Melasma shows up as brown spots or splotches on the forehead, cheeks, jaw line or upper lip. Melasma is essentially too much dark pigment. That pigment has been triggered by hormones and/or sun. Melasma can appear when a woman’s hormones change, whether through pregnancy, oral contraceptives, or hormone replacement therapy after menopause. Women of color are prone to melasma, and it is a significant problem for many. But people of any skin type can get melasma.

Once melasma has gotten started, for example during a pregnancy, it may become very difficult to treat afterwards. Also, it tends to become worse with subsequent pregnancies, particularly if the pregnancy is during the summer. If you do get melasma during the pregnancy, chances are it will resolve after delivery. But in a small percentage of women it gets worse over time and with exposure to sunlight.

To Treat Melasma

If you have melasma from hormones or prior pregnancies, please seek advice from your dermatologist first. Melasma can be difficult to treat.

(a) Sun block and Sun Protection
This is the most essential part of any treatment regimen for melasma, every single day, even cloudy days & indoors. The use of a broad spectrum sun screen that contains a physical blocking agent for example zinc or titanium dioxide.

(b) Double Protect – Wear Sun Protective Clothing

If your melasma is bad, wear long-sleeved shirts and pants and wide-brimmed hats.

(c) Stay out of the sun in the mid-day

(d) Topical Products
Because melasma is a disorder of pigmentation, topical products that block the process of pigment production are helpful in the treatment of melasma. Pigment production is a complex process and there are many products that act at different steps in this process. No one product is 100% successful at preventing and treating pigment so often multiple different products are used as they all work at different steps in the process.

(e) Hydroquinone
Hydroquinone (HQ) is thought to improve pigment by inhibition of tryosinase, an enzyme critical for pigment production. It has been in use for over 50 years and has a long and well documented history of safety and efficacy in the treatment of pigment.

(f) Retinoids
Retinoic acid and its derivatives (Retin-A, tretinoin, retinol, adapalene, tazaratene) have been shown to reduce the pigment of melasma and sun damage. They act by stimulating skin cell or keratinocyte turnover, decreasing transfer of pigment to skin cells and enhancing penetration of other active ingredients. Additionally, retinoids are an essential part of an anti-aging skin care regimen as they act to block the breakdown of collagen in the skin upon sun exposure.

(g) Ascorbic Acid or Vitamin C
In addition to being a powerful antioxidant, Vitamin C in skin serums and creams can block copper where it interacts with tyrosinase. Antioxidants are a critical part of any anti-aging program as they prevent oxidative injury to the skin with sun exposure.

(h) Topical agents

Licorice extract, soy, resveratrol, bearberry extract, emblica extract.

(i) Trichloroacetic acid (TCA) peels

Dermatologists have been using TCA peels, a close cousin to vinegar, to do chemical peeling for at least twenty years. Some dermatologists, in fact, still prefer TCA peels to any other modality for treating melasma, usually in combination with prescription creams. TCA peels are excellent and safe in the hands of an experienced dermatologist. This is a good option, particularly if you have severe melasma. Such procedure should only be performed by certified doctors.

(j) Lasers
– Effective, safe & FDA approved. You may contact Rachel Chew Clinic to enquire more.



Instant firm & lift, reversing the age

Skinartesse Power Lift uses various forms of barbed suture for the suspension and tightening of drooping facial skin. By inserting barbed threads under the skin, an instant lifting result is achieved, along with activation of cell repair and collagen regeneration. Threads will naturally dissolve in 6 to 8 months and the result can last 2 to 5 years. Suitable embedding areas include the neck, forehead, cheeks, mouth lines, double chin, face, marionette lines, sides of neck, nasolabial folds, chin, tears trough, eye bags, breast lift, hips lift, shrink pores, fat reduction etc. This procedure is far less invasive than traditional surgical facelifts, resulting in minimal discomfort and pain.


