Win A FREE Botox or Juvederm Dermal Filler Treatment

Christmas 2014 Giveaway 

In the spirit of the festive season, I'd like to give away one free treatment of either Botox for Upper Face (worth RM2,000) or one syringe of Juvederm dermal fillers (worth RM2,200) to one lucky winner. Both Botox and Juvederm are premium products from Allergan, one of the most reputable companies in the medical aesthetic field.

Botox, or Botulinum toxin A, is a proprietary product that works by disrupting the signals from the brain that communicate with your muscles. It can help you improve the appearance of your frown lines, crow's feet and other dynamic wrinkles - the wrinkles and lines that you see when you move your muscles. Botox also helps to restore facial symmetry - such as when you have one eyebrow higher than the other - and reduces hyperactive muscular activity. Examples include unconscious frown lines (so called number 11's between the eyebrows), and enlarged jaw muscles that develop due to constant chewing. 

Just one quick session of Botox can help you look younger and better rested. The treatment is very quick, and the fine needles and pain-relief methods we use make this treatment even less uncomfortable than an ant bite. You will see effects of the treatment within 4 days, and they will last approximately 4 - 6 months. 

If you are concerned about the effects of Botox treatments, rest assured that properly trained Botox experts are skilled in giving results that are harmonious and natural looking. No doctor wants their patients to experience the 'frozen' or 'fake' look so often associated with Botox. 

In general, you will retain your normal facial expressions post-treatment, but look relaxed, happier and younger. It is very rare for patients to experience any side effects of the Botox treatment, besides an occasional bruise. More often, patients will return to me within the week to ask for more of the magical treatment! 

With over 12 years of experience administering Botox, I have been officially recognized by Allergan Malaysia to conduct training modules for doctors who aren't familiar with Botox and its specialized injection techniques. 

Juvederm is a dermal filler made from hyaluronic acid, a natural component of healthy skin. Where Botox helps to prevent the movement of muscles, Juvederm volumises or fills in hollows, lines and depressions to restore the look of a youthful face. A face loses its youthfulness when fatty deposits and skin elasticity are reduced.

Fillers such as Juvederm are often used for anti-aging effect in the forehead lines, corw's feet, under-eye area or around the mouth. It can also be used to improve facial contours by augmenting nasal height and shape, volumising the lips or adding length to an inadequate chin.

Juvederm injections can last about 1 -2 years after each session, and the effects can be as subtle or dramatic as the patient requests. As an offical Juvederm trainer, I have a lot of experience in the assessment and treatment of different facial conditions, to help patients achieve their aesthetic and anti-aging goals.

If you'd like the chance to try out either of these great aesthetic treatments for yourself, all you have to do is:

1. Like my Facebook Page 
2. Fill out this short survey 

Terms and conditions:
1. Contest closes at midnight on the 24th December, 2014. 
2. Only Malaysian residents aged 18 and above are eligible to win.
3. Prize must be redeemed within 60 days.
4. Prize is non-transferable, and cannot be exchanged for cash or other treatments / products.
5. Doctor's discretion is advised in adminstration of treatment.
6. Any additional units of Botox or Juvederm desired will be charged at the normal rate. 

Update: 25th December 00:00 **** This competition is now CLOSED ****
Winners' names will be announced on my Facebook Page

--- Cosmetic Medicine, MD

Dr. Liow Tiong Sin is an aesthetic practitioner who practices in Kuala Lumpur and Melaka, Malaysia. He has more than 15 years of expertise with non-surgical cosmetic treatments, and conducts training courses for other doctors from all around Asia. 

To connect with Dr. Liow, Like Cosmedmd's Facebook page, visit Beverly Wilshire Medical Centre's website at or drop him an email at

7 Facts You Need To Know About Adult Acne

As an aesthetic doctor, I meet many patients with adult acne, and they are often very perplexed and troubled by it.

"I'm 35!" One woman tells me. "I haven't had acne for 15 years!"

One gentleman has lived with acne that has covered his cheeks and chin since he was 13.

Another woman wants to know how she can prevent the recurring acne that appears on her face every month just before her period. As a person who has many social engagements, having pimples greatly affects her self-confidence.

What is the Ideal Female Body Shape and Why?

What is the ideal female body shape? It depends if you're asking a man or a woman.

For women, the ideal will be a fashion model's body, a tall, willowy body with a modest bustline, a small waist-to-hip ratio, and thin, muscled thighs. According to women's ideal of the perfect female body, she should be 70 inches tall, have a BMI of 16.5 (underweight BMI), and have a hip size that is just 46 percent larger than her waist size.

