Diagnosis before treatment

Conditions We Assess

Thirty conditions, each explained the same way: what it actually is, how it is told apart from the things it resembles, and when treatment should wait. Assessment is carried out personally by Dr Sin Yong, Medical Director.

Lesions & Growths · 9
Moles
A melanocytic nevus is a benign proliferation of pigment-producing cells. Most are exactly what they appear to be —…
Skin Tags
Acrochordons are benign fibroepithelial outgrowths on a narrow stalk. Individually they are a non-event.…
Warts
A cutaneous wart is a human papillomavirus infection of epidermal keratinocytes. The raised, rough lesion is the…
Milia
A milium is a keratin-filled cyst sitting under the epidermis with a complete epithelial lining and no opening to the…
Syringomas
Syringomas are benign tumours of the eccrine sweat ducts — not milia, not sebaceous, and not treatable by extraction.
Sebaceous Cysts
An epidermoid cyst is a sac lined with epidermis, filled with keratin. The contents are not the problem — the wall is.
Lipomas
A lipoma is a benign tumour of mature fat cells sitting in the subcutaneous layer — soft, mobile, and usually painless.
Seborrhoeic Keratosis
A benign proliferation of immature keratinocytes with a characteristically stuck-on appearance, as though it could be…
Sebaceous Hyperplasia
Enlarged sebaceous glands presenting as small, soft, yellowish papules with a central dimple — most often on the…
Pigment · 6
Melasma
An acquired, symmetrical hypermelanosis driven by ultraviolet and visible light, hormonal influence and dermal…
Sun Spots
Solar lentigines are discrete, bounded collections of pigment produced by cumulative ultraviolet exposure. Unlike…
Freckles
Ephelides are a genetically determined sun response — melanin production without an increase in melanocyte number.…
Post-Inflammatory Pigmentation
Pigment deposited in response to an identifiable injury — a spot, a burn, friction, a procedure. It is the mark the…
Dark Underarms
Axillary hyperpigmentation is usually post-inflammatory, driven by friction, shaving and irritation — not by lack of…
Tattoo Regret
Tattoo ink sits as particles in the dermis, engulfed by cells that cannot break them down. Removal means fragmenting…
Redness & Vessels · 4
Persistent Facial Redness
Redness that does not settle has several distinct causes, and they are not managed the same way. Establishing which…
Rosacea-Prone Skin
Rosacea is a chronic medical condition, not a skin type. It requires diagnosis and frequently prescription management.
Facial Thread Veins
Telangiectasias are permanently dilated small blood vessels visible at the skin surface. They are vessels, not…
Sensitised Skin
Skin that reacts to things it should tolerate. Usually a barrier that has stopped coping rather than an intrinsic…
Texture & Scarring · 5
Acne Scars
Not one condition. Icepick, boxcar and rolling scars have different architecture and respond to different things —…
Enlarged Pores
Pore size is largely structural and genetically set. What can change is how visible they are.
Surgical & Trauma Scars
Scars are remodelled, not removed. The realistic aim is a scar that is flatter, paler, softer and less conspicuous —…
Stretch Marks
Striae are dermal tears from rapid stretch. They exist in two clinically distinct stages, and the stage determines…
Keratosis Pilaris
Keratin plugs the follicular opening, producing rough papules on the upper arms, thighs and cheeks. Extremely common…
Skin Quality · 4
Dehydrated Skin
Dehydration is a water problem, not an oil problem. Oily skin can be dehydrated, which is why the two are constantly…
Dull, Uneven Tone
Dullness is a light problem. Skin looks flat when its surface scatters light irregularly rather than reflecting it…
Fine Lines & Crepe
Crepe texture reflects dermal thinning and collagen loss — a structural change, distinct from the folds produced by…
Skin Laxity
Sagging has more than one source. Establishing whether the slack is skin, fat or support determines whether…
Body · 2
Stubborn Fat
Localised fat pockets that persist despite weight loss. These are distribution, not excess — which is why diet does…
Loose Skin After Weight Loss
After significant weight loss the skin envelope can exceed the volume beneath it. This is a skin problem, not a fat…

Not sure which one is yours?

That is what the assessment is for. Several of these conditions look alike and are managed differently — establishing which one you have is the first clinical act, not an afterthought.

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