Skinartesse Power Lift 埋线拉提疗程利用不同的倒勾式手术缝合线,收紧下垂的脸部。把缝合线注射于皮肤表层,达到拉提效果,并刺激细胞修复,胶原蛋白增生。疗程于细少的皮肤切口内注入缝合线,能达到细胞修复和胶原蛋白再生的效果,缝合线于6至8个月后会自然溶解。可选埋线位置: 颈、额头、脸颊、嘴角纹、双下巴、脸庞、木偶纹、颈侧、法令纹、下颚、泪沟、眼袋、提胸、提臀、收缩毛孔、减脂等。埋线拉提术是崭新微创手术,过程中只有些少许疼痛。


Non Invasive, Non Surgical way to achieve desired 3D Heart Shape Face

Hyaluronic acid filler injections, among other fillers, are injected into the desired position to naturally replenish and refresh your appearance. Hyaluronic acid is one of the most important natural substances inherent in the human body to maintain health and beauty. It attracts and seals in moisture. By injecting hyaluronic acid on desiring areas, it will make your skin plump, glowing and resilient. As the hyaluronic acid used is very similar to the natural hyaluronic acid in the human body, it will not cause rejection and is acclaimed as a safe cosmetic product. Hyaluronic acid works by:

  • Eliminates wrinkles
  • Alters facial contours
  • Improves tear trough and dark circles
  • Increases the root of the nose, the chin
  • Enhance temple and forehead
  • Creating fuller lips
  • Improves sagging contours and scars




  • 消除皺紋
  • 改善面部輪廓
  • 改善泪沟和黑眼圈
  • 提高鼻樑、加長下巴
  • 丰额头,夫妻宫
  • 增加嘴唇的豐腴感
  • 改善下陷的輪廓和疤痕。

Treatment for Men

Gone are the days where it is only women that seek cosmetic intervention!

Even up until 5-10 years ago, most men would not seek cosmetic procedures or treatments. There seemed to be taboo or stigma associated with men seeking cosmetic intervention or to even maintain their skin with skincare products and treatments. Most men would not even disclose to their friends and family if they did take care of their skin.

The view on the matter seemed to be that; men are macho and therefore a rough and aged look to the skin is masculine.

There is a new wave of modern aged men, often called metrosexuals that take pride in their appearance; wanting their skin to be clear, congestion free, radiant and healthy looking.

Many skincare companies have jumped on this wave of “modern aged men” and have developed skincare ranges exclusively for men. Men’s skin tends to be thicker than women’s; making their skin more resilient to external factors and the ageing process. Even though many men age more successfully than women, their skin is still not concern or issue free.

Common concerns men find with their skin and body!
Even though men’s skin is considered to be more resilient than women’s, they can still develop concerns and conditions. Some of the most popular concerns that effect men include:

  • Ingrown hairs
  • Rough surface texture to the skin
  • Shavers rash
  • Dryness/dehydrated skin
  • Spider veins on the face
  • Rosacea
  • Pigmented areas on the skin from lack of sun protection
  • Enlarged pores
  • Oily skin
  • Acne scarring
  • Acne/blemishes
  • Blackheads/whiteheads
  • Wrinkles on the forehead and around the eyes
  • Stubborn fat around the chin
  • Excess hair on the back and chest
  • Stretchmarks from weight loss, weight gain and growth spurts
  • Stubborn areas of fat on the upper stomach and muffin tops
  • Prominent or malformed blood vessels and veins
  • Excessive sweating
  • Jaw clenching
  • Teeth grinding
  • Headaches
  • Prominent jaws

What cosmetic procedures and treatments for men are available?

Most cosmetic procedures are unisex and can be carried out on both genders. Cosmetic procedures and treatments for men that will help reduce the appearance of common concerns are listed below.

To treat the texture of the skin, acne, congestion, oiliness, dryness, dehydration, pigmentation, scarring, fine lines and wrinkles we offer:

Chemical peels. There are different types of peels; the type of chemical and the intensity being the main difference. People that have deeper routed pigmentation, acne/blemishes, deep lines and wrinkles will tend to need the higher intensity peels because the peel needs to penetrate and work on deeper layers of skin. People that wish to improve skin clarity, hydration, lifeless skin and superficial pigmentation would have a lower intensity peel because it only needs to treat the superficial layers of the skin.

Skin needling / Dermaroller  is a devise that contains tiny thin needles; penetrating into the dermis of your skin and treating deeper routed concerns. The devise is combined with a specialist serum for your concern; the combination allows the serum to reach and treat the route of your concern, making the treatment more effective. This treatment is great for people 25+ and one course can last up to 5 years, making it a great maintenance treatment as well. This treatment will help reduce the appearance of scarring, pigmentation, fine lines and wrinkles.