A composite of celebrity body parts showing the differences of men & women's ideas of the perfect female body
Men, however, will generally prefer women with curvier, hourglass bodies. They prefer women with larger breasts, a small waist and larger hips and thighs. The most attractive waist size is one that is 60 to 70 percent of the hip size, according to studies that included men from all over the world. In fact, looking at curvy women caused the pleasure centres of men's brains to light up, in a response not dissimilar to the effects of cocaine and heroin. No wonder that men spend over $3 billion annually on pictures, magazines, videos and websites featuring women with small waists and curvy hips such as those who become Playboy Playmates.

What makes 'childbearing hips' so irresistible to men? Most men would not be aware of how evolution has designed them to prefer women that have the greatest ability to conceive, birth and raise children with the best chance of survival. Besides the fact that wider hips means a woman is more likely to survive childbirth, a small waist and curvy lower body also means that a woman has the right kind of fat for a healthy pregnancy. Fat stored in the hips and thighs is the kind that stores DHA, the omega-3 fatty acid that is the most abundant in the human brain.

This graphic (below) from Psychology Today shows the difference in the body shape preferences of men and women. While the fashion model figure on the far left exemplifies the ideal of women, the curvy Playmate figure in the centre is the mens' ideal. Modern diets that place emphasis on heavily processed foods tend to be poor in omega-3, causing women to crave more fatty food, leading to a body shape that more closely resembles the one on the right.

The more DHA a woman possesses, the better she is able to have babies who are smarter and healthier, able to face and survive more of life's challenges and pass on their own genes to future generations. In fact, fat stored in the lower body area is rich in the DHA crucial for the proper development of a baby's brain, stored specifically by the body through the years to support pregnancy and lactating. This is evidenced by the fact that hip and thigh fat is very difficult to shift despite fluctuations in fat in other areas of the body, and is only reduced during pregnancy and breastfeeding. 

In countries where mothers' milk have higher levels of DHA, children tend to excel at tests of academic ability. Countries such as Japan, Hong Kong and Singapore are among those that have the highest levels of omega-3 fat intake, and the percentage of women with slender hourglass figures is very high. Japanese women, in particular, have four times the amount of DHA in their blood compared to American women. Their children tend to have very low incidences of obesity, and score higher in academic tests.

There is also evidence that women with wider hips also tend to be of greater intelligence, as her own brain benefits from the abundance of DHA in her body. A curvier figure also has some correlation with improved EQ scores, making them not only better mothers in the beginning stages of childbirth and early childhood, but makes them better at raising happier, well-adjusted children as well. Is it any wonder that evolution has designed men to prefer women with this type of body shape? In terms of biology, which body shape would you consider to be the most ideal?

--- Cosmetic Medicine, MD

Dr. Liow Tiong Sin is an aesthetic practitioner who practices in Kuala Lumpur and Melaka, Malaysia. He has more than 12 years of expertise with non-surgical cosmetic treatments, and conducts training courses for other doctors from all around Asia. 
To connect with Dr. Liow, Like Cosmedmd's Facebook page, visit Beverly Wilshire Medical Centre's website at or drop him an email at


Facial Exercises - Do They Really Work?

You've seen the products designed to be wrapped around your head or strapped to your face, facial exercisers designed to 'tighten and tone your facial muscles to prevent wrinkles and sagging.' Facial workouts featured in women's magazines claim to do the same.

Scary but necessary? Hilarious facial contraptions such as these claim to help you look younger for longer.

Which Facial Treatments Really Work? Part 2 - The Best From The Rest

This post is part two of my two-part post on facial treatments that really work. Read part one here, to read more about the supposed and actual benefits of treatments such as gold, diamond, snail mucus, bee venom and caviar.

This post at discusses why spa facial treatments are not really good for your skin. This New York Times article also explains why dermatologists don't recommend facials for optimal skin health and beauty. This article quotes Professor of Dermatology, Doris Day, MD about spa facials: "I call it 'spa science' because there isn't a lot of science behind many of the claims." She further adds,"Think of a facial as a treat rather than a medical treatment." Good at-home daily facial care can preclude the need for costly facial treatments. 

Which Facial Treatments Really Work? Part 1 - It's All About The Hype

My wife complains that going for a facial is more stress than bliss nowadays. "Too many options and choices ... I don't know if I should go for a deep-clean cream cleanser or a blemish-relief clarifying one; would a diamond polishing be better than a ultrasonic exfoliation; and is a gold or propolis mask better for my skin?"

Just the Facts - About Tattoo Removal

Tattoo removal facts you need to know! 

