The Ultimate Guide to Perfect Skin by an Aesthetic Doctor

Amaris B.

Archive Date:

April 11, 2019

Type “How To Get Perfect Skin” on any search engine and the list of tips and remedies are endless. From the renowned ‘10-step Korean skin care regime’ to the more obscure ‘24 hour drink menu that guarantees perfect skin’, many of us go to lengths in hopes of attaining the golden formula for that glowy, healthy-looking skin.

Table of contents

Blog last updated on:

November 9, 2022

Type “How To Get Perfect Skin” on any search engine and the list of tips and remedies are endless. From the renowned ‘10-step Korean skin care regime’ to the more obscure ‘24 hour drink menu that guarantees perfect skin’, many of us go to lengths in hopes of attaining the golden formula for that glowy, healthy-looking skin.

However, with skin conditions ranging from acne to freckles that plague many, the secret to getting clear porcelain skin is one that seems to elude many.

Truth is, achieving bright and clear skin isn’t at all, an enigma. But before we spill the secrets on attaining the perfect skin, it’s important to have a better understanding of the largest organ in our body – the skin.

Skin structure

Our skin is made up of three layers:

The Epidermis – Also known as the outermost layer of skin, it is the layer of skin that we are the most familiar with. The epidermis is essential as it provides a waterproof barrier and creates our skin tone.

The Dermis – The layer under the epidermis which contains tough connective tissue, hair follicles, and sweat glands.

The Deeper Subcutaneous Tissue – Commonly known as hypodermis, this layer of skin is made of fat and connective tissue.

Skin tones

An individual’s skin pigmentation is very much determined by the result of genetics and the amount of exposure to the sun.

It is the combination of the two that dictates the human skin colour that ranges from the darkest brown to the lightest hues.

Skin hyperpigmentation

Pigmentation is also known as colouring, and it is skin pigmentation that is one of the deciding factors when it comes to the colour of our skin.

Our skin gets its colour from a pigment known as melanin which is made by special cells in our body.

However, when these cells become damaged or unhealthy, it affects melanin production which causes skin pigmentation disorders and ultimately changes the colour of our skin.

Hyperpigmentation is one of the common skin conditions many women face and this occurs when melanin is overproduced in certain spots on the skin.

As a result of hyperpigmentation, flat, darkened patches that are light brown to black, and can vary in size and shape, develop on our skin.

Factors that affect skin hyperpigmentation


Yes, stress is known to have adverse effects on our health, and unsurprisingly, it also has a part to play when it comes to hyperpigmentation.

In fact, stress contributes quite a significant impact on our skin. Not only does it cause the commonly known breakouts, it also causes our skin to be susceptible to free radicals.

When these unstable molecules in our skin increases, it damages the cells in our body and ultimately leads to hyperpigmentation.


Did you know that temperature affects the amount of melanin your body produces? That’s right! The hotter the temperature you’re exposed to, the more melanin you produce.

Heat of any source – cooking, the sun, hot flushes or even a warm bath – can trigger darken pigmentation.

As such, to counter melanin production, it’s advised to keep your body cool and avoid extreme heat sources.


Air pollution is no stranger to us, and while it causes turmoil to our respiratory health, it actually does more damage than meets the eye.

Unbeknownst to many, the environment we’re exposed to correlates to our skin health. Living in a polluted environment means that Particulate matter (PM), and Polycyclic Aromatic Hydrocarbons (PAHs) [found in polluted air] enter our skin.

This produces Reactive Oxygen Species (ROS) and with PM increasing the amount of ROS in our skin, which results in the production of the unsightly melasma aka hyperpigmentation.

Sun Exposure

Anyone who suffers from hyperpigmentation would know better than to be exposed to the sun for long periods. After all, sun exposure is the number one cause of hyperpigmentation.

With sunlight being the main culprit that stimulates the growth of melanin, this ultimately leads to the darkened patches on the skin.