To treat excessive sweating, overactive muscles, headaches and areas of the face that have slackened, lost volume and developed wrinkles we offer:

Botox is one of the most well-known facial rejuvenation treatments in the cosmetic industry, with over 20 years’ experience. The solution is injected into the desired area to reduce and smooth the wrinkle; lasting on average of 3 months depending on the individual and the quantity used. We use pure Botox in our procedures, to treat fine lines and wrinkles associated with ageing, excessive sweating, prominent jaws, headaches, grinding teeth and jaw clenching.

Dermal fillers are also very well known within the cosmetic industry, also with over 20 years’ experience. Fillers are frequently used alongside Botox to add volume and plump any areas that have lost volume. We are able to treat many areas that people have always been unhappy with or that have developed from the ageing process; from deep set wrinkles, lines, permanent sleep lines, low set forehead/brows, lack of volume in the cheeks, the neck and lack of definition or volume in the lips. The procedure lasts on average 9-12 months, depending on the individual and the quantity used.

Are cosmetic procedures and treatments for men painful?

Most non-invasive cosmetic procedures and treatments are considered painless or at the most a sensation that is bearable. For patients that find they have a lower pain threshold we offer a numbing cream, which is applied beforehand to prevent discomfort.

How to maintain the improvements seen from cosmetic procedures and treatments for men!

By seeking cosmetic help for your concerns, it enables you to see the best results relatively quickly that you would not have seen naturally. To ensure the longevity of the results you must maintain your skin at home to prevent the concern worsening or reoccurring. Our aesthetic professionals with give you all the information you need to know in order to maintain your skin once at home.

Below is a list of steps to maintain the improvements seen on your skin, by not following steps or tips the concern will return:

  • Apply a lightweight sunscreen to your face, ears, neck and chest when walking and working outside, even in winter months as the sun is still intense. Apply sunscreen to the remainder of the body if it is exposed. This will prevent fine lines and wrinkles from worsening and pigmentation from developing and reappearing.
  • There will be particular key products recommended that will help keep oiliness, acne/blemishes, congestion, pigmentation, lines, wrinkles, dryness and dehydration at bay. By applying this product or products to the skin it will prevent the concern developing and worsening once again.
  • Maintaining a healthy lifestyle after treatment for stubborn fat will help you to see enhanced, quicker results and longevity of the results. 


The eyes require special treatment and care, whether it’s a lifestyle change or a cosmetic improvement, the eyes’ delicate skin should appear young. Wrinkles, bags, dark circles, and hooded eyelids do not flatter, but fortunately they can be treated with a variety of non-invasive treatments before taking the surgical leap. Eyes are one of the first things to notice about a person, so it’s important to have bright and youthful eyes rather than tired-looking bags and wrinkles.

Through proper care, simple maintenance regimens, and with the advent of many ground-breaking technologies, youthful eyelids are a realistic goal at any age.

1. Beauty sleep is real

Wrinkles, bags, and crow’s feet don’t stand a chance against an adequate enough sleep and day-to-day skincare. Getting the right amount of sleep every night at regular intervals is essential to leading a long, healthy and productive lifestyle. “Beauty sleep” is not just an expression; it really is the key to beautiful, healthy skin that lasts. Sleep restores the skin’s natural balance and increases the effectiveness in skincare treatments. Skin automatically rejuvenates itself during sleep.

Not enough sleep leads to stress, which triggers the adrenal glands that create an over production of the stress hormone, cortisol. Once the hormone is released, it stimulates the sebaceous glands to produce more oil. Stress creates a chain reaction that is recipe for bad skin. Clinical studies have proven stress is the common denominator of many skin problems.
When you don’t get enough sleep, not only are you tired, but you physically show the signs of sleep deprivation with puffy, under-eye bags and dehydrated skin. The ideal amount of consecutive sleep is 6 to 8 hours in order to allow the body to get through the 5 sleep stages. During these stages, the cortisol and insulin levels help produce more collagen. During the fourth stage, growth hormones surge and tissue repair occurs.

When a lack of sleep increases the levels of stress hormones, the body undergoes chronic stress, which leads to increased inflammation and subsequent acceleration of aging, and worsening of acne. Poor sleep habits can result in skin sensitivity and irritation. The skin gradually loses its ability to protect itself from all the chemicals, pollutants and dirt it comes in contact with everyday.

By avoiding caffeine 4 to 6 hours before bed, limiting alcohol and heavy meals before sleep, getting regular exercise, and developing a regular bedtime and morning wakeup call, even on the weekends, your skin will thrive in healthy glow. The skin on the eyelid is so thin and delicate it is one of the most noticeable aspects of the face, especially when skin isn’t treated right. As such a delicate part of the face, it needs these healthy lifestyle changes in order to flourish.

2. Eye Cream High Maintenance

Since eye skin is the thinnest skin on the body, it has the best opportunity for skin absorption of cream with rejuvenating effects. Creams are best absorbed by eyelid skin, however it is important to make sure that they contain the right ingredients for optimal eyelid skin health. Among key ingredients to look for are retinol, vitamin C, and growth factors.
As the body ages, the skin loses collagen, an important foundational protein. Retinol, is essentially vitamin A which works as an effective cell-communication ingredient and stimulates new collagen production. Retinol is an ingredient to look for when shopping for eye creams, along with vitamin C and growth factors. Vitamin C has many benefits for the body’s overall well-being, but the skin in particular reaps many rewards from Vitamin C’s power to slow down free-radicals, which are the unstable molecules that damage collagen and cause skin dryness. Growth factor products are another formidable skin care ingredients that have the ability to drive repair and new skin cell growth that has been overexposed to UV rays. Crow’s feet are eye wrinkles that should be treated with care because of the fine lines that form overtime from sun damage and squinting. Having a quality daily eye cream can help keep the delicate skin around the eyes younger and healthier looking for longer.

3. Cover Up: Sunglasses

Think sunglasses are just to help stop squinting? They do more than that; they protect the thinnest skin on the body, which is more susceptible to harmful ultraviolet rays (UV). The wrinkles that form around the eyes are fine and can easily sag below and above the eye. Protecting eyes from sun damage should be a priority, regardless of the type of skin tone, ethnicity, or eye color; although people with lighter eyes typically have lighter skin with less pigment, and thus experience sun damage easily.

Choosing eyeglasses with UV protection should be a top priority. It is crucial to protect the eyes, especially during peak sun hours of 10am to 4pm, in order to avoid eyesight damage, as well as sun damage to the delicate eyelid skin. Choose sunglasses with 99 to 100 percent of both UVA and UVB ray protection. Different UV rays are specific wavelengths of light that emit their own sun damage at varying degrees. The color or shade of the lens’ darkness actually has nothing to do with the level of protection, so instead just focus on the percent of UV blockage.

4. Puffy Eyes? Limit Salt Intake

Nearly everyone has woken up with swollen and puffy eyes that cannot be treated with a simple cream. In order to have younger looking eyes it’s important to not only pay attention to sleep and stress, daily skincare, and eye wear, but to avoid a high sodium diet that may result in puffy, tired looking eyes.

Dr. Rachel Chew suggests patients avoid salt during dinnertime because a salty meal right before bed will only make puffy eyes worse. The body needs salt, just not so late at night. Kidneys control water retention and release, and when there is a high level of salt, the kidneys will retain water in response, which results in bloating. The skin under the eyes are so thin, that once sodium levels are high and the body is at rest in the horizontal sleep position, the water will pool beneath the eyelids. By morning time there is a noticeable puffiness beneath the eyes because gravity redistributes water when lying flat as a direct result of the high-salt intake.

5. Dark Circles Tire You Out

Dark circles are another tired-looking feature nobody wants, and is often difficult to cover up with make up. The claims that one cream can completely cure a person of dark under-eye circles are misleading because there are multiple causes for dark circles.

Some treatments are lifestyle changes such as more sleep, a healthier and well balanced diet, and to quit bad habits such as smoking. Smoking causes vascular, blood vessel, problems that can make the dark under-eye circles more prominent. Vascular congestion can appear purple and may be associated with allergies; although it is significant to understand that some people are just born with more vessels than others beneath their eyes. Certain ethnicities are prone to dark under-eye circles, predominantly seen in Indians and Hispanics. But everyone inevitably ages, and with that comes the loss of fat pads beneath the eyes, accentuating aging eyes. Under-the-eye hollowness then appears and creates a dark, unsightly shadow.

