Masterclass for Advanced Botulinum Toxin Procedure held in Bangkok, Thailand

Dr Sylvia Ramirez


August 17, 2014, Bangkok: Dr. Sylvia Ramirez of Cutis Medical Laser Clinics Singapore attended a Masterclass for advanced procedures with Botulinum Toxin.

Dr Young-Seob Lee, one of Korea’s top plastic surgeons, conducted the workshop which focused on the dermalift, a specific technique using Botulinum Toxin to redefine facial expressions, eliminating deep grooves, furrows and wrinkles.

Botulinum Toxin is a non-surgical treatment that is injected directly into the muscles to iron out unwanted wrinkles. Botox is most commonly used to treat frown lines in between the brows and wrinkles in the corners of the eyes.

It lasts for 3-6 months, and with repeated treatments, the effectiveness of Botox tends to last longer as the muscles become less prominent. After the treatment, there is no recovery time (downtime) needed, patients can go back to their regular activities with a more natural and youthful look.

To know if you are a good candidate, call us at +65 6664 8119.

Your Cutis Team
Cutis Medical Laser Clinics
9 Scotts Road #03-06 Pacific Plaza  - Age Management Program

Aging and Sleep

sleep and agingAlong with the physical changes that occur as we get older, changes to our sleep patterns are a part of the normal aging process.

As people age they tend to have a harder time falling asleep and more trouble staying asleep than when they were younger. It is a common misconception that sleep needs decline with age. In fact, research demonstrates that our sleep needs remain constant throughout adulthood.

So, what’s keeping seniors awake? Changes in the patterns of our sleep occur as we age and this may contribute to sleep problems. Sleep occurs in multiple stages including dreamless periods of light and deep sleep, and occasional periods of active dreaming (REM sleep). The sleep cycle is repeated several times during the night and although total sleep time tends to remain constant, older people spend more time in the lighter stages of sleep than in deep sleep.

Many older adults, though certainly not all, also report being less satisfied with sleep and more tired during the day. Studies on the sleep habits of older Americans show an increase in the time it takes to fall asleep (sleep latency), an overall decline in REM sleep, and an increase in sleep fragmentation (waking up during the night) with age. The prevalence of sleep disorders also tends to increase with age.

However, research suggests that much of the sleep disturbance among the elderly can be attributed to physical and psychiatric illnesses and the medications used to treat them. In addition to changes in sleep architecture that occur as we age, other factors affecting sleep are the circadian rhythms that coordinate the timing of our bodily functions, including sleep.

For example, older people tend to become sleepier in the early evening and wake earlier in the morning compared to younger adults. This pattern is called advanced sleep phase syndrome. The sleep rhythm is shifted forward so that 7 or 8 hours of sleep are still obtained but the individuals will wake up extremely early because they have gone to sleep quite early.

As we age, there is an increased incidence of medical problems, which are often chronic. In general, people with poor health or chronic medical conditions have more sleep problems. In addition, menopause and its accompanying hot flashes, changes in breathing, and decreasing hormone levels for both men and women can lead to many restless nights.

Discussions about sleep patterns are an integral part of the Optimagenics Age Management Program in Cutis Medical Laser Clinics.

#healthy aging #health #optimagenics #cutislaser

CoolSculpting and TriLipo Fat Removal Combination Treatment

Combining the fat loss power of the original Coolsculpting by ZELTIQ with the skin tightening effects of TriLipo by Pollogen, this treatment plan safely transforms your body without downtime.

Please call us at +65 6664 8119 for more details.

CoolSculpting Fat Freezing Treatment


  • US FDA Approved Fat Freezing Technology
  • High Safety Profile
  • 40% Fat Reduction
  • No Downtime

 TriLipo Fat Reduction Technology


  • Safely Increases Fat Metabolism
  • Tightens the Skin
  • Builds Collagen
  • No Downtime

Toxin for that better look: Dr. Sylvia answered common Botox misconceptions

Business Times June 2014

The article, “Toxin for that better look“, that was published in The Business Times Weekend on the 21-22 June 2014, discussed the misconceptions about Botox wherein Dr. Sylvia Ramirez answered the common questions about it.

“…The key to a good Botox treatment is ‘no one should know’. A good Botox treatment should result in a refreshed’ or ‘relaxed’ look” - Dr. Sylvia Ramirez

To view the full article, click here.

Copyright 2014 SPH

Say Goodbye to Stubborn Fat.

saddle bagCoolSculpting – Safe Non-Surgical Fat Removal Treatment

It’s called stubborn fat for a reason: no matter how much you eat healthy and exercise, it’s virtually impossible to lose those annoying muffin tops, love handles, saddle bags and belly pooch.

Only CoolSculpting targets fat cells alone, eliminating them in an easy, non-intrusive fashion that exercise and diet can’t achieve as quickly or as effectively.

How It Works:
The Cool Solution is the More Natural Solution. Other procedures used to remove fat can actually destroy other tissue in the process by burning, shattering or extracting non-fat cells. This requires downtime for your body to heal.

The CoolSculpting procedure doesn’t burn, shatter or extract any cells. Developed by Harvard scientists, our unique, FDA-cleared, patented procedure uses a targeted cooling process that kills the fat cells underneath the skin, literally freezing them to the point of elimination.

Only fat cells are frozen. Your healthy skin cells remain, well, healthy. No knives. No suction hoses. No needles. No scars. Once crystallized, the fat cells die and are naturally eliminated from your body.

Minimal Downtime and Lasting Results.
CoolSculpting takes very little time and is pretty simple to fit into your daily life. After your CoolSculpting treatment you can typically get right back to your busy day. Each treatment lasts one hour – the same time you might spend at the gym. So you can easily fit your appointment into a lunch break.

Targetted Concerns:

To know if you’re a good candidate for CoolSculpting, please call us at +65 6664 8119 or email us at

glominerals Pressed Base Powder Available at $65*

glominerals-press-powdergloPressed Base Powder available at $65*

The award-winning mineral makeup foundation delivers unsurpassed coverage that nourishes, corrects and protects skin.

glominerals Pressed Base powder provides sheer to full coverage with a flawless, semi-matte finish. As with all glominerals products, Pressed Base Powder is talc-free, non-comedogenic and fortified with an exclusive antioxidant blend.


For other glominerals products, please call 6664 8119 or visit us at #03-06 Pacific Plaza.

*Valid for June and July only

Experiencing the CoolSculpting Fat Freezing Treatment

CoolSculptingThe original CoolSculpting by ZELTIQ is an innovative and non-surgical fat reduction procedure that uses advanced cooling technology to gently and effectively target and eliminate fat in specific areas of patient’s body without harming the skin or other tissues.

The CoolSculpting treatment starts by marking and measuring the targeted area. The treatment is done while the patient is lying down. The CoolSculpting device is then placed on the marked area and a strong vacuum pressure gently draws tissue between the cooling panels. The sensation is a firm pull and pressure – enough of a pull to ensure the selected tissue will be cooled most efficiently.

As the cooling begins during the first few minutes, you will feel pressure and intense cold. This soon dissipates. Many people read, work on their laptop, or even take a nap during their treatment. As the procedure is completely non-surgical, you can typically return to normal activities immediately. Often times at Cutis Medical Laser Clinics, an aesthetic clinic in Singapore, patients return to work after the session is over.

You may start to see changes as quickly as three weeks after your treatment, and will experience the most dramatic results after two months. But your body will still flush out fat cells and continues doing so for up to four to six months after treatment.

No special diet is required and you do not have to adopt any exercise habits (although you should). Many patients feel more motivated to take care of themselves after the CoolSculpting treatment, too. Like they get a second lease on their body and want to start anew again by taking even better care of themselves. A good way would be start the Optimagenics Lifestyle Program with Cutis Medical Laser Clinics.

When you have your CoolSculpting treatment, the affected fat cells will be eliminated. As long as you maintain your weight with your diet and exercise, your long-term results should remain stable.

Typically, each CoolSculpting treatment results in a noticeable reduction of fat in the treated area. After the initial treatment is complete, you can attain further reductions with additional treatments, resulting in even more fat loss. Some patients find that just one treatment fully addresses their goals whereas other patients will likely want to address different parts of their body. You and Dr. Sylvia Ramirez, the Medical & Scientific Director of Cutis Medical Laser Clinics, will discuss and design a customized treatment plan that suits you best.

Treatment Options for Acne Scars


Acne vulgaris is a common human skin disease, characterized by areas of seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), nodules (large papules), pimples, and possibly scarring. * – cite_note-Adi2009-1

Aside from scarring, its main effects are psychological, such as reduced self-esteemand in very extreme cases even depression.

In adolescence, acne is usually caused by an increase in androgens such as testosterone, which occurs during puberty, regardless of sex. Acne more often affects skin with a greater numbers of oil glands; these areas include the face, the upper part of the chest, and the back.

Many different treatments exist. Eating fewer simple carbohydrates like sugar may help. Medications for acne include: benzoyl peroxide, antibiotics (either topical or by pill), retinoids, antiseborrheic medications, anti-androgen medications, hormonal treatments, salicylic acid i.e. Chemical Peels such as VI Peel, alpha hydroxy acid, azelaic acid, nicotinamide, and keratolytic soaps. Early and aggressive treatment is advocated by some to lessen the overall long-term impact to individuals.

Acne usually improves around the age of 20 but may persist into adulthood. However, permanent scarring may occur. Such acne scars are permanent unless treated and can come in many shapes and forms. Some are thick, raised hypertrophic (sticking out) or keloid (over-produced skin tissue) scars, while other scars can appear as little depressions in the skin, called atrophic scars. One type of atrophic scarring commonly seen as a result of acne is often referred to as an ‘ice pick’ scar. These are deeper than they are wide. Treatment of acne scars are more intense and must be viewed as a process. Options include:

Steroid injections: ”Thick scars (keloids) can be injected with cortisone to make them softer and flatter.”

Dermal fillers: ”Certain scars can be filled with a substance that elevates the depressed areas, such as hyaluronic acid. This can make the surface of the skin more even, and get rid of shadows. It’s important to note that the most commonly used fillers aren’t permanent, but they can last about a year. Dr. Sylvia’s preferred dermal filler for improving acne scars is Restylane Vital.

Lasers: These can be helpful in reducing the redness associated with acne marks and scars. Dr. Sylvia Ramirez of Cutis Medical Laser Clinics uses Laser Genesis with a vascular setting for red scars. When treating older scars that are no longer red, Dr. Sylvia Ramirez uses the Cuter Pearl which has a unique wavelength that maximizes patient outcome and minimizes downtime. “When lasers are used to treat acne scars, the results can differ dramatically based on two things: how many treatments you have done, and how much social downtime you’re willing to accept as part of the recovery process.”

Mix and Match: “Since acne scars vary, so do treatments.” Depending on the individual, Dr. Sylvia often uses a multi-modal approach combining the above treatment options to generate the best outcome for the patient.

Enhancing the tear trough with hyaluronic acid

face contouringAllergan has announced the launch of Juvéderm® VOLIFT® with Lidocaine, the latest addition to the Juvéderm range of hyaluronic acid (HA) dermal fillers now available in Singapore. Designed for facial treatment and contouring of deep skin depressions such as nasolabial folds, Juvéderm VOLIFT with Lidocaine provides a new treatment option estimated to deliver smooth, long-lasting results for up to 15 months.

Over time, the cheeks, chin and jawline area can be impacted by the natural ageing process: a loss of volume or definition, and the appearance of ‘static’ wrinkles such as deeper nasolabial folds are among the key ageing concerns. Juvéderm VOLIFT with Lidocaine is designed to smooth deep wrinkles for a refreshed look, as well as gently restoring natural-looking contours in the lower face.

This new addition to Allergan’s next-generation dermal filler range has been developed using VYCROSS™ technology, which uses an innovative combination of low and high molecular weight HA to improve the cross-linking efficiency of HA chains. This more effective cross-linking allows for a lower concentration of HA to be used, delivering an ultra-smooth gel for a natural look and feel, minimal swelling and bruising, as well as improved duration.

‘Juvéderm VOLIFT with Lidocaine provides a versatile treatment option for patients who are looking for a discreet, natural look with minimal swelling and long-lasting results. In Singapore, Dr. Sylvia Ramirez of Cutis Medical Laser Clinics, a medical skin and aesthetic clinic, was part of the expert panel evaluating Juvéderm VOLIFT.

‘The smooth and easy injection allows for excellent control when contouring the face, providing even distribution under the skin for a natural look and feel, she says.

One of the key barriers to a cosmetic injectable treatment is the fear of an unnatural look – a fear that can be put to rest with Juvéderm VOLIFT.

Longer Lashes with LATISSE® (bimatoprost ophthalmic solution)

eyelashesLATISSE® is a prescription treatment for hypotrichosis (inadequate or not enough lashes) to grow eyelashes longer, fuller, darker.

LATISSE® was discovered as a side effect of Lumigan which is used to treat ocular hypotensive activity. The drug reduces pressure in the eyes — an important part of treating conditions like glaucoma. Lumigan has several side effects including increased pigmentation of the eye and eyelid. It also tends to spur eyelash growth. However, one drug’s side effect is another drug’s intended application.

LATISSE® uses the same concentration of Lumigan’s active ingredients to promote eyelash growth. With this growth comes the risk of suffering other side effects. People using Latisse may experience changes in pigmentation or their eyes may become itchy.


If you stop taking Latisse, the benefits will eventually disappear. And since it’s not an over-the-counter drug, you’ll need a doctor’s prescription to purchase it. Don’t expect medical insurance to pick up the tab either — most insurance companies won’t cover cosmetic treatments. In Singapore, Latisse is available at Cutis Medical Laser Clinics, medical skin and aesthetic clinic, located at 9 Scotts Road, Pacific Plaza #03-03.

Some important do’s and don’ts.

• Do not apply to the lower lid or in the eye and blot excess solution with a tissue.
• Only use the sterile applicators supplied with LATISSE® to apply the product.
• Don’t allow the tip of the bottle or applicator to touch fingers or any other unintended surface, as contamination by common bacteria is known to cause infections.
• Remove contact lenses prior to applying LATISSE®. Contact lenses may be reinserted 15 minutes afterwards.
• Remember, if you stop using LATISSE®, lashes will gradually return to their previous appearance.

Step by Step Application

STEP 1. Before Applying
Before applying LATISSE® each night, ensure your face is clean, makeup and contact lenses are removed, and any other facial care products have already been applied.

STEP 2. Prepare the Applicator
Remove an applicator from its tray. Then, holding the sterile applicator horizontally, place one drop of LATISSE® solution on the area of the applicator closest to the tip but not on the tip.

STEP 3. Apply to Skin Using Applicator
Immediately draw the applicator carefully along the skin at the base of the upper eyelashes (where the eyelashes meet the skin) going from the inner part of your lash line to the outer part. DO NOT APPLY in your eye or to the lower lid because excess hair growth outside the treatment area may occur.

STEP 4. Blot Excess
Blot any excess solution beyond the eyelid with a tissue