Vitamin Deficiency

We all know that our daily vitamins are essential to keep us healthy and this is no different when it comes to our skin health.

A deficiency in vitamin B12 can significantly affect the condition of our skin.

As vitamin B12 helps to regulate the production of pigment in our skin, an absence of vitamin B12 in our diet will thereby encourage the growth of dark spots and pigmentation.

Hormonal Changes

While hormones play a vital role in our bodily function, it can be relatively tricky to deal with at different stages of our lives.

From puberty to menopause, hormones play a significant role in the alteration of our bodies. With its vital role, it’s, therefore, no secret that hormonal imbalance does have a major part to play in the production of melanin.

Abnormal levels of progesterone and estrogen not only throws our body out of whack but also stimulates our cells to produce an extra level of melanin.

Excessive Iron Deposition

No doubt iron is an essential element in our body for blood promotion. However, an excess in iron can have unfavourable effects on our organs such as our liver and our skin.

With an excess in iron deposition in the body, it can cause hypermelanosis which is an excess production of the skin pigment melanin.

Excessive Melanin Production

Hormonal imbalance, genetic skin, injury and inflammation, certain diseases and even side effects of medication are some of the main causes of excessive melanin production in an individual.

With the excess in natural pigment in the skin, this would lead to an overproduction of dark spots and uneven skin tone.

While hyperpigmentation can victimise individuals of varying skin colour or complexion, studies have shown that individuals of darker skin tone are more susceptible to hyperpigmentation.

Acne or Pimple Marks And Injury or Chicken Pox Scars

While many heave a sigh of relief after their acne and chicken pox flares have tamed, post acne and chicken pox conditions don’t quite seem to offer the respite that acne and chicken pox sufferers desire.

Truth is, acne and chicken pox scars are amongst one of the many reasons for the cause of hyperpigmentation scars.

This is because, once the initial lesion has healed, there is a probability of leaving behind a dark spot on the skin which very much resembles a scar.

In fact, what’s left behind are hyperpigmentation scars which can take years for it to be completely fade away.

Get clear porcelain skin with PICOCARE

Laser Treatment For Skin

Aging, acne and overexposure to the sun can leave undesirable marks on our faces. From hyperpigmentation to wrinkles, our skin may take on a dull and tired appearance.

With Amaris B. PICOCARE Fractional Laser, it can help to reverse time and fade away the stain of aging, reverting us to a time of youthful and healthier skin.

Using PICOCARE’s laser treatment, it gently removes skin layer by layer with precision, erasing evidence of hyperpigmentation and scars that once blemished our face.

With the new skin cells that form during healing, the skin becomes taut and smoother, thereby giving you a younger and more rejuvenated countenance.

PICOCARE For Clear, Radiant Skin

PICOCARE is an FDA-approved Picosecond laser that comes with a fractional handpiece. Being the only handpiece with a wide range of spot sizes for better precision, PICOCARE laser is much safer than other laser treatments.

Amaris B. PICOCARE Fractional Laser laser technology has also proven to be of greater efficacy in the treatment of indented scars and enlarged pores, With its laser energy penetrating better into skin, this treats the targeted areas without causing damage to the skin surface, thereby resulting in lesser downtime.

PICOCARE with Dr Ivan Puah

Founded Amaris B. Clinic in 2004, Dr Ivan Puah has 14 years of experience in aesthetic medicine performing FDA-approved injectables, skin lasers and body sculpting procedures Dr Ivan Puah holds a Graduate Diploma in Family Practice Dermatology from the National University of Singapore. He is also the official appointed trainer for PICOCARE in Singapore.

A medical aesthetics doctor who is well-versed with the various skin conditions, Dr Puah has treated countless patients who are distressed by skin afflictions ranging from hyperpigmentation, wrinkles to acne scars.

With a pair of meticulous hands and the adoption of laser technology (PICOCARE), Dr Puah’s patients always leave with satisfaction at the outcome of their procedure.

The secret to perfect skin is PICOCARE with Dr Ivan Puah.

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