dermatologist specialising in caucasian skin - bad acne

[dubplate]

hello,

My beautiful girlfriend has always had some ance. Since she's moved up to singapore with me, its gotten worse. (we assume a combo of stress in her job and weather in singapoare?)

Can forum go-ers recommend a proper, medical grade dermatologist?

Ideally someone familiar with cauasian skin types.

She is keen to avoid taking roaccutane if possible.

We arent looking for any un proven treatments - want a medical focussed solution.

Thanks,

[sensei_]

just curious.... whats the difference between asian skin and caucasian skin?

[sundaymorningstaple]

just curious.... whats the difference between asian skin and caucasian skin?

http://www.crutchfielddermatology.com/t ... ndtype.asp

Do these ethnically different skin types require a different approach to skin care?

The answer is 'to some extent, yes' but on closer analysis we will see that there is very little difference between black, brown, yellow, red and white skin types!

Within each of these groups, there is a wide range in skin tones and overlap from group to group. For example, white skin may range from alabaster white to deep olive tones; black skin may range from light tan to almost ebony black; Asian skin from light yellow to deep tan; and in American-Indian and Inuit skin, various tones of reddish brown. These differences are caused by the concentration of melanin and proportional contribution of the other pigments in the skin.

People of different races have the same number of melanocytes but they are more active in dark-skinned people. Oil glands tend to be more numerous and large in black skin, and follicles tend to be larger, so black skin tends toward oiliness, although it is less acne-prone. The darker the skin the more protection melanin provides from ultra-violet rays of the sun and from premature aging and stays younger-looking longer.

[dubplate]

thanks for clearing up the ethnicity skin topic.

any recommendations for a good dermatologist in singapore?

[sundaymorningstaple]

As the asian skin tones would range from alabaster white to dark shades of brown, I don't think you would have any issues with any dermatologist with proper degrees. The only problem seems to be one of racism only in view of the link I put up.

[sensei_]

http://www.crutchfielddermatology.com/t ... ndtype.asp

interesting read. makes me wonder why my asian doc (who studied in Perth) cant get my dermatitis under control.

[sundaymorningstaple]

Especially if he's Asian and studied in a Western school. Personally, I'd wonder if he really knows his stuff. Is he a qualified skin doc? or a GP?

[taxico]

http://www.crutchfielddermatology.com/t ... ndtype.asp

interesting read. makes me wonder why my asian doc (who studied in Perth) cant get my dermatitis under control.

whatever you suffer from, dermatitis is difficult to treat and most patients find it very difficult to be disciplined (in the broadest sense of this word) enough to keep their condition under control.

whether your doctor being asian or having studied in australia changes anything, i'm unsure.

some doctors don't like treating certain problems (not necessarily illnesses). how about seeing another doctor?

[sensei_]

whatever you suffer from, dermatitis is difficult to treat and most patients find it very difficult to be disciplined (in the broadest sense of this word) enough to keep their condition under control.

whether your doctor being asian or having studied in australia changes anything, i'm unsure.

some doctors don't like treating certain problems (not necessarily illnesses). how about seeing another doctor?

might be a good idea to get a second opinion. currently im just on a massive dose of elocon to treat my skin disorder.

[taxico]

btw, it's common opinion that overuse of topical steroids will _probably_ not help... you should stick to the regularity recommended by your doctor - less is best.

if the affected areas spread, it would be wise to go back for a follow-up sooner than later.

if you're prescribed or are taking an anti-histamine regularly, know that you'd need to change them to a different type from time to time. ask your doctor or pharmacist for advice on this.

some common things you can do that may help... no hot showers, short cold showers are good. pinetarsol products help, especially if you think you'd like a quick soak. use a very very mild soap (QV or QB or something, from australia).

i could go on, but i won't. good luck and i hope you'll find something that works for you.