Gold Photothermal Therapy at The Clifford Clinic: An Unconventional Solution to Stubborn Acne

Six months have passed since the wearing of face mask was made mandatory by our government for everyone venturing out of their homes. If your skin still hasn’t been reacting well to the increased humidity behind the mask while being at the mercy of acne, you are not alone. Almost every day, my jawline, chin or cheeks would be greeted with pustules or whiteheads after donning a mask for nearly 12 hours in an environment without air-conditioning. These pesky flare-ups lingered even after they had healed, leaving fresh red marks on my newly-treated skin.

Image from Freepik

Image from Freepik

While acne treatments are aplenty, the nature of my day job forbids me to take a few days off to recover from any downtime that follows. Therefore, when The Clifford Clinic introduced their latest localised treatment for recurrent acne that promises no downtime, it honestly felt like my cries for help were finally heard 😩 The new kid on the block is none other than Gold Photothermal Therapy (or Gold PTT) which, from its name alone, already sounds superior than whichever existing treatments for mild-to-moderate acne. The Clifford Clinic is also the pioneer of this novel approach in treating acne at its root.

But why gold? Apart from potentially giving clients a taste of opulence (I mean, it doesn’t get any fancier than having gold infused into your skin 🤩 bling bling!), the key component in Gold PTT is, duh, gold nanoparticles which are chosen for their biocompatibility with human tissues and ability to penetrate easily into the deeper layers of the skin. That said, the gold nanoparticles are also specially engineered to enable them to be precisely and accurately delivered into the pores and glands of the skin via ultrasound sonophoresis (a type of drug delivery) before heating them with a dermatology laser to activate their function. This process is only possible because of the efficient light-to-heat conversion of gold nanoparticles, which allows local therapeutic hyperthermia of tissue.

My first stop: cleansing room!

My first stop: cleansing room!

During the treatment, my face was thoroughly cleansed by an aesthetician before an ampoule containing the gold nanoparticles was carefully applied. As someone with highly sensitive nose, the pungent smell of the ampoule hit me hard at first but thankfully, it got better with every ragged breath I took. Other than that, the whole cleansing process was nothing short of soothing and calming – I only wished it lasted a bit longer!

The little bottle containing the gold nanoparticle-infused ampoule

The little bottle containing the gold nanoparticle-infused ampoule

Applying gold onto my skin..

Applying gold onto my skin..

Spot my whiteheads!

Spot my whiteheads!

Pulsing the gold particles into the oil glands

Pulsing the gold particles into the oil glands

Pulse some more..

Pulse some more..

My skin is so basic, it couldn't handle the opulence of the gold nanoparticles so it broke out in a rash! Luckily, most of it went away towards the end of the treatment

My skin is so basic, it couldn’t handle the opulence of the gold nanoparticles so it broke out in a rash! Luckily, most of it went away towards the end of the treatment

Once the application stage was completed, I was led to another room where Dr Ee would massage the gold nanoparticles into my skin using Bellasonic, an ultrasound machine imported from South Korea designed for skin treatments, before performing the rest of the photothermal therapy.

A picture showing my entire face slathered with cooling gel that was taken during my second session!

A picture showing my entire face slathered with cooling gel that was taken during my second session!

The cooling gel allowed my face to cool before laser application took place...

The cooling gel allowed my face to cool before laser application took place…

At this juncture, a specialised long-pulse diode laser was used to heat the nanoparticles to break down the sebaceous glands in targeted pores, thereby reducing their secretion permanently. This heat also kills Cutibacterium acnes (the bacteria responsible for causing acne) so the risks of inflammatory pustules and papules forming on my face would have likewise been greatly reduced.

Last step: laser treatment to heat up the gold and the oil glands

Last step: laser treatment to heat up the gold and the oil glands

The most uncomfortable part of the procedure because I could feel some tingling sensation.. but it was bearable.

The most uncomfortable part of the procedure because I could feel some tingling sensation.. but it was bearable.

Although the final part of the treatment has been said to be painless, I could still feel a tingling sensation (somewhat like snapping a small rubber band on my face, but the pain is certainly nowhere near the agony I experienced during AGNES, inarguably the mother of acne treatments) with every zap of the laser. Due to the minimal discomfort of this procedure, anaesthesia is not required.

Post-treatment

Post-treatment

Another one without those shades.. My face looks a bit red here but it subsided very quickly

Another one without those shades.. My face looks a bit red here but it subsided very quickly

In addition, the Gold PTT is a highly-tolerable procedure. Unlike other lasers used in dermatology, the diode laser administered in this treatment only interacts with the gold nanoparticles instead of the skin directly. This allows for a highly-localised treatment where healthy skin is left undisturbed so there will not be any drying or irritating effect on the skin. The leftover gold nanoparticles are also inert – they will not react with skin tissue and secretion, and will eventually be shed off together with dead epidermal cells.

A total of three sessions (including the first) was scheduled over a 5-week period for me (it could have been shorter if not for work), each treatment lasting no more than an hour. Even so, noticeable results could already be seen after the first session as the areas where my acne would usually appear have remained as clear as day – even at time of writing (that’s two months after my last Gold PTT session)!

The day after my first session! Still some visible blemishes but they weren't there for long!

The day after my first session! Still some visible blemishes but they weren’t there for long!

All in all, this acne treatment fulfilled its objective of pulling the plug on my pesky acne. However, this might not be the most ideal treatment for those suffering from severe acne. For that, perhaps AGNES would be a better option ☺️

Have you heard of Gold PTT before? What are your thoughts about it and would you consider it if you’re suffering from recurrent acne? Let me know your views in the comments below!

Thanks for reading!

The Clifford Clinic · 24 Raffles Place #01-03 Clifford Centre Singapore 048621 (Exit A from Raffles Place MRT) · Tel: 6532 2400 / 8318 6332 (WhatsApp) · For more information about AGNES, do visit Their website or Like them on Facebook and Instagram.

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REVIEW: NALC Moisturizer All-In-One Gel for Tone-up, Wrinkle and Acne Care

Hello everyone!

With more sectors of our economy allowed to resume operations progressively, it is only a matter of time before our borders reopen and we are able to jet off again (though probably not as extensively as before), or, at the very least go on a staycation; hence perhaps it’s about time we gear up with all the travel necessities so that we would be ever-ready for an impromptu getaway, especially once the restrictions are finally lifted.

Don't we all miss finding out our boarding time and gate in front of the FIDS? (Image by Jan Vašek)

Don’t we all miss finding out our boarding time and gate in front of the FIDS? (Image by Jan Vašek)

Much as my wanderlust itch is dying to be scratched, there is always this one small First World problem that makes travelling a little less enjoyable for me, and that is packing. As one who prioritises vanity, I mean, spares no effort on the upkeep of my appearance, my toiletries usually take up a lot of room inside my luggage, and this exacerbates if my destination is experiencing the height of winter, thereby leaving a limited amount of space for other essential items, and adding unnecessary weight to my precious load. For my trip to Japan last December, for instance, I had to pack my facial cleanser, toner, exfoliator, moisturisers (one for outdoor use) and acne treatment on top of my shower products (my sensitive skin doesn’t quite jive with some of the body wash provided by hotels so I tend to bring my own) into my luggage. And let’s not forget about the unpacking after everything is done and dusted. Oh, so lazy…

Thankfully, all this is about to change with the All-In-One Gel Moisturizer (also known as Three Protect Gel) by NALC, a Japanese unisex skincare brand that was previously featured here for their amazing waterproof sunscreen.

NALC All-In-One Gel Moisturizer (S$45)

NALC All-In-One Gel Moisturizer (S$45)

Touted as a handy all-in-one medicated gel that replaces your regular facial serum, moisturiser, cream and leave-on night mask altogether, it helps to tackle three major skin issues – wrinkles, acne and discolouration – with ingredients that lock moisture in the skin (i.e. ceramides and hyaluronic acids) and maintain its supple texture (i.e. collagens and amino acids). Dipotassium glycyrrhizinate, an active ingredient in the formula, prevents acne, heat rash, frostbite, chapping and cracked skin under extreme weather conditions while tranexamic acid suppresses the production of melanin to reduce the appearance of spots and freckles.

Protective seal

Protective seal

Ingredient list

Ingredient list (click here for complete list)

The tube

The tube

You might also be interested to know that this is actually a quasi-drug (approved by the Ministry of Health, Labour and Welfare of Japan) which ultimately means that the ingredients are recognised as effective, or more so than cosmetic products.

Medicated, another way of saying quasi-drug

Medicated, another way of saying quasi-drug

The "医薬部外品" label is what you need to look out for on the packaging to check if the product is a quasi-drug

The “医薬部外品” label is what you need to look out for on the packaging to check if the product is a quasi-drug

Moreover, it contains several natural ingredients such as white fungus polysaccharide, artichoke extract, scutellaria root extract, soybean extract, almond extract and bilberry leaf extract to promote better skin health.

Clinically proven to be hypoallergenic, this gel moisturiser is formulated without ingredients that are known to aggravate the skin (i.e. alcohols, fragrance, mineral oils, petroleum-based surfactants, artificial colouring, and parabens), therefore making it suitable for sensitive skin. In fact, this product is so gentle on the skin, it can also be applied on children of at least 7 years of age, and the elderly!

[First try] Didn't read the directions before I applied it for the first time. You only need 1/5 of this amount!

[First try] Didn’t read the directions before I applied it for the first time. You only need 1/5 of this amount!

[First try] But since it's already on my hand, let's not waste it :) Look how clear it is once it's been spread out!

[First try] But since it’s already on my hand, let’s not waste it 🙂 Look how clear it is once it’s been spread out!

[First try] Ta-dah! Barely noticeable! You wouldn't know it's there until you touch the area where you applied the moisturiser!

[First try] Ta-dah! Barely noticeable! You wouldn’t know it’s there until you touch the area where you applied the moisturiser!

This unscented gel moisturiser has a light and slightly milky consistency that spreads easily on the skin. A little goes a long way, so you would only need a small amount of it (less than 1 cm in diameter) to cover the whole face. Otherwise, you may run the risk of having to deal with the tackiness it leaves behind. However, you can dispense a larger amount (about 1.5 cm in diameter) if you intend to use it as an overnight mask (but do be prepared for any product to transfer onto your pillow).

Okay, now, trying it out on my face. This is how much you need. No kidding!

Okay, now, trying it out on my face. This is how much you need. No kidding!

Simply dot it on your forehead, cheeks, the tip of your nose and philtrum. There's seriously enough to go around!

Simply dot it on your forehead, cheeks, the tip of your nose and philtrum. There’s seriously enough to go around!

Then, spread it out! Be sure to spread it outwards, like how you should when you apply other products on your face, to prevent premature sagging and wrinkles ;)

Then, spread it out! Be sure to spread it outwards, like how you should when you apply other products on your face, to prevent premature sagging and wrinkles 😉

All done!

All done!

Having tried the moisturiser in the day and at night for a week already, the whitening effect seems to be the most noticeable on my skin because the hyperpigmentation left behind by maskne has lightened quite a bit. Granted, it did not really do much in preventing blemishes from me wearing my face mask for an extended amounts of time (this can’t be help, can it?), but it sure expedited their healing process. Within the third day, the zits had more or less flattened and the redness had also reduced drastically. While I can’t attest to its effectiveness in combating wrinkles (because I am lucky enough not to have any visible ones.. yet 🥺), I am confident that this moisturiser would do an equally great job at banishing those fine lines!

Most importantly, this, too, does not cause any irritation to my sensitive skin.

Before (taken on 30 June 2020) and after (taken on 7 July 2020) using NALC All-in-One Moisturizer!

Before (taken on 30 June 2020) and after (taken on 7 July 2020) using NALC All-in-One Moisturizer!

What are your thoughts on this all-in-one gel moisturiser? Let me know what you think in the comments below or take a quick poll!

Thanks for reading!

NALC All-In-One Gel Moisturizer is now available on SHOPEE. For more information on NALC, follow them on FACEBOOK or visit their official WEBSITE.
PRODUCTs WERE SUPPLIED BY NALC FOR MY EDITORIAL CONSIDERATION. ALL OPINIONS EXPRESSED ARE MY OWN.

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AGNES at The Clifford Clinic: Avada Kedavra, Recurrent Acne!

Hello everyone!

There are plenty of myths and old wives’ tales surrounding our skin that I can turn a blind eye to. But what really grinds my gears is the false notion that people suffering from acne will eventually grow out of the condition. While it may be so for some lucky souls, this belief usually does not hold true for the more severe cases. A good case in point would be yours truly, who even at the ripe age of 29, is still battling with cystic and nodular acne, sometimes worse than what I had in my adolescent years.

I know, I know… This is the umpteenth post about my acne and you’re probably sick of reading about my acne encounters already. Plus, haven’t I already found the cure to my skin woes? Don’t get me wrong – the oral prescription and Q-switch treatment worked like a charm and helped my skin revert to the flawless state in my prepubescent days. No kidding, my confidence peaked and I was able to go anywhere without putting on any makeup and still looked great. However, with it comes an undesirable price that no one would be willing to pay – extreme brittleness and dryness in hair (caused by the medication), leading to thinning and baldness.

Nice skin but hair was so dry!

Nice skin but hair was so dry!

At first, I didn’t think much of it because bruh, what’s a little hair loss compared to years of terrible skin, right? That was, until I realised that my part had become way wider than normal and I was also leaving traces of my hair everywhere I went (think strands of hair strewn all over the canteen table, work desk, shared spaces, etc – how embarrassing 😞). I was convinced that I was going to be prematurely bald at that rate so I stopped taking the oral medication completely. Within two weeks of the cessation, BAM! The zits came back, this time populating a more extensive area of my face 😭

Bumpy face 2 weeks after stopping oral medication

Bumpy face 2 weeks after stopping oral medication

Bumpy forehead (and my thinning hair)

Bumpy forehead (and my thinning hair)

Dr Ee was naturally shocked to see the state of my face when I turned up for my appointment. He brought up the suggestion of undergoing AGNES but I was hesitant because I remembered stumbling upon an online article (he totally knew which) that refuted the efficacy of the treatment (especially the claim that it would make the skin permanently dry – which I honestly would very much prefer to having unrelenting breakouts). Dr Gerard Ee was quick to denounce the credibility of such sources with solid medical facts (that only very few oil glands are destroyed in proportion to the millions of oil glands located throughout the entire face) and make me feel that I was in good hands. So, I agreed to undergo AGNES right there and then 🙊

Zee AGNES equipment

Zee AGNES equipment

But due to the rigorous nature of the treatment, I was advised to embark on it during the school holiday so that I wouldn’t have to deal with rude stares and comments from people I met. I was so glad I heeded his advice because I wasn’t expecting the treatment to be so potent 😱

Cleansing the face again

Cleansing the face again

Topical anaesthetic cream was administered to my face about 20 minutes prior to the treatment. After the slight numbing took effect, I was led into the treatment room where an aesthetician would cleanse and scale my skin. This step involved full-face drainage with the much-dreaded extraction which – I swear to God – wasn’t as excruciating as what I had experienced before (though it still hurt despite the anaesthetic cream). This could possibly also be due to the fact that most of my zits were “ripe” and hence didn’t require the extractor to go too deep into the skin.

Extract those gunk!

Extract those gunk!

 

Once those nasty gunk were out of the way, the same aesthetician applied a clear, light-blue, semi-cooling gel (or electrode gel) on my face before sticking an adhesive rubber pad (called ground plate or neutral electrode) on my back to enable monopolar radio-frequency current to penetrate the tissue through a tiny microscopic needle that would later be inserted into my skin follicle and sebaceous glands. The needle insertion was performed solely by Dr Ee under microscopic guidance to allow highly accurate targeting of overzealous glands without thermal injury to the skin. Upon each insertion, he would step on a foot switch to emit a pulse of electric current to destroy the identified problematic sebaceous glands.

All ready to be AGNES'd!

All ready to be AGNES’d!

Some discomfort was definitely felt with each zap (it intensified on the not-so-fleshy parts like the forehead) and I was pretty sure that if I were any less tolerant to pain, I would have been reduced to tears at the end of the treatment. Throughout the whole process, Dr Ee and his assistant (the aesthetician) tried to keep me calm by making small talks, and it also helped that familiar instrumental music was playing in the background to distract myself in between conversations.

Ahhhh ouch!

Ahhhh ouch!

The sacrifices I make for clear skin...

The sacrifices I make for clear skin…

My face was noticeably much redder and bumpier than before at the end of the treatment. The little dried blot clots all over my acne-prone areas caused by the continual poking had undoubtedly left me feeling so self-conscious that I wouldn’t go anywhere outside my house without a surgical mask for the next few days.

Immediately after the first session of AGNES

Immediately after the first session of AGNES

Day 2 (before the follow-up appointment) - affected areas had dried up quite a bit. I did not put on any face cream here

Day 2 (before the follow-up appointment)Day 2 (before the follow-up appointment) – affected areas had dried up quite a bit. I did not put on any face cream here

(Day 2, pre-appointment condition) The other side

(Day 2, pre-appointment condition) The other side

The hair follicles would be filled with exudate and debris after the treatment so it was imperative for me to return to the clinic the following day to remove them lest they become a source of infection. The post-care treatment includes melting the treated areas (using a bipolar device to deliver a suitable amount of heat to the skin) to facilitate the extraction of sebum and debris. At the same time, it would also prevent scar formation. The follow-up treatment was wholly administered by the aesthetician since it was minimally invasive (save for the extraction process) and it lasted no more than 15 minutes.

Applying electrode gel

Applying electrode gel

With electrode gel on

With electrode gel on

Melting treated area for easier extraction

Melting treated area for easier extraction

Merry-go-round on the face

Merry-go-round on the face

Cleaning up the gel

Cleaning up the gel

Face became slightly redder

Face became slightly redder

Extraction

Extraction

Thankfully, those concerned spots (which were now scabs) gradually diminished in size and became less conspicuous over time before finally disappearing without a trace after close to two weeks. During this recovery period (which may vary from one individual to another), I had to stay away from the sun and make-up – something which everyone knew I could never imagine being without.

Day 3. Zits turning into scabs!

Day 3. Zits turning into scabs!

Day 3. YES I could totally feel them healing

Day 3. YES I could totally feel them healing

AGNES certainly brought some inconveniences (imagine having to deal with curious glances and explain repeatedly that you are not ill to those who think otherwise just because you’re wearing a face mask), so much so that it had made me wonder for a split second if I had made a mistake in agreeing to go ahead with the treatment. But seeing how my face has cleared up and remained largely spotless until now (with most of my hair still intact), I think the trouble I had gone through was worthwhile.

Day 5. SO MUCH BETTER!

Day 5. SO MUCH BETTER!

(Sorry for the blur quality) Almost entirely gone on Day 8!

(Sorry for the blur quality) Almost entirely gone on Day 8!

Could already put on some light makeup by Day 11!

Could already put on some light makeup by Day 11!

Of course, it is still too early to tell if this treatment is a hundred percent effective (but I must say progress has been rather promising so far). I’ll continue to monitor my condition and keep you guys posted if anything crops up.

Would you consider AGNES for your persistent acne after reading this review? Share your thoughts or experience with me (if you have undergone this treatment) in the comments below! 😊 If you are not ready for AGNES yet, be sure to check out the other acne treatments offered by The Clifford Clinic here as well !

Thanks for reading!

The Clifford Clinic · 24 Raffles Place #01-03 Clifford Centre Singapore 048621 (Exit A from Raffles Place MRT) · Tel: 6532 2400 / 8318 6332 (WhatsApp) · For more information about AGNES, do visit Their website or Like them on Facebook and Instagram.

Follow me on Instagram and Facebook for bite-sized beauty updates!