vary depending on the patient’s skin type, age, and medical history. It is always best to consult a dermatologist to determine the most suitable treatment for your specific needs.

The timeframe for noticeable improvement depends on the treatment method used. Corticosteroid injections, laser therapy, and silicone sheets often require multiple sessions over weeks or months. Results from surgical removal or radiation therapy may become apparent sooner but require careful monitoring to prevent recurrence.

Ready to take the first step towards keloid relief?

Schedule a consultation with Livingstone Dermatology today.

Lumps and bumps on the skin or under the skin may cause discomfort or concern. Fortunately, most cases of lumps and bumps on the skin are benign and treatable. However, a visit to a dermatologist is crucial for proper diagnosis and treatment.
Dermatoscopy in Singapore
Lumps and bumps on the skin can be a cause of concern, hence it is important to visit a dermatologist for a diagnosis.

What are skin lumps and bumps?

Growths on the skin or just beneath the skin can be caused by a variety of conditions, most types of bumps on the skin are caused by benign or harmless growths. Despite this, they can still cause discomfort and pain from friction, clothing, or getting caught in jewellery.

Types of growth

Among the common types of lumps and bumps found on the skin include:

  • Seborrheic keratosis – Seborrheic keratosis are benign growths of keratinocytes, appearing as scaly, brown or black papules or plaques on the skin. These growths are common in people aged 50 years and above [1].
  • Moles – Moles are dark spots of melanocytes on the skin. They can appear at birth, or develop throughout your life. These growths are typically harmless, but some may potentially develop into skin cancer.
  • Skin tags – Skin tags are characterised as small, pedunculated lumps of skin. Skin tags typically appear in areas of the body that experience a lot of friction, such as the neck, armpits, groin or thighs, and eyelids [2].
  • Cysts – Cysts are lesions under the skin often filled with pus, fluid, or other material. Cysts are typically harmless, but can grow and rupture, which may lead to infection and inflammation, hence requiring treatment.
  • Lipomas – Lipomas are lumps of fatty tissue under the skin which are often mobile or moveable. These lesions are typically harmless and slow-growing. However, their location or size may eventually cause pain or discomfort.
  • Warts  – Warts are typical growths caused by viral infections, and often present as rough, bumpy growths on the skin.

What causes these lumps and bumps?

  • Seborrheic keratosis – Seborrheic keratosis lesions can be sporadic or inherited. In sporadic cases, it is believed that gene mutations of fibroblast growth factor receptor-3 (FGFR3) are what drives the development of the lesions. Seborrheic keratosis is also believed to be caused by increased UV radiation, such as from sun exposure [1].
  • Moles – Moles, also known as nevi, are formed from clumps of melanocytes or pigment cells. Moles are typically grouped as common moles, congenital melanocytic nevi, or dysplastic nevi. The causes of moles are not entirely known, but certain features increase the likelihood of someone developing moles, such as fair skin, light hair and eye colour, and increased sun exposure [3].
  • Skin tags – The exact cause of skin tags are not entirely known. However, certain risk factors that increase the likelihood of skin tag development include genetic predisposition, obesity, and insulin resistance [4].
  • Cysts – Cysts that appear on the skin, or epidermoid cysts, are typically caused by a blockage in the follicles due to a build-up of keratinocytes. Over time, more and more keratinocytes are trapped, eventually forming a cyst. Injuries to the hair follicle can also cause the initial plug to form.
  • Lipomas – Lipomas are benign tumours of fatty tissue. While the exact cause of lipomas are not known, it is believed that traumatic injuries and genetic predisposition may be linked to lipoma formation [5].
  • Warts – Warts are benign growths of the mucosa and skin caused by viral infections. Infections of human papillomavirus (HPV) are known to cause different types of wart growths. Although mostly benign, some types of HPV are considered high risk and may develop into verrucous carcinoma [6].

When should I be worried about lumps and bumps?

Although most causes of lumps and bumps on the skin are benign, it is important to know when it may be indicative of a skin cancer lesion, or a lymphoma. Warning signs to look out for include:

  • A new mole, or a mole that changes rapidly in a short duration of time
  • A pearly or waxy bump (may be indicative of basal cell carcinoma)
  • Lesions that do not heal, or comes back after healing
  • Itchy or painful lesions
  • Lesions that may look rough, scaly, red/pink/white
  • Painless swollen lymph nodes, typically in the neck, armpit, belly, or groins
  • Fever and night sweats
  • Fatigue
  • Unexplained weight loss

Any concerning symptoms should prompt you to visit a healthcare provider. Early detection and treatment of cancer can be life-saving.

Diagnosis of skin lumps and bumps

Some growths on the skin may resemble one another, and may even look similar to other more serious skin lesions. Hence, it is crucial that you visit a dermatologist for a proper diagnosis and avoid performing any at-home removals. Typically, your dermatologist will perform the following tests to diagnose your condition:

  • Physical examination – Your dermatologist is likely able to diagnose your skin lesion or growth from a simple physical examination. They may give you recommendations for further tests if the lesion looks suspicious, or if it requires a differential diagnosis.
  • Dermatoscopy – Dermatoscopy (sometimes dermoscopy) is an examination of the skin using a dermatoscope, which acts like a magnifying glass to closely examine the skin lesions.
  • Skin biopsy – In some cases, if your doctor requires further tests for a diagnosis, they may perform a skin biopsy. The procedure involves taking tissue samples from the skin or lesion, commonly using surgical tools. The tissue samples will then be sent for further laboratory tests. Biopsies are important for the diagnosis of potentially malignant lesions.
  • Imaging tests – Certain growths may benefit from imaging tests such as ultrasound and magnetic resonance imaging (MRI). Typically, your dermatologist will look at the contents of lipomas or large cysts using imaging tests, this can also be helpful for your dermatologist to plan for the removal procedure if indicated.

Treatment for skin lumps and bumps

Most of the lumps and bumps on the skin are likely to be benign, and may not require removal or treatment if they are not painful or bothersome. You may want to remove the growths for certain reasons, including for aesthetic purposes. Depending on the type of growth, your dermatologist may use the following procedures for removal or treatment:

  • Surgical excision – Surgical removal with a scalpel is among the most common removal methods for skin lumps and bumps. Typically, large and deep lesions, such as lipomas, cysts, and moles may benefit from surgical removal. In certain cases, your dermatologist may also remove a small border of healthy tissue from the surrounding lesion to reduce recurrence of the lesion.
  • Incision and drainage – Incision and drainage is commonly done on lesions filled with fluid, pus, or other encapsulated material. Incision involves making a smaller cut, hence minimising scarring after healing.
  • Electrosurgery – Electrosurgery involves the use of electric currents to destroy tissues. Several forms of electrosurgery include electrofulguration, electrocautery, electrodessication, and electrosection. Electrosurgery can be done on soft tissue growths such as warts, seborrheic keratosis, moles, or skin tags. Electrosurgery also reduces bleeding [7].
  • Cryotherapy – Cryotherapy involves the use of extremely cold temperatures, using liquid nitrogen, to freeze and destroy soft tissues. As the tissues die, it will gradually slough off on its own.
  • Laser removal – Laser removal methods involve ablation of the targeted lesion, this method can be used for moles, skin tags, warts or seborrheic keratosis lesions.

Ultimately, your dermatologist will decide which treatment method is the most suitable for your condition. It is important to consult with your doctor and convey your concerns and preference as well.

Summary

Skin lumps and bumps may be a cause of discomfort and can negatively impact your self-esteem. Fortunately, removal and treatment of the lesions are widely accessible. However, it is important to perform a proper check and diagnosis before undergoing any removal procedures. Certain benign growths may become cancerous and spread if the wrong treatment is performed.

If you have any doubts or concerns regarding skin lumps and bumps, or if you would like to schedule a consultation session with our dermatologists, reach out to us to book an appointment now.

Frequently Asked Questions

Can skin growths and lesions go away over time?

These skin lesions are not likely to go away on their own and some growths may slowly grow larger. If you are not particularly bothered by it, they may be left alone. However, it is still recommended to get your lesions checked by a dermatologist to ensure that they are not harmful or malignant.

It is not recommended to perform removals on your own. Common risks and complications of at-home removals include infections, scarring, incomplete removal, and recurrence of the growth.

Ideally, you should visit the dermatologist any time you have any concerns of lumpy growth on or under the skin. Furthermore, if the lesion starts to become bothersome or painful, you should visit a dermatologist to discuss treatment options.

it is best to get it checked if you experience the following:

  • A growth that grows rapidly
  • A hard or immovable lump
  • Painful or tender tissue
  • Changes in shape or colour
  • Other accompanying symptoms, such as fever or unexplained weight loss

Recovery from a removal procedure varies according to the procedure performed, as well as the size of the lump or bump removed. Minimally invasive procedures may take less time to recover fully (2 to 4 weeks), while more invasive procedures such as surgical excision for large growths may take up to 8 weeks to fully recover.

MediSave can be used to cover expenses for skin growth removal procedures. However, it highly depends on the procedure being performed. In most cases, MediSave can be used to cover medically necessary procedures, such as for growths that are causing serious discomfort/disabling you from performing daily activities, or at risk of malignant transformation.

Typically, removal for aesthetic reasons may not be covered, as they may not be considered medically necessary. Our clinic staff is equipped to provide financial guidance, helping you understand what treatments are claimable and what falls under out-of-pocket expenses.

References

  1. Greco MJ, Bhutta BS. Seborrheic Keratosis. [Updated 2024 May 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545285/
  2. Pandey A, Sonthalia S. Skin Tags. [Updated 2023 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547724/
  3. Baigrie D, Tanner LS. Dysplastic Nevi. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482210/
  4. Belgam Syed SY, Lipoff JB, Chatterjee K. Acrochordon. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448169/
  5. Kolb L, Yarrarapu SNS, Ameer MA, et al. Lipoma. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507906/
  6. Al Aboud AM, Nigam PK. Wart. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431047/
  7. Baigrie D, Qafiti FN, Buicko Lopez JL. Electrosurgery. [Updated 2023 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482380/

Ready to take the first step towards expert evaluation and treatment?

Schedule a consultation with Livingstone Dermatology today.

Mole assessment and removal in Singapore.
Moles are common benign growths of melanocytes on the skin.

Moles, sometimes coined “beauty marks”, are little spots on the skin that can either add charm or raise concern. Most adults have up to 40 moles on their body, and these growths are typically harmless and can be left alone.

However, in some cases, some moles can signal changes in our skin that shouldn’t be ignored. Whether you have always had them, or a new one appears, understanding moles and what they could potentially mean for your skin health is important.

What are moles?

Moles, or nevi (singular: nevus), are small, dark brown spots on the skin composed of melanocytes, or pigment-forming cells [1]. Moles can be present at birth or form throughout your life. Typically, moles form in parts of the body exposed to the sun.

Types of moles

  • Common moles – Common moles are typical moles we see on our body, they are usually small (< 5 mm) and appear on parts of the body exposed to the sun. Common moles may also be called acquired melanocytic nevi.
  • Congenital moles – Congenital moles, or congenital melanocytic nevi, are moles that are present at birth, and may involve the deeper layers of the dermis. Although congenital moles are typically present at birth, some may also develop within the first 2 to 3 years of life [1].
  • Atypical moles (dysplastic nevi) – Dysplastic nevi are moles that do not look like common moles, they may be larger, composed of different colours, have irregular borders, or appear raised [2]. These moles may be of clinical concern and hence are biopsied by dermatologists or healthcare providers.

How are moles caused?

The exact causes of moles are not clearly understood. However, certain features in people indicate their likelihood of developing moles, these include [2]:

  • Fair skin tone
  • Light eyes and hair colour
  • Freckles
  • Increased sunlight exposure

When is a mole dangerous?

Moles can be a sign of skin cancer, and any unusual changes should never be ignored.

Most moles on our skin are harmless and can be left alone. However, moles can signify skin cancer. If you have a mole that you suspect is abnormal, a common guide to follow is the ABCDE guideline:

  • Asymmetry – Asymmetry of the mole refers to the one half of the mole not matching the other half.
  • Border – The border of your mole appears irregular or jagged, sometimes resembling a fried egg.
  • Colour – The colour of the mole is not uniform throughout, there may be different shades of tan, brown, black, red, or white.
  • Diameter – The diameter of the mole is larger than 5 mm. A common tool used as a comparison is a pencil eraser.
  • Evolution/Elevation – The mole changes or evolves in shape or size, and may be elevated or raised.

If you have moles with these characteristics, or notice these changes on a mole over a short period of time, it is highly recommended to get a dermatologist to assess the mole. Several helpful tips to take pictures and document changes of the mole include:

  • Taking pictures every day
  • Maintain the same lighting conditions or take the picture on the same time of day
  • Maintain the same angle and magnification when taking pictures
  • Placing a ruler or a coin next to the mole for size comparison

Signs your mole may be skin cancer

In addition to the features described in the ABCDE guideline, moles at risk of malignancy, or which are malignant may show the following characteristics:

  • Sudden changes of a mole
  • Itching or burning sensation on the mole
  • Scaly or rough appearance of the mole
  • The mole may ooze or crust
  • Wounds that do not heal, or returns after healing
  • A mass or lump that grows quickly
  • Swollen lymph nodes

In any case of doubt, it is always encouraged to visit a dermatologist for a thorough examination. Early detection of cancerous lesions allows treatment to be given early, preventing the spread of cancer cells. Once cancer has spread, it is more difficult to treat and manage, hence why early treatment can be life-saving.

When is mole removal recommended?

Although moles are typically harmless and do not always need treatment or removal, many people opt to get them removed for the following reasons:

  • Cosmetic reasons – Moles that are aesthetically bothersome, large, or located in prominent areas may be removed for cosmetic reasons.
  • Practical reasons – Some moles may be prone to irritation or pain from clothing or friction due to their location or size.
  • Potential malignancy – Moles that are suspected of developing into melanoma can be removed before it becomes malignant.

How are moles removed?

Typically, your dermatologist can recommend you to get a mole removed after assessment and diagnosis of the mole. A mole removal procedure can be done by the following treatments:

  • Surgical excision – Surgical excision involves using a scalpel to cut out the mole and its surrounding skin or tissue, the remaining skin will be stitched back together. This method is typically done for potentially malignant moles, or large and raised moles.
  • Shave excision – Shave excision involves the dermatologist using a razor to shave off the growth from the skin’s surface. This method leaves minimal scarring.
  • Laser removal – Laser removals involve using lasers to precisely target the dark pigments of the mole. Laser removals can be done on common or congenital moles [4, 5].
  • Electrocautery – Electrocautery involves the use of heat from a handheld device to destroy the mole tissues. Electrocautery also reduces bleeding.
  • Cryotherapy – Cryotherapy involves the use of liquid nitrogen to freeze and destroy the tissues of the mole, causing it to die and slough off.

Before undergoing a mole removal procedure, it is important to get a proper assessment by a qualified dermatologist. Certain methods of removal, such as lasers, electrocautery, and cryotherapy, do not provide tissue samples for a biopsy. If your dermatologist suspects a mole for potential malignancy, they may recommend surgical excision, which can be followed by tissue biopsy for a proper diagnosis. Some removal methods are also at risk of mole recurrence, hence it is important to consult your dermatologist before undergoing any mole removal procedures.

Post-removal care

After your removal procedure, your dermatologist will give you detailed instructions on how to care for the surgical wound. They may also ask you to come back for a follow-up visit to monitor your skin’s healing process, as well as to discuss biopsy results on the removed tissue if necessary.

Summary

Moles are common skin growths, are typically harmless, and do not necessarily require removal. However, there are cases where prompt assessment and removal are paramount in preventing skin cancer.

Regardless of the reason, it is always recommended to visit a dermatologist for a proper mole removal, as this limits the risk of infection, scarring, and mole recurrence. More importantly, if you experience a suspicious mole, book a consultation with us for a detailed assessment and personalised treatment plan.

Frequently Asked Questions

Can I remove moles on my own?

It is not recommended to perform any mole removal on your own at home, even if you use over-the-counter products. Mole removals should be done by a dermatologist to reduce risks of recurrence, infection, and scarring. Furthermore, you may unknowingly spread cancerous melanoma cells by performing at-home removals.

It is recommended to have your mole removed at a dermatologist’s office as it is medically supervised to ensure safe removal with sterile and precise techniques. More importantly, your mole can be properly assessed on whether it is benign or potentially cancerous — preventing risk of complications or missing a very serious condition.

Moles do not always need removal if they do not bother you, aesthetically or physically. However, if you notice abnormal changes of your mole, such as change in colour, size, and shape, or if it starts to itch, burn or feel painful, you should visit a dermatologist to get it assessed and diagnosed.

Some moles may not be preventable, especially if you are genetically predisposed to them. However, certain lifestyle habits can reduce mole formation, and also reduce the risk of melanoma development from moles:

  • Wearing sunscreen
  • Wearing protective clothing
  • Limiting sun exposure
Moles can grow bigger as you age. However, these changes often happen very slowly over the years. Rapid changes within a short amount of time can be concerning as it can be a sign of skin cancer. Additionally, new moles that appear later in life can be potentially malignant. Hence, routine skin screening is recommended once you enter your 30s.

The exact reason why moles appear are not entirely understood, most moles appear in childhood or adolescence, some moles can also appear later in life which may be due to exposure to the sun. Some have also argued that hormonal changes, such as during pregnancy, causes new moles to appear. However, scientists have not found a clear relationship between pregnancy and new mole development.

Benign moles are not likely to grow, and even if they did it will be very gradual over a period of several years, hence if you notice a mole growing rapidly over a short period of time, you should visit a dermatologist as it may be a sign of skin cancer. You can prevent the development of new moles by protecting your skin with sunscreen or protective clothing, as well as limiting your time outdoors.

References

  1. Navarro-Fernandez IN, Mahabal GD. Congenital Nevus. 2023 Jul 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32644696.
  2. Baigrie D, Tanner LS. Dysplastic Nevi. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482210/
  3. Heistein JB, Acharya U, Mukkamalla SKR. Malignant Melanoma. 2024 Feb 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29262210.
  4. Eggen CAM, Lommerts JE, van Zuuren EJ, Limpens J, Pasmans SGMA, Wolkerstorfer A. Laser treatment of congenital melanocytic naevi: a systematic review. Br J Dermatol. 2018 Feb;178(2):369-383. doi: 10.1111/bjd.16094. Epub 2018 Jan 19. PMID: 29077988.
  5. Köse O. Carbon dioxide ablative laser treatment of acquired junctional melanocytic nevi. J Cosmet Dermatol. 2021 Feb;20(2):491-496. doi: 10.1111/jocd.13579. Epub 2020 Jul 12. PMID: 32593221.

Ready to schedule your mole check or discuss
mole removal options?

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What is postnatal dermatology?

During pregnancy, the body undergoes significant hormonal, vascular, and metabolic changes, many of which affect the skin. While some pregnancy-related skin changes gradually fade, others persist or even worsen after childbirth.

We understand that new mothers often experience a range of postpartum skin concerns, including melasma (dark patches on the face), acne, stretch marks, and increased skin sensitivity. Many also notice postpartum hair loss (telogen effluvium), which typically peaks between 3 to 6 months after giving birth, or weakened nails that become brittle or prone to splitting. Understandably, these changes can feel overwhelming, especially when combined with the physical and emotional adjustments of early motherhood.

Thankfully, many of these conditions are treatable with the right approach.

Women may experience skin concerns like stretch marks, melasma, acne, and hair loss during the postpartum period due to hormonal fluctuations, skin stretching, and post-pregnancy recovery.

What common skin changes occur after pregnancy?

The postpartum period brings significant hormonal fluctuations that can affect the skin in multiple ways. Here are some of the common skin conditions that affect new mothers post-pregnancy:

  • Melasma (Postpartum Hyperpigmentation) — often referred to as the “mask of pregnancy,” melasma presents as dark patches on the face, particularly on the cheeks, forehead, and upper lip. This condition occurs due to increased melanin production stimulated by pregnancy hormones. 
  • Postpartum acne — many women experience breakouts in the months following childbirth, even if they had clear skin during pregnancy. This is due to the rapid drop in oestrogen levels after delivery, leading to increased oil production and clogged pores. Sleep deprivation, stress, and lifestyle changes associated with caring for a newborn can further contribute to acne flare-ups. 
  • Stretch marksstretch marks, or striae, are a common consequence of the rapid skin expansion that occurs during pregnancy. They often appear on the abdomen, breasts, thighs, and hips as red, purple, or silvery-white streaks. 
  • Postpartum hair loss (Telogen Effluvium) — many new mothers notice significant hair shedding a few months after childbirth. This is due to the hormonal shift that causes more hair follicles to enter the shedding phase (telogen) at the same time.
  • Increased skin sensitivity and dryness — some women develop drier, itchier, or more reactive skin postpartum, even if they previously had balanced skin. Hormonal fluctuations, dehydration, and increased demands on the body can compromise the skin barrier, leading to irritation and sensitivity.
Melasma is one of the common skin conditions that women may experience postpartum due to hormonal fluctuations that increase melanin production, often leading to dark patches on the face.

What are the signs that you should see a dermatologist?

Although many postnatal issues resolve naturally, some symptoms we experience could be telling of an underlying condition. Some signs and symptoms to look out for include:

  • Excessive or prolonged hair loss – shedding more hair than usual is normal postpartum, typically peaking around three to six months after delivery. However, if hair loss becomes severe, continues beyond a year, or results in noticeable thinning or bald patches, it may indicate an underlying issue such as androgenetic alopecia, iron deficiency, or thyroid imbalances.
  • Severe or persistent acne – hormonal fluctuations can trigger breakouts, even in women who previously had clear skin. If acne becomes inflamed, cystic, or does not respond to over-the-counter treatments, prescription skincare, or targeted topical treatments.
  • Unexplained rashes, itching, or skin sensitivity – while mild postpartum skin irritation is common, severe, widespread, or persistent rashes may indicate conditions like postpartum urticaria, eczema, contact dermatitis, or autoimmune skin disorders. If itching is intense, worsens at night, or is accompanied by other symptoms like fatigue or joint pain.
  • Persistent pigmentation or dark patches – melasma can take months to fade. However, if pigmentation is dark, resistant to fading, or spreading, prescription treatments, laser therapy, or chemical peels.
  • Slow-healing C-section scars or skin wounds – postpartum recovery includes healing from C-section incisions, perineal tears, or other skin injuries. If a scar remains red, raised, itchy, or thickens into a keloid.
  • Flare-ups of pre-existing skin conditions – women with eczema, psoriasis, rosacea, or acne-prone skin may notice worsening symptoms postpartum due to hormonal shifts and immune system changes.
While mild skin irritation is common postpartum, severe, persistent, or widespread rashes may signal conditions like postpartum urticaria, eczema, contact dermatitis, or autoimmune disorders that need medical attention.

How can a dermatologist help new mothers?

Being a new mother in itself is a new challenge, and having to deal with the hormonal and physiological changes that come with it can be daunting. A postnatal dermatologist can provide insight on these changes, as well as medical-grade, breastfeeding-safe treatments.

  • Diagnosing and treating postpartum skin conditions – many women experience persistent melasma, acne, stretch marks, or increased skin sensitivity after childbirth. A dermatologist assesses these concerns and recommends appropriate treatments, and ensures they are safe for breastfeeding mothers.
  • Managing postpartum hair loss and scalp issues – excessive hair shedding, known as telogen effluvium, is common in the months following childbirth. Your dermatologist can help distinguish normal postpartum hair loss from other conditions like alopecia and provides targeted treatments such as scalp therapies, topical solutions, and nutritional guidance to support regrowth.
  • Providing personalised skincare guidance – hormonal shifts can weaken the skin’s barrier, leading to dryness, irritation, or flare-ups of conditions like eczema. A postnatal dermatologist advises on gentle, effective skincare routines that fit into a new mother’s lifestyle while addressing specific concerns like pigmentation, inflammation, and increased sensitivity.
  • Offering safe and effective aesthetic treatments – many mothers seek non-invasive treatments to restore skin health after pregnancy. Options like laser therapy for melasma, microneedling for stretch marks, and chemical peels for acne are carefully selected to ensure compatibility with postpartum skin and breastfeeding.
  • Addressing hormonal skin imbalances and pre-existing conditions – fluctuating hormones can trigger or worsen conditions like psoriasis, urticaria, or rosacea. A dermatologist provides treatments that help manage these issues without interfering with postnatal recovery or lactation.

How are postnatal skin concerns diagnosed?

Understandably, every new mother’s skin responds differently after childbirth. To provide the most personalised care, we utilise comprehensive diagnostic methods to assess postpartum skin, hair, and nail concerns accurately. 

  • Detailed skin and medical history – we begin by discussing your pregnancy, postpartum recovery, skincare routine, and any pre-existing conditions that may influence your skin’s current state. Understanding changes in hormones, diet, stress levels, and sleep patterns helps us pinpoint the root cause of your concerns.
  • Dermatological examination – a thorough clinical assessment of your skin, scalp, and nails allows us to evaluate common postnatal concerns such as melasma, acne, stretch marks, hair loss, or increased sensitivity. We look for specific patterns and triggers to recommend the safest and most effective treatments.
  • Hormonal and nutritional assessments – postnatal skin and hair issues often stem from hormonal imbalances or nutrient deficiencies. If necessary, we may recommend blood tests to check levels of oestrogen, progesterone, iron, vitamin D, and thyroid function, ensuring a well-rounded approach to treatment.
  • Trichoscopic scalp examination – for mothers experiencing excessive hair shedding or thinning, we perform a detailed scalp assessment using trichoscopy, a non-invasive method that magnifies hair follicles to determine whether the hair loss is temporary (telogen effluvium) or linked to an underlying condition like androgenetic alopecia.

How are postpartum skin concerns treated?

The type of treatment recommended by your dermatologist varies, depending on the type of skin concern you experience and the root cause of the issue. Some of these treatments include:

Melasma (Postpartum Hyperpigmentation) treatments

Melasma can take months to fade naturally, and in some cases, pigmentation lingers without intervention. Our treatments focus on reducing excess melanin production while protecting the skin from further darkening.

  • Topical treatments – Dermatologist-prescribed creams with ingredients such as hydroquinone, azelaic acid, vitamin C, and niacinamide help lighten pigmentation gradually.
  • Chemical peels – mild to moderate peels using glycolic acid or lactic acid can accelerate skin renewal, improving skin tone.
  • Laser therapy – advanced pigment-targeting lasers can break down stubborn melanin deposits, reducing dark patches safely over time.
  • Sun protection – daily use of broad-spectrum SPF 50+ sunscreen is essential to prevent melasma from worsening.

Postpartum acne treatments

Fluctuating hormone levels, sleep deprivation, and stress can trigger postnatal acne. Treating acne postpartum requires gentle yet effective solutions that avoid harsh ingredients unsafe for breastfeeding mothers.

  • Medical-grade skincare – Salicylic acid, benzoyl peroxide (at low concentrations), and azelaic acid can help control breakouts without compromising skin health.
  • Topical antibiotics – in cases of persistent acne, prescription topical treatments such as clindamycin may be recommended.
  • Chemical peels – gentle, non-invasive exfoliating treatments can help reduce clogged pores and inflammation.
  • Dietary and lifestyle support – we provide guidance on skin care routines, dietary adjustments, and stress management to minimise acne flare-ups.

Stretch mark treatments

Stretch marks form when the skin stretches rapidly, causing collagen and elastin fibres to break. While they naturally fade over time, targeted treatments can improve texture, boost collagen production, and reduce their visibility.

  • Topical retinoids (for non-breastfeeding mothers) – prescription retinoids can stimulate collagen repair and improve skin elasticity.
  • Microneedling and RF microneedling – microneedling treatments encourage the natural healing process by boosting collagen production, reducing the depth and colour of stretch marks.
  • Laser therapy – fractional lasers, such as Redtouch and CO2 lasers, help smooth the skin and reduce redness or pigmentation associated with stretch marks.

Postpartum hair loss (Telogen Effluvium) treatments

Hair shedding after childbirth is common and usually self-resolving. However, for those experiencing prolonged or severe hair loss, we offer treatments to support regrowth and strengthen hair follicles.

  • Topical treatments – safe, clinically proven topical solutions such as minoxidil (in appropriate concentrations for postpartum use) can aid hair regrowth.
  • Scalp treatments – Platelet-rich plasma (PRP) therapy and low-level laser therapy (LLLT) can help rejuvenate hair follicles and promote thicker hair.
  • Nutritional support – we assess iron, vitamin D, and biotin levels, as deficiencies can contribute to postpartum hair thinning.

Skin sensitivity and dryness treatments

Many women develop increased skin sensitivity, irritation, or dryness after childbirth. Maintaining a healthy skin barrier is crucial for postnatal skincare.

  • Barrier-repairing skin care – we recommend gentle, fragrance-free cleansers and moisturisers with ceramides and hyaluronic acid to restore hydration.
  • Eczema and psoriasis management – prescription topical corticosteroids or non-steroidal creams can help manage postnatal flare-ups safely.

Summary

Post-pregnancy patients need specialised obstetric dermatological care. At Livingstone Dermatology, we understand that new mothers experience skin concerns differently, require breastfeeding-safe treatments, and have limited time for complex routines. Our dermatologist provides customised treatment plans that fit into your postnatal lifestyle, helping you feel confident in your skin once again.

If you are experiencing persistent skin, hair, or nail concerns after childbirth, schedule a consultation with us today for a detailed skin analysis and personalised postnatal treatment plan. 

Frequently Asked Questions (FAQs)

Can I use my pre-pregnancy skincare products while breastfeeding?

It’s important to review your skincare products postpartum, as certain ingredients like retinoids and high-dose salicylic acid are not recommended during breastfeeding. Opt for products with gentle, hydrating ingredients, and consult a dermatologist to ensure they’re safe for both you and your baby.

While genetics play a significant role in the development of stretch marks, maintaining skin hydration can help. Regularly applying moisturisers rich in hyaluronic acid or natural oils may improve skin elasticity. However, no topical treatment can guarantee prevention.

Yes, treatments like topical azelaic acid and vitamin C are considered safe during breastfeeding and can help lighten melasma. It’s crucial to use broad-spectrum sunscreen daily to prevent further pigmentation. Always consult a dermatologist before starting any new treatment.

Postpartum hair shedding is common and usually peaks around four months after delivery. Most women see their hair return to its normal fullness by their child’s first birthday. If hair loss continues beyond this or is causing concern, consult a dermatologist.

Postpartum skin conditions in mothers, such as eczema or melasma, do not directly affect the baby. However, if you have a contagious skin condition, it’s important to take precautions to prevent transmission. Always consult a healthcare provider for guidance.

Hormonal changes after childbirth can lead to dry skin. To manage this, use a gentle, hydrating cleanser and apply a moisturiser containing emollients, occlusives, and humectants to help maintain skin hydration. Additionally, ensure you’re drinking plenty of water, especially if you’re breastfeeding.

Yes, postpartum hormonal fluctuations can make your skin more sensitive than usual. You might react to products or environmental factors that previously didn’t affect you. Opt for fragrance-free, hypoallergenic skincare products and consult a dermatologist if sensitivities persist.

Yes, non-invasive treatments like some types of laser therapies and microneedling can help improve skin elasticity and reduce the appearance of stretch marks. Consult a dermatologist to determine the best course of action based on your specific needs.

Ready to prioritize your dermatological
health during pregnancy?

Schedule a consultation with Livingstone Dermatology today.

Psoriasis is a chronic skin condition that affects roughly 1% of the Singaporean population.

Psoriasis is a chronic skin condition that affects millions of people worldwide, including many in Singapore. While not as widely discussed as eczema, psoriasis is a common dermatological concern, with estimates suggesting that it affects around 1% of the population

Psoriasis can develop at any age, but it typically first appears between the ages of 15 and 35. Though psoriasis is not contagious, it can significantly impact one’s quality of life, both physically, and emotionally.

What is Psoriasis?

Psoriasis is an autoimmune condition where the immune system mistakenly attacks healthy skin cells, triggering rapid cell turnover. This results in the buildup of dry, scaly plaques that cause redness, itching, and discomfort. The severity of psoriasis varies, with some individuals experiencing only minor irritation, while others face widespread flare-ups that affect their quality of life. In fact, the condition tends to follow a cycle, with periods of flare-ups followed by remissions.

What are the types of Psoriasis?

There are several types of psoriasis, including:

  • Plaque Psoriasis – plaque psoriasis is the most common type, affecting around 80 – 90% of those with psoriasis. It causes raised, inflamed, and scaly patches of skin, often appearing on the scalp, elbows, knees, and lower back.
  • Erythrodermic Psoriasis – erythrodermic psoriasis is a severe, and rare form of psoriasis that leads to widespread skin inflammation, shedding, and pain. It often requires immediate medical attention.
  • Inverse Psoriasis – inverse psoriasis appears in skin folds such as under the breasts, in the armpits, and around the groin. It often appears as smooth, shiny, red patches without the typical scaling seen in other forms.
  • Guttate Psoriasis – guttate psoriasis is often triggered by a streptococcal infection, and appears as small, red, drop-shaped spots. However, it is more common in children, and young adults.
  • Nail Psoriasis – nail psoriasis affects the fingernails and toenails, causing pitting, discolouration, and changes in nail texture.
  • Pustular Psoriasis – pustular psoriasis is characterised by pus-filled blisters surrounded by red skin, this type can be localised to certain areas or widespread across the body.
  • Sebopsoriasis –  sebopsoriasis is a cross between psoriasis, and seborrheic dermatitis, it appears on the scalp and face as greasy,  and yellowish plaques.
  • Psoriatic Arthritis – psoriatic arthritis affects approximately 30% of people with psorias, which causes joint pain, stiffness, and swelling. However, early treatment can help prevent joint damage.

 

What parts of the body are more prone to Psoriasis?

Some of the common areas, where psoriasis often develop, include:

  • Elbows, and knees
  • Face, including around the eyes, and ears
  • Fingernails, and toenails
  • Lower back
  • Palms and soles
  • Scalp
  • Skin folds, such as under the breasts, armpits, and groin

What causes Psoriasis?

Psoriasis can develop anywhere on the body, but it is more in common in the back, arms, legs, scalp, and face.

Psoriasis is usually a combination of genetics and triggers. It is caused by an overactive immune system that mistakenly accelerates skin cell production. Normally, skin cells take about a month to renew, but in psoriasis, this process happens within days. The excess cells pile up, forming the characteristic plaques and scales.

 

The exact triggers vary from person to person but can include:

 

  • Alcohol Consumption high alcohol intake has been associated with psoriasis flare-ups, and may reduce the effectiveness of certain treatments.

 

  • Genetics researchers suspect that genetics play a significant role in psoriasis. Certain genes are commonly associated with the condition, and an autoimmune response also contributes to its development. If a close relative, such as a parent, has psoriasis, you may have a higher likelihood of developing the condition.

 

  • Infections – certain viral, and bacterial infections can increase the risk of psoriasis or exacerbate existing symptoms. Infections such as strep throat, and HIV may contribute to psoriasis onset, particularly in those with weakened immune systems. Children, and young adults who experience recurrent infections, such as upper respiratory infections, may have an elevated risk of developing severe psoriasis. Other infections that can trigger psoriasis include bronchitis, influenza, sinus infections, and thrushes.

 

  • Obesity – studies indicate that obesity is a significant risk factor for psoriasis onset, and progression. Managing body weight may help alleviate symptoms, as weight loss has been linked to improvements in psoriasis severity.

 

  • Skin Trauma – new psoriasis lesions can develop in both expected, and unexpected areas due to skin injuries such as vaccinations, sunburns, or scratches. This phenomenon, known as the Koebner response, can also be triggered by persistent irritation, such as wearing tight clothing or accessories that rub against the skin.

 

  • Smoking – tobacco use has been linked to an increased risk of psoriasis, and may reduce the effectiveness of some psoriasis treatments, such as biologics.

 

  • Stress – chronic emotional or physical stress can contribute to the development or worsening of psoriasis, particularly in individuals with weakened immune systems.

 

  • Temperature, and Climate – extreme heat, cold, dryness or humidity may trigger psoriasis symptoms. While moderate sun exposure is often beneficial, excessive exposure to high temperatures or direct sunlight can worsen symptoms.

 

  • Medications some medications can either trigger psoriasis or worsen existing symptoms. These include:
  • Antimalarial drugs – can trigger flare-ups within 2 to 3 weeks of starting the medication.
  • Beta-blockers – may exacerbate psoriasis in some individuals.
  • Lithium – may aggravate psoriasis and worsen existing lesions.
  • Quinidine and indomethacin (Tivorbex) – these medications can worsen psoriasis symptoms.

What are the symptoms of Psoriasis?

One of the most recognisable signs is the formation of plaques, which appear raised, thickened patches of skin covered with silvery-white scales. Additionally, some of the common symptoms include:

 

  • Dry, cracked skin the affected areas may become extremely dry, leading to painful cracks or fissures.

 

  • Itching and discomfort – many people with psoriasis experience persistent itchiness, which can range from mild irritation to severe discomfort.

 

  • Nail changes – psoriasis can affect the fingernails and toenails, causing pitting (small dents), thickening, discolouration, or crumbling.

 

  • Plaques or rashes raised, inflamed, and discoloured patches of skin with a scaly or flaky surface.

 

  • Scaling and shedding the outer layer of plaques sheds easily, but deeper layers may remain stubbornly attached. Scratching can cause scales to tear away, leading to pinpoint bleeding (known as the Auspitz sign).

 

  • Skin pain or tenderness some plaques may feel sore or tender, especially if they crack or become inflamed.

 

  • Joint pain in some cases, psoriasis leads to joint inflammation, known as psoriatic arthritis, which causes swelling, stiffness, and pain.

What is the difference between Psoriasis and Eczema?

Psoriasis, and eczema are both chronic skin conditions that cause redness, inflammation, and itching. But they have distinct differences in their appearance, causes, and triggers. Understanding these differences can help in identifying the condition and seeking appropriate treatment.

 

Characteristics

Psoriasis

Eczema

Appearance

Characterised by thick, raised plaques with well-defined borders. The affected skin often has silvery-white scales that flake off. The plaques are usually inflamed, and the skin beneath may appear shiny, and red.


Typically appears as red, inflamed or weepy patches of skin with less distinct borders. The skin may look dry, cracked, or crusted, and in some cases, it oozes clear fluid, especially during flare-ups.

Itchiness, and Sensation

Itching can vary but is generally milder compared to eczema. Some people report a burning or stinging sensation instead.


The hallmark of eczema is intense itching, which can become unbearable, especially at night. Persistent scratching can worsen inflammation and cause the skin to thicken – a process called lichenification.

Triggers

Triggered by an overactive immune response, leading to rapid skin cell turnover. Common triggers include infections, stress, skin injuries, and certain medications.


Often triggered by external irritants and allergens, such as soaps, detergents, pollen, dust mites or pet dander. Weather changes and emotional stress can also worsen symptoms.

Affected Areas

Commonly appears on the scalp, elbows, knees, and lower back. It can also affect nails, causing pitting, thickening, or crumbling.


Frequently found in the creases of the elbows, and knees, as well as on the hands, neck, and face. In infants, eczema often appears on the cheeks, and scalp.

Underlying Cause

An autoimmune condition where the immune system mistakenly speeds up skin cell production, leading to plaque buildup.


Primarily linked to a weakened skin barrier, making the skin more sensitive to allergens, and irritants. It is often associated with other allergic conditions like asthma, and hay fever.

How is Psoriasis diagnosed?

As with any other skin condition, psoriasis is diagnosed through a combination of several diagnostic methods, such as:

  • Medical History Evaluation our dermatologist will ask about your symptoms, family history of psoriasis, potential triggers, and any underlying health conditions that may contribute to skin changes.
  • Visual Examination afterwards, our dermatologist will assess your skin, scalp, and nails for characteristic signs of psoriasis, such as well-defined plaques, silvery scales, and nail abnormalities. The location, and pattern of the lesions can also help distinguish psoriasis from other conditions like eczema or fungal infections.
  • Skin Biopsy if needed, a small sample of skin may be taken, and examined under a microscope to confirm psoriasis, and rule out similar conditions, such as eczema or lichen planus. This procedure involves removing a small piece of skin under local anaesthesia.

How is Psoriasis treated and managed?

Dermatologists often perform physical, and visual examinations to identify symptoms of psoriasis.

There is no permanent cure for psoriasis. However, there are a variety of treatments available to effectively manage symptoms, reduce flare-ups, and improve quality of life. The best treatment plan depends on the severity of the condition, the type of psoriasis, and individual response to therapies. At Livingstone Dermatology, treatments can include:

Topical Treatments

  • Corticosteroids   corticosteroirds help reduce inflammation, redness, and itching. These are commonly prescribed for flare-ups but should not be used long-term due to potential side effects such as skin thinning.
  • Coal Tar – coal tar is a natural treatment that reduces scaling, itching, and inflammation, suitable for mild psoriasis symptoms.
  • Salicylic Acid – salicylic acts as a keratolytic agent, helping to remove scales, and soften plaques, often used in combination with other treatments.
  • Vitamin D Analogues vitamin D analogues help slow the excessive skin cell growth that causes scaling, and thickened plaques. Some of the examples include calcipotriol, and calcitriol.

Phototherapy (Light Therapy)

  • Excimer Laser Therapy excimer laser therapy is a targeted UVB treatment that focuses only on affected areas, avoiding unnecessary exposure to healthy skin.
  • PUVA Therapy PUVA therapy is combination of UVA light, and a light-sensitising medication (psoralen) to improve psoriasis symptoms.
  • Ultraviolet (UV) Light Therapy – UV light therapy is controlled exposure to UVB light can slow excessive skin cell turnover, and reduce inflammation.

Systemic Medications

  • Biologic Therapies   biologic therapies are modern treatments that target specific parts of the immune system, such as tumour necrosis factor (TNF) inhibitors, interleukin (IL)-17 inhibitors, and IL-23 inhibitors. Although they are highly effective, it may increase infection risk.
  • Immunosuppressants immunosuppressant drugs like methotrexate, and cyclosporine help control the overactive immune response but require close monitoring due to potential side effects.
  • Oral Retinoids oral retinoids derived from vitamin A, these medications help slow skin cell growth and reduce inflammation.

Lifestyle and Home Care

  • Avoiding Long, Hot Showers lukewarm water and gentle, hydrating cleansers can prevent irritation.
  • Identifying and Avoiding Triggers – common triggers include cold weather, smoking, alcohol, and certain medications.
  • Keeping Skin Moisturised – applying fragrance-free moisturisers or emollients helps prevent dryness, and scaling.
  • Managing Stress stress can trigger flare-ups, so mindfulness, meditation, and relaxation techniques may help.
  • Maintaining a Healthy Weight and Balanced Diet some studies suggest that anti-inflammatory diets rich in omega-3 fatty acids may support symptom management.

Summary

Seeking treatment is essential to receiving accurate treatment, and improving the outcomes of treatment.

Psoriasis is a chronic skin condition that stems from an overactive immune system, leading to inflammation, scaling, and discomfort. While it is not contagious, it can significantly impact one’s quality of life if left unmanaged. 

It goes without saying that seeking medical advice early is key to managing psoriasis effectively. A dermatologist can provide a personalised treatment plan tailored to your condition, helping to control flare-ups, and improving skin health. Schedule a consultation with us today to take the first step towards healthier, and more comfortable skin.

Frequently asked questions

Is there a cure for psoriasis?

Currently, there is no permanent cure for psoriasis. However, various treatments can effectively manage symptoms, and reduce flare-ups. With the right approach, including medications, lifestyle adjustments, and medical therapies, many people with psoriasis can achieve long-term remission, and maintain healthy skin.

No, psoriasis is not contagious. It is an autoimmune condition, meaning it results from an overactive immune system rather than an infection. You cannot catch psoriasis from another person through physical contact, sharing personal items or exposure to skin flakes.

Yes, scratching or injuring psoriasis plaques can break the skin barrier, making it vulnerable to bacterial infections. Signs of an infection include increased redness, warmth, swelling, pus, and pain in the affected area. If you develop a fever or notice worsening symptoms, seek medical attention promptly.

Psoriasis is more than just a skin condition as it can be linked to other health concerns. Some common complications include:

  • Psoriatic arthritis (PsA) – a form of inflammatory arthritis that causes joint pain, stiffness, and swelling.
  • Cardiovascular disease – people with psoriasis have a higher risk of heart disease, and stroke.
  • Mental health challenges – living with a visible skin condition can contribute to anxiety, depression or low self-esteem.
  • Metabolic conditions – psoriasis has been associated with obesity, diabetes, and high blood pressure.

While psoriasis cannot be entirely prevented, certain lifestyle habits can help reduce flare-ups, and minimise symptoms. These include:

  • Avoiding known triggers such as smoking, excessive alcohol consumption or harsh skincare products.
  • Keeping your skin well-moisturised to prevent dryness and irritation.
  • Managing stress through mindfulness, relaxation techniques, or therapy.
  • Maintaining a balanced diet, and a healthy weight to reduce inflammation.
  • Protecting your skin from injuries, and infections that could trigger new lesions.

Psoriasis can impact daily life, but with proper management, many individuals continue to live full, active, and fulfilling lives. Seeking treatment, finding emotional support, and making lifestyle adjustments can significantly improve comfort, and confidence. If psoriasis is affecting your well-being, our dermatologist can help tailor a treatment plan to suit your needs.

Yes, some people experience periods where their psoriasis symptoms disappear completely — this is known as remission. Remission can last for weeks, months or even years, depending on individual triggers, and treatment effectiveness. However, psoriasis is a chronic condition, and flare-ups may return at any time. As such, consistent management, and professional guidance are key to keeping symptoms under control.

Diet alone does not cause or cure psoriasis, but certain foods may influence inflammation levels in the body. Some individuals find that reducing processed foods, excessive sugar, and alcohol while incorporating anti-inflammatory foods like fruits, vegetables, and omega-3 fatty acids can help manage symptoms. However, dietary triggers vary from person to person, so it is best to observe how your body responds.

Your Partner in Psoriasis Care

At Livingstone Dermatology, we understand the impact psoriasis can have on your daily life. Our experienced dermatologist is dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards psoriasis relief?

Schedule a consultation with Livingstone Dermatology today.

Rosacea is a long-term skin condition that causes persistent redness, visible blood vessels, and sometimes acne-like bumps on the face. Although it is often mistaken for common skin sensitivities or acne, rosacea is a distinct dermatological concern that requires proper management.

While the exact number of people affected in Singapore is unknown, rosacea is more prevalent among adults aged 30 to 50 years old, particularly those with fair skin. If the condition is left untreated, symptoms can worsen over time, leading to increased discomfort, and self-consciousness.

rosacea Singapore
Rosacea is a lifelong skin disorder that causes flushing, and irritation in the central face, including the cheeks, and nose.

What is Rosacea?

Rosacea is an inflammatory skin disorder that primarily affects the central face, including the cheeks, nose, forehead, and chin. It often begins with episodes of flushing, where the skin temporarily turns red before returning to normal.

Over time, this redness can become persistent, and small, dilated blood vessels, known as telangiectasia, may appear. Some individuals also develop bumps or pimples that resemble acne, while others experience eye irritation, known as ocular rosacea.

Although rosacea is not contagious, it can significantly impact daily life by causing discomfort, and emotional distress.

What are the types of Rosacea?

Rosacea presents in different forms, each with unique characteristics, such as:

  • Erythematotelangiectatic Rosacea (ETR) – ETR is characterised by persistent redness, visible blood vessels, and a tendency for the skin to flush easily. It is often accompanied by a sensation of warmth or burning.
  • Papulopustular Rosacea – sometimes mistaken for acne, papulopustular rosacea features red bumps (papules), and pus-filled pimples (pustules). It often occurs alongside persistent redness, and sensitivity.
  • Phymatous Rosacea – phymatous rosacea often leads to thickened skin, and irregular surface texture, most commonly affecting the nose (rhinophyma). Over time, the affected areas may become swollen or enlarged.
  • Ocular Rosacea – ocular rosacea affects the eyes, causing redness, irritation, dryness, and in severe cases, blurred vision. When it is left untreated, ocular rosacea can lead to complications affecting eye health.

What causes Rosacea?

The exact cause of rosacea is not fully understood, but it is believed to result from a combination of genetic, environmental, and immune system factors. Some of the key triggers, and risk factors include:

  • Abnormal Blood Vessel Function – dysfunction in facial blood vessels can lead to increased redness, flushing, and visible capillaries.
  • Genetics – individuals with a family history of rosacea may be more prone to developing the condition.
  • Demodex Mites – these microscopic mites naturally reside on the skin, but in higher numbers, they may contribute to rosacea symptoms.
  • Overactive Immune Response – the immune system may overreact to certain triggers, leading to chronic inflammation in the skin.
  • Triggers that Worsen Symptoms – several external factors can exacerbate rosacea flare-ups, including:
    — Alcohol Consumption – red wine and other alcoholic beverages may worsen symptoms.
    — Extreme Temperatures – hot, and cold weather, as well as sudden temperature changes, can aggravate rosacea.
    — Sun Exposureultraviolet (UV) rays are a common trigger for rosacea.
    — Spicy Foods – hot, and spicy meals can increase facial redness.
    — Stress – emotional stress is known to trigger and intensify flare-ups.
    — Certain Skincare Productsharsh cleansers, exfoliants, and alcohol-based products can irritate sensitive skin.

What are the signs and symptoms of Rosacea?

rosacea symptoms
Rosacea can cause symptoms such as redness, dry skin, irritation, and swelling.

While symptoms vary from person to person, some of the most common signs include:

  • Bumps and Pimples – small, red bumps, and pus-filled pimples may develop on the affected areas. These lesions can resemble acne, but unlike acne, rosacea does not cause blackheads. Some individuals may also experience a burning or stinging sensation in these areas.
  • Burning, Stinging, or Itching – many people with rosacea report a sensation of heat, burning or stinging on their face. The skin may also feel itchy or overly sensitive to certain skincare products or environmental triggers.
  • Dry and Rough Skin – the affected areas of skin may become rough, flaky, and excessively dry. Some individuals notice a tight or irritated feeling, especially after washing their face or being exposed to extreme weather conditions.
  • Eye Irritation (Ocular Rosacea) – some people with rosacea experience irritation in their eyes, leading to redness, dryness, and a gritty feeling. The eyelids may become swollen, and in severe cases, untreated ocular rosacea can impact vision.
  • Flushing and Facial Redness – many people with rosacea experience frequent flushing, where the face turns red due to increased blood flow. In the early stages, this redness may fade after a short period, but over time, it can become more persistent, resembling a constant blush or mild sunburn.
  • Plaques – some forms of rosacea lead to raised, red patches that look like a rash. These plaques can develop without affecting the surrounding skin.
  • Skin Thickening – in more advanced cases, particularly in men, the skin may gradually thicken and develop a bumpy texture. This condition, known as rhinophyma, most commonly affects the nose, causing it to appear enlarged or bulbous.
  • Swelling (Facial Edema) – swelling can accompany other rosacea symptoms or occur independently. The face, particularly around the cheeks and eyes, may appear puffy due to inflammation and fluid retention.
  • Visible Blood Vessels – tiny, dilated blood vessels can become visible under the skin, particularly on the nose and cheeks. These thin, red lines are more noticeable in fair-skinned individuals.

Where does Rosacea normally develop?

Although rosacea primarily affects the face, it can affect different parts of the face, and body, including:

  • Cheeks
  • Chest
  • Chin
  • Ears
  • Eyes (ocular rosacea)
  • Forehead
  • Neck
  • Nose
  • Scalp

How is Rosacea diagnosed in Singapore?

Diagnosing rosacea involves a thorough assessment of your skin, symptoms, and medical history. At Livingstone Dermatology a thorough assessment of your skin condition will be made, and you may expect the following:

  • Medical History Review our dermatologist will begin by discussing your symptoms, potential triggers, and whether rosacea runs in your family. By understanding your personal triggers, it will help in both diagnosis, and long-term management.
  • Skin Examination – after reviewing your medical history, our dermatologist will proceed with a detailed visual inspection of your skin. This step focuses on the central face, where rosacea typically appears. Aside from identifying the common symptoms, our dermatologist may also consider ocular rosacea if you experience eye-related symptoms such as dryness, irritation or swollen eyelids.
  • Skin Biopsy (if necessary) – in cases where symptoms overlap with other skin conditions, a skin biopsy may be performed to rule out similar concerns, such as seborrheic dermatitis or lupus. This involves taking a small sample of skin under local anaesthesia for microscopic examination. However, most cases of rosacea can be diagnosed through clinical evaluation alone.

How is Rosacea treated in Singapore?

rosacea treatment
Treatment for rosacea is dependent on the severity of your condition, however laser therapy is one of the common treatments for rosacea.

When it comes to the effective management of Rosacea, the treatment plan generally focuses on reducing symptoms, preventing flare-ups, and improving skin health. While there is no cure, personalised treatments at Livingstone Dermatology can help control the condition and minimise discomfort.

Topical Treatments

  • Azelaic Acid – azelaic acid helps control inflammation, and improve uneven skin texture.
  • Brimonidine Gel – brimonidine gel is a prescription treatment that temporarily constricts blood vessels to reduce visible redness.
  • Ivermectin – ivermectin targets the skin’s inflammatory response, and helps reduce papules, and pustules.
  • Metronidazole – metronidazole is an anti-inflammatory gel or cream that reduces redness, and swelling.

Oral Medications

  • Antibiotics – antibiotics such as Doxycycline, Minocycline, are used for moderate to severe rosacea, to help manage inflammation, and prevent flare-ups.
  • Isotretinoin – Isotretinoin is a vitamin A-derived medication that can be prescribed for resistant cases, particularly when there are persistent breakouts.

Laser and Light Therapies

  • Intense Pulsed Light (IPL) Therapy – IPL therapy targets visible blood vessels, and reduces persistent redness.
  • Vascular Laser Therapy – vascular laser therapy is designed to shrink dilated blood vessels, and improve skin appearance.

Lifestyle and Skin Care Tips

  • Gentle Skin Care – avoid harsh exfoliants, and use fragrance-free, soothing skincare products.
  • Stress Management – practising mindfulness, yoga or relaxation techniques can help reduce stress-induced flare-ups.
  • Sun Protection – daily application of a broad-spectrum SPF is essential to prevent flare-ups.
  • Trigger Management – identifying, and avoiding common triggers like alcohol, heat, and spicy foods can help prevent worsening of symptoms.

Conclusion

In conclusion, rosacea is a long-term skin condition that causes redness, visible blood vessels, and sensitivity, often triggered by environmental, and lifestyle factors. Although it is not contagious, it can worsen over time if left untreated, leading to persistent discomfort and, in some cases, complications such as thickened skin or eye irritation.

Early intervention is key to keeping rosacea under control. Our skilled, and experienced dermatologist can diagnose your specific type of rosacea, and create a personalised treatment plan to manage symptoms, and prevent flare-ups. If you are experiencing ongoing redness, sensitivity or unexplained skin changes, do not wait for them to intensify. Schedule a consultation with us today, and take the first step towards clearer, healthier skin.

Frequently Asked Questions

Is rosacea painful?

Rosacea itself is not typically painful, but it can cause discomfort such as burning, stinging or tightness, especially when the skin is irritated or during flare-ups. Some people with rosacea also experience sensitivity to skincare products, heat or environmental triggers. If rosacea affects the eyes, ocular rosacea, it may lead to dryness, irritation or a gritty sensation. As such, managing triggers, and using soothing, dermatologist-recommended treatments can help keep discomfort at bay.

Rosacea is not classified as an autoimmune disease, but it does involve an abnormal immune response. The condition is thought to be linked to an overactive inflammatory reaction in the skin, as well as increased sensitivity to environmental factors, and microorganisms like Demodex mites.

While the exact cause is still being researched, rosacea shares some similarities with autoimmune, and inflammatory conditions in terms of immune system involvement.

Both rosacea, and lupus can cause facial redness, but there are key differences:

  • Rosacea usually presents as persistent redness, visible blood vessels, and acne-like bumps, mainly on the cheeks, nose, chin, and forehead. It often worsens with triggers such as heat, spicy foods, or alcohol.
  • Lupus rash, also known as a “butterfly rash,” appears as a red, flat or slightly raised rash across the nose, and cheeks in a butterfly-shaped pattern. Unlike rosacea, lupus rashes do not typically include acne-like bumps, and may be more photosensitive.

Currently, there is no permanent cure for rosacea, but the condition can be effectively managed with proper treatment, and lifestyle adjustments. Many people with rosacea see significant improvements by following a personalised treatment plan that includes topical or oral medications, laser therapy, and trigger avoidance. Early diagnosis, and treatment can help prevent symptoms from worsening over time.

Since rosacea has a genetic and environmental component, it cannot always be entirely prevented. However, flare-ups can be minimised by identifying, and avoiding triggers such as excessive sun exposure, alcohol, spicy foods, and stress. Consistently using gentle skincare products, wearing daily sun protection, and following a dermatologist-recommended treatment plan can help keep rosacea symptoms under control.

You can still wear makeup if you have rosacea, but it is important to choose products that are gentle, non-comedogenic, and free from irritating ingredients such as alcohol, fragrance, and harsh preservatives.

Additionally, look for mineral-based foundations, green-tinted primers to neutralise redness, and hydrating formulas that support skin health. On top of that, always remove makeup with a gentle, non-stripping cleanser to avoid aggravating your skin.

If you are unsure of the type of makeup or skincare products you should use, our dermatologist can recommend suitable makeup, and skincare options tailored to your skin’s needs.

Ready to take the first step towards rosacea relief?

Schedule a consultation with Livingstone Dermatology today.

What is a skin allergy?

A skin allergy is a condition in which the immune system reacts abnormally to a substance that is typically harmless, leading to inflammation and discomfort. When an allergic reaction occurs, the skin may develop redness, swelling, itching, rashes, or even blisters. 

The way a skin allergy presents depends on the type of reaction, with some conditions causing immediate flare-ups, while others develop gradually over time. Below are some of the most common types of skin allergies:

Type

Description

Contact Dermatitis

Occurs when the skin comes into direct contact with an allergen, leading to redness, itching, and irritation. Common triggers include nickel, fragrances, cosmetics, latex, and certain plants like poison ivy.

Atopic Dermatitis (Eczema)

A chronic condition that causes dry, itchy, and inflamed skin. While often linked to genetics and environmental factors, allergens can worsen symptoms. It is common in children but may persist into adulthood.

Urticaria (Hives)

Characterised by raised, red, and itchy welts that appear suddenly due to an allergic reaction to foods, medications, insect stings, or environmental triggers. Hives can be acute (lasting hours or days) or chronic (lasting for weeks or longer).

Angioedema

A deeper form of swelling that affects the skin and mucous membranes, often occurring around the eyes, lips, hands, and feet. It may accompany hives and, in severe cases, can impact breathing, which may require immediate medical attention.

Skin allergies such as contact dermatitis occur when the skin reacts to an allergen or irritant, resulting in redness, itching, and inflammation.

How are skin allergies caused?

A skin allergy occurs when the immune system mistakenly identifies a harmless substance as a threat and initiates a defensive response. This process begins when the skin encounters an allergen, prompting specialised immune cells called Langerhans cells to capture and present it to T-cells in the lymph nodes. If the immune system perceives the substance as harmful, it triggers the release of inflammatory chemicals, such as histamines and cytokines. These chemicals cause blood vessels to dilate, increasing blood flow to the affected area and leading to redness, swelling, and itching. 

In some cases, the reaction occurs immediately, as seen in conditions like urticaria, while in others, such as allergic contact dermatitis, it may take hours or days to develop. Over time, repeated exposure to the allergen can intensify the immune response, making future reactions more severe. This hypersensitivity mechanism is what differentiates allergic reactions from simple irritant responses, which do not involve the immune system.

Skin allergies, such as dermatitis, occur when the skin’s protective barrier is compromised, which allows allergens and bacteria to penetrate deeper, leading to inflammation, increased moisture loss, and dryness.

What are the symptoms of a skin allergy?

The symptoms of a skin allergy vary depending on the type of reaction and the severity of the immune response. Some symptoms appear immediately after exposure to an allergen, while others develop gradually over time. Common signs of a skin allergy include:

  • Redness and inflammation – affected areas may appear flushed, swollen, or irritated.
  • Itching (pruritus) – persistent itching, which can range from mild to severe, often worsens with scratching.
  • Rashes – the skin may develop raised, red, or scaly patches.
  • Hives (urticaria) – itchy, raised welts that can vary in size and shape, sometimes merging into larger areas.
  • Blisters – fluid-filled bumps that may burst and form crusts, often seen in allergic contact dermatitis.
  • Dry or cracked skin – prolonged allergic reactions can cause excessive dryness, flaking, or peeling.
  • Swelling (angioedema) – deeper skin swelling, especially around the eyes, lips, hands, and feet, which may be accompanied by a burning sensation.
  • Burning or stinging sensation – the skin may feel painful or irritated, particularly in severe reactions.

Symptoms can range from mild discomfort to more severe cases that require immediate medical attention, especially if swelling affects breathing or spreads extensively across the body.

Urticaria causes red, itchy, and raised welts on the skin that can vary in size and shape, often appearing suddenly and fading within hours or days.

Who is at risk of skin allergy in Singapore?

Certain individuals are more susceptible to developing skin allergies due to a combination of genetic, environmental, and lifestyle factors. In Singapore, where high humidity and urban pollutants are common, some risk factors can further increase the likelihood of allergic skin reactions. These include:

  • Genetic predisposition – individuals with a family history of eczema, asthma, or other allergic conditions are more prone to developing skin allergies.
  • Frequent exposure to allergens – regular contact with common triggers such as dust mites, pet dander, pollen, and mold increases the risk of allergic reactions.
  • Sensitivity to skincare and cosmetic products – fragrances, preservatives, and certain chemical ingredients in beauty and personal care products can lead to allergic contact dermatitis.
  • Occupational exposure – people working in industries such as healthcare, cleaning, hairdressing, or construction are more likely to develop skin allergies due to repeated exposure to irritants like latex, chemicals, and detergents.
  • Climate and environmental factors – Singapore’s warm and humid climate can worsen allergic reactions by increasing skin sensitivity and sweating, which may trap allergens on the skin.
  • Weakened skin barrier – individuals with dry or sensitive skin are more vulnerable to irritants, making them more susceptible to allergic reactions.
  • Underlying medical conditions – those with autoimmune diseases, chronic skin conditions like eczema, or immune system disorders may be at a higher risk of developing skin allergies.

Recognising these risk factors can help individuals take preventive measures to reduce their chances of experiencing allergic flare-ups.

How is skin allergy diagnosed?

Since allergic reactions can vary widely from person to person, we use varied diagnostic methods to pinpoint the exact cause of your symptoms. Our dermatologists assess your medical history, lifestyle factors, and environmental exposures before recommending specific tests to identify potential allergens. 

Common diagnostic methods include:

  • Clinical examination – a detailed skin assessment helps us identify patterns of allergic reactions, such as redness, swelling, or rashes, and determine whether your symptoms align with a specific type of skin allergy.
  • Patch testing – this test is used to diagnose allergic contact dermatitis by applying small amounts of common allergens to patches placed on your back. The skin is monitored over 48 to 72 hours for any delayed allergic reactions.
  • Skin Prick Test – a small amount of potential allergens is applied to the skin, and tiny pricks allow the substances to enter the surface. If an allergic reaction occurs within 15 to 20 minutes, it suggests sensitivity to that allergen.
  • Blood Tests (IgE Testing) – a blood sample is analysed to measure specific IgE antibodies associated with allergic reactions, helping to confirm sensitivities to certain allergens such as pollen, dust mites, or food ingredients.
  • Elimination Testing – in cases where food or environmental allergens are suspected, we may recommend eliminating potential triggers from your routine to observe if symptoms improve.

What are the treatment options for skin allergy in Singapore?

Our dermatologists use a combination of medical therapies, skincare recommendations, and lifestyle adjustments to help you achieve long-term relief. Treatment options may include:

  • Topical medications – we prescribe medicated creams or ointments, such as corticosteroids and calcineurin inhibitors, to reduce inflammation, itching, and redness.
  • Oral antihistamines – these help control itching and allergic reactions, especially in cases of hives or widespread irritation.
  • Moisturisers and barrier creams – we recommend dermatologist-approved emollients to strengthen the skin barrier, which helps minimise sensitivity and prevents further irritation.
  • Allergen avoidance strategies – our specialists work with you to identify and eliminate exposure to known triggers, including allergens in skincare products, fabrics, or environmental factors.
  • Immunotherapy (allergy desensitisation) – for patients with persistent allergies, we may suggest allergen-specific immunotherapy to gradually build tolerance over time.
  • Anti-inflammatory or immunosuppressive medications – in severe cases of eczema or chronic allergic reactions, prescription treatments like biologic injections or oral immunosuppressants may be necessary to control inflammation.
  • Lifestyle and skincare guidance – we provide advice on managing skin allergies through individualised skincare routines, dietary considerations, and environmental modifications.

If you are experiencing persistent skin irritation, unexplained rashes, or allergic flare-ups, schedule a consultation with us for a detailed diagnosis and personalised treatment solutions.

Frequently Asked Questions (FAQs)

Can skin allergies be cured?

While there is no definitive cure for skin allergies, effective management is possible through identifying and avoiding triggers, using appropriate medications, and following a proper skincare routine. Many individuals experience significant relief and may have prolonged periods without symptoms.

No, skin allergies are not contagious. They result from an individual’s immune response to specific allergens and cannot be transmitted from person to person.

Stress does not directly cause skin allergies, but it can exacerbate existing conditions. Managing stress through relaxation techniques and lifestyle changes may help reduce flare-ups.

Preventing flare-ups involves identifying and avoiding known allergens, maintaining a regular skincare routine with hypoallergenic products, and protecting your skin from environmental factors like extreme temperatures and pollutants.

Over-the-counter creams, such as hydrocortisone, can provide temporary relief for mild symptoms. However, it’s essential to consult a dermatologist for persistent or severe reactions to ensure appropriate treatment.

Certain foods may trigger or worsen skin allergies in susceptible individuals. Keeping a food diary and observing any correlations between diet and skin reactions can be helpful. Consulting a healthcare professional is recommended for personalised advice.

If you experience persistent, severe, or worsening symptoms, or if over-the-counter treatments do not provide relief, it’s advisable to consult a dermatologist. Professional evaluation can help identify specific allergens and develop an effective treatment plan.

Your Partner in Skin Allergy Care

At Livingstone Dermatology, we understand the impact skin allergies can have on your daily life. Our experienced dermatologist is dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards skin allergy relief?

Schedule a consultation with Livingstone Dermatology today.

Comprehensive Care for Skin Cancers: Early Detection and Effective Treatment

Livingstone Dermatology specializes in the diagnosis and treatment of various types of skin cancers. Our experienced dermatologist offers expert care to ensure early detection, accurate diagnosis, and effective treatment for optimal outcomes.

Common Types of Skin Cancers

Basal Cell Carcinoma (BCC): This is the most common form of skin cancer, typically appearing as a pearly or waxy bump, often with visible blood vessels.

Squamous Cell Carcinoma (SCC): SCC often appears as a red, scaly patch, a raised growth with a central depression, or a wart-like growth.

Melanoma: Melanoma is a less common but more aggressive form of skin cancer, often characterized by irregularly shaped moles with uneven coloring.

Actinic Keratosis (AK): Although not cancer itself, AKs are considered precancerous and can develop into SCC if left untreated.

Merkel Cell Carcinoma: This is a rare, aggressive form of skin cancer that usually appears as a painless, firm, and fast-growing nodule.

Early Detection Saves Lives

Early detection of skin cancer is crucial for successful treatment. Our dermatologists conduct thorough examinations, often supplemented by advanced imaging or biopsy techniques, to accurately diagnose and stage skin cancers.

Treatment Options for Skin Cancers

  1. Surgical Excision: This involves removing the cancerous tissue along with a margin of healthy skin to ensure complete removal.
  2. Mohs Micrographic Surgery: This specialized technique allows for precise removal of cancerous tissue while sparing as much healthy tissue as possible.
  3. Cryotherapy: Freezing the cancerous tissue with liquid nitrogen can be effective for some early-stage skin cancers.
  4. Radiation Therapy: In some cases, targeted radiation may be used to destroy cancer cells.
  5. Chemotherapy and Immunotherapy: These systemic treatments may be recommended for advanced or metastatic skin cancers.

Your Partner in Skin Cancer Care

At Livingstone Dermatology, we prioritize your skin health and overall well-being. Our experienced dermatologist is dedicated to providing expert care for individuals with skin cancers, guiding you through the diagnosis and treatment process with compassion and expertise.

Ready to take the first step towards skin cancer detection and treatment?

Schedule a consultation with Livingstone Dermatology today.

Comprehensive Care for Skin Infections: Prompt Diagnosis and Effective Treatment

Livingstone Dermatology specializes in the diagnosis and treatment of various types of skin infections. Our experienced dermatologist offers expert care to ensure prompt diagnosis, accurate treatment, and effective management for optimal outcomes.

Common Types of Skin Infections

Bacterial Infections:

  • Impetigo: A highly contagious bacterial infection characterized by red sores that quickly rupture and develop a honey-colored crust.
  • Cellulitis: A bacterial skin infection that causes redness, swelling, and tenderness of the skin, often spreading rapidly.

Fungal Infections:

  • Ringworm (Tinea): A fungal infection characterized by a red, circular rash with a clear center, resembling a ring.
  • Yeast Infections (Candidiasis): Common in warm, moist areas, this infection can lead to red, itchy, and sometimes painful rashes.

Viral Infections:

Herpes Simplex Virus (HSV): HSV can cause painful cold sores or genital sores, characterized by fluid-filled blisters.

Parasitic Infections:

Scabies: Caused by tiny mites, scabies leads to intense itching and a pimple-like rash.

Diagnosis and Treatment

Our dermatologist will perform thorough evaluations, which may include visual examination, skin swabs, or biopsies, to accurately diagnose the type and cause of the skin infection. Treatment options may include:

  1. Topical Treatments: Antifungal, antibacterial, or antiviral creams or ointments can be effective for mild infections.
  2. Oral Medications: In more severe cases, oral antibiotics, antifungal, or antiviral medications may be prescribed.
  3. Lifestyle and Hygiene Recommendations: Our dermatologists offer guidance on proper hygiene practices to prevent reinfection and transmission.
  4. Environmental Measures: For certain infections, cleaning and disinfecting the environment can aid in preventing recurrence.

Preventing Future Infections

Our dermatologists provide comprehensive education on preventive measures, including proper hygiene, avoiding contact with infected individuals, and maintaining a clean environment.

Your Partner in Skin Infection Care

At Livingstone Dermatology, we understand the discomfort and concern that skin infections can cause. Our experienced dermatologists are dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards skin infection diagnosis and treatment? Schedule a consultation with Livingstone Dermatology today.

Ready to take the first step towards skin infection diagnosis and treatment?

Schedule a consultation with Livingstone Dermatology today.

Expert Care for Warts and Verrucas: Effective Removal and Prevention

Livingstone Dermatology specializes in the diagnosis and treatment of warts and verrucas. Our experienced dermatologists offer expert care to ensure effective removal and provide guidance on preventing recurrence.

Understanding Warts and Verrucas

Warts: Warts are non-cancerous growths caused by the human papillomavirus (HPV). They can appear anywhere on the body, often on the hands, feet, and face. Warts are typically small, rough, and may have a cauliflower-like appearance.

Verrucas (Plantar Warts): Verrucas are a type of wart that specifically develop on the soles of the feet. They may appear flat or have a rough, bumpy surface, often surrounded by hardened skin.

How are Warts and Verrucas Contracted?

Warts and verrucas are highly contagious and can be contracted through direct or indirect contact with the virus. Common sources of infection include:

  • Contact with a person who has warts or verrucas.
  • Walking barefoot in public areas like locker rooms, showers, or swimming pools.
  • Sharing personal items with an infected individual.

Treatment Options for Warts and Verrucas

  1. Topical Treatments: Over-the-counter or prescription creams, ointments, or solutions can be applied directly to the wart to promote removal.
  2. Cryotherapy: Freezing the wart with liquid nitrogen can effectively remove it.
  3. Electrosurgery: Using a specialized tool, the wart is burned off.
  4. Laser Therapy: Laser treatment targets and destroys the blood vessels supplying the wart, causing it to fall off.
  5. Excision: In some cases, the wart may be surgically removed.
  6. Immunotherapy: Stimulating the body’s immune system to attack the wart.

Preventing Recurrence

Our dermatologist provides guidance on preventive measures, such as avoiding direct contact with warts, keeping feet clean and dry, and wearing protective footwear in public areas.

Your Partner in Wart and Verruca Care

At Livingstone Dermatology, we understand the discomfort and frustration that warts and verrucas can cause. Our experienced dermatologist is dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards
wart and verruca removal?

Schedule a consultation with Livingstone Dermatology today.

Expert Care for Urticaria: Identifying Triggers and Finding Relief

Livingstone Dermatology specializes in the diagnosis and treatment of urticaria, commonly known as hives. Our experienced dermatologists offer expert care to help you identify triggers and manage symptoms effectively.

Understanding Urticaria

Urticaria, more commonly known as hives, is a skin condition characterized by raised, itchy welts that can appear anywhere on the body. These welts often have defined borders and can vary in size and shape. Urticaria can be acute (lasting less than six weeks) or chronic (lasting longer than six weeks).

Common Causes of Urticaria

Urticaria can be triggered by a wide range of factors, including:

  1. Allergens: Such as certain foods, medications, or insect stings.
  2. Physical Stimuli: Such as pressure, cold, heat, or sun exposure.
  3. Stress and Anxiety: Emotional stress can sometimes trigger hives.
  4. Infections: Viral or bacterial infections can lead to acute urticaria.

Diagnosis and Treatment

Our dermatologist conducts thorough evaluations to accurately diagnose urticaria and identify potential triggers. Treatment options may include:

  1. Antihistamines: These medications can help reduce itching and swelling associated with hives.
  2. Identifying and Avoiding Triggers: Our dermatologists will work with you to identify and minimize exposure to triggers.
  3. Corticosteroids: In more severe cases, oral or topical corticosteroids may be prescribed to control inflammation.
  4. Immunomodulators: These medications can help regulate the immune system’s response.

Living Well with Urticaria

While urticaria can be a chronic condition, with the right treatment and lifestyle modifications, it can be effectively managed. Our experienced dermatologists will work closely with you to develop a personalized treatment plan that addresses your specific needs and lifestyle.

Your Partner in Urticaria Care

At Livingstone Dermatology, we understand the discomfort and frustration that urticaria can cause. Our experienced dermatologist is dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards urticaria relief?

Schedule a consultation with Livingstone Dermatology today.

Comprehensive Care for Vitiligo: Understanding and Managing Skin Pigmentation

Livingstone Dermatology specializes in the diagnosis and treatment of vitiligo, a skin condition characterized by the loss of natural skin color. Our experienced dermatologists offer expert care to help you understand and manage this condition effectively.

Understanding Vitiligo

Vitiligo is a chronic skin condition that results in the loss of pigmentation, leading to the development of white patches on the skin. It occurs when the melanocytes, the cells responsible for producing melanin (skin pigment), are destroyed or stop functioning.

Causes and Triggers

While the exact cause of vitiligo is not fully understood, it is believed to be related to a combination of genetic, autoimmune, and environmental factors. Certain triggers, such as stress, trauma, or illness, may exacerbate the condition.

Treatment Options for Vitiligo

  1. Topical Corticosteroids: These medications can help reduce inflammation and repigment the skin.
  2. Topical Calcineurin Inhibitors: These ointments can help restore skin color and are particularly effective on the face and neck.
  3. Psoralen Plus Ultraviolet A (PUVA) Therapy: This involves taking a medication called psoralen, followed by exposure to UVA light.
  4. Light therapy: Certain wavelengths of light may be helpful in the tratment of vitiligo.

Embracing Your Skin

Our dermatologist understands the impact vitiligo can have on self-esteem and body image. We provide support and guidance on living well with vitiligo, including skincare recommendations and advice on sun protection.

Your Partner in Vitiligo Care

At Livingstone Dermatology, we are dedicated to providing expert care for individuals with vitiligo. Our experienced dermatologist works closely with you to develop a personalized treatment plan that addresses your specific needs and concerns.

Ready to take the first step towards understanding
and managing vitiligo?

Schedule a consultation with Livingstone Dermatology today.

What is Acne?

At some point in our lives, we may experience the frustration of pimples, otherwise known as acne. It generally starts in our teenage years, and may even follow us into adulthood. Sometimes, even though the breakouts are gone, we are left with a lasting reminder: acne scars.

While these scars are harmless, they can still take a toll on confidence, making it harder to achieve smooth, glowing skin. Thankfully, there are a variety of medical-grade dermatological treatments available to treat facial imperfections like acne scarring.

What Causes Acne?

Acne occurs when hair follicles become clogged with excess oil (sebum) and dead skin cells. This creates an environment where bacteria thrive, leading to inflammation and the formation of various types of acne lesions.

Treatment Options for Acne

  1. Topical Treatments: These include creams, gels, and lotions containing ingredients like retinoids, benzoyl peroxide, and salicylic acid. They work by unclogging pores, reducing inflammation, and controlling oil production.
  2. Oral Medications: In cases of moderate to severe acne, oral antibiotics or hormonal therapies may be prescribed to address underlying causes like bacterial infection or hormonal imbalances.
  3. Advanced Procedures: For stubborn or severe cases, procedures such as laser therapy, chemical peels, and drainage and extraction may be recommended to target deep-seated acne and minimize scarring.

Managing Acne Scars

What are Acne Scars?

Acne scars are the result of the skin’s attempt to heal after severe acne lesions. They can manifest as depressions (atrophic scars), raised lumps (hypertrophic scars), or hyperpigmentation.

Treatment Options for Acne Scars

  1. Dermal Fillers: Injectable fillers can be used to plump up depressed scars, providing a smoother and more even skin surface.
  2. Microdermabrasion: This non-invasive procedure uses a specialized tool to exfoliate the top layer of skin, reducing the appearance of shallow scars.
  3. Laser Resurfacing: Laser treatments stimulate collagen production, improving skin texture and reducing the visibility of scars.
  4. Chemical Peels: Chemical solutions are applied to the skin, causing it to exfoliate and eventually reveal smoother, less scarred skin.

Livingstone Dermatology offers a comprehensive approach to treating acne and its associated scars. Our experienced dermatologist will work closely with you to develop a personalized treatment plan that addresses your unique needs.

Ready to regain control over your skin health?

Schedule a consultation with Livingstone Dermatology today.

Understanding Corns and Calluses

Corns and calluses are common skin conditions caused by repeated friction or pressure on specific areas of the skin. They typically form on the feet and hands as a protective response to prevent further irritation.

What Causes Corns and Calluses?

Corns often develop on the tops and sides of toes, or on the sole of the foot, as a result of ill-fitting shoes, abnormal gait, or deformities like hammertoe. Calluses, on the other hand, typically form on the palms, fingers, or soles of the feet due to repetitive actions or pressure.

Treatment Options for Corns and Calluses

  1. Proper Footwear: Wearing well-fitting shoes that provide ample room for your toes can help prevent further friction and pressure.
  2. Orthotics or Inserts: Custom-made or over-the-counter orthotic inserts can redistribute pressure on your feet, alleviating discomfort.
  3. Padding or Cushions: Non-medicated pads or cushions can be applied to protect sensitive areas from further irritation.
  4. Topical Treatments: Creams or ointments containing salicylic acid can help soften and reduce the thickness of corns and calluses.
  5. Professional Removal: In cases of severe or painful corns and calluses, a dermatologist can safely remove them using specialized tools.
  6. Addressing Underlying Issues: Addressing any underlying causes, such as deformities or gait abnormalities, may be necessary for long-term relief.

Preventing Recurrence

To prevent the recurrence of corns and calluses, it’s essential to continue wearing well-fitting shoes, using orthotics if recommended, and maintaining good foot hygiene.

Livingstone Dermatology provides comprehensive care for corns and calluses. Our experienced dermatologist will assess your condition and recommend a personalized treatment plan to alleviate discomfort and help you achieve healthy, pain-free skin.

Ready to take the first step towards relief?

Schedule a consultation with Livingstone Dermatology today.

Understanding Cysts and Abscesses

Cysts and abscesses are common skin conditions characterized by the formation of enclosed pockets of fluid, pus, or other materials within or beneath the skin. While they may appear similar, they have distinct characteristics and treatment approaches.

What Are Cysts?

Cysts are closed sacs filled with fluid, semi-solid material, or air. They can develop anywhere on the body and vary in size. Cysts are typically non-cancerous and can be caused by a variety of factors, including infection, blockage of ducts, or genetic predisposition.

What Are Abscesses?

Abscesses, on the other hand, are localized infections that result in the accumulation of pus. They often occur in response to bacterial infections, usually as a result of a wound or hair follicle infection. Abscesses are characterized by redness, swelling, pain, and often have a visible “head” or opening.

Treatment Options for Cysts and Abscesses

  1. Incision and Drainage: This common procedure involves making a small incision to drain the contents of the cyst or abscess, relieving pain and promoting healing.
  2. Antibiotics: If an abscess is caused by a bacterial infection, a course of antibiotics may be prescribed to clear the infection.
  3. Excision: For larger or recurrent cysts, surgical removal may be recommended to prevent future occurrences.
  4. Steroid Injections: In some cases, injecting a steroid medication into a cyst can reduce inflammation and promote shrinkage.
  5. Warm Compresses: Applying warm compresses to an abscess can help promote natural drainage and alleviate discomfort.
  6. Topical Treatments: Depending on the type and location of the cyst, topical treatments may be recommended to encourage resolution.

Preventing Recurrence

Proper wound care, maintaining good hygiene, and seeking prompt treatment for any skin infections can help prevent the recurrence of cysts and abscesses.

Livingstone Dermatology offers specialized care for cysts and abscesses. Our experienced dermatologist will assess your condition and recommend a personalized treatment plan to promote healing and prevent future occurrences.

Ready to take the first step towards relief?

Schedule a consultation with Livingstone Dermatology today.

Understanding Eczema: Your Guide to Relief

Eczema, also known as dermatitis, is a common skin condition characterized by red, itchy, and inflamed skin. It often appears in patches and can range from mild to severe. Livingstone Dermatology is here to provide comprehensive care and relief for individuals dealing with eczema.

What is Eczema?

Eczema is a chronic skin condition that results from a combination of genetic and environmental factors. It is characterized by inflammation of the skin’s outer layer, leading to symptoms such as redness, itching, and the development of dry, scaly patches.

What Causes Eczema?

While the exact cause of eczema is not fully understood, it is believed to be related to a combination of factors, including genetics, an overactive immune response, and environmental triggers like allergens or irritants.

Treatment Options for Eczema

  1. Topical Treatments: Emollients, corticosteroids, and topical calcineurin inhibitors can help reduce inflammation, relieve itching, and moisturize the skin.
  2. Biologic Therapy: Newer targeted therapies including dupilumab may be a safe and suitable option for the treatment of your eczema. Your dermatologist may discuss this with you.
  3. Oral Medications: In more severe cases, oral medications may be prescribed to control inflammation and manage symptoms.
  4. Wet Wrap Therapy: This technique involves applying wet dressings over topical treatments to enhance absorption and provide additional moisture.
  5. Phototherapy: Controlled exposure to UVB light can help alleviate eczema symptoms by reducing inflammation and itching.
  6. Identifying Triggers: Understanding and avoiding specific triggers, such as certain foods, allergens, or irritants, can help manage and prevent flare-ups.

Managing Eczema

In addition to medical treatments, adopting a consistent skincare routine and avoiding known triggers can significantly improve the management of eczema.

At Livingstone Dermatology, our experienced dermatologist is dedicated to providing personalized care for individuals with eczema. We work closely with each patient to develop a customized treatment plan aimed at providing relief and improving the overall health of the skin.

Ready to find relief from eczema?

Schedule a consultation with Livingstone Dermatology today.

Hyperhidrosis is a relatively common medical condition that involves excessive sweating, and affects different parts of the body.

Overview

Sweating is a normal bodily function that helps regulate temperature. However, for some individuals, excessive sweating occurs regardless of temperature or physical activity. This condition, known as hyperhidrosis, affects daily life, causing discomfort, and social anxiety. Fortunately, various treatments are available to help manage excessive sweating effectively.

What is Hyperhidrosis?

Hyperhidrosis is a medical condition characterised by excessive sweating that goes beyond what is necessary for temperature regulation. It can affect different parts of the body, including the palms, soles, underarms, and face. This condition is typically caused by overactive sweat glands, leading to persistent sweating – even when at rest.

Types of Hyperhidrosis

Hyperhidrosis is categorised into two main types, which are:

  • Primary Focal Hyperhidrosis – primary focal hyperhidrosis is usually inherited, affects specific areas such as the hands, feet, underarms, and face. It typically starts in childhood or adolescence, and is not caused by an underlying medical condition.
  • Secondary Generalised Hyperhidrosis – secondary generalised hyperhidrosis is triggered by an underlying medical condition or medication. It causes excessive sweating over large areas of the body, and can occur during sleep.

What causes Hyperhidrosis?

The overstimulation of the sweat glands, due to the influence of the nervous system, is typically the cause of hyperhidrosis. Be that as it may, the causes can be divided into two categories:

Primary Hyperhidrosis

  • Primary hyperhidrosis is caused by overactive nervous system that trigger excessive sweating, even without external heat or stress.
  • Primarily affects specific areas like hands, feet, armpits, and face.
  • Thought to be genetic, as it often runs in families.

Secondary Hyperhidrosis

What are the common symptoms of Hyperhidrosis?

Prolonged moisture on the feet, which causes irritated or peeling skin, is a common symptom of hyperhidrosis.

Some of the common symptoms of hyperhidrosis are:

  • Body odour, caused by bacteria mixing with sweat, leading to potential skin infections.
  • Clammy hands, and feet, making it difficult to grip objects or wear certain footwear.
  • Irritated, cracked or peeling skin, particularly on the feet, due to prolonged moisture exposure.
  • Persistent wetness on the skin, causing damp clothing, and visible sweat droplets.
  • Sweat pooling or dripping, especially from the palms, forehead, or underarms.

Emotional and Social Impact

Beyond physical discomfort, hyperhidrosis can significantly impact daily life, and mental well-being:

  • Avoidance of physical contact, such as handshakes, due to clammy or wet palms.
  • Anxiety, and emotional distress, sometimes resulting in social withdrawal.
  • Concerns about personal hygiene, and body odour, even with frequent washing.
  • Constant worry about visible sweat stains on clothing.
  • Self-consciousness or embarrassment, leading to reluctance to engage in social interactions.

Where will these symptoms show up?

The eccrine glands are responsible for producing sweat. As it exists in the skin throughout the body, symptoms of hyperhidrosis can occur anywhere, with the following areas being the primary areas:

  • Armpits or the underarms (axillary hyperhidrosis)
  • Cheeks or forehead (craniofacial hyperhidrosis)
  • The palms of your hands (palmar hyperhidrosis).
  • The soles of your feet (plantar hyperhidrosis)
  • Genitals
  • Lower back

What triggers Hyperhidrosis?

When it comes to hyperhidrosis, it is important to manage the triggers. There are certain factors that can worsen hyperhidrosis episodes, including:

  • Emotional stress – anxiety, excitement or nervousness can stimulate sweat glands.
  • Hormonal fluctuations – changes due to puberty, pregnancy or menopause can exacerbate hyperhidrosis symptoms.
  • Hot, and humid weather – high temperatures can trigger excessive sweating, even in people without hyperhidrosis.
  • Physical activity – while sweating is normal during exercise, those with hyperhidrosis may sweat excessively even with minimal effort.
  • Spicy foods, and caffeine – consumption of spicy foods, and caffeinated beverages can increase sweating.

How is Hyperhidrosis diagnosed?

Dermatologists will perform a physical examination to identify potential triggers for hyperhidrosis.

Diagnosing hyperhidrosis involves a thorough evaluation to determine the type, severity, and potential underlying causes of excessive sweating. At Livingstone Dermatology, our dermatologists begin with a detailed consultation, and physical examination.

Physical Examination and Assessment

During the initial consultation, our dermatologists will assess your symptoms through:

  • Checking for underlying conditions – the purpose of this step is to rule out medical conditions such as hyperthyroidism, diabetes or infections that could contribute to excessive sweating.
  • Identifying potential triggers – by discussing factors such as stress, temperature, and physical activity, it will help our dermatologists determine your potential triggers that may exacerbate symptoms.
  • Symptoms severity assessment – this refers to evaluating how hyperhidrosis impacts daily life, including work, social interactions, and emotional well-being.
  • Sweat distribution analysis – the analysis is conducted to identify the areas most affected by excessive sweating.

Diagnostic Tests

In addition to a physical examination, our dermatologists may recommend specific tests to confirm the diagnosis, and assess the severity of the condition:

  • Blood tests – blood work may be conducted to rule out medical conditions such as hyperthyroidism, diabetes or infections that could contribute to excessive sweating.
  • Gravimetric sweat test – the Gravimetric Sweat test is performed to measure the exact amount of sweat produced over a specific period using a filter paper placed on the affected skin. This helps quantify sweating severity.
  • Starch-iodine test – a topical iodine solution is applied to the affected area, followed by starch powder. Areas of excessive sweating will turn dark blue, highlighting the most active sweat glands.
  • Thermoregulatory sweat test (TST) – a whole-body assessment where a special powder changes colour in response to excessive sweating, allowing for a comprehensive evaluation of sweat patterns.

How is Hyperhidrosis treated in Singapore?

Treatment for hyperhidrosis is primarily focused on managing the condition, and preventing it from exacerbating. As such, it includes a variety of treatment options, ranging from conservative measures to more invasive forms of medical intervention – all of which are tailored specifically to each patient. 

Conservative Treatments

For mild to moderate hyperhidrosis, conservative methods can help manage excessive sweating:

  • Topical antiperspirants – topical antiperspirants, such as aluminium chloride-based solutions, work by temporarily blocking the sweat glands, reducing sweat production in targeted areas like the underarms, hands, and feet. For more persistent cases of hyperhidrosis, prescription-strength antiperspirants may be recommended.
  • Oral modifications – oral modifications like anticholinergic medications (glycopyrrolate or oxybutynin), suppress nerve signals that activate sweat glands. 
  • Lifestyle modifications – wearing loose, breathable fabrics, using absorbent powders, and maintaining good hygiene can help keep moisture under control. Additionally, stress management techniques such as meditation, and breathing exercises may also reduce stress-induced sweating.

Minimally Invasive Treatments

Botulinum toxin injections is one treatment option that helps manage excessive sweating by blocking nerve signals that stimulate sweat production.

For moderate to severe hyperhidrosis, medical treatments offer longer-lasting relief:

  • Botulinum toxin injections – Botulinum toxin temporarily blocks nerve signals responsible for sweat production. It is commonly used for underarm, hand, and forehead sweating, as botulinum toxin injections can provide relief for four to six months before requiring repeat treatment.
  • Iontophoresis – iontophoresis is a procedure that delivers mild electrical currents through water to temporarily disable sweat glands in the hands, and feet. This treatment requires multiple sessions for optimal results, and is particularly beneficial for palmar, and plantar hyperhidrosis.

Surgical Treatments

For severe hyperhidrosis that does not respond to other treatments, surgical interventions may be considered:

  • Endoscopic Thoracic Sympathectomy (ETS) – ETS is a procedure that involves cutting or clamping the sympathetic nerves that trigger excessive sweating. It is primarily used for palmar hyperhidrosis. However, it is considered a last-resort option due to potential side effects like compensatory sweating in other areas of the body.
  • Microwave Thermolysis – microwave thermolysis is an innovative treatment that uses microwave energy to destroy overactive sweat glands in the underarms. This procedure is minimally invasive, with long-lasting results, and requires minimal downtime.

Conclusion

Excessive sweating can be disruptive, and challenging to manage on your own. Thankfully, there are several medical-grade treatments that can help you manage hyperhidrosis symptoms effectively. 

Schedule a consultation today for a detailed diagnosis and personalised treatment plan.

Frequently Asked Questions

How can I differentiate between normal sweating from excessive sweating?

Normal sweating occurs as a natural response to heat, physical activity or emotional stress, helping to regulate body temperature. It usually stops once the triggering factor subsides.

Excessive sweating, on the other hand, happens regardless of external conditions, and can interfere with daily activities. The key differences include:

  • Emotional or physical discomfort.
  • Frequent or persistent sweating.
  • Sweating without a clear cause.
  • Sweat dripping or soaking through clothing.

Hyperhidrosis affects approximately 2 – 3% of the global population, with many cases remaining undiagnosed or untreated. This is largely due to a lack of awareness, and education related to the condition.

Most people with hyperhidrosis do not experience body odour. However, to prevent body odour (bromhidrosis), you can:

  • Apply shoe spray to reduce odour.
  • Avoid foods like asparagus, curry, and garlic that may contribute to body odour.
  • Change socks and shoes frequently.
  • Use antiperspirants or deodorants under your arms.

There is no conclusive evidence linking regular use of these products to breast cancer. Many formulations, including natural and clinical-strength options, are available, allowing individuals to choose what suits them best.

It is important to seek medical attention for hyperhidrosis to prevent the following potential complications:

  • Difficulties handling objects due to sweaty palms
  • Emotional distress
  • Skin infections, and irritation
  • Social withdrawal

Although treatment-related side effects are uncommon, it is important to be aware of the potential side effects. These side effects depend on the treatment method, but may include:

  • Blurred vision, and dry mouth from oral medications.
  • Skin irritation from topical antiperspirants.
  • Temporary muscle weakness from botulinum toxin injections.

It is important to understand that most treatments provide temporary relief. As such, it requires repeated sessions or long-term management. However, surgical options may offer a permanent solution, but they do come with their own set of risks.

While hyperhidrosis itself may not be preventable, triggers can be managed through lifestyle adjustments, appropriate treatments.

Yes, some lifestyle adjustments can help. This includes:

  • Managing stress through relaxation techniques.
  • Staying hydrated to regulate body temperature.
  • Using absorbent powders to keep skin dry.
  • Wearing breathable, and loose-fitting clothing.

Improving Quality of Life

Living with hyperhidrosis can be challenging, but effective treatment options are available. Our experienced dermatologist will work with you to develop a personalized treatment plan that addresses your specific concerns and provides lasting relief.

Ready to regain control over excessive sweating?

Schedule a consultation with Livingstone Dermatology today.

Dealing with hair and nail disorders can be frustrating, especially when they begin to affect your confidence and well-being. Whether it is thinning hair, brittle nails, or unexpected changes in your scalp, or nail health, these conditions can leave you feeling concerned, and self-conscious.

The good news is that many of these disorders are more common than you might think, and with the right treatment, you can reclaim healthier hair, and nails. In fact, by understanding the root causes, and identifying the early symptoms can make all the difference in getting the relief you need.

hair nail disorders Singapore.
Hair and nail disorders can indicate underlying health issues, affecting strength, growth, and overall appearance.

What are hair and nail disorders?

Hair and nail disorders encompass a wide range of conditions that affect the scalp, hair follicles, and nails. These issues can lead to a variety of symptoms like hair loss, nail deformities, itching, and infections.

In Singapore, where the climate is humid, and warm all-year-round, these conditions are quite prevalent, impacting people of all ages. Beyond the climate, factors such as genetics, lifestyle, environmental stressors, and diet can contribute to the development of these disorders.

Types of hair and nail disorders

Not all hair, and nail disorders are the same, as they vary in terms of causes, characteristics, symptoms, and treatments. Some of the more common conditions include, but are not limited to:

Hair Disorders

  • Androgenetic alopecia — androgenetic alopecia, or more commonly known as male or female pattern baldness, is characterised by gradual hair thinning, particularly at the crown, and hairline.
  • Alopecia areata — alopecia areata is an autoimmune condition where patches of hair fall out suddenly, leaving round, smooth bald spots on the scalp, or other parts of the body.
  • Telogen effluvium — telogen effluvium is a temporary hair shedding caused by stress, illness, or hormonal changes, resulting in hair thinning across the scalp.
  • Scalp infection — scalp infection, either due to bacterial or fungal infections such as tinea capitis, can cause itching, scaling, and hair loss.
  • Seborrheic dermatitis — seborrheic dermatitis is a chronic scalp condition marked by red, scaly patches, and persistent dandruff, often exacerbated by stress, or weather changes.
  • Lichen planus — lichen planus is an autoimmune condition that affects both the scalp, and skin, leading to hair loss, itching, and scalp inflammation.
ingrown toenail treatment singapore
Ingrown toenails occur when the nail grows into the surrounding skin, causing pain, swelling, and potential infection if left untreated.

Nail Disorders

  • Ingrown toenails — ingrown toenails occur when the edges of the nail grow into the surrounding skin, often due to improper nail trimming, tight footwear, or trauma.
  • Onychoschizia — onychoschizia, or better known as brittle nail syndrome, is a condition that leads to nail splitting, or peeling.
  • Onychogryphosis — meanwhile, onychogryphosis is described as thickened, curved nails that resemble a ram’s horn, often caused by trauma, or pressure.
  • Onychomycosis (fungal infections) — onychomycosis is a fungal infection that causes thickened, discoloured, and brittle nails.
  • Onycholysis — onycholysis is the separation of the nail from the nail bed, often due to trauma, or infections.
  • Psoriasis of the nails — psoriasis of the nails is a condition where psoriasis affects the fingernails, or toenails, causing changes such as pitting, discolouration, thickening, or lifting of the nail plate.
androgenetic alopecia Singapore.
Androgenetic alopecia is a common hair condition that causes gradual hair thinning, often due to genetics or a family history of the condition.

What causes hair and nail disorders?

The causes of hair and nail disorders vary depending on the type. However, there are several factors that can trigger, or even worsen hair and nail disorders. This includes:

  • Autoimmune disorders — conditions such as alopecia areata, and lichen planus are triggered by the immune system attacking hair follicles, or nail beds.
  • Environmental factors — constant exposure to moisture, chemicals, and pollutants can lead to weakened nails, and scalp issues.
  • Genetic predispositionfamily history plays a significant role in conditions like androgenetic alopecia, and certain nail disorders.
  • Hormonal changes — hormonal fluctuations, especially during pregnancy, menopause, or thyroid diseases, can affect hair health.
  • Stress, and dietpoor nutrition, and high levels of stress can result in hair thinning, brittle nails, and scalp inflammation.

What are the symptoms of hair and nail disorders?

Each hair and nail disorder carries different symptoms, with the potentiality of overlapping. As such, you should seek medical attention if you begin to experience any of the following symptoms:

Hair Disorders

Androgenetic alopecia

  • Gradual hair thinning, usually starting at the temples, and crown in men (receding hairline).
  • Widening part, or thinning at the top of the scalp in women.
  • Hair becomes finer, softer, and shorter over time.

Alopecia areata

  • Sudden, round patches of hair loss on the scalp, beard, or other parts of the body.
  • Smooth, hairless skin in the affected areas.
  • Tingling, itching, or burning sensation before hair falls out.
  • Can affect the eyebrows, eyelashes, or facial hair.

Telogen effluvium

  • Diffuse thinning or shedding hair all over the scalp.
  • Increased hair fall, especially while washing or combing.
  • Hair appears less dense, and may appear lifeless.
  • Often triggered by stress, illness, or hormonal changes.

Scalp infections

  • Scaly patches on the scalp, often appearing red, and itchy.
  • Hair may break off close to the scalp, leaving bald spots.
  • Pus-filled sores, or crusty lesions.
  • Swollen lymph nodes in severe cases.

Seborrheic dermatitis

  • Persistent dandruff with white, or yellow flakes.
  • Red, greasy patches of skin, particularly along the hairline.
  • Itchy scalps that may feel irritated, or sore.
  • Hair loss in areas with severe inflammation.

Lichen planus

  • Itchy, reddish-purple bumps on the scalp.
  • Patches of hair loss with scarring.
  • Scales, or crusts, may form on the affected areas.
  • May cause permanent hair loss if left untreated.
Seborrheic dermatitis causes symptoms such as redness, and severe itchiness, leading to hair loss in areas with high inflammation.

Nail Disorders

Ingrown toenails

  • Pain, redness, and swelling along the nail edge.
  • Tenderness around the nail fold.
  • Pus, or infection.
  • Throbbing sensation, especially when walking, or wearing tight shoes.
  • Can either be acute, or chronic.

Onychoschizia

  • Brittle, thin, and uneven nail edges.
  • Nails that peel, split, or break easily.
  • Nails may appear dull, or rough.
  • Often associated with frequent wetting, and drying of hands.

Onychogryphosis

  • Thickened, overgrown, and curved nails, often resembling a ram’s horn.
  • Nails are difficult to trim, and may cause discomfort.
  • Yellow, or brown discolouration.
  • Typically affecting the big toes.

Onychomycosis

  • Foul odour from the affected nails.
  • Yellow, white, or brown discolouration of the nails.
  • Nails become thickened, brittle, or crumbly.
  • Separation of the nail from the nail bed.

 

Onycholysis

  • Nails detach, or lift from the nail bed, usually starting from the tip.
  • Discolouration in the detach area, typically white, yellow, or green.
  • Pain, or discomfort, particularly when pressure is applied.
  • Triggered by trauma, infections, or exposure to irritants.

Psoriasis on the nails

  • Pitting, or small dents on the nail surface.
  • Thickening, or crumbling of the nail plate.
  • Discolouration, with the nails appearing yellow, brown, or white.
  • Nails may lift, or separate from the nail bed.
  • Pain, or tenderness in severe cases.
Brittle nails is a common symptom for a variety of nail disorders. ALT-text: what is brittle nails
Brittle nails is a common symptom for a variety of nail disorders.

How are hair and nail disorders diagnosed in Singapore?

Diagnosing hair and nail disorders is essential to providing targeted treatment, and preventing further complications. These conditions can often be assessed during a visit to a dermatologist, who will use a combination of clinical evaluations, and diagnostic tests to determine the root cause.

Prior to any tests, our dermatologists at Livingstone Dermatology will discuss your symptoms, medical history, family history, and lifestyle factors, including stress levels, diet, and exposure to chemicals.

Based on the initial assessment, the following diagnostic procedures may be performed to diagnose hair disorders:

  • Scalp biopsy — a scalp biopsy entails a small sample of scalp tissue being taken, and examined under a microscope to identify inflammation, infections, or autoimmune disorders like alopecia areata, or lichen planus.
  • Trichoscopy — a trichoscopy refers to a non-invasive test using a dermatoscope to examine the hair, and scalp closely. It allows our dermatologist to assess hair shaft abnormalities, scalp conditions, and patterns of hair loss, such as those seen in androgenetic alopecia, or telogen effluvium.
  • Pull test — a pull test is a diagnostic test, whereby the dermatologist gently tugs on a small section of hair to see how many strands come out. A positive pull indicates active hair shedding, which may suggest telogen effluvium, or an underlying scalp disorder.
  • Fungal culture — in the event our dermatologist suspects fungal infections, a sample of the hair, or scalp debris is collected, and cultured to identify the specific fungus responsible for the infection.
  • Blood tests — a blood test is often conducted to check for hormonal imbalances, nutritional deficiencies, or autoimmune markers. These can provide insights into conditions like androgenetic alopecia, or telogen effluvium triggered by internal factors.
fungal infection Singapore
A fungal culture can help dermatologist determine if certain hair disorders are caused by fungal infection.

Meanwhile, our dermatologist may perform one of the following diagnostic procedures to diagnose nail disorders:

  • Nail clipping for microscopy, and culture — a nail clipping for microscopy, and culture refers to a small portion of the affected nail being clipped, and examined under a microscope. It is then cultured to detect fungal infections, such as onychomycosis.
  • Nail biopsy — in cases of severe nail deformities, or suspected malignancies, a biopsy may be performed. A sample of nail tissue is taken to look for conditions like lichen planus, psoriasis, or melanoma.
  • Digital dermoscopy — a digital dermoscope uses a specialised microscope to examine nail plate abnormalities, pigmentation, and subungual lesions, helping to diagnose conditions like onycholysis or paronychia.
  • Patch test — For patients with suspected contact dermatitis around the nails, a patch test can identify potential allergens. This is particularly useful if nail changes are due to exposure to chemicals, cosmetics, or nail products.
  • Blood tests — a blood test may be ordered to evaluate for systemic conditions like thyroid disorders, anaemia, or autoimmune diseases, which can contribute to nail abnormalities like brittle nails or onychoschisia.
Our dermatologist may collect samples under the nails to be tested for fungal infection.

How are newborn hair and nail disorders treated in Singapore?

We understand that hair, and nail disorders can significantly affect one’s self-esteem, and quality of life. While prevention is ideal, it may not always be possible to avoid these conditions entirely.

However, a range of effective treatment options are available to help manage symptoms, and promote healing. For hair disorders, this includes:

Topical Treatments

  • Minoxidil — minoxidil is often used to stimulate hair growth in androgenetic alopecia. It is applied directly to the scalp, helping prolong the hair follicle’s growth phase.
  • Medicated shampoos — medicated shampoos, which are shampoos containing ketoconazole, zinc pyrithione, or selenium sulfide, can reduce inflammation, and flaking, especially for patients with seborrheic dermatitis.

Oral Medications

  • Finasteride — finasteride is commonly prescribed for men with androgenetic alopecia, helping to slow hair loss, and promote regrowth by reducing dihydrotestosterone (DHT) levels.
  • Corticosteroids — corticosteroids are often administered orally, or injected as it helps with managing autoimmune-related hair loss like alopecia areata, reducing inflammation that damages hair follicles.

Therapy

  • Immunotherapy — immunotherapy is often recommended for severe cases of alopecia areata as it helps stimulate hair regrowth by triggering an immune response on the scalp.
  • Phototherapy — phototherapy, or light therapy, is effective for treating scalp conditions such as lichen planus as it helps in reducing inflammation, while promoting healing.

Supplements

  • Nutritional supplements — our dermatologists may also recommend consuming nutritional supplements that contain biotin, zinc, and iron to support hair growth, and improve hair strength, especially for those with deficiencies contributing to telogen effluvium.

When it comes to treating nail disorders, our dermatologist may opt to proceed with one of the following treatment procedures:

Topical Treatments

  • Antifungal creams — antifungal creams are usually prescribed to treat nail disorders caused by fungal infections, such as onychomycosis. These creams contain ingredients such as ciclopirox, or amorolfine to help clear the infection.
  • Topical steroids — topical steroids are used to reduce inflammation, and help the nail reattach to the nail beds.

Oral Medications

  • Antifungal medications — in severe fungal infection cases, our dermatologist may prescribe oral antifungal medications to help clear the infection.
  • Antibiotics — oral antibiotics usually given in the event the nail disorders are caused by a bacterial infection, accompanied by pus formation.

Nail Procedures

  • Nail surgerynail surgery is often the course of treatment to remove the affected nails, while facilitating a smooth recovery.
  • Therapeutic procedures — depending on the type of nail disorder, cryotherapy or laser therapy may be recommended to help improve the condition.

Lifestyle Changes

  • Nail care — nail care such as keeping nails trimmed regularly, and avoiding prolonged exposure to water can prevent nail disorders from exacerbating, while allowing it to heal smoothly.
  • Protective gloves — by wearing protective gloves while performing tasks involving chemicals can help maintain nail health.
  • Applying moisturiser — applying urea-based moisturisers can help reduce symptoms of brittle nails. In fact, taking biotin supplements can help strengthen brittle nails, thereby reducing the likelihood of splitting, and breakage.
nail disorders Singapore
By keeping your nails trimmed, and practicing good hygiene, it will help reduce the likelihood of developing nail disorders, especially those that are caused by bacterial, or fungal infections.

The state of our hair and nails can reflect our overall health, and understanding the root cause of your symptoms is the first step to effectively treating hair and nail conditions. With the right treatment approach, these symptoms can be managed effectively.

At Livingstone Dermatology, we offer tailored solutions to restore your hair and nail health. If you have been experiencing concerning symptoms, reach out to us for a thorough consultation and personalised treatment plan tailored to your needs.

Frequently Asked Questions

Can hair loss be prevented?

Although hair loss is a natural part of ageing, there are some preventive measures that you can take to prevent, or minimise the hair loss. These steps include:

  • Maintaining a healthy diet.
  • Managing your stress level.
  • Minimising exposure to environmental damages, such as UV rays, and harsh weather.
  • Practicing proper hair care.
  • Undergoing routine medical check-ups, especially if you have a genetic condition that leads to hair loss.
  • Quitting smoking, and reducing alcohol intake.

Yes, certain hair loss can be reversed, especially if treatment begins early. In fact, topical treatments such as minoxidil, oral treatments such as finasteride, and therapies like platelet-rich-plasma (PRP) can stimulate hair regrowth.
However, it is important to understand that the success rate varies depending on the cause, and severity of hair loss.

Temporary hair loss, such as telogen effluvium, often follows a stressful event, or illness, and typically resolves on its own within a few months. In contrast, androgenetic alopecia, and certain autoimmune conditions may lead to more permanent hair loss if not treated early.

While some natural remedies like rosemary oil, aloe vera, or coconut oil may improve scalp health, they are usually not as effective as medically-proven treatments like minoxidil, or finasteride.

If you have been experiencing hair loss, with a family history of hair conditions, then it is best to consult a dermatologist for personalised advice.

It may take approximately between 3 to 6 months to notice significant improvements. However, it is important to note that when it comes to undergoing hair loss treatments, consistency is the key to seeing results.

Yes, brittle nails can function as a health indicator as it usually indicates a deficiency in nutrients like biotin, or iron. They may also be a sign of an underlying condition such as hypothyroidism. However, they can also result from regular exposure to water, harsh chemicals, or ageing.

While mild fungal infections can sometimes be treated with over-the-counter antifungal creams, or medicated nail lacquers, persistent infections typically require prescription oral antifungals for more effective results.

If you have a nail disorder, it is best to consult with a dermatologist before getting manicures, or pedicures done. In the event your dermatologist says it is permissible to have these treatments done, it is important to ensure the salon uses sterilised tools, and practices proper hygiene to avoid exacerbating the condition, or introducing new infections.

One of the best ways to help make your nails stronger is by keeping them moisturised, trimming them regularly, and avoiding using them as tools. Additionally, it is best to protect them from harsh chemicals by wearing protective gloves.

While using a nail hardener may be beneficial for some individuals, it is encouraged to speak with your dermatologist if it is recommended to use a nail hardener if you are diagnosed with a nail disorder.

Ready to take the first step towards
healthier hair and nails?

Schedule a consultation with Livingstone Dermatology today.

Keloid scars develop due to an overproduction of collagen while an active wound or injury is healing.

Scars are our body’s way of protecting us after the skin is injured. When the dermis is damaged, our body produces collagen fibres to repair the wound. This is laid down rapidly and densely, creating a scar. 

However, when excess collagen is produced during the healing process, keloid scars can form. These are raised scars that form beyond the original wound — thick, raised, and sometimes, darker than the surrounding skin. While they do not pose serious health risks, their appearance, and potential discomfort can be distressing. Fortunately, various treatments are available to help reduce, and manage keloid scars, restoring both skin appearance and self-assurance.

What are Keloid Scars?

Keloid scars are an overgrowth of scar tissue that forms at the site of a skin injury. Unlike regular scars, keloids extend beyond the original wound, and may continue to grow over time. This occurs due to excessive collagen production during the healing process. Instead of gradually fading, keloid scars become thick, raised, and sometimes itchy or uncomfortable. They can develop after minor skin injuries such as cuts, burns, acne or even piercings. Although harmless, their noticeable appearance can be a cosmetic concern for many individuals.

Characteristics of Keloid Scars

Identifying, and differentiating keloid scars is essential for seeking the right treatment. In fact, understanding their unique characteristics can help individuals determine the most ideal course of action.

Where do keloid scars grow?

Keloids can appear anywhere on the body but are more common in areas with high skin tension, and movement, including:

  • Arms
  • Chest
  • Earlobes
  • Jawline
  • Shoulders
  • Upper back

What do they look like?

Keloid scars have distinct visual, and physical characteristics, such as:

  • Continual growth beyond original wound
  • Firm or rubbery texture
  • Pink, red, or dark brown coloration
  • Potential itchiness or tenderness
  • Raised and thickened scar tissue
  • Smooth and shiny surface

What causes Keloid Scars?

Keloids form when the body produces excessive collagen while healing an injury. Collagen is a structural protein that helps repair, and strengthen the skin. However, in some individuals, an overproduction of collagen leads to the formation of keloid scars. Unfortunately, the exact reason behind this excessive collagen production remains unclear.

Keloids may develop after various skin injuries or conditions, including:

  • Acne
  • Chickenpox
  • Cuts or burns
  • Insect bites
  • Piercings, and tattoos
  • Shaving wounds
  • Surgical incisions, such as C-section

What are the symptoms of Keloid Scars?

Keloid scars often cause itching, irritation, and pain.

In addition to medical treatments, adopting a consistent skincare routine and avoiding known triggers can significantly improve the management of eczema.

The symptoms of keloid scars can vary but often include:

  • Itching, and irritation
  • Pain or tenderness
  • Persistent growth beyond the initial wound
  • Skin tightness around the affected area
  • Thick, raised scar formation

What are the risk factors of Keloid Scars?

Although anyone can have keloid scars, there are certain individuals that are more prone to developing keloid scars due to genetic, and environmental factors. The risk factors include:

  • Age – individuals who are aged 30 years old, and younger are more at risk of developing keloid scars.
  • Ethnicity – individuals with Asian or African ethnicity are more prone to keloid formation.
  • Genetics – individuals with a family history of keloids have an increased likelihood of developing them.
  • Health status – individuals with a history of excessive scarring or poor wound healing are at higher risk of developing keloid scars.
  • Injury type – wounds in high-tension areas, such as the chest and shoulders, have a greater risk of forming keloids.
  • Previous keloid formation – individuals who have had keloids before, are more likely to develop them again.
  • Skin type – individuals with darker skin tones are more prone to keloid formation.

How are Keloid Scars diagnosed?

Several methods for assessing keloid scars include:

  • Clinical examination – our dermatologists will assess the size, shape, color, and texture of the scar. Additionally, symptoms such as itching, pain or continued growth beyond the wound site are also evaluated.
  • Dermatoscopy – a dermatoscopy is a technique that involves using magnification tools to examine the skin’s surface, and subsurface structures, aiding in accurate detection, and differentiation of keloid scars.
  • Biopsy in cases where further confirmation is needed, a small sample of the scar tissue may be taken for analysis to rule out other skin conditions, such as skin cancer.

How are Keloid Scars treated in Singapore?

Treatment for keloid scars will depend on the size, location, and extent of the scars.

Treatment for keloid scars is tailored based on the severity, size, and location of the scar. At Livingstone Dermatology, our dermatologists may recommend one or a combination of the following treatment options:

  • Corticosteroid injections – corticosteroid injections are a first-line treatment for keloids. These injections help reduce inflammation, suppress excess collagen production, and flatten the scar over time. Multiple sessions may be required, spaced several weeks apart, to achieve noticeable improvement. Additionally, this treatment is particularly effective for reducing itching, pain, and discomfort associated with keloids.
  • Cryotherapy – cryotherapy involves freezing the keloid using liquid nitrogen. This process helps shrink the scar, making it less noticeable. It is especially useful for smaller keloids, and can be combined with other treatments, such as corticosteroid injections, for enhanced effectiveness. Cryotherapy may require multiple sessions, and mild skin irritation or temporary pigmentation changes may occur post-treatment.
  • Laser therapy – laser therapy targets the excess collagen within the keloid to gradually reduce its size, and improve its appearance. Specific laser types, such as pulsed dye lasers, help to fade the redness, and flatten the scar. Laser treatment is often combined with other therapies to maximise its effects, and multiple sessions are typically required for optimal results.
  • Radiation therapy – in cases where keloids are particularly stubborn or recurrent, radiation therapy may be considered. This treatment is usually performed after surgical removal to prevent the regrowth of keloid tissue. It involves the use of low-dose radiation to inhibit excessive collagen production, reducing the likelihood of the keloid returning. Radiation therapy is carefully administered to minimise potential risks and side effects.
  • Silicone sheets or Gels – silicone-based treatments, including sheets and gels, provide a non-invasive method for softening, and flattening keloid scars. These products work by hydrating the scar tissue, regulating collagen production, and improving overall skin texture. Consistent application over several months is necessary for significant results, and it is often recommended as part of a long-term scar management plan.
  • Surgical removal – for larger or persistent keloids, surgical excision may be an option. However, keloids have a high recurrence rate after surgery, so additional treatments, such as corticosteroid injections or radiation therapy, are often recommended to prevent regrowth. Our dermatologists use precise techniques to minimise scarring and optimise healing outcomes.

Summary

While keloid scars can be persistent, and impact self-confidence, they are manageable with the right treatment approach. It is important to remember that early intervention is key to preventing excessive scar growth. At Livingstone Dermatology, we offer comprehensive keloid scar assessments, and medical-grade treatment options to help you achieve smoother, healthier skin. Contact us today for a personalised treatment plan.

Frequently Asked Questions

Are hypertrophic scars the same as keloid scars?

Keloids are often mistaken for hypertrophic scars, a more common type of scarring. Hypertrophic scars are typically flat and vary in colour from pink to brown. They are smaller than keloids and, unlike keloids, may gradually fade over time.

Both men and women experience hypertrophic scars at similar rates, and they can affect individuals of all skin tones. These scars often result from physical or chemical injuries, such as piercings or exposure to harsh substances. Initially, hypertrophic scars may be itchy or painful, but these symptoms generally lessen as the skin heals.

Keloid scars are not always painful, but some people may experience discomfort, tenderness or itching in the affected area. The severity of symptoms varies from person to person, and larger keloids may cause more noticeable discomfort.

If pain or irritation is affecting your daily life, treatment options are available to help relieve symptoms and improve the appearance of the scar.

While keloid scars are not harmful to your overall health, they can sometimes lead to discomfort, restricted movement (if they develop over joints) or emotional distress due to their appearance. Additionally, keloids can sometimes continue to grow over time.

Most keloid treatments involve minimal downtime. Procedures like corticosteroid injections, laser therapy, and cryotherapy allow patients to resume normal activities almost immediately. However, surgical removal or radiation therapy may require a brief recovery period.

While keloid scars cannot always be entirely prevented, there are steps you can take to reduce the risk. If you are prone to keloids, avoid unnecessary piercings, tattoos, or elective surgeries. For necessary procedures, speak to a dermatologist about preventive measures such as silicone gel application, pressure dressings, or corticosteroid injections to minimise scarring.

Unlike normal scars that may fade over time, keloid scars tend to persist, and may even grow larger. Without treatment, they do not typically resolve on their own. However, there are various medical treatments available that can help shrink, flatten, and improve the appearance of keloid scars.

Yes, keloids have a tendency to recur, especially after surgical removal. To reduce the risk of recurrence, dermatologists often recommend combination treatments such as corticosteroid injections, laser therapy or radiation therapy after surgical excision.

Yes, keloid scars can be treated at any age, though treatment plans may vary depending on the patient’s skin type, age, and medical history. It is always best to consult a dermatologist to determine the most suitable treatment for your specific needs.

The timeframe for noticeable improvement depends on the treatment method used. Corticosteroid injections, laser therapy, and silicone sheets often require multiple sessions over weeks or months. Results from surgical removal or radiation therapy may become apparent sooner but require careful monitoring to prevent recurrence.

Ready to take the first step towards keloid relief?

Schedule a consultation with Livingstone Dermatology today.

Lumps and bumps on the skin or under the skin may cause discomfort or concern. Fortunately, most cases of lumps and bumps on the skin are benign and treatable. However, a visit to a dermatologist is crucial for proper diagnosis and treatment.
Dermatoscopy in Singapore
Lumps and bumps on the skin can be a cause of concern, hence it is important to visit a dermatologist for a diagnosis.

What are skin lumps and bumps?

Growths on the skin or just beneath the skin can be caused by a variety of conditions, most types of bumps on the skin are caused by benign or harmless growths. Despite this, they can still cause discomfort and pain from friction, clothing, or getting caught in jewellery.

Types of growth

Among the common types of lumps and bumps found on the skin include:

  • Seborrheic keratosis – Seborrheic keratosis are benign growths of keratinocytes, appearing as scaly, brown or black papules or plaques on the skin. These growths are common in people aged 50 years and above [1].
  • Moles – Moles are dark spots of melanocytes on the skin. They can appear at birth, or develop throughout your life. These growths are typically harmless, but some may potentially develop into skin cancer.
  • Skin tags – Skin tags are characterised as small, pedunculated lumps of skin. Skin tags typically appear in areas of the body that experience a lot of friction, such as the neck, armpits, groin or thighs, and eyelids [2].
  • Cysts – Cysts are lesions under the skin often filled with pus, fluid, or other material. Cysts are typically harmless, but can grow and rupture, which may lead to infection and inflammation, hence requiring treatment.
  • Lipomas – Lipomas are lumps of fatty tissue under the skin which are often mobile or moveable. These lesions are typically harmless and slow-growing. However, their location or size may eventually cause pain or discomfort.
  • Warts  – Warts are typical growths caused by viral infections, and often present as rough, bumpy growths on the skin.

What causes these lumps and bumps?

  • Seborrheic keratosis – Seborrheic keratosis lesions can be sporadic or inherited. In sporadic cases, it is believed that gene mutations of fibroblast growth factor receptor-3 (FGFR3) are what drives the development of the lesions. Seborrheic keratosis is also believed to be caused by increased UV radiation, such as from sun exposure [1].
  • Moles – Moles, also known as nevi, are formed from clumps of melanocytes or pigment cells. Moles are typically grouped as common moles, congenital melanocytic nevi, or dysplastic nevi. The causes of moles are not entirely known, but certain features increase the likelihood of someone developing moles, such as fair skin, light hair and eye colour, and increased sun exposure [3].
  • Skin tags – The exact cause of skin tags are not entirely known. However, certain risk factors that increase the likelihood of skin tag development include genetic predisposition, obesity, and insulin resistance [4].
  • Cysts – Cysts that appear on the skin, or epidermoid cysts, are typically caused by a blockage in the follicles due to a build-up of keratinocytes. Over time, more and more keratinocytes are trapped, eventually forming a cyst. Injuries to the hair follicle can also cause the initial plug to form.
  • Lipomas – Lipomas are benign tumours of fatty tissue. While the exact cause of lipomas are not known, it is believed that traumatic injuries and genetic predisposition may be linked to lipoma formation [5].
  • Warts – Warts are benign growths of the mucosa and skin caused by viral infections. Infections of human papillomavirus (HPV) are known to cause different types of wart growths. Although mostly benign, some types of HPV are considered high risk and may develop into verrucous carcinoma [6].

When should I be worried about lumps and bumps?

Although most causes of lumps and bumps on the skin are benign, it is important to know when it may be indicative of a skin cancer lesion, or a lymphoma. Warning signs to look out for include:

  • A new mole, or a mole that changes rapidly in a short duration of time
  • A pearly or waxy bump (may be indicative of basal cell carcinoma)
  • Lesions that do not heal, or comes back after healing
  • Itchy or painful lesions
  • Lesions that may look rough, scaly, red/pink/white
  • Painless swollen lymph nodes, typically in the neck, armpit, belly, or groins
  • Fever and night sweats
  • Fatigue
  • Unexplained weight loss

Any concerning symptoms should prompt you to visit a healthcare provider. Early detection and treatment of cancer can be life-saving.

Diagnosis of skin lumps and bumps

Some growths on the skin may resemble one another, and may even look similar to other more serious skin lesions. Hence, it is crucial that you visit a dermatologist for a proper diagnosis and avoid performing any at-home removals. Typically, your dermatologist will perform the following tests to diagnose your condition:

  • Physical examination – Your dermatologist is likely able to diagnose your skin lesion or growth from a simple physical examination. They may give you recommendations for further tests if the lesion looks suspicious, or if it requires a differential diagnosis.
  • Dermatoscopy – Dermatoscopy (sometimes dermoscopy) is an examination of the skin using a dermatoscope, which acts like a magnifying glass to closely examine the skin lesions.
  • Skin biopsy – In some cases, if your doctor requires further tests for a diagnosis, they may perform a skin biopsy. The procedure involves taking tissue samples from the skin or lesion, commonly using surgical tools. The tissue samples will then be sent for further laboratory tests. Biopsies are important for the diagnosis of potentially malignant lesions.
  • Imaging tests – Certain growths may benefit from imaging tests such as ultrasound and magnetic resonance imaging (MRI). Typically, your dermatologist will look at the contents of lipomas or large cysts using imaging tests, this can also be helpful for your dermatologist to plan for the removal procedure if indicated.

Treatment for skin lumps and bumps

Most of the lumps and bumps on the skin are likely to be benign, and may not require removal or treatment if they are not painful or bothersome. You may want to remove the growths for certain reasons, including for aesthetic purposes. Depending on the type of growth, your dermatologist may use the following procedures for removal or treatment:

  • Surgical excision – Surgical removal with a scalpel is among the most common removal methods for skin lumps and bumps. Typically, large and deep lesions, such as lipomas, cysts, and moles may benefit from surgical removal. In certain cases, your dermatologist may also remove a small border of healthy tissue from the surrounding lesion to reduce recurrence of the lesion.
  • Incision and drainage – Incision and drainage is commonly done on lesions filled with fluid, pus, or other encapsulated material. Incision involves making a smaller cut, hence minimising scarring after healing.
  • Electrosurgery – Electrosurgery involves the use of electric currents to destroy tissues. Several forms of electrosurgery include electrofulguration, electrocautery, electrodessication, and electrosection. Electrosurgery can be done on soft tissue growths such as warts, seborrheic keratosis, moles, or skin tags. Electrosurgery also reduces bleeding [7].
  • Cryotherapy – Cryotherapy involves the use of extremely cold temperatures, using liquid nitrogen, to freeze and destroy soft tissues. As the tissues die, it will gradually slough off on its own.
  • Laser removal – Laser removal methods involve ablation of the targeted lesion, this method can be used for moles, skin tags, warts or seborrheic keratosis lesions.

Ultimately, your dermatologist will decide which treatment method is the most suitable for your condition. It is important to consult with your doctor and convey your concerns and preference as well.

Summary

Skin lumps and bumps may be a cause of discomfort and can negatively impact your self-esteem. Fortunately, removal and treatment of the lesions are widely accessible. However, it is important to perform a proper check and diagnosis before undergoing any removal procedures. Certain benign growths may become cancerous and spread if the wrong treatment is performed.

If you have any doubts or concerns regarding skin lumps and bumps, or if you would like to schedule a consultation session with our dermatologists, reach out to us to book an appointment now.

Frequently Asked Questions

Can skin growths and lesions go away over time?

These skin lesions are not likely to go away on their own and some growths may slowly grow larger. If you are not particularly bothered by it, they may be left alone. However, it is still recommended to get your lesions checked by a dermatologist to ensure that they are not harmful or malignant.

It is not recommended to perform removals on your own. Common risks and complications of at-home removals include infections, scarring, incomplete removal, and recurrence of the growth.

Ideally, you should visit the dermatologist any time you have any concerns of lumpy growth on or under the skin. Furthermore, if the lesion starts to become bothersome or painful, you should visit a dermatologist to discuss treatment options.

it is best to get it checked if you experience the following:

  • A growth that grows rapidly
  • A hard or immovable lump
  • Painful or tender tissue
  • Changes in shape or colour
  • Other accompanying symptoms, such as fever or unexplained weight loss

Recovery from a removal procedure varies according to the procedure performed, as well as the size of the lump or bump removed. Minimally invasive procedures may take less time to recover fully (2 to 4 weeks), while more invasive procedures such as surgical excision for large growths may take up to 8 weeks to fully recover.

MediSave can be used to cover expenses for skin growth removal procedures. However, it highly depends on the procedure being performed. In most cases, MediSave can be used to cover medically necessary procedures, such as for growths that are causing serious discomfort/disabling you from performing daily activities, or at risk of malignant transformation.

Typically, removal for aesthetic reasons may not be covered, as they may not be considered medically necessary. Our clinic staff is equipped to provide financial guidance, helping you understand what treatments are claimable and what falls under out-of-pocket expenses.

References

  1. Greco MJ, Bhutta BS. Seborrheic Keratosis. [Updated 2024 May 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545285/
  2. Pandey A, Sonthalia S. Skin Tags. [Updated 2023 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547724/
  3. Baigrie D, Tanner LS. Dysplastic Nevi. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482210/
  4. Belgam Syed SY, Lipoff JB, Chatterjee K. Acrochordon. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448169/
  5. Kolb L, Yarrarapu SNS, Ameer MA, et al. Lipoma. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507906/
  6. Al Aboud AM, Nigam PK. Wart. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431047/
  7. Baigrie D, Qafiti FN, Buicko Lopez JL. Electrosurgery. [Updated 2023 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482380/

Ready to take the first step towards expert evaluation and treatment?

Schedule a consultation with Livingstone Dermatology today.

Mole assessment and removal in Singapore.
Moles are common benign growths of melanocytes on the skin.

Moles, sometimes coined “beauty marks”, are little spots on the skin that can either add charm or raise concern. Most adults have up to 40 moles on their body, and these growths are typically harmless and can be left alone.

However, in some cases, some moles can signal changes in our skin that shouldn’t be ignored. Whether you have always had them, or a new one appears, understanding moles and what they could potentially mean for your skin health is important.

What are moles?

Moles, or nevi (singular: nevus), are small, dark brown spots on the skin composed of melanocytes, or pigment-forming cells [1]. Moles can be present at birth or form throughout your life. Typically, moles form in parts of the body exposed to the sun.

Types of moles

  • Common moles – Common moles are typical moles we see on our body, they are usually small (< 5 mm) and appear on parts of the body exposed to the sun. Common moles may also be called acquired melanocytic nevi.
  • Congenital moles – Congenital moles, or congenital melanocytic nevi, are moles that are present at birth, and may involve the deeper layers of the dermis. Although congenital moles are typically present at birth, some may also develop within the first 2 to 3 years of life [1].
  • Atypical moles (dysplastic nevi) – Dysplastic nevi are moles that do not look like common moles, they may be larger, composed of different colours, have irregular borders, or appear raised [2]. These moles may be of clinical concern and hence are biopsied by dermatologists or healthcare providers.

How are moles caused?

The exact causes of moles are not clearly understood. However, certain features in people indicate their likelihood of developing moles, these include [2]:

  • Fair skin tone
  • Light eyes and hair colour
  • Freckles
  • Increased sunlight exposure

When is a mole dangerous?

Moles can be a sign of skin cancer, and any unusual changes should never be ignored.

Most moles on our skin are harmless and can be left alone. However, moles can signify skin cancer. If you have a mole that you suspect is abnormal, a common guide to follow is the ABCDE guideline:

  • Asymmetry – Asymmetry of the mole refers to the one half of the mole not matching the other half.
  • Border – The border of your mole appears irregular or jagged, sometimes resembling a fried egg.
  • Colour – The colour of the mole is not uniform throughout, there may be different shades of tan, brown, black, red, or white.
  • Diameter – The diameter of the mole is larger than 5 mm. A common tool used as a comparison is a pencil eraser.
  • Evolution/Elevation – The mole changes or evolves in shape or size, and may be elevated or raised.

If you have moles with these characteristics, or notice these changes on a mole over a short period of time, it is highly recommended to get a dermatologist to assess the mole. Several helpful tips to take pictures and document changes of the mole include:

  • Taking pictures every day
  • Maintain the same lighting conditions or take the picture on the same time of day
  • Maintain the same angle and magnification when taking pictures
  • Placing a ruler or a coin next to the mole for size comparison

Signs your mole may be skin cancer

In addition to the features described in the ABCDE guideline, moles at risk of malignancy, or which are malignant may show the following characteristics:

  • Sudden changes of a mole
  • Itching or burning sensation on the mole
  • Scaly or rough appearance of the mole
  • The mole may ooze or crust
  • Wounds that do not heal, or returns after healing
  • A mass or lump that grows quickly
  • Swollen lymph nodes

In any case of doubt, it is always encouraged to visit a dermatologist for a thorough examination. Early detection of cancerous lesions allows treatment to be given early, preventing the spread of cancer cells. Once cancer has spread, it is more difficult to treat and manage, hence why early treatment can be life-saving.

When is mole removal recommended?

Although moles are typically harmless and do not always need treatment or removal, many people opt to get them removed for the following reasons:

  • Cosmetic reasons – Moles that are aesthetically bothersome, large, or located in prominent areas may be removed for cosmetic reasons.
  • Practical reasons – Some moles may be prone to irritation or pain from clothing or friction due to their location or size.
  • Potential malignancy – Moles that are suspected of developing into melanoma can be removed before it becomes malignant.

How are moles removed?

Typically, your dermatologist can recommend you to get a mole removed after assessment and diagnosis of the mole. A mole removal procedure can be done by the following treatments:

  • Surgical excision – Surgical excision involves using a scalpel to cut out the mole and its surrounding skin or tissue, the remaining skin will be stitched back together. This method is typically done for potentially malignant moles, or large and raised moles.
  • Shave excision – Shave excision involves the dermatologist using a razor to shave off the growth from the skin’s surface. This method leaves minimal scarring.
  • Laser removal – Laser removals involve using lasers to precisely target the dark pigments of the mole. Laser removals can be done on common or congenital moles [4, 5].
  • Electrocautery – Electrocautery involves the use of heat from a handheld device to destroy the mole tissues. Electrocautery also reduces bleeding.
  • Cryotherapy – Cryotherapy involves the use of liquid nitrogen to freeze and destroy the tissues of the mole, causing it to die and slough off.

Before undergoing a mole removal procedure, it is important to get a proper assessment by a qualified dermatologist. Certain methods of removal, such as lasers, electrocautery, and cryotherapy, do not provide tissue samples for a biopsy. If your dermatologist suspects a mole for potential malignancy, they may recommend surgical excision, which can be followed by tissue biopsy for a proper diagnosis. Some removal methods are also at risk of mole recurrence, hence it is important to consult your dermatologist before undergoing any mole removal procedures.

Post-removal care

After your removal procedure, your dermatologist will give you detailed instructions on how to care for the surgical wound. They may also ask you to come back for a follow-up visit to monitor your skin’s healing process, as well as to discuss biopsy results on the removed tissue if necessary.

Summary

Moles are common skin growths, are typically harmless, and do not necessarily require removal. However, there are cases where prompt assessment and removal are paramount in preventing skin cancer.

Regardless of the reason, it is always recommended to visit a dermatologist for a proper mole removal, as this limits the risk of infection, scarring, and mole recurrence. More importantly, if you experience a suspicious mole, book a consultation with us for a detailed assessment and personalised treatment plan.

Frequently Asked Questions

Can I remove moles on my own?

It is not recommended to perform any mole removal on your own at home, even if you use over-the-counter products. Mole removals should be done by a dermatologist to reduce risks of recurrence, infection, and scarring. Furthermore, you may unknowingly spread cancerous melanoma cells by performing at-home removals.

It is recommended to have your mole removed at a dermatologist’s office as it is medically supervised to ensure safe removal with sterile and precise techniques. More importantly, your mole can be properly assessed on whether it is benign or potentially cancerous — preventing risk of complications or missing a very serious condition.

Moles do not always need removal if they do not bother you, aesthetically or physically. However, if you notice abnormal changes of your mole, such as change in colour, size, and shape, or if it starts to itch, burn or feel painful, you should visit a dermatologist to get it assessed and diagnosed.

Some moles may not be preventable, especially if you are genetically predisposed to them. However, certain lifestyle habits can reduce mole formation, and also reduce the risk of melanoma development from moles:

  • Wearing sunscreen
  • Wearing protective clothing
  • Limiting sun exposure
Moles can grow bigger as you age. However, these changes often happen very slowly over the years. Rapid changes within a short amount of time can be concerning as it can be a sign of skin cancer. Additionally, new moles that appear later in life can be potentially malignant. Hence, routine skin screening is recommended once you enter your 30s.

The exact reason why moles appear are not entirely understood, most moles appear in childhood or adolescence, some moles can also appear later in life which may be due to exposure to the sun. Some have also argued that hormonal changes, such as during pregnancy, causes new moles to appear. However, scientists have not found a clear relationship between pregnancy and new mole development.

Benign moles are not likely to grow, and even if they did it will be very gradual over a period of several years, hence if you notice a mole growing rapidly over a short period of time, you should visit a dermatologist as it may be a sign of skin cancer. You can prevent the development of new moles by protecting your skin with sunscreen or protective clothing, as well as limiting your time outdoors.

References

  1. Navarro-Fernandez IN, Mahabal GD. Congenital Nevus. 2023 Jul 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32644696.
  2. Baigrie D, Tanner LS. Dysplastic Nevi. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482210/
  3. Heistein JB, Acharya U, Mukkamalla SKR. Malignant Melanoma. 2024 Feb 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29262210.
  4. Eggen CAM, Lommerts JE, van Zuuren EJ, Limpens J, Pasmans SGMA, Wolkerstorfer A. Laser treatment of congenital melanocytic naevi: a systematic review. Br J Dermatol. 2018 Feb;178(2):369-383. doi: 10.1111/bjd.16094. Epub 2018 Jan 19. PMID: 29077988.
  5. Köse O. Carbon dioxide ablative laser treatment of acquired junctional melanocytic nevi. J Cosmet Dermatol. 2021 Feb;20(2):491-496. doi: 10.1111/jocd.13579. Epub 2020 Jul 12. PMID: 32593221.

Ready to schedule your mole check or discuss
mole removal options?

Contact Livingstone Dermatology today.

What is postnatal dermatology?

During pregnancy, the body undergoes significant hormonal, vascular, and metabolic changes, many of which affect the skin. While some pregnancy-related skin changes gradually fade, others persist or even worsen after childbirth.

We understand that new mothers often experience a range of postpartum skin concerns, including melasma (dark patches on the face), acne, stretch marks, and increased skin sensitivity. Many also notice postpartum hair loss (telogen effluvium), which typically peaks between 3 to 6 months after giving birth, or weakened nails that become brittle or prone to splitting. Understandably, these changes can feel overwhelming, especially when combined with the physical and emotional adjustments of early motherhood.

Thankfully, many of these conditions are treatable with the right approach.

Women may experience skin concerns like stretch marks, melasma, acne, and hair loss during the postpartum period due to hormonal fluctuations, skin stretching, and post-pregnancy recovery.

What common skin changes occur after pregnancy?

The postpartum period brings significant hormonal fluctuations that can affect the skin in multiple ways. Here are some of the common skin conditions that affect new mothers post-pregnancy:

  • Melasma (Postpartum Hyperpigmentation) — often referred to as the “mask of pregnancy,” melasma presents as dark patches on the face, particularly on the cheeks, forehead, and upper lip. This condition occurs due to increased melanin production stimulated by pregnancy hormones. 
  • Postpartum acne — many women experience breakouts in the months following childbirth, even if they had clear skin during pregnancy. This is due to the rapid drop in oestrogen levels after delivery, leading to increased oil production and clogged pores. Sleep deprivation, stress, and lifestyle changes associated with caring for a newborn can further contribute to acne flare-ups. 
  • Stretch marksstretch marks, or striae, are a common consequence of the rapid skin expansion that occurs during pregnancy. They often appear on the abdomen, breasts, thighs, and hips as red, purple, or silvery-white streaks. 
  • Postpartum hair loss (Telogen Effluvium) — many new mothers notice significant hair shedding a few months after childbirth. This is due to the hormonal shift that causes more hair follicles to enter the shedding phase (telogen) at the same time.
  • Increased skin sensitivity and dryness — some women develop drier, itchier, or more reactive skin postpartum, even if they previously had balanced skin. Hormonal fluctuations, dehydration, and increased demands on the body can compromise the skin barrier, leading to irritation and sensitivity.
Melasma is one of the common skin conditions that women may experience postpartum due to hormonal fluctuations that increase melanin production, often leading to dark patches on the face.

What are the signs that you should see a dermatologist?

Although many postnatal issues resolve naturally, some symptoms we experience could be telling of an underlying condition. Some signs and symptoms to look out for include:

  • Excessive or prolonged hair loss – shedding more hair than usual is normal postpartum, typically peaking around three to six months after delivery. However, if hair loss becomes severe, continues beyond a year, or results in noticeable thinning or bald patches, it may indicate an underlying issue such as androgenetic alopecia, iron deficiency, or thyroid imbalances.
  • Severe or persistent acne – hormonal fluctuations can trigger breakouts, even in women who previously had clear skin. If acne becomes inflamed, cystic, or does not respond to over-the-counter treatments, prescription skincare, or targeted topical treatments.
  • Unexplained rashes, itching, or skin sensitivity – while mild postpartum skin irritation is common, severe, widespread, or persistent rashes may indicate conditions like postpartum urticaria, eczema, contact dermatitis, or autoimmune skin disorders. If itching is intense, worsens at night, or is accompanied by other symptoms like fatigue or joint pain.
  • Persistent pigmentation or dark patches – melasma can take months to fade. However, if pigmentation is dark, resistant to fading, or spreading, prescription treatments, laser therapy, or chemical peels.
  • Slow-healing C-section scars or skin wounds – postpartum recovery includes healing from C-section incisions, perineal tears, or other skin injuries. If a scar remains red, raised, itchy, or thickens into a keloid.
  • Flare-ups of pre-existing skin conditions – women with eczema, psoriasis, rosacea, or acne-prone skin may notice worsening symptoms postpartum due to hormonal shifts and immune system changes.
While mild skin irritation is common postpartum, severe, persistent, or widespread rashes may signal conditions like postpartum urticaria, eczema, contact dermatitis, or autoimmune disorders that need medical attention.

How can a dermatologist help new mothers?

Being a new mother in itself is a new challenge, and having to deal with the hormonal and physiological changes that come with it can be daunting. A postnatal dermatologist can provide insight on these changes, as well as medical-grade, breastfeeding-safe treatments.

  • Diagnosing and treating postpartum skin conditions – many women experience persistent melasma, acne, stretch marks, or increased skin sensitivity after childbirth. A dermatologist assesses these concerns and recommends appropriate treatments, and ensures they are safe for breastfeeding mothers.
  • Managing postpartum hair loss and scalp issues – excessive hair shedding, known as telogen effluvium, is common in the months following childbirth. Your dermatologist can help distinguish normal postpartum hair loss from other conditions like alopecia and provides targeted treatments such as scalp therapies, topical solutions, and nutritional guidance to support regrowth.
  • Providing personalised skincare guidance – hormonal shifts can weaken the skin’s barrier, leading to dryness, irritation, or flare-ups of conditions like eczema. A postnatal dermatologist advises on gentle, effective skincare routines that fit into a new mother’s lifestyle while addressing specific concerns like pigmentation, inflammation, and increased sensitivity.
  • Offering safe and effective aesthetic treatments – many mothers seek non-invasive treatments to restore skin health after pregnancy. Options like laser therapy for melasma, microneedling for stretch marks, and chemical peels for acne are carefully selected to ensure compatibility with postpartum skin and breastfeeding.
  • Addressing hormonal skin imbalances and pre-existing conditions – fluctuating hormones can trigger or worsen conditions like psoriasis, urticaria, or rosacea. A dermatologist provides treatments that help manage these issues without interfering with postnatal recovery or lactation.

How are postnatal skin concerns diagnosed?

Understandably, every new mother’s skin responds differently after childbirth. To provide the most personalised care, we utilise comprehensive diagnostic methods to assess postpartum skin, hair, and nail concerns accurately. 

  • Detailed skin and medical history – we begin by discussing your pregnancy, postpartum recovery, skincare routine, and any pre-existing conditions that may influence your skin’s current state. Understanding changes in hormones, diet, stress levels, and sleep patterns helps us pinpoint the root cause of your concerns.
  • Dermatological examination – a thorough clinical assessment of your skin, scalp, and nails allows us to evaluate common postnatal concerns such as melasma, acne, stretch marks, hair loss, or increased sensitivity. We look for specific patterns and triggers to recommend the safest and most effective treatments.
  • Hormonal and nutritional assessments – postnatal skin and hair issues often stem from hormonal imbalances or nutrient deficiencies. If necessary, we may recommend blood tests to check levels of oestrogen, progesterone, iron, vitamin D, and thyroid function, ensuring a well-rounded approach to treatment.
  • Trichoscopic scalp examination – for mothers experiencing excessive hair shedding or thinning, we perform a detailed scalp assessment using trichoscopy, a non-invasive method that magnifies hair follicles to determine whether the hair loss is temporary (telogen effluvium) or linked to an underlying condition like androgenetic alopecia.

How are postpartum skin concerns treated?

The type of treatment recommended by your dermatologist varies, depending on the type of skin concern you experience and the root cause of the issue. Some of these treatments include:

Melasma (Postpartum Hyperpigmentation) treatments

Melasma can take months to fade naturally, and in some cases, pigmentation lingers without intervention. Our treatments focus on reducing excess melanin production while protecting the skin from further darkening.

  • Topical treatments – Dermatologist-prescribed creams with ingredients such as hydroquinone, azelaic acid, vitamin C, and niacinamide help lighten pigmentation gradually.
  • Chemical peels – mild to moderate peels using glycolic acid or lactic acid can accelerate skin renewal, improving skin tone.
  • Laser therapy – advanced pigment-targeting lasers can break down stubborn melanin deposits, reducing dark patches safely over time.
  • Sun protection – daily use of broad-spectrum SPF 50+ sunscreen is essential to prevent melasma from worsening.

Postpartum acne treatments

Fluctuating hormone levels, sleep deprivation, and stress can trigger postnatal acne. Treating acne postpartum requires gentle yet effective solutions that avoid harsh ingredients unsafe for breastfeeding mothers.

  • Medical-grade skincare – Salicylic acid, benzoyl peroxide (at low concentrations), and azelaic acid can help control breakouts without compromising skin health.
  • Topical antibiotics – in cases of persistent acne, prescription topical treatments such as clindamycin may be recommended.
  • Chemical peels – gentle, non-invasive exfoliating treatments can help reduce clogged pores and inflammation.
  • Dietary and lifestyle support – we provide guidance on skin care routines, dietary adjustments, and stress management to minimise acne flare-ups.

Stretch mark treatments

Stretch marks form when the skin stretches rapidly, causing collagen and elastin fibres to break. While they naturally fade over time, targeted treatments can improve texture, boost collagen production, and reduce their visibility.

  • Topical retinoids (for non-breastfeeding mothers) – prescription retinoids can stimulate collagen repair and improve skin elasticity.
  • Microneedling and RF microneedling – microneedling treatments encourage the natural healing process by boosting collagen production, reducing the depth and colour of stretch marks.
  • Laser therapy – fractional lasers, such as Redtouch and CO2 lasers, help smooth the skin and reduce redness or pigmentation associated with stretch marks.

Postpartum hair loss (Telogen Effluvium) treatments

Hair shedding after childbirth is common and usually self-resolving. However, for those experiencing prolonged or severe hair loss, we offer treatments to support regrowth and strengthen hair follicles.

  • Topical treatments – safe, clinically proven topical solutions such as minoxidil (in appropriate concentrations for postpartum use) can aid hair regrowth.
  • Scalp treatments – Platelet-rich plasma (PRP) therapy and low-level laser therapy (LLLT) can help rejuvenate hair follicles and promote thicker hair.
  • Nutritional support – we assess iron, vitamin D, and biotin levels, as deficiencies can contribute to postpartum hair thinning.

Skin sensitivity and dryness treatments

Many women develop increased skin sensitivity, irritation, or dryness after childbirth. Maintaining a healthy skin barrier is crucial for postnatal skincare.

  • Barrier-repairing skin care – we recommend gentle, fragrance-free cleansers and moisturisers with ceramides and hyaluronic acid to restore hydration.
  • Eczema and psoriasis management – prescription topical corticosteroids or non-steroidal creams can help manage postnatal flare-ups safely.

Summary

Post-pregnancy patients need specialised obstetric dermatological care. At Livingstone Dermatology, we understand that new mothers experience skin concerns differently, require breastfeeding-safe treatments, and have limited time for complex routines. Our dermatologist provides customised treatment plans that fit into your postnatal lifestyle, helping you feel confident in your skin once again.

If you are experiencing persistent skin, hair, or nail concerns after childbirth, schedule a consultation with us today for a detailed skin analysis and personalised postnatal treatment plan. 

Frequently Asked Questions (FAQs)

Can I use my pre-pregnancy skincare products while breastfeeding?

It’s important to review your skincare products postpartum, as certain ingredients like retinoids and high-dose salicylic acid are not recommended during breastfeeding. Opt for products with gentle, hydrating ingredients, and consult a dermatologist to ensure they’re safe for both you and your baby.

While genetics play a significant role in the development of stretch marks, maintaining skin hydration can help. Regularly applying moisturisers rich in hyaluronic acid or natural oils may improve skin elasticity. However, no topical treatment can guarantee prevention.

Yes, treatments like topical azelaic acid and vitamin C are considered safe during breastfeeding and can help lighten melasma. It’s crucial to use broad-spectrum sunscreen daily to prevent further pigmentation. Always consult a dermatologist before starting any new treatment.

Postpartum hair shedding is common and usually peaks around four months after delivery. Most women see their hair return to its normal fullness by their child’s first birthday. If hair loss continues beyond this or is causing concern, consult a dermatologist.

Postpartum skin conditions in mothers, such as eczema or melasma, do not directly affect the baby. However, if you have a contagious skin condition, it’s important to take precautions to prevent transmission. Always consult a healthcare provider for guidance.

Hormonal changes after childbirth can lead to dry skin. To manage this, use a gentle, hydrating cleanser and apply a moisturiser containing emollients, occlusives, and humectants to help maintain skin hydration. Additionally, ensure you’re drinking plenty of water, especially if you’re breastfeeding.

Yes, postpartum hormonal fluctuations can make your skin more sensitive than usual. You might react to products or environmental factors that previously didn’t affect you. Opt for fragrance-free, hypoallergenic skincare products and consult a dermatologist if sensitivities persist.

Yes, non-invasive treatments like some types of laser therapies and microneedling can help improve skin elasticity and reduce the appearance of stretch marks. Consult a dermatologist to determine the best course of action based on your specific needs.

Ready to prioritize your dermatological
health during pregnancy?

Schedule a consultation with Livingstone Dermatology today.

Psoriasis is a chronic skin condition that affects roughly 1% of the Singaporean population.

Psoriasis is a chronic skin condition that affects millions of people worldwide, including many in Singapore. While not as widely discussed as eczema, psoriasis is a common dermatological concern, with estimates suggesting that it affects around 1% of the population

Psoriasis can develop at any age, but it typically first appears between the ages of 15 and 35. Though psoriasis is not contagious, it can significantly impact one’s quality of life, both physically, and emotionally.

What is Psoriasis?

Psoriasis is an autoimmune condition where the immune system mistakenly attacks healthy skin cells, triggering rapid cell turnover. This results in the buildup of dry, scaly plaques that cause redness, itching, and discomfort. The severity of psoriasis varies, with some individuals experiencing only minor irritation, while others face widespread flare-ups that affect their quality of life. In fact, the condition tends to follow a cycle, with periods of flare-ups followed by remissions.

What are the types of Psoriasis?

There are several types of psoriasis, including:

  • Plaque Psoriasis – plaque psoriasis is the most common type, affecting around 80 – 90% of those with psoriasis. It causes raised, inflamed, and scaly patches of skin, often appearing on the scalp, elbows, knees, and lower back.
  • Erythrodermic Psoriasis – erythrodermic psoriasis is a severe, and rare form of psoriasis that leads to widespread skin inflammation, shedding, and pain. It often requires immediate medical attention.
  • Inverse Psoriasis – inverse psoriasis appears in skin folds such as under the breasts, in the armpits, and around the groin. It often appears as smooth, shiny, red patches without the typical scaling seen in other forms.
  • Guttate Psoriasis – guttate psoriasis is often triggered by a streptococcal infection, and appears as small, red, drop-shaped spots. However, it is more common in children, and young adults.
  • Nail Psoriasis – nail psoriasis affects the fingernails and toenails, causing pitting, discolouration, and changes in nail texture.
  • Pustular Psoriasis – pustular psoriasis is characterised by pus-filled blisters surrounded by red skin, this type can be localised to certain areas or widespread across the body.
  • Sebopsoriasis –  sebopsoriasis is a cross between psoriasis, and seborrheic dermatitis, it appears on the scalp and face as greasy,  and yellowish plaques.
  • Psoriatic Arthritis – psoriatic arthritis affects approximately 30% of people with psorias, which causes joint pain, stiffness, and swelling. However, early treatment can help prevent joint damage.

 

What parts of the body are more prone to Psoriasis?

Some of the common areas, where psoriasis often develop, include:

  • Elbows, and knees
  • Face, including around the eyes, and ears
  • Fingernails, and toenails
  • Lower back
  • Palms and soles
  • Scalp
  • Skin folds, such as under the breasts, armpits, and groin

What causes Psoriasis?

Psoriasis can develop anywhere on the body, but it is more in common in the back, arms, legs, scalp, and face.

Psoriasis is usually a combination of genetics and triggers. It is caused by an overactive immune system that mistakenly accelerates skin cell production. Normally, skin cells take about a month to renew, but in psoriasis, this process happens within days. The excess cells pile up, forming the characteristic plaques and scales.

 

The exact triggers vary from person to person but can include:

 

  • Alcohol Consumption high alcohol intake has been associated with psoriasis flare-ups, and may reduce the effectiveness of certain treatments.

 

  • Genetics researchers suspect that genetics play a significant role in psoriasis. Certain genes are commonly associated with the condition, and an autoimmune response also contributes to its development. If a close relative, such as a parent, has psoriasis, you may have a higher likelihood of developing the condition.

 

  • Infections – certain viral, and bacterial infections can increase the risk of psoriasis or exacerbate existing symptoms. Infections such as strep throat, and HIV may contribute to psoriasis onset, particularly in those with weakened immune systems. Children, and young adults who experience recurrent infections, such as upper respiratory infections, may have an elevated risk of developing severe psoriasis. Other infections that can trigger psoriasis include bronchitis, influenza, sinus infections, and thrushes.

 

  • Obesity – studies indicate that obesity is a significant risk factor for psoriasis onset, and progression. Managing body weight may help alleviate symptoms, as weight loss has been linked to improvements in psoriasis severity.

 

  • Skin Trauma – new psoriasis lesions can develop in both expected, and unexpected areas due to skin injuries such as vaccinations, sunburns, or scratches. This phenomenon, known as the Koebner response, can also be triggered by persistent irritation, such as wearing tight clothing or accessories that rub against the skin.

 

  • Smoking – tobacco use has been linked to an increased risk of psoriasis, and may reduce the effectiveness of some psoriasis treatments, such as biologics.

 

  • Stress – chronic emotional or physical stress can contribute to the development or worsening of psoriasis, particularly in individuals with weakened immune systems.

 

  • Temperature, and Climate – extreme heat, cold, dryness or humidity may trigger psoriasis symptoms. While moderate sun exposure is often beneficial, excessive exposure to high temperatures or direct sunlight can worsen symptoms.

 

  • Medications some medications can either trigger psoriasis or worsen existing symptoms. These include:
  • Antimalarial drugs – can trigger flare-ups within 2 to 3 weeks of starting the medication.
  • Beta-blockers – may exacerbate psoriasis in some individuals.
  • Lithium – may aggravate psoriasis and worsen existing lesions.
  • Quinidine and indomethacin (Tivorbex) – these medications can worsen psoriasis symptoms.

What are the symptoms of Psoriasis?

One of the most recognisable signs is the formation of plaques, which appear raised, thickened patches of skin covered with silvery-white scales. Additionally, some of the common symptoms include:

 

  • Dry, cracked skin the affected areas may become extremely dry, leading to painful cracks or fissures.

 

  • Itching and discomfort – many people with psoriasis experience persistent itchiness, which can range from mild irritation to severe discomfort.

 

  • Nail changes – psoriasis can affect the fingernails and toenails, causing pitting (small dents), thickening, discolouration, or crumbling.

 

  • Plaques or rashes raised, inflamed, and discoloured patches of skin with a scaly or flaky surface.

 

  • Scaling and shedding the outer layer of plaques sheds easily, but deeper layers may remain stubbornly attached. Scratching can cause scales to tear away, leading to pinpoint bleeding (known as the Auspitz sign).

 

  • Skin pain or tenderness some plaques may feel sore or tender, especially if they crack or become inflamed.

 

  • Joint pain in some cases, psoriasis leads to joint inflammation, known as psoriatic arthritis, which causes swelling, stiffness, and pain.

What is the difference between Psoriasis and Eczema?

Psoriasis, and eczema are both chronic skin conditions that cause redness, inflammation, and itching. But they have distinct differences in their appearance, causes, and triggers. Understanding these differences can help in identifying the condition and seeking appropriate treatment.

 

Characteristics

Psoriasis

Eczema

Appearance

Characterised by thick, raised plaques with well-defined borders. The affected skin often has silvery-white scales that flake off. The plaques are usually inflamed, and the skin beneath may appear shiny, and red.


Typically appears as red, inflamed or weepy patches of skin with less distinct borders. The skin may look dry, cracked, or crusted, and in some cases, it oozes clear fluid, especially during flare-ups.

Itchiness, and Sensation

Itching can vary but is generally milder compared to eczema. Some people report a burning or stinging sensation instead.


The hallmark of eczema is intense itching, which can become unbearable, especially at night. Persistent scratching can worsen inflammation and cause the skin to thicken – a process called lichenification.

Triggers

Triggered by an overactive immune response, leading to rapid skin cell turnover. Common triggers include infections, stress, skin injuries, and certain medications.


Often triggered by external irritants and allergens, such as soaps, detergents, pollen, dust mites or pet dander. Weather changes and emotional stress can also worsen symptoms.

Affected Areas

Commonly appears on the scalp, elbows, knees, and lower back. It can also affect nails, causing pitting, thickening, or crumbling.


Frequently found in the creases of the elbows, and knees, as well as on the hands, neck, and face. In infants, eczema often appears on the cheeks, and scalp.

Underlying Cause

An autoimmune condition where the immune system mistakenly speeds up skin cell production, leading to plaque buildup.


Primarily linked to a weakened skin barrier, making the skin more sensitive to allergens, and irritants. It is often associated with other allergic conditions like asthma, and hay fever.

How is Psoriasis diagnosed?

As with any other skin condition, psoriasis is diagnosed through a combination of several diagnostic methods, such as:

  • Medical History Evaluation our dermatologist will ask about your symptoms, family history of psoriasis, potential triggers, and any underlying health conditions that may contribute to skin changes.
  • Visual Examination afterwards, our dermatologist will assess your skin, scalp, and nails for characteristic signs of psoriasis, such as well-defined plaques, silvery scales, and nail abnormalities. The location, and pattern of the lesions can also help distinguish psoriasis from other conditions like eczema or fungal infections.
  • Skin Biopsy if needed, a small sample of skin may be taken, and examined under a microscope to confirm psoriasis, and rule out similar conditions, such as eczema or lichen planus. This procedure involves removing a small piece of skin under local anaesthesia.

How is Psoriasis treated and managed?

Dermatologists often perform physical, and visual examinations to identify symptoms of psoriasis.

There is no permanent cure for psoriasis. However, there are a variety of treatments available to effectively manage symptoms, reduce flare-ups, and improve quality of life. The best treatment plan depends on the severity of the condition, the type of psoriasis, and individual response to therapies. At Livingstone Dermatology, treatments can include:

Topical Treatments

  • Corticosteroids   corticosteroirds help reduce inflammation, redness, and itching. These are commonly prescribed for flare-ups but should not be used long-term due to potential side effects such as skin thinning.
  • Coal Tar – coal tar is a natural treatment that reduces scaling, itching, and inflammation, suitable for mild psoriasis symptoms.
  • Salicylic Acid – salicylic acts as a keratolytic agent, helping to remove scales, and soften plaques, often used in combination with other treatments.
  • Vitamin D Analogues vitamin D analogues help slow the excessive skin cell growth that causes scaling, and thickened plaques. Some of the examples include calcipotriol, and calcitriol.

Phototherapy (Light Therapy)

  • Excimer Laser Therapy excimer laser therapy is a targeted UVB treatment that focuses only on affected areas, avoiding unnecessary exposure to healthy skin.
  • PUVA Therapy PUVA therapy is combination of UVA light, and a light-sensitising medication (psoralen) to improve psoriasis symptoms.
  • Ultraviolet (UV) Light Therapy – UV light therapy is controlled exposure to UVB light can slow excessive skin cell turnover, and reduce inflammation.

Systemic Medications

  • Biologic Therapies   biologic therapies are modern treatments that target specific parts of the immune system, such as tumour necrosis factor (TNF) inhibitors, interleukin (IL)-17 inhibitors, and IL-23 inhibitors. Although they are highly effective, it may increase infection risk.
  • Immunosuppressants immunosuppressant drugs like methotrexate, and cyclosporine help control the overactive immune response but require close monitoring due to potential side effects.
  • Oral Retinoids oral retinoids derived from vitamin A, these medications help slow skin cell growth and reduce inflammation.

Lifestyle and Home Care

  • Avoiding Long, Hot Showers lukewarm water and gentle, hydrating cleansers can prevent irritation.
  • Identifying and Avoiding Triggers – common triggers include cold weather, smoking, alcohol, and certain medications.
  • Keeping Skin Moisturised – applying fragrance-free moisturisers or emollients helps prevent dryness, and scaling.
  • Managing Stress stress can trigger flare-ups, so mindfulness, meditation, and relaxation techniques may help.
  • Maintaining a Healthy Weight and Balanced Diet some studies suggest that anti-inflammatory diets rich in omega-3 fatty acids may support symptom management.

Summary

Seeking treatment is essential to receiving accurate treatment, and improving the outcomes of treatment.

Psoriasis is a chronic skin condition that stems from an overactive immune system, leading to inflammation, scaling, and discomfort. While it is not contagious, it can significantly impact one’s quality of life if left unmanaged. 

It goes without saying that seeking medical advice early is key to managing psoriasis effectively. A dermatologist can provide a personalised treatment plan tailored to your condition, helping to control flare-ups, and improving skin health. Schedule a consultation with us today to take the first step towards healthier, and more comfortable skin.

Frequently asked questions

Is there a cure for psoriasis?

Currently, there is no permanent cure for psoriasis. However, various treatments can effectively manage symptoms, and reduce flare-ups. With the right approach, including medications, lifestyle adjustments, and medical therapies, many people with psoriasis can achieve long-term remission, and maintain healthy skin.

No, psoriasis is not contagious. It is an autoimmune condition, meaning it results from an overactive immune system rather than an infection. You cannot catch psoriasis from another person through physical contact, sharing personal items or exposure to skin flakes.

Yes, scratching or injuring psoriasis plaques can break the skin barrier, making it vulnerable to bacterial infections. Signs of an infection include increased redness, warmth, swelling, pus, and pain in the affected area. If you develop a fever or notice worsening symptoms, seek medical attention promptly.

Psoriasis is more than just a skin condition as it can be linked to other health concerns. Some common complications include:

  • Psoriatic arthritis (PsA) – a form of inflammatory arthritis that causes joint pain, stiffness, and swelling.
  • Cardiovascular disease – people with psoriasis have a higher risk of heart disease, and stroke.
  • Mental health challenges – living with a visible skin condition can contribute to anxiety, depression or low self-esteem.
  • Metabolic conditions – psoriasis has been associated with obesity, diabetes, and high blood pressure.

While psoriasis cannot be entirely prevented, certain lifestyle habits can help reduce flare-ups, and minimise symptoms. These include:

  • Avoiding known triggers such as smoking, excessive alcohol consumption or harsh skincare products.
  • Keeping your skin well-moisturised to prevent dryness and irritation.
  • Managing stress through mindfulness, relaxation techniques, or therapy.
  • Maintaining a balanced diet, and a healthy weight to reduce inflammation.
  • Protecting your skin from injuries, and infections that could trigger new lesions.

Psoriasis can impact daily life, but with proper management, many individuals continue to live full, active, and fulfilling lives. Seeking treatment, finding emotional support, and making lifestyle adjustments can significantly improve comfort, and confidence. If psoriasis is affecting your well-being, our dermatologist can help tailor a treatment plan to suit your needs.

Yes, some people experience periods where their psoriasis symptoms disappear completely — this is known as remission. Remission can last for weeks, months or even years, depending on individual triggers, and treatment effectiveness. However, psoriasis is a chronic condition, and flare-ups may return at any time. As such, consistent management, and professional guidance are key to keeping symptoms under control.

Diet alone does not cause or cure psoriasis, but certain foods may influence inflammation levels in the body. Some individuals find that reducing processed foods, excessive sugar, and alcohol while incorporating anti-inflammatory foods like fruits, vegetables, and omega-3 fatty acids can help manage symptoms. However, dietary triggers vary from person to person, so it is best to observe how your body responds.

Your Partner in Psoriasis Care

At Livingstone Dermatology, we understand the impact psoriasis can have on your daily life. Our experienced dermatologist is dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards psoriasis relief?

Schedule a consultation with Livingstone Dermatology today.

Rosacea is a long-term skin condition that causes persistent redness, visible blood vessels, and sometimes acne-like bumps on the face. Although it is often mistaken for common skin sensitivities or acne, rosacea is a distinct dermatological concern that requires proper management.

While the exact number of people affected in Singapore is unknown, rosacea is more prevalent among adults aged 30 to 50 years old, particularly those with fair skin. If the condition is left untreated, symptoms can worsen over time, leading to increased discomfort, and self-consciousness.

rosacea Singapore
Rosacea is a lifelong skin disorder that causes flushing, and irritation in the central face, including the cheeks, and nose.

What is Rosacea?

Rosacea is an inflammatory skin disorder that primarily affects the central face, including the cheeks, nose, forehead, and chin. It often begins with episodes of flushing, where the skin temporarily turns red before returning to normal.

Over time, this redness can become persistent, and small, dilated blood vessels, known as telangiectasia, may appear. Some individuals also develop bumps or pimples that resemble acne, while others experience eye irritation, known as ocular rosacea.

Although rosacea is not contagious, it can significantly impact daily life by causing discomfort, and emotional distress.

What are the types of Rosacea?

Rosacea presents in different forms, each with unique characteristics, such as:

  • Erythematotelangiectatic Rosacea (ETR) – ETR is characterised by persistent redness, visible blood vessels, and a tendency for the skin to flush easily. It is often accompanied by a sensation of warmth or burning.
  • Papulopustular Rosacea – sometimes mistaken for acne, papulopustular rosacea features red bumps (papules), and pus-filled pimples (pustules). It often occurs alongside persistent redness, and sensitivity.
  • Phymatous Rosacea – phymatous rosacea often leads to thickened skin, and irregular surface texture, most commonly affecting the nose (rhinophyma). Over time, the affected areas may become swollen or enlarged.
  • Ocular Rosacea – ocular rosacea affects the eyes, causing redness, irritation, dryness, and in severe cases, blurred vision. When it is left untreated, ocular rosacea can lead to complications affecting eye health.

What causes Rosacea?

The exact cause of rosacea is not fully understood, but it is believed to result from a combination of genetic, environmental, and immune system factors. Some of the key triggers, and risk factors include:

  • Abnormal Blood Vessel Function – dysfunction in facial blood vessels can lead to increased redness, flushing, and visible capillaries.
  • Genetics – individuals with a family history of rosacea may be more prone to developing the condition.
  • Demodex Mites – these microscopic mites naturally reside on the skin, but in higher numbers, they may contribute to rosacea symptoms.
  • Overactive Immune Response – the immune system may overreact to certain triggers, leading to chronic inflammation in the skin.
  • Triggers that Worsen Symptoms – several external factors can exacerbate rosacea flare-ups, including:
    — Alcohol Consumption – red wine and other alcoholic beverages may worsen symptoms.
    — Extreme Temperatures – hot, and cold weather, as well as sudden temperature changes, can aggravate rosacea.
    — Sun Exposureultraviolet (UV) rays are a common trigger for rosacea.
    — Spicy Foods – hot, and spicy meals can increase facial redness.
    — Stress – emotional stress is known to trigger and intensify flare-ups.
    — Certain Skincare Productsharsh cleansers, exfoliants, and alcohol-based products can irritate sensitive skin.

What are the signs and symptoms of Rosacea?

rosacea symptoms
Rosacea can cause symptoms such as redness, dry skin, irritation, and swelling.

While symptoms vary from person to person, some of the most common signs include:

  • Bumps and Pimples – small, red bumps, and pus-filled pimples may develop on the affected areas. These lesions can resemble acne, but unlike acne, rosacea does not cause blackheads. Some individuals may also experience a burning or stinging sensation in these areas.
  • Burning, Stinging, or Itching – many people with rosacea report a sensation of heat, burning or stinging on their face. The skin may also feel itchy or overly sensitive to certain skincare products or environmental triggers.
  • Dry and Rough Skin – the affected areas of skin may become rough, flaky, and excessively dry. Some individuals notice a tight or irritated feeling, especially after washing their face or being exposed to extreme weather conditions.
  • Eye Irritation (Ocular Rosacea) – some people with rosacea experience irritation in their eyes, leading to redness, dryness, and a gritty feeling. The eyelids may become swollen, and in severe cases, untreated ocular rosacea can impact vision.
  • Flushing and Facial Redness – many people with rosacea experience frequent flushing, where the face turns red due to increased blood flow. In the early stages, this redness may fade after a short period, but over time, it can become more persistent, resembling a constant blush or mild sunburn.
  • Plaques – some forms of rosacea lead to raised, red patches that look like a rash. These plaques can develop without affecting the surrounding skin.
  • Skin Thickening – in more advanced cases, particularly in men, the skin may gradually thicken and develop a bumpy texture. This condition, known as rhinophyma, most commonly affects the nose, causing it to appear enlarged or bulbous.
  • Swelling (Facial Edema) – swelling can accompany other rosacea symptoms or occur independently. The face, particularly around the cheeks and eyes, may appear puffy due to inflammation and fluid retention.
  • Visible Blood Vessels – tiny, dilated blood vessels can become visible under the skin, particularly on the nose and cheeks. These thin, red lines are more noticeable in fair-skinned individuals.

Where does Rosacea normally develop?

Although rosacea primarily affects the face, it can affect different parts of the face, and body, including:

  • Cheeks
  • Chest
  • Chin
  • Ears
  • Eyes (ocular rosacea)
  • Forehead
  • Neck
  • Nose
  • Scalp

How is Rosacea diagnosed in Singapore?

Diagnosing rosacea involves a thorough assessment of your skin, symptoms, and medical history. At Livingstone Dermatology a thorough assessment of your skin condition will be made, and you may expect the following:

  • Medical History Review our dermatologist will begin by discussing your symptoms, potential triggers, and whether rosacea runs in your family. By understanding your personal triggers, it will help in both diagnosis, and long-term management.
  • Skin Examination – after reviewing your medical history, our dermatologist will proceed with a detailed visual inspection of your skin. This step focuses on the central face, where rosacea typically appears. Aside from identifying the common symptoms, our dermatologist may also consider ocular rosacea if you experience eye-related symptoms such as dryness, irritation or swollen eyelids.
  • Skin Biopsy (if necessary) – in cases where symptoms overlap with other skin conditions, a skin biopsy may be performed to rule out similar concerns, such as seborrheic dermatitis or lupus. This involves taking a small sample of skin under local anaesthesia for microscopic examination. However, most cases of rosacea can be diagnosed through clinical evaluation alone.