Getting a tattoo has become a milestone or rite-of-passage for many, and some people view tattooing as a way of defining themselves, their emotions or beliefs. Whatever your reason for getting a tattoo, always remember to go to a reputable tattoo parlour, ensure they take all the necessary sanitary precautions and that you know what you are getting into. 
These are just a few of the examples of regrettable tattoos; hilarious Chinese words, poor drawn art and misspellings:


What You Need To Know About Laser Tattoo Removal:

1. About 1 in 3 people eventually regret getting their tattoos.

Whether a tattoo was a result of a drunken dare or as a method of emotional catharsis, most people tend to later regret them as they move on in life. An ill-planned tattoo could be a painful reminder of a misspent youth, or an embarrassing feature that you have to hide at work or in public. A poorly conceived tattoo could be expensive, painful and unsightly, and tattoo removal is not exactly cheap or pain-free, and in many cases, may not be able to be completely removed.      

2. Tattoo Removal Creams and Ointments Do Not Work

Tattoos are embedded in the deeper layers of the skin in order to make them permanent, so tattoo removal creams and ointments cannot reach them in order to effect their removal. The only way a cream can remove a tattoo is if it damages the skin above them as well. Any chemical treatment that claims to treat tattoos can only do so by injuring the skin and potentially causing dangerous side effects. Laser tattoo removal is the best known method to erase unwanted tattoos. 

3. How Laser Tattoo Removal Works

Prior to laser tattoo removal procedures coming into use in the 1980s, the only options for tattoo removal was by one of three methods, ie. dermabrasion - where skin was 'sanded' to remove top layers of skin; excision - where skin is removed by scalpel, sometimes necessitating a skin graft; or by freezing the area then excising it. 

Laser tattoo removal offered a targeted method of removing tattoos that was a lot more comfortable and usually caused no more than erythema (skin redness) and transient swelling. The laser removal system also offers a bloodless, low-risk procedure done on an outpatient basis. The type of laser used in tattoo removal systems are called Q-switched lasers, which employ a short, high-energy pulse of laser that target the wavelengths of tattoo colors. The pigments in tattoo ink absorb the energy pulses, causing them to fragment into small particles that can then be disposed of through the body's waste systems. At the proper energy setting, the laser does not harm the surrounding skin structures, although the heat from the laser pulse can cause some discomfort. 
Depending on various factors (see below) such as size and color of the tattoo, it can take multiple sessions and often up to a year (with sessions 3-4 weeks apart) to completely remove a tattoo, although many tattoos cannot be fully erased, only lightened.

4. Factors that affect laser tattoo removal results

Although laser tattoo removal science is improving rapidly, effectiveness of a tattoo removal procedure depends greatly on a number of factors including: 

  • the size of the tattoo - if the tattoo is very large, it may have to be treated in stages to prevent too much energy being absorbed by the skin in one session.
  • the colour of the tattoo - each tattoo color has to be targeted at a specific color wavelength, with darker colors being easiest to remove.
  • the location of the tattoo - if the tattoo is located in an especially sensitive area, energy levels may have to be reduced to prevent burns or due to discomfort. Lower energy levels mean less of the tattoo ink can be destroyed per session.
  • the colour of the individual's skin - the darker the skin of the patient, the less the laser pulse energy that can be applied; the greater amounts of laser energy that darker skin tones absorb can cause skin damage.  
  • the individual's ability to heal - some patients heal slower from the treatment and this would affect the protocol and timing of the subsequent procedures.
  • the tattoo application method - the method of application of a tattoo can affect its placement within the skin, which in turn affects how well the ink absorbs the laser energy.
  • the type of ink used - the types of inks used in tattoos vary greatly, and not all are able to absorb tattoo removal lasers easily. Some newer inks are specially designed to be easily targeted by the lasers.
  • the skill of the tattoo artist - a more experienced tattoo artist would be able to inject the tattoo ink at roughly the same depth in the skin, thus the laser would be able to be calibrated to target most of it at once 
  • how old the tattoo is - the older the tattoo, the more ingrained it becomes in the skin, and as a result, older tattoos are very difficult to be removed. 

Bryon Widner was a reformed Nazi supremacist desperate to put his past behind him. His tattoos were inciting fear and hate in the people around him, and he no longer wanted to be identified with the racism and violence of his youth. After 25 tattoo removal sessions, Widner is a new man.

--- Cosmetic Medicine, MD

Dr. Liow Tiong Sin is an aesthetic practitioner who practices in Kuala Lumpur and Melaka, Malaysia. He has more than 12 years of expertise with non-surgical cosmetic treatments, and conducts training courses for other doctors from all around Asia. 
To connect with Dr. Liow, Like Cosmedmd's Facebook page, visit Beverly Wilshire Medical Centre's website at or drop him an email at