At Ensoul, our aim is to provide you with information about your skin in a series of easy to understand videos.
By understanding your skin condition, you will be able to learn more about the type of
medical aesthetic skin and body treatment modalities that is suitable for you.

Crows Feet

Crow's Feet

Crow's feet are skin creases or wrinkles, around the orbicularis oculi muscle area, and it is often the first signs of aging noticed amongst most women. Crow's feet is a common concern caused by repeated muscle movement from smiling, laughing, and squinting. There are two different types of wrinkles: dynamic and the static wrinkles.

Dynamic Wrinkles occur with the formation of facial expressions. If your crow's feet became visibly obvious when you are smiling, they are dynamic wrinkles. As for Static Wrinkles, they are the folds and lines that are present even without forming facial expressions. They gradually form whereby the skin loses its elasticity and decreases in collagen production as we age.

Solution of Crows Feet Wrinkles

Whether it is a dynamic wrinkle or a static wrinkle, there are several treatment options you can consider. Depending on your severity of the crow's feet and your desired outcome, you may also consider a combination of treatments to achieve the best optimal results. 

  • Topical creams can ​help reduce the appearance of fine lines around the eyes, but it will not improve much for deep crow's feet.

  • Neurotoxin Injection helps tackle dynamic wrinkles as the drug can help to soften the muscle contraction with aesthetic injection.

  • Chemical Peels can improve the appearance of crow's feet and promote and over healthier looking skin. It uses chemical solutions on the face to remove the outer layer of old skin, leaving behind a new, smoother skin. There are 3 types of chemical peels, depending on the severity of your crow's feet, your doctor can advise you accordingly.

  • Dermal Fillers are effective for static wrinkles. As there are many different types of dermal fillers, speak to your doctor to understand which dermal fillers is suitable for your skin type.

  • Laser Resurfacing is an ablative laser that removes the upper layers of skin and revealing a newer and smoother skin. The laser energy heats up several layers of skin to promote collagen production.

Sunken Eyes

Sunken Eyes—Causes & Treatment

What Causes Sunken Eyes?

There are many possible reasons for the cause of sunken eyes. One of the biggest culprits is aging. As we grow older, we lose fat and bone density, our skin becomes thin as we began to lose collagen and elastin. The entire structure that is holding the support for our face also began to slowly deteriorate. The pigmentation and dilation of blood vessels under the eyes can make our eyes look sunken, tired and old. Dramatic weight loss can also make our blood vessels around the eyes to look more visible, lack of sleep and dehydration can cause lethargy and visible sunken eyes and dark eye circles. 

Solutions to Sunken Eyes

Lifestyle changes is important and if your sunken eyes continue to worsen overtime, we recommend to seek help from medical physician. If your sunken eyes is caused by aging or genetics, you can seek cosmetic help to improve the condition. As sunken eyes can cause emotional stress for some individual.

Sunken eyes treatment includes;

  • Dermal Fillers
  • Medical Lasers
  • Cosmetic surgery 

For patients who are afraid of surgery can opt non-surgical approach such as dermal fillers and medical lasers. In our clinic, we use a combination of treatments to resolve this condition. We use epidermal and dermal laser modalities to tighten the lax skin and use pigment removing laser to reduce pigmentation on the skin and increase dermal collagen matrix. Through this approach, we can tighten, tone and firm the loose skin beneath the eye, reducing dark eye circles and sunken eyes and improve them back to its former youthful state. Depending on the severity of your sunken eyes, dermal fillers that contains hyaluronic acid filler can be used to add volume. The hyaluronic acid fillers can be dissolved for safe absorption by the body and be can be reversed if required. 

Treatment Solutions for Sunken Eyes
Dr Kenneth Thean

Dark Eye Circles

Dark Eye Circles – Causes & Recommended Treatment 

Why Do We Get Dark Circles Below the Eyes?

Periorbital dark circles are a result of the thin layer of skin below your eyes showing the blood vessels and the blood they contain more clearly than anywhere else on your body. To put it in perspective, the skin under your lower eyelid, called the periorbital skin, is usually about 0.5 mm thick whereas the skin covering the rest of your body, is   about 2 mm thick on average.

Now, as many of us may be aware, veins often appear bluish  because your skin and the subcutaneous tissue allows only light of blue/violet wavelengths to pass through it. This is the reason, only blue light gets reflected back and the veins appear bluish to the eye.

This is the same principle at work with the skin area below your eyes. Those unattractive, dark bluish circles are formed when the blood vessels located just underneath the surface of that very thin patch of skin, begin to reflect the light falling on them.. This is also the reason why facial bruises are usually more pronounced in areas located under or around the eyes; the thin skin only displays the blood from the cracked blood vessels with relatively more clarity. So what actually  causes dark rings to form under your eyes? 

  • Stress – When the body is undergoing stress, it channels blood away from areas such as the face, to the main organs that need it more. As a result of less blood supply, the face acquires a drained and pasty complexion.  The dark circles under your eyes can look even more pronounced, when contrasted with the skin color on the rest of the face or body.

  • Collagen Loss –As we grow older, loss of elasticity and decreased ability to regenerate, leaves our skin thinner. This is the reason why, despite sleeping longer hours,, aged persons usually have periorbital dark circles that are more pronounced.

  • Periorbital Hyperpigmentation – This is a condition wherein the skin beneath the eyes, produces more melanin is produced, leading to darker coloring or pigmentation of the specific area in higher quantities.

  • Genetics – Our genetic make up also has a major say in the appearance and severity of dark circles under the eyes. As a result, some people are more prone to dark circles formation. Particularly, if you are born  with very pale skin, then you are more likely to suffer issues with darker pigmentation. Moreover, broken capillaries are likely to stand out more prominently on your skin.

  • Iron Deficiency – Sometimes, dark circles can be an indication  of iron deficiency conditions such as anaemia. In people suffering from less iron in their body,  the red pigment, haemoglobin, which transports oxygen to cells, gets broken down very easily, imparting a dark or bruised look to the skin in areas below the eye.

  • Broken Capillaries – The thinnest and most delicate skin area around your face, lies just below the eyes. Being the most sensitive skin areas on your face, the capillaries located under this thin dermis, are more prone to breