Conditions We Treat

Acne

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?

Acne is a common skin condition characterized by the development of pimples, blackheads, whiteheads, and, in more severe cases, cysts and nodules. It primarily affects areas with a high concentration of oil glands, such as the face, chest, and back.

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.

What is Acne?

Acne is a common skin condition characterized by the development of pimples, blackheads, whiteheads, and, in more severe cases, cysts and nodules. It primarily affects areas with a high concentration of oil glands, such as the face, chest, and back.

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.

Understanding Hyperhidrosis: Finding Relief from Excessive Sweating

Hyperhidrosis, commonly known as excessive sweating, is a medical condition characterized by uncontrollable, often embarrassing, sweating that goes beyond what is necessary to regulate body temperature. Livingstone Dermatology is dedicated to providing effective solutions for those struggling with hyperhidrosis.

What is Hyperhidrosis?

Hyperhidrosis is a condition that involves overactive sweat glands, leading to excessive and often unpredictable sweating. It can affect various parts of the body, including the underarms, palms, feet, and face. This condition can significantly impact daily life, causing discomfort and social anxiety.

What Causes Hyperhidrosis?

While the exact cause of hyperhidrosis is not always clear, it is believed to be related to overstimulation of the sweat glands by the nervous system. It can also be hereditary and may occur in otherwise healthy individuals.

Treatment Options for Hyperhidrosis

  1. Topical Treatments: Prescription-strength antiperspirants can be highly effective in reducing excessive sweating.
  2. BTX Injections: BTX Injections can temporarily block the nerves responsible for activating sweat glands, providing relief for several months.
  3. Iontophoresis: This non-invasive procedure involves using a low-level electric current to temporarily block sweat gland function.
  4. Oral Medications: In some cases, medications may be prescribed to help regulate the body’s sweating response.
  5. Surgery: For severe cases, surgical options such as sweat gland removal or sympathectomy may be considered.

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.

Understanding Keloids: Finding Relief and Restoration

Keloids are raised, thickened areas of scar tissue that can develop at the site of a wound, injury, or surgical incision. Livingstone Dermatology specializes in the treatment of keloids, offering personalized solutions to help restore the appearance and comfort of your skin.

What are Keloids?

Keloids are a type of abnormal wound healing response in which the body produces an excess of collagen at the site of a wound or injury. This leads to the formation of raised, often itchy, and sometimes painful scars that extend beyond the boundaries of the original injury.

What Causes Keloids?

While the exact cause of keloids is not fully understood, they are believed to result from an overproduction of collagen in response to skin trauma. Some individuals may have a genetic predisposition to keloid formation.

Treatment Options for Keloids

  1. Corticosteroid Injections: These injections can help reduce inflammation and flatten keloids over time.
  2. Silicone Sheets or Gels: Applied directly to the keloid, silicone-based products can help soften and flatten the scar tissue.
  3. Cryotherapy: Freezing the keloid with liquid nitrogen can help shrink and flatten it.
  4. Laser Therapy: Certain laser treatments can target the excess collagen, reducing the size and appearance of the keloid.
  5. Radiation Therapy: This treatment is sometimes used after surgical removal to prevent the regrowth of keloids.

Improving the Appearance and Comfort of Your Skin

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

Livingstone Dermatology is committed to providing expert care for individuals dealing with keloids. Our experienced dermatologist will assess your specific condition and recommend a personalized treatment plan to help restore the appearance and comfort of your skin.

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/

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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.

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mole removal options?

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Expert Care for Skin Health During Pregnancy

Livingstone Dermatology understands the unique dermatological needs that can arise during pregnancy. Our experienced dermatologists specialize in obstetric dermatology, providing personalized care to ensure the health and comfort of both expectant mothers and their growing babies.

Skin Changes During Pregnancy

Pregnancy can bring about various changes in the skin due to hormonal fluctuations and increased blood flow. Common dermatological conditions during pregnancy include:

Melasma (Pregnancy Mask): This condition is characterized by the development of brown or grayish patches on the face, typically on the cheeks, forehead, and upper lip.

Stretch Marks (Striae Gravidarum): Rapid growth of the abdomen and breasts during pregnancy can lead to the development of stretch marks, which are often red or purple in color.

Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP): This itchy rash typically develops in the third trimester and is characterized by red, raised bumps and plaques on the skin.

Acne: Hormonal changes can lead to an increase in oil production, potentially causing or exacerbating acne during pregnancy.

Spider Veins and Varicose Veins: Increased blood volume and pressure can lead to the development of visible veins, particularly in the legs.

Expert Care and Guidance

Livingstone Dermatology provides specialized care to address the dermatological concerns of expectant mothers. Our experienced dermatologists will work closely with you to develop a personalized treatment plan that prioritizes the health and comfort of both you and your baby.

Safe and Effective Treatments

We offer a range of safe and effective treatments for obstetric dermatological conditions, taking into consideration the unique needs of expectant mothers. Our dermatologists will provide expert guidance on suitable treatment options.

Preventive Measures and Skincare Guidance

In addition to addressing specific dermatological concerns, our dermatologists offer guidance on preventive measures and skincare routines tailored to the needs of expectant mothers.

Your Partner in Obstetric Dermatology

At Livingstone Dermatology, we are committed to providing expert care for expectant mothers. Our experienced dermatologist is here to support you in maintaining healthy, comfortable skin throughout your pregnancy.

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health during pregnancy?

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Comprehensive Care for Psoriasis: Finding Relief and Managing Symptoms

Psoriasis is a chronic skin condition that affects millions of individuals worldwide. Livingstone Dermatology specializes in providing expert care for psoriasis, offering personalized treatment plans to help you find relief and manage symptoms effectively.

What is Psoriasis?

Psoriasis is skin condition characterized by the rapid production of skin cells, leading to the development of red, scaly patches on the skin’s surface. These patches, known as plaques, are often itchy and can be found on various parts of the body.

What Causes Psoriasis?

The exact cause of psoriasis is not known but it is thought to be a complex interplay between genetic and environmental factors.

Treatment Options for Psoriasis

  1. Topical Treatments: Corticosteroids, topical retinoids, and other medications can help reduce inflammation and slow down the rapid skin cell production.
  2. Phototherapy (Light Therapy): Controlled exposure to UVB or UVA light can help reduce symptoms by slowing skin cell growth.
  3. Systemic Medications: In more severe cases, oral or injected medications may be prescribed to modulate the immune system and reduce inflammation.
  4. Biologic Therapies: These medications target specific parts of the immune system and are often highly effective in managing psoriasis.
  5. Oral Retinoids: Derived from vitamin A, these medications can help control the growth of skin cells.
  6. Lifestyle and Diet Modifications: Making certain lifestyle changes, such as managing stress and maintaining a balanced diet, can complement medical treatments.

Living Well with Psoriasis

Psoriasis is a chronic condition, but with the right treatment and self-care, it can be managed effectively. Our experienced dermatologists will work closely with you to develop a personalized treatment plan that addresses your specific needs and lifestyle.

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?

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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.

Comprehensive Care for Skin Allergies: Identifying Triggers and Finding Relief

Livingstone Dermatology specializes in providing expert care for skin allergies, offering personalized treatment plans to help you identify allergens and manage symptoms effectively.

Understanding Skin Allergies

Skin allergies, also known as allergic contact dermatitis or atopic dermatitis, occur when the skin comes into contact with a substance that triggers an immune response. This leads to symptoms such as redness, itching, and rash formation.

Common Allergens

Skin allergies can be triggered by a wide range of substances, including:

  1. Nickel or Other Metals: Found in jewelry, watches, and clothing fasteners.
  2. Fragrances: Commonly found in perfumes, lotions, and scented products.
  3. Latex: Often present in gloves, balloons, and certain clothing items.
  4. Cosmetics and Personal Care Products: Ingredients in makeup, lotions, and shampoos can sometimes lead to allergic reactions.
  5. Detergents and Soaps: Harsh chemicals in laundry detergents or soaps can cause skin irritation.
  6. Plants: Contact with certain plants like poison ivy or poison oak can lead to allergic reactions.

Treatment Options for Skin Allergies

  1. Avoidance of Allergens: Identifying and avoiding the specific allergen is crucial in preventing further reactions.
  2. Topical Treatments: Over-the-counter or prescription creams and ointments can help alleviate itching and reduce inflammation.
  3. Oral Antihistamines: These medications can help relieve itching and other allergy symptoms.
  4. Steroid Medications: In more severe cases, oral or injected steroids may be prescribed.
  5. Patch Testing: This specialized test can help identify specific allergens responsible for the reaction.

Preventing Future Reactions

Our dermatologist will work with you to develop a personalized plan for managing your skin allergies, which may include recommendations for hypoallergenic products and lifestyle adjustments.

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.