How is Rosacea treated in Singapore?

rosacea treatment
Treatment for rosacea is dependent on the severity of your condition, however laser therapy is one of the common treatments for rosacea.

When it comes to the effective management of Rosacea, the treatment plan generally focuses on reducing symptoms, preventing flare-ups, and improving skin health. While there is no cure, personalised treatments at Livingstone Dermatology can help control the condition and minimise discomfort.

Topical Treatments

  • Azelaic Acid – azelaic acid helps control inflammation, and improve uneven skin texture.
  • Brimonidine Gel – brimonidine gel is a prescription treatment that temporarily constricts blood vessels to reduce visible redness.
  • Ivermectin – ivermectin targets the skin’s inflammatory response, and helps reduce papules, and pustules.
  • Metronidazole – metronidazole is an anti-inflammatory gel or cream that reduces redness, and swelling.

Oral Medications

  • Antibiotics – antibiotics such as Doxycycline, Minocycline, are used for moderate to severe rosacea, to help manage inflammation, and prevent flare-ups.
  • Isotretinoin – Isotretinoin is a vitamin A-derived medication that can be prescribed for resistant cases, particularly when there are persistent breakouts.

Laser and Light Therapies

  • Intense Pulsed Light (IPL) Therapy – IPL therapy targets visible blood vessels, and reduces persistent redness.
  • Vascular Laser Therapy – vascular laser therapy is designed to shrink dilated blood vessels, and improve skin appearance.

Lifestyle and Skin Care Tips

  • Gentle Skin Care – avoid harsh exfoliants, and use fragrance-free, soothing skincare products.
  • Stress Management – practising mindfulness, yoga or relaxation techniques can help reduce stress-induced flare-ups.
  • Sun Protection – daily application of a broad-spectrum SPF is essential to prevent flare-ups.
  • Trigger Management – identifying, and avoiding common triggers like alcohol, heat, and spicy foods can help prevent worsening of symptoms.

Conclusion

In conclusion, rosacea is a long-term skin condition that causes redness, visible blood vessels, and sensitivity, often triggered by environmental, and lifestyle factors. Although it is not contagious, it can worsen over time if left untreated, leading to persistent discomfort and, in some cases, complications such as thickened skin or eye irritation.

Early intervention is key to keeping rosacea under control. Our skilled, and experienced dermatologist can diagnose your specific type of rosacea, and create a personalised treatment plan to manage symptoms, and prevent flare-ups. If you are experiencing ongoing redness, sensitivity or unexplained skin changes, do not wait for them to intensify. Schedule a consultation with us today, and take the first step towards clearer, healthier skin.

Frequently Asked Questions

Is rosacea painful?

Rosacea itself is not typically painful, but it can cause discomfort such as burning, stinging or tightness, especially when the skin is irritated or during flare-ups. Some people with rosacea also experience sensitivity to skincare products, heat or environmental triggers. If rosacea affects the eyes, ocular rosacea, it may lead to dryness, irritation or a gritty sensation. As such, managing triggers, and using soothing, dermatologist-recommended treatments can help keep discomfort at bay.

Rosacea is not classified as an autoimmune disease, but it does involve an abnormal immune response. The condition is thought to be linked to an overactive inflammatory reaction in the skin, as well as increased sensitivity to environmental factors, and microorganisms like Demodex mites.

While the exact cause is still being researched, rosacea shares some similarities with autoimmune, and inflammatory conditions in terms of immune system involvement.

Both rosacea, and lupus can cause facial redness, but there are key differences:

  • Rosacea usually presents as persistent redness, visible blood vessels, and acne-like bumps, mainly on the cheeks, nose, chin, and forehead. It often worsens with triggers such as heat, spicy foods, or alcohol.
  • Lupus rash, also known as a “butterfly rash,” appears as a red, flat or slightly raised rash across the nose, and cheeks in a butterfly-shaped pattern. Unlike rosacea, lupus rashes do not typically include acne-like bumps, and may be more photosensitive.

Currently, there is no permanent cure for rosacea, but the condition can be effectively managed with proper treatment, and lifestyle adjustments. Many people with rosacea see significant improvements by following a personalised treatment plan that includes topical or oral medications, laser therapy, and trigger avoidance. Early diagnosis, and treatment can help prevent symptoms from worsening over time.

Since rosacea has a genetic and environmental component, it cannot always be entirely prevented. However, flare-ups can be minimised by identifying, and avoiding triggers such as excessive sun exposure, alcohol, spicy foods, and stress. Consistently using gentle skincare products, wearing daily sun protection, and following a dermatologist-recommended treatment plan can help keep rosacea symptoms under control.

You can still wear makeup if you have rosacea, but it is important to choose products that are gentle, non-comedogenic, and free from irritating ingredients such as alcohol, fragrance, and harsh preservatives.

Additionally, look for mineral-based foundations, green-tinted primers to neutralise redness, and hydrating formulas that support skin health. On top of that, always remove makeup with a gentle, non-stripping cleanser to avoid aggravating your skin.

If you are unsure of the type of makeup or skincare products you should use, our dermatologist can recommend suitable makeup, and skincare options tailored to your skin’s needs.

Ready to take the first step towards rosacea relief?

Schedule a consultation with Livingstone Dermatology today.

What is a skin allergy?

A skin allergy is a condition in which the immune system reacts abnormally to a substance that is typically harmless, leading to inflammation and discomfort. When an allergic reaction occurs, the skin may develop redness, swelling, itching, rashes, or even blisters. 

The way a skin allergy presents depends on the type of reaction, with some conditions causing immediate flare-ups, while others develop gradually over time. Below are some of the most common types of skin allergies:

Type

Description

Contact Dermatitis

Occurs when the skin comes into direct contact with an allergen, leading to redness, itching, and irritation. Common triggers include nickel, fragrances, cosmetics, latex, and certain plants like poison ivy.

Atopic Dermatitis (Eczema)

A chronic condition that causes dry, itchy, and inflamed skin. While often linked to genetics and environmental factors, allergens can worsen symptoms. It is common in children but may persist into adulthood.

Urticaria (Hives)

Characterised by raised, red, and itchy welts that appear suddenly due to an allergic reaction to foods, medications, insect stings, or environmental triggers. Hives can be acute (lasting hours or days) or chronic (lasting for weeks or longer).

Angioedema

A deeper form of swelling that affects the skin and mucous membranes, often occurring around the eyes, lips, hands, and feet. It may accompany hives and, in severe cases, can impact breathing, which may require immediate medical attention.

Skin allergies such as contact dermatitis occur when the skin reacts to an allergen or irritant, resulting in redness, itching, and inflammation.

How are skin allergies caused?

A skin allergy occurs when the immune system mistakenly identifies a harmless substance as a threat and initiates a defensive response. This process begins when the skin encounters an allergen, prompting specialised immune cells called Langerhans cells to capture and present it to T-cells in the lymph nodes. If the immune system perceives the substance as harmful, it triggers the release of inflammatory chemicals, such as histamines and cytokines. These chemicals cause blood vessels to dilate, increasing blood flow to the affected area and leading to redness, swelling, and itching. 

In some cases, the reaction occurs immediately, as seen in conditions like urticaria, while in others, such as allergic contact dermatitis, it may take hours or days to develop. Over time, repeated exposure to the allergen can intensify the immune response, making future reactions more severe. This hypersensitivity mechanism is what differentiates allergic reactions from simple irritant responses, which do not involve the immune system.

Skin allergies, such as dermatitis, occur when the skin’s protective barrier is compromised, which allows allergens and bacteria to penetrate deeper, leading to inflammation, increased moisture loss, and dryness.

What are the symptoms of a skin allergy?

The symptoms of a skin allergy vary depending on the type of reaction and the severity of the immune response. Some symptoms appear immediately after exposure to an allergen, while others develop gradually over time. Common signs of a skin allergy include:

  • Redness and inflammation – affected areas may appear flushed, swollen, or irritated.
  • Itching (pruritus) – persistent itching, which can range from mild to severe, often worsens with scratching.
  • Rashes – the skin may develop raised, red, or scaly patches.
  • Hives (urticaria) – itchy, raised welts that can vary in size and shape, sometimes merging into larger areas.
  • Blisters – fluid-filled bumps that may burst and form crusts, often seen in allergic contact dermatitis.
  • Dry or cracked skin – prolonged allergic reactions can cause excessive dryness, flaking, or peeling.
  • Swelling (angioedema) – deeper skin swelling, especially around the eyes, lips, hands, and feet, which may be accompanied by a burning sensation.
  • Burning or stinging sensation – the skin may feel painful or irritated, particularly in severe reactions.

Symptoms can range from mild discomfort to more severe cases that require immediate medical attention, especially if swelling affects breathing or spreads extensively across the body.

Urticaria causes red, itchy, and raised welts on the skin that can vary in size and shape, often appearing suddenly and fading within hours or days.

Who is at risk of skin allergy in Singapore?

Certain individuals are more susceptible to developing skin allergies due to a combination of genetic, environmental, and lifestyle factors. In Singapore, where high humidity and urban pollutants are common, some risk factors can further increase the likelihood of allergic skin reactions. These include:

  • Genetic predisposition – individuals with a family history of eczema, asthma, or other allergic conditions are more prone to developing skin allergies.
  • Frequent exposure to allergens – regular contact with common triggers such as dust mites, pet dander, pollen, and mold increases the risk of allergic reactions.
  • Sensitivity to skincare and cosmetic products – fragrances, preservatives, and certain chemical ingredients in beauty and personal care products can lead to allergic contact dermatitis.
  • Occupational exposure – people working in industries such as healthcare, cleaning, hairdressing, or construction are more likely to develop skin allergies due to repeated exposure to irritants like latex, chemicals, and detergents.
  • Climate and environmental factors – Singapore’s warm and humid climate can worsen allergic reactions by increasing skin sensitivity and sweating, which may trap allergens on the skin.
  • Weakened skin barrier – individuals with dry or sensitive skin are more vulnerable to irritants, making them more susceptible to allergic reactions.
  • Underlying medical conditions – those with autoimmune diseases, chronic skin conditions like eczema, or immune system disorders may be at a higher risk of developing skin allergies.

Recognising these risk factors can help individuals take preventive measures to reduce their chances of experiencing allergic flare-ups.

How is skin allergy diagnosed?

Since allergic reactions can vary widely from person to person, we use varied diagnostic methods to pinpoint the exact cause of your symptoms. Our dermatologists assess your medical history, lifestyle factors, and environmental exposures before recommending specific tests to identify potential allergens. 

Common diagnostic methods include:

  • Clinical examination – a detailed skin assessment helps us identify patterns of allergic reactions, such as redness, swelling, or rashes, and determine whether your symptoms align with a specific type of skin allergy.
  • Patch testing – this test is used to diagnose allergic contact dermatitis by applying small amounts of common allergens to patches placed on your back. The skin is monitored over 48 to 72 hours for any delayed allergic reactions.
  • Skin Prick Test – a small amount of potential allergens is applied to the skin, and tiny pricks allow the substances to enter the surface. If an allergic reaction occurs within 15 to 20 minutes, it suggests sensitivity to that allergen.
  • Blood Tests (IgE Testing) – a blood sample is analysed to measure specific IgE antibodies associated with allergic reactions, helping to confirm sensitivities to certain allergens such as pollen, dust mites, or food ingredients.
  • Elimination Testing – in cases where food or environmental allergens are suspected, we may recommend eliminating potential triggers from your routine to observe if symptoms improve.

What are the treatment options for skin allergy in Singapore?

Our dermatologists use a combination of medical therapies, skincare recommendations, and lifestyle adjustments to help you achieve long-term relief. Treatment options may include:

  • Topical medications – we prescribe medicated creams or ointments, such as corticosteroids and calcineurin inhibitors, to reduce inflammation, itching, and redness.
  • Oral antihistamines – these help control itching and allergic reactions, especially in cases of hives or widespread irritation.
  • Moisturisers and barrier creams – we recommend dermatologist-approved emollients to strengthen the skin barrier, which helps minimise sensitivity and prevents further irritation.
  • Allergen avoidance strategies – our specialists work with you to identify and eliminate exposure to known triggers, including allergens in skincare products, fabrics, or environmental factors.
  • Immunotherapy (allergy desensitisation) – for patients with persistent allergies, we may suggest allergen-specific immunotherapy to gradually build tolerance over time.
  • Anti-inflammatory or immunosuppressive medications – in severe cases of eczema or chronic allergic reactions, prescription treatments like biologic injections or oral immunosuppressants may be necessary to control inflammation.
  • Lifestyle and skincare guidance – we provide advice on managing skin allergies through individualised skincare routines, dietary considerations, and environmental modifications.

If you are experiencing persistent skin irritation, unexplained rashes, or allergic flare-ups, schedule a consultation with us for a detailed diagnosis and personalised treatment solutions.

Frequently Asked Questions (FAQs)

Can skin allergies be cured?

While there is no definitive cure for skin allergies, effective management is possible through identifying and avoiding triggers, using appropriate medications, and following a proper skincare routine. Many individuals experience significant relief and may have prolonged periods without symptoms.

No, skin allergies are not contagious. They result from an individual’s immune response to specific allergens and cannot be transmitted from person to person.

Stress does not directly cause skin allergies, but it can exacerbate existing conditions. Managing stress through relaxation techniques and lifestyle changes may help reduce flare-ups.

Preventing flare-ups involves identifying and avoiding known allergens, maintaining a regular skincare routine with hypoallergenic products, and protecting your skin from environmental factors like extreme temperatures and pollutants.

Over-the-counter creams, such as hydrocortisone, can provide temporary relief for mild symptoms. However, it’s essential to consult a dermatologist for persistent or severe reactions to ensure appropriate treatment.

Certain foods may trigger or worsen skin allergies in susceptible individuals. Keeping a food diary and observing any correlations between diet and skin reactions can be helpful. Consulting a healthcare professional is recommended for personalised advice.

If you experience persistent, severe, or worsening symptoms, or if over-the-counter treatments do not provide relief, it’s advisable to consult a dermatologist. Professional evaluation can help identify specific allergens and develop an effective treatment plan.

Your Partner in Skin Allergy Care

At Livingstone Dermatology, we understand the impact skin allergies can have on your daily life. Our experienced dermatologist is dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards skin allergy relief?

Schedule a consultation with Livingstone Dermatology today.

Comprehensive Care for Skin Cancers: Early Detection and Effective Treatment

Livingstone Dermatology specializes in the diagnosis and treatment of various types of skin cancers. Our experienced dermatologist offers expert care to ensure early detection, accurate diagnosis, and effective treatment for optimal outcomes.

Common Types of Skin Cancers

Basal Cell Carcinoma (BCC): This is the most common form of skin cancer, typically appearing as a pearly or waxy bump, often with visible blood vessels.

Squamous Cell Carcinoma (SCC): SCC often appears as a red, scaly patch, a raised growth with a central depression, or a wart-like growth.

Melanoma: Melanoma is a less common but more aggressive form of skin cancer, often characterized by irregularly shaped moles with uneven coloring.

Actinic Keratosis (AK): Although not cancer itself, AKs are considered precancerous and can develop into SCC if left untreated.

Merkel Cell Carcinoma: This is a rare, aggressive form of skin cancer that usually appears as a painless, firm, and fast-growing nodule.

Early Detection Saves Lives

Early detection of skin cancer is crucial for successful treatment. Our dermatologists conduct thorough examinations, often supplemented by advanced imaging or biopsy techniques, to accurately diagnose and stage skin cancers.

Treatment Options for Skin Cancers

  1. Surgical Excision: This involves removing the cancerous tissue along with a margin of healthy skin to ensure complete removal.
  2. Mohs Micrographic Surgery: This specialized technique allows for precise removal of cancerous tissue while sparing as much healthy tissue as possible.
  3. Cryotherapy: Freezing the cancerous tissue with liquid nitrogen can be effective for some early-stage skin cancers.
  4. Radiation Therapy: In some cases, targeted radiation may be used to destroy cancer cells.
  5. Chemotherapy and Immunotherapy: These systemic treatments may be recommended for advanced or metastatic skin cancers.

Your Partner in Skin Cancer Care

At Livingstone Dermatology, we prioritize your skin health and overall well-being. Our experienced dermatologist is dedicated to providing expert care for individuals with skin cancers, guiding you through the diagnosis and treatment process with compassion and expertise.

Ready to take the first step towards skin cancer detection and treatment?

Schedule a consultation with Livingstone Dermatology today.

Comprehensive Care for Skin Infections: Prompt Diagnosis and Effective Treatment

Livingstone Dermatology specializes in the diagnosis and treatment of various types of skin infections. Our experienced dermatologist offers expert care to ensure prompt diagnosis, accurate treatment, and effective management for optimal outcomes.

Common Types of Skin Infections

Bacterial Infections:

  • Impetigo: A highly contagious bacterial infection characterized by red sores that quickly rupture and develop a honey-colored crust.
  • Cellulitis: A bacterial skin infection that causes redness, swelling, and tenderness of the skin, often spreading rapidly.

Fungal Infections:

  • Ringworm (Tinea): A fungal infection characterized by a red, circular rash with a clear center, resembling a ring.
  • Yeast Infections (Candidiasis): Common in warm, moist areas, this infection can lead to red, itchy, and sometimes painful rashes.

Viral Infections:

Herpes Simplex Virus (HSV): HSV can cause painful cold sores or genital sores, characterized by fluid-filled blisters.

Parasitic Infections:

Scabies: Caused by tiny mites, scabies leads to intense itching and a pimple-like rash.

Diagnosis and Treatment

Our dermatologist will perform thorough evaluations, which may include visual examination, skin swabs, or biopsies, to accurately diagnose the type and cause of the skin infection. Treatment options may include:

  1. Topical Treatments: Antifungal, antibacterial, or antiviral creams or ointments can be effective for mild infections.
  2. Oral Medications: In more severe cases, oral antibiotics, antifungal, or antiviral medications may be prescribed.
  3. Lifestyle and Hygiene Recommendations: Our dermatologists offer guidance on proper hygiene practices to prevent reinfection and transmission.
  4. Environmental Measures: For certain infections, cleaning and disinfecting the environment can aid in preventing recurrence.

Preventing Future Infections

Our dermatologists provide comprehensive education on preventive measures, including proper hygiene, avoiding contact with infected individuals, and maintaining a clean environment.

Your Partner in Skin Infection Care

At Livingstone Dermatology, we understand the discomfort and concern that skin infections can cause. Our experienced dermatologists are dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards skin infection diagnosis and treatment? Schedule a consultation with Livingstone Dermatology today.

Ready to take the first step towards skin infection diagnosis and treatment?

Schedule a consultation with Livingstone Dermatology today.

Expert Care for Warts and Verrucas: Effective Removal and Prevention

Livingstone Dermatology specializes in the diagnosis and treatment of warts and verrucas. Our experienced dermatologists offer expert care to ensure effective removal and provide guidance on preventing recurrence.

Understanding Warts and Verrucas

Warts: Warts are non-cancerous growths caused by the human papillomavirus (HPV). They can appear anywhere on the body, often on the hands, feet, and face. Warts are typically small, rough, and may have a cauliflower-like appearance.

Verrucas (Plantar Warts): Verrucas are a type of wart that specifically develop on the soles of the feet. They may appear flat or have a rough, bumpy surface, often surrounded by hardened skin.

How are Warts and Verrucas Contracted?

Warts and verrucas are highly contagious and can be contracted through direct or indirect contact with the virus. Common sources of infection include:

  • Contact with a person who has warts or verrucas.
  • Walking barefoot in public areas like locker rooms, showers, or swimming pools.
  • Sharing personal items with an infected individual.

Treatment Options for Warts and Verrucas

  1. Topical Treatments: Over-the-counter or prescription creams, ointments, or solutions can be applied directly to the wart to promote removal.
  2. Cryotherapy: Freezing the wart with liquid nitrogen can effectively remove it.
  3. Electrosurgery: Using a specialized tool, the wart is burned off.
  4. Laser Therapy: Laser treatment targets and destroys the blood vessels supplying the wart, causing it to fall off.
  5. Excision: In some cases, the wart may be surgically removed.
  6. Immunotherapy: Stimulating the body’s immune system to attack the wart.

Preventing Recurrence

Our dermatologist provides guidance on preventive measures, such as avoiding direct contact with warts, keeping feet clean and dry, and wearing protective footwear in public areas.

Your Partner in Wart and Verruca Care

At Livingstone Dermatology, we understand the discomfort and frustration that warts and verrucas can cause. Our experienced dermatologist is dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards
wart and verruca removal?

Schedule a consultation with Livingstone Dermatology today.

Expert Care for Urticaria: Identifying Triggers and Finding Relief

Livingstone Dermatology specializes in the diagnosis and treatment of urticaria, commonly known as hives. Our experienced dermatologists offer expert care to help you identify triggers and manage symptoms effectively.

Understanding Urticaria

Urticaria, more commonly known as hives, is a skin condition characterized by raised, itchy welts that can appear anywhere on the body. These welts often have defined borders and can vary in size and shape. Urticaria can be acute (lasting less than six weeks) or chronic (lasting longer than six weeks).

Common Causes of Urticaria

Urticaria can be triggered by a wide range of factors, including:

  1. Allergens: Such as certain foods, medications, or insect stings.
  2. Physical Stimuli: Such as pressure, cold, heat, or sun exposure.
  3. Stress and Anxiety: Emotional stress can sometimes trigger hives.
  4. Infections: Viral or bacterial infections can lead to acute urticaria.

Diagnosis and Treatment

Our dermatologist conducts thorough evaluations to accurately diagnose urticaria and identify potential triggers. Treatment options may include:

  1. Antihistamines: These medications can help reduce itching and swelling associated with hives.
  2. Identifying and Avoiding Triggers: Our dermatologists will work with you to identify and minimize exposure to triggers.
  3. Corticosteroids: In more severe cases, oral or topical corticosteroids may be prescribed to control inflammation.
  4. Immunomodulators: These medications can help regulate the immune system’s response.

Living Well with Urticaria

While urticaria can be a chronic condition, with the right treatment and lifestyle modifications, it can be effectively managed. Our experienced dermatologists will work closely with you to develop a personalized treatment plan that addresses your specific needs and lifestyle.

Your Partner in Urticaria Care

At Livingstone Dermatology, we understand the discomfort and frustration that urticaria can cause. Our experienced dermatologist is dedicated to providing expert care and support, helping you find relief and regain control over your skin health.

Ready to take the first step towards urticaria relief?

Schedule a consultation with Livingstone Dermatology today.

Comprehensive Care for Vitiligo: Understanding and Managing Skin Pigmentation

Livingstone Dermatology specializes in the diagnosis and treatment of vitiligo, a skin condition characterized by the loss of natural skin color. Our experienced dermatologists offer expert care to help you understand and manage this condition effectively.

Understanding Vitiligo

Vitiligo is a chronic skin condition that results in the loss of pigmentation, leading to the development of white patches on the skin. It occurs when the melanocytes, the cells responsible for producing melanin (skin pigment), are destroyed or stop functioning.

Causes and Triggers

While the exact cause of vitiligo is not fully understood, it is believed to be related to a combination of genetic, autoimmune, and environmental factors. Certain triggers, such as stress, trauma, or illness, may exacerbate the condition.

Treatment Options for Vitiligo

  1. Topical Corticosteroids: These medications can help reduce inflammation and repigment the skin.
  2. Topical Calcineurin Inhibitors: These ointments can help restore skin color and are particularly effective on the face and neck.
  3. Psoralen Plus Ultraviolet A (PUVA) Therapy: This involves taking a medication called psoralen, followed by exposure to UVA light.
  4. Light therapy: Certain wavelengths of light may be helpful in the tratment of vitiligo.

Embracing Your Skin

Our dermatologist understands the impact vitiligo can have on self-esteem and body image. We provide support and guidance on living well with vitiligo, including skincare recommendations and advice on sun protection.

Your Partner in Vitiligo Care

At Livingstone Dermatology, we are dedicated to providing expert care for individuals with vitiligo. Our experienced dermatologist works closely with you to develop a personalized treatment plan that addresses your specific needs and concerns.

Ready to take the first step towards understanding
and managing vitiligo?

Schedule a consultation with Livingstone Dermatology today.

Your Journey to Healthy Skin Starts Here

Whether you’re dealing with a specific skin concern or seeking to enhance your natural beauty, Livingstone Dermatology is here to guide you on your journey to healthy, radiant skin. 

Schedule an appointment today and experience the Livingstone standard of care in a welcoming, professional environment.