Another important cause of under eye circles is allergies or eczema. Rubbing the eyelid skin can cause darkening of the eyelids. Avoid scrubbing washes on eyelids.


Liquid Face Lift : Volume Restoration

For those who want to refresh and vitalise their face without surgery, Rachel Chew Clinic is offering this innovative new treatment, the non surgical liquid soft lift by using combination of dermal fillers and thread lift.

Facial Remodeling

Skin changes are among the most visible signs of aging. Skin aging first become apparent when the person is in their early 30s with the development of subtle changes, such as fine expression lines around the eyes and mouth and deepening of the tear trough, giving the face somewhat tired appearance.

Dr Rachel Chew observed the distinct feature of aging progress with appearance of deeper and more permanent lines of facial expressions that do not disappear when the face is relaxed leading to, crows feet, frown lines, smile lines and forehead lines. Furthermore there is loss of skin firmness and tone leading to sallow, dry, rough skin and more noticeable larger pore. In time age spots develop with uneven pigmentation. Skin thinning with appearance of dilated blood vessels and spider veins adds to the complete aging picture.

Exciting new facts have merged as Dr Rachel Chew further understands the structural changes and physics of the aging in the face. Previously it was thought that wrinkles, folds and skin sagging develop due to gravity pulling the skin down. What we know now is that it is not the stretching or drooping of the skins that accounts for the wrinkles and folds we see as we grow older. The most significant contribution to the aged appearance is loss of volume in the skin, soft tissues, fat and bones that create the visible signs of aging. Aging changes are more like a deflating balloon than a descent due to action of gravity. Volume loss leads to the shifts in facial shape, balance and proportions. We can visualize this by looking at the difference between grapes and raisins.

Deeper structural changes in the aging face lead to the appearance of more profound signs of aging:

  • Sunken cheeks
  • Appearance of jowls
  • Loose, sagging skin of the lower face
  • Drooping eyebrows and eyelids
  • Thinning lips with down-turned, deepening corners

Facial remodeling is a new way of reshaping face using dermal fillers and thread lift. It is non invasive, quick and relatively painless. Final result can last up to 2 years and more than 5 years using thread lift. At Skin Art Clinic, Dr Rachel Chew has sculpted the faces of hundreds of patients, she first consults with the patients and advises them on the areas that can be worked on.

Celebrities Go For Skin Tightening Before Red Carpet

Today, more and more celebrities are choosing skin tightening procedures before big events. Many stars want to look their very best and skin tightening can help by smoothing the skin and giving it a healthier, more youthful glow. It may seem like a surprise that anyone would make a appointment right before standing in front of hundreds of camera, but that’s exactly what movie stars and celebrities of our time are doing. You might be thinking to yourself, “But won’t the cameras see the scars, the bruising, the swelling?” And the answer is no. Cosmetic surgery has advanced to the point that skin tightening procedures no longer require a scalpel and, often, even anesthesia. With little to no downtime, it makes perfect sense why a red carpet walker would choose a skin tightening procedure before more invasive surgery.

Celebrities use skin tightening procedures because they are minimally invasive and can be performed in an office setting. With minimal risk and no anesthesia involved, they offer great results without high chances of miscalculation. MAXIMUS is a great example of this, this technology uses radio frequency energy to evenly heat skin tissue deep beneath the outer layers to activate and promote new collagen growth. Collagen growth will not only help diminish wrinkles and fine lines, it also results in smoother, firmer skin. Further more, this treatment can help to get rid of cellulite. For the best results, its recommended to do once a week with a series of 4 sessions. A celebrity may start their treatment a few weeks before the red carpet and continue treatments until the very last day before an event. As only a small amount of swelling and redness patients experience for a few hours after the treatment, there’s literally no downtime. Technically, if a celebrity were to get a treatment in the morning, by evening, they’d be ready to take that red carpet stroll.

It’s obvious to see why a celebrity might choose skin tightening procedures before going under the knife for more drastic, youth-reviving surgeries. Skin tightening is non-invasive, with little to no downtown. Swelling and redness for most procedures last no more than a few hours and the results can often be astounding. If you have a big event coming, maybe not a red carpet, but a wedding, vacation, or anniversary, a series of skin tightening procedures might be for you.