Why IDS Clinic? Our expertise lies in a total approach and where we try to treat every problem in a most logical way. Our friendly doctors will find solutions just for your skin's own needs – be it through skincare and or aesthetic procedures. And we don’t hard sell. Talk to our experts today.
What is PROFHILO?
It is the first revolutionary bio-remodelling “injectable skincare” that addresses skin laxity and signs of aging through the bio-stimulation of collagen, elastin and adipocyte (fat) stem cells that are lost through skin aging.
Why choose PROFHILO?
Formulated with patented NAHYCO Hybrid Technology, the stabilised hybrid HA cooperative complex is produced without the addition of any chemical cross-linking compounds (i.e. BDDE-free).
Hybrid HA cooperative complexes are:
What are the benefits of PROFHILO?
Profhilo is most suitable for:
The BAP Injection Technique
Bio Aesthetic Point (BAP) is an application technique developed by Profhilo for the lower face and neck. The 5 BAPs are specially selected areas of the face that have no large blood vessels or nerve branches. This allows for maximal diffusion of Profhilo’s hybrid HA complex, while minimising the risk of bruising and complications.
With 5 injection points on each side of the face (total of 10 points for the entire face, with 0.2ml in each point), the procedure is quick with minimal discomfort.
Topical numbing cream is applied 15 to 30 minutes before the procedure for analgesia.
Where can Profhilo be injected?
Profhilo can be used for skin rejuvenation for the following areas:
What is the downtime after Profhilo injection?
Most patients are able to continue with their usual activities immediately after treatment.
As with most injectable treatments, there can be some bruising and soreness at the injection points for 1-2 days after the procedure.
A small bump at the injection site may be observed immediately after the procedure. It usually resolves in a few hours as the product diffuses and spreads under the skin.
Suggested Treatment Protocol
A full protocol is usually 2 treatments with 1 month interval.
How long does the effects last?
It is recommended to repeat the treatment protocol after 6-9 months for maintenance. Results may vary according to the individual’s lifestyle and level of aging.
Are there any side effects?
Profhilo is a pure hyaluronic acid, without any chemical cross-linking compounds. It is bio-compatible and broken down by our body completely. Compared to other bio-stimulating dermal fillers, it has little to no risks of causing inflammatory granulomas.
Comparison with Fillers, Skin boosters & Rejuran Healer
Profhilo is neither a dermal filler or skin booster treatment. It is a bioremodelling skin treatment that hydrates and stimulates collagen and elastin formation in the skin.
Can it be combined with other treatments?
Yes. Botox®, dermal fillers, Thermage®, Ultherapy®, HIFU and lasers can be performed in combination with Profhilo. It is best to consult your doctor to discuss which treatment should be performed first to optimise your treatment results.
$2,000 for 2 syringes
Profhilo Body is the latest addition to the Profhilo family for skin rejuvenation treatments in Singapore. They uses IBSA technology and expertise with hyaluronic acid to reshape and remodel sagging skin tissues of the body. This body injectable treatment is developed specifically to treat body skin laxity and boost skin hydration using stabilised Hyaluronic Acid.
Profhilo Body treatments in Singapore are getting more attention due to ISBA Profhilo approach in tackling the signs of aging on different body regions. Another main benefit is that the treatment does not have downtime and minimal side effects.
Alongside the launch and increased availability of aesthetic body energy and other technological devices for body, Profhilo Body is a complimentary to these treatments that offers patients the ability to treat skin laxity beyond the face and neck areas.
Profhilo Body is currently the only injectable treatment specifically designed for the treatment of body skin laxity and is particularly recommended for the brachial area and abdomen. Profhilo Body is characterised by high and low molecular weight Stable Cooperative Hybrid Complexes (HCC) of high concentration ultrapure hyaluronic acid, produced using their thermal production process patented by IBSA, the NAHYCO Technology.
Profhilo Body is NOT a dermal filler that fills or creates volume at localised area. Profhilo creates the bulk effect via stimulating and increasing the body’s natural tissue repair processes to produce collagen and elastin.
ADVANTAGES OF PROFHILO BODY
Profhilo Body can be used to treat a wide range of body areas. These treatment areas include:
ABOUT PROFHILO BODY
Profhilo is the first BDDE-free stabilised injectable hyaluronic acid based product for treating skin laxity. With the highest concentration of HA on the market it is not only boosting and hydrating the skin, but also remodels ageing and sagging tissue with stimulation of collagen and elastin. Profhilo delivers results as a treatment on its own or in combination with other aesthetic treatments currently on offer.
In Singapore, you’ll find a plethora of facials and aesthetic procedures to help women achieve their skin goals. In recent years, radiofrequency has become an increasingly popular treatment for skin tightening, as well as softening fine lines while firming the facial contours instantly.
WHAT IS RADIOFREQUENCY?
Radiofrequency is the transfer of a type of energy that is measured in “frequency” or wavelengths in the electromagnetic spectrum, also commonly found in low levels in our cell phone, television, WIFI, etc. This technology has since been widely used for non-invasive skin tightening facials, also popularly known as the non-surgical facelift.
When comparing it to visible light, RF energy is about 100 million times slower, but when compared to lasers, the lower frequency of RF can safely penetrate to a much deeper level, stimulating the soft tissues from under the skin to improve skin tone, structure, and lift tissues.
Thermage is a well-known brand that uses monopolar radiofrequency technology to deliver heat to the deeper dermis to smooth out lines and wrinkles, tighten saggy skin and encourage facial rejuvenation. The latest Thermage FLX however, is the gold standard for tightening and contouring the skin, rebuilding the loss of elasticity in a much deeper, faster, more efficient and comfortable way.
HOW DOES RADIOFREQUENCY WORK?
Radiofrequency facial rejuvenation treatments work by using heat to induce collagen and elastin production in skin’s deeper layers and encourage cell turnover with instant visible results. Thermage treatments are all about focusing that radiofrequency energy into specific areas to jump start the body’s own renewal process. By heating the deep layers of the skin, collagen fibres contract, hence improving the appearance of sagging skin instantly, leaving you with skin that looks smoother, firmer, more radiant and youthful.
Thermage FLX works the same way, with each pulse of the machine delivering RF energy to the area to be treated, but its heat penetrating much deeper into the skin with superior results, efficiently restoring skin’s building blocks - producing new collagen for an overall younger looking appearance.
WHAT CAN RADIOFREQUENCY DO FOR YOU?
Radiofrequency is widely used for the treatment and improvement of lines and wrinkles (especially the nose to mouth aka laugh lines), laxity in skin (usually through lifting of cheeks and tightening the jawline), stretch marks as well as rejuvenate dull and tired looking skin. RF can be used for both the face and the body (tummy or thighs).
The main difference between using laser or LED treatments and RF is that though they all use heat energy to stimulate collagen and elastin production, the heat energy is electrical for the latter rather than light based. Unlike other non-surgical cosmetic facelift treatments that solely stimulate the facial muscles, the benefit of using RF is that you will continue to see results even after you have completed your treatment course as RF triggers the skin’s own natural healing abilities to continuously stimulate collagen and elastin production. Furthermore, it can also safely treat different skin tones without risk of permanent discoloration.
PROCEDURE AND TREATMENT
The therapist will cleanse your face prior to your treatment. Following that, when face is prepped, a handheld device emitting radiofrequency will be directed over the treatment site multiple times. During treatment, you will experience a comfortably warm sensation as skin is being heated up to between 38 to 40 degrees for optimum results. The procedure takes approximately 30 minutes to treat a whole face.
For optimum results, a course of six to 12 sessions will be recommended spread over several months.
Radiofrequency skin treatments may also be recommended by your healthcare professional to be used along with injectables, microneedling and other minimally invasive treatments.
RISKS AND SIDE EFFECTS
There is very little risk as radiofrequency skin tightening treatments are controlled if under the hands of experienced therapist or doctor, who will monitor the machine closely to prevent overheating. Take time and be careful in choosing a reputable clinic or medical practitioner as you would for all the aesthetic procedures as RF carries the risk of burns from the thermal heating effect if the procedure is not performed correctly.
There are some known side effects which are typically minimal and short-lived. Some patients may also experience post-treatment redness, swelling, and tingling sensations which tend to be mild and temporary. As RF is a non-surgical and mostly safe treatment when administered by a trained therapist or medical practitioner, you can head back to work or resume normal everyday activity right after a RF facial. However, be sure to let your therapist or doctor know if you have very sensitive skin that is prone to heat or post-treatment tingling, redness or swelling.
WHO IS NOT SUITABLE FOR RADIOFREQUENCY?
600 reps: $2,700
900 reps: $3,200
900 reps: $2,700
1,200 reps: $3,200
WHAT IS ULTRASOUND FACIAL TREATMENT?
The ultrasound therapy or ultrasonic facial is a non-invasive medical procedure that is used to lift skin and promote collagen production, leaving skin to look firmer, tighter and younger as a result. Traditionally, ultrasound imaging uses a technology known as high-intensity focused ultrasound (HIFU) to focus its energy where it is most needed, safely targeting the deeper layers of the skin.
In Singapore, Ultherapy is a popular skin-tightening choice at aesthetic clinics and medi-spa for the treatment of anti-aging concerns such as loose, saggy skin. Ultherapy is a brand of machine that uses microfocused ultrasound (previously HIFU) or sound energy to generate a thermal effect to lift and tighten any skin laxity on the face, neck and chest. Unlike any other non-invasive aesthetic devices, Ultherapy has unique properties that allow it to bypass the surface of the skin to effectively treat the deeper layers. As such, this is why Ultherapy makes a good alternative for those who cannot or do not wish to undergo facelifts or who want to put off surgery for a few years.
HOW DOES ULTRASOUND FACIAL TREATMENT WORK?
Unlike other laser treatments, radiofrequency and peels that target the outer layers of skin, ultrasound therapy delivers sound waves about 5mm deep under the skin, penetrating into the papillary dermis as well as SMAS (Superficial Muscular Aponeurotic System) layer of facial muscles under the fat, gently heating and triggering the dermis to begin producing new collagen. How this happen is that once the cells in the targeted area reach a certain temperature (briefly reaching greater than 60°C), they experience cellular damage. This essentially creates a thermal effect thereby causing a controlled micro-injury which stimulates the body’s natural healing and repair mechanisms to speed up collagen production (a protein that offers structure to the skin). With fresh new collagen, saggy skin then appears firmer and tighter, and there are lesser wrinkles. As the high-frequency ultrasound beams are focused on a specific tissue site below the skin’s surface, there’s no fear of damage to the upper layers of the skin and surrounding issue.
In Singapore, you may find various treatments called Ultraformer, Sygmalift and Ultraskin at various aesthetic clinics and salons, but they are all essentially HIFU, a one-time treatment with results that last for one to three years, depending on the skin condition. Visible ongoing improvements are more evident from three to six months after the treatment, due to the ultrasound energy triggering the skin to rejuvenate itself at the collagen-producing layer.
WHAT CAN ULTRASOUND FACIAL TREATMENT DO FOR YOU?
Ultherapy may be a good idea when you start to notice aging signs like a droop in the eyebrows, hooding of the eyelids, mild sagging in the neck and chin area or some wrinkling on the chest area. Both HIFU and Ultherapy have many aesthetic benefits which include wrinkle reduction, tightening of turkey neck and décolletage, opening up the eye area, elevating your facial features, restoring youthful skin tones and reduces epidermal sagging painlessly. This treatment basically stimulates collagen which in turn helps to lift nasolabial folds, restores fullness to the cheeks, reduce saggy jowl, creating a sleeker and more defined jawline.
Other treatable areas include the arms, breasts, abdomen, inner and the anterior thighs and buttocks for lifts and firming.
PROCEDURE AND TREATMENT
Before the procedure, your skin will first be cleansed, followed by the application of numbing creaming or cooling gel to help minimize any discomfort and pain, then the ultrasound handpiece will be placed on the skin. The high-energy ultrasound waves penetrate deep into the skin at the pre-planned site, heating the tissues. During the procedure, you may feel sensations of varying discomfort levels where the heat energy is being deposited. The sensations are noticeable only while the energy is being released. However, the intensity of the treatment can be adjusted according to each patient’s pain tolerance.
Depending on the treated areas, the procedure can last from 30 to 90 minutes and there is no downtime because the ultrasonic energy is delivered into the deeper layers of the skin, sparing the surface of the skin. After the procedure, patients typically experience mild and temporary side effects such as flushed skin, some swelling and tenderness on the area, often which will be resolved within a few hours, so normal activities may be resumed that day.
You can see some immediate effects, but it takes two to three months to see the best results. Additional improvements can appear up to six months following the procedure. The effects of the treatment is said to last up to a year. While majority of patients only need one procedure, however, some can benefit from more than one treatment depending on their biological response to the ultrasound and collagen-building process as well as how much laxity they have in their skin.
RISKS AND SIDE EFFECTS
There are not many known risks and side effects but as with any treatment, there are still risks associated with it. Although ultrasound is a non-invasive and one of the safest skin-tightening treatments, Ultherapy is a medical procedure and there will be risks and side effects which are minimized in the hands of qualified and experienced medical professionals and doctors. However, if Ultherapy is not performed by an experienced physician or professional, though rare, there may be risks such as nerve injury and thermal burns.
Some common and minor known side effects include slight swelling for a few days, tingling or tenderness to the touch for a few weeks and temporary small areas of bruising or numbness.
WHO IS NOT SUITABLE FOR ULTRASOUND FACIAL TREATMENT?
To help us achieve our desired body shape and contour, there are a variety of aesthetic procedures available—ranging from invasive procedures, like liposuction, to non-invasive procedures such as radiofrequency (RF), ultrasound and cryolipolysis.
WHAT IS CYROLIPOLYSIS?
“Cryo” means cold, and “lipolysis” refers to the process of fat breaking down.
Freezing fat tissues to a temperature as low as -11°C causes programmed cell death of the adipocyte (fat cell). This triggers an inflammatory response and our immune system removes the dead cells over a period of time (up to 3 months from clinical studies).
FAT REDUCTION USING COOLSCULPTING®
WHAT IS COOLSCULPTING®?
It is the ONLY patented technology by the US company Allergan, that uses cryolipolysis to treat unwanted fat on our body. Other forms of cryolipolysis from various companies are not called CoolSculpting.
CoolSculpting is FDA approved for fat reduction for the following areas:
In addition, CoolSculpting®utilises the patented CoolControl® and Freeze Detect® systems to ensure appropriate treatment temperatures. These systems minimise the risk of tissue damage during treatment by detecting abnormal temperature changes within the treatment applicators during treatment.
HOW DOES IT WORK?
It works by safely freezing the unwanted bulge of fat and causing the fat to undergo a 'programmed death'. Our immune system then removes the dead fat cells from the area over a period of time. Studies show at least a 20% reduction in the thickness of fat (measured by ultrasound) with a single treatment. The best results can be seen 3 months after a single treatment.
The Coolsculpting system has five different applicators for treatment over different areas. Each applicator has its own treatment cycle duration:
Placement : Outer thigh (Saddlebag)
Cycle Duration : 75 min
2. Cool Mini
Placement : Submental fat, axilla fat, distal thight (knee fat)
Cycle Duration : 45 min
3. CoolAdvantage petite
Placement : For small to medium areas of the upper arms, back, flanks, abdomen, banana roll, inner thigh, bra fat and chest
Cycle Duration : 35 min
Placement : For large areas of fat in the upper arms, back, flanks, abdomen, banana roll, inner thigh, bra fat and chest
Cycle Duration : 35 min
5. CoolAdvantage Plus
Placement : For very large areas of fat in the flanks, abdomen and back
Cycle Duration : 45 min
Depending on the size and location of the area to be treated, our specialised team will assess and recommend the number of treatment cycles required to achieve your desired body contour.
As each treatment cycle varies between 35 to 75 min, we will stage the entire treatment plan into multiple sessions.
During treatment, a gel pad and applicator are applied to the targeted area. Applicators that use vacuum will draw the tissue into the applicator cup where you may feel pulling, tugging and mild pinching. With a non-vacuum surface applicator, you may experience a mild pressure sensation. Controlled cooling is then delivered to the targeted fat, so you may feel intense cold, along with sensations like tingling, aching or cramping initially. These sensations typically subside after the area becomes numb, usually within 4-5 minutes. The Coolsculpting® treatment process is relatively comfortable and pain free thereafter.
WHEN CAN YOU NOTICE RESULTS?
Most people start to notice results after one to two weeks. Clinical studies show that the fat reduction results continue to improve over a period of 3 months. However, one can choose to repeat the treatment of a similar area after a 1-month interval.
RISKS AND SIDE EFFECTS
Common side effects:
Less common side effects include paradoxical hyperplasia, late onset pain, freeze burn, hyperpigmentation, fat hardening.
ARE THE RESULTS PERMANENT?
Studies have shown that the results on the abdomen and flank can last for several years if the patient does not increase their weight from the start of treatment.
CAN I REPEAT THE TREATMENT ON THE SAME AREAS?
Yes, at 1-monthly intervals. Since we know that a single treatment helps to reduce the fat thickness by 20%, one can repeat the treatment on bigger areas to achieve the desired result.
HOW DO I GET THE BEST RESULTS WITH COOLSCULPTING®?
CoolSculpting® treatments need to go hand-in-hand with lifestyle measures to maintain an ideal weight.
It works best when combined with regular exercise and a well-balanced diet. Our doctors will advise on how to maintain a healthy lifestyle while doing CoolSculpting®.
WHO SHOULD AVOID IT?
Patients with fat skinfold of less than 2cm are not suitable for Coolsculpting® as there is insufficient subcutaneous fat to fill the applicators.
Conversely, Coolsculpting® is not a treatment for obesity. Coolsculpting is effective for fat reduction and body contouring over targeted areas, but is not considered a form of weight loss.
The following conditions are not recommended for Coolsculpting®:
Signs of aging such as fine lines and wrinkles, and sagging skin are one of women’s greatest skin concerns. In Singapore and elsewhere in Asia and in the West, more and more people are turning to doctors for aesthetic solutions over and above skincare, to address those concerns. Injectables such as Botox is one of the most popular and accessible in-clinic procedures used to combat the signs of aging.
WHAT IS BOTOX?
Botox is the brand name of a neurotoxin produced by the bacterium Clostridium botulinum. This neurotoxin is known as botulinum toxin type A. There are currently three HSA-approved brands of botulinum toxin in Singapore: Botox by Allergan, Dysport by Ipsen and, Xeomin by Merz. The three approved labels are prescription drugs, for use only in a clinic and performed by a licensed and trained doctor.
The first and most well-known brand in the market is Botox. It got its first FDA approval for treating upper facial wrinkles in the 1990s and its aesthetic indications have expanded in the ensuing 20 over years.
HOW DOES BOTOX WORK?
Essentially, it is a protein produced by a unique strain of bacteria that blocks the release of chemical signals from the nerve to the muscle, thereby making the muscle unable to contract. This resultant relaxation is used to treat selected hyperactive or hypertrophic muscles on our face, and even other parts of the body.
By using Botox to relax specific muscles, we can make a person look:
WHAT CAN IT DO FOR YOU?
Beyond the aesthetic applications listed above, Botox can be used to treat many other different medical conditions including chronic migraines, eye squints, strabismus (crossed eyes), facial tics, bruxism, muscle spasticity in stroke patients. Research has also shown that Botox can affect sebaceous or oil glands.
Women with a square jaw might find their appearance too masculine and would much prefer a slimmer and more feminine jawline. Chewing on foods such as dried squid or teeth grinding can result in over developed muscles in the jaw area also known as masseter hypertrophy or ‘square jaw’.
Botox can be injected to block nerve impulse in the sweat glands to temporarily reduce sweat production in the treated area. Patients reported a substantial decrease in sweating within two days and even stopped perspiration following the treatment. Repeat treatment is usually recommended within five to seven months.
Frozen shoulder or adhesive capsulitis, is a disease of chronic inflammation and scarring of the ligaments of the shoulder joints. Patients experience significant pain and reduction in the movement of the shoulder. Depending on the cause of frozen shoulder, Botulinum toxin (BTX) may be used for pain management and it is also found to retard the process of fibrosis.
Bruxism is the medical term for subconscious teeth clenching and grinding, whether awake or asleep. It can lead to painful and severe dental problems such as loss of tooth enamel, increased tooth sensitivity, flattening, chipping or cracking of the teeth, sore jaw, earaches, and migraines. Bruxism can also lead to hypertrophy of the masseter muscle or severe square jaw. Treatments with Botox can help to soften the appearance of the jaw line and provide tremendous relief to these painful and unpleasant problems associated with Bruxism.
Post stroke patients often have increased muscle tone in their limbs. Worsening of this problem may cause contractures and loss of function. Botox relaxes the spastic muscle and also preserves the function and range of movement of the affected joints. Research shows that repeated treatments of botulinum toxin over one year after a stroke can improve muscle tone and reduce pain in the arms and hands, making it easier for patients to perform personal hygiene and simple tasks such as dressing oneself.
Botox is injected to specific muscles at the sides of the face and the neck to reduce muscle tension around the head. This treatment option may be offered by the neurologist when medical treatment fails.
Facial tic/involuntary spasm:
Botox can be used to relax certain facial muscles that contract involuntarily, making it socially embarrassing for these patients.
In general, the most often requested areas for Botox injections in aesthetic clinics would be for ‘frown lines’, forehead lines and ‘crows’ feet’ (lateral canthal lines). Other popular Botox treatments include jaw muscle reduction.
PROCEDURE AND TREATMENT
Botox comes in a powder vial and is reconstituted with saline prior to injection into the targeted muscle(s). Botox is administered through many tiny injections, using the finest needles. It feels like little ant-bites and most if not all patients tolerate the procedure.
The procedure takes only a few minutes to perform but may take up to three days to take effect - ‘frown lines’, forehead lines and ‘crows’ feet’. But in very rare circumstances, it may take as long as three to seven days or even as long as two weeks to take full effect - jaw muscle reduction.
A review is usually done 2 weeks after the first injection and adjustments are made if required. The muscle-relaxing effect of Botox lasts between four to six months. As Botox is not a one-time fix and the effects wear off with time, repeated treatments two to three times a year are recommended.
RISKS AND SIDE EFFECTS
Botulinum toxin injections are generally well tolerated with very few known side effects.
Common side effects like bruising, erythema (reddening of the skin) and slight pain and swelling at the injection site may be experienced but are transient. Headaches can also occur but this is rare and it usually goes away in 24 to 48 hours. Depending on where the Botox is injected, eyebrow or eyelid drooping, drooping of the corner of the mouth, or inability to use a straw may be experienced. Patients are usually advised to refrain from rubbing the treated area and avoid lying down for three to four hours after injection.
Rarer side effects include local edema, mild nausea, numbness, temporary weakness or paralysis of nearby muscles, weakness of the lower eyelid or lateral rectus (a muscle controlling eye movement), dysphagia (trouble swallowing), diplopia (double vision), dry mouth, rashes or hives and wheezing.
Our doctors are qualified and well trained to recommend and administer the treatment after a comprehensive medical assessment.
Patients taking aspirin or oral anticoagulants for their heart problems or stroke are allowed to do their Botox treatment without stopping their medication. Extra care is taken to do longer compressions and icing the areas to prevent bruising.
Follow the post-injection instructions carefully and report any persistent side effects (if any) as soon as possible.
WHO IS NOT SUITABLE FOR BOTOX?
$1,200 for 1 vial
Overview on all the different treatments and technologies available in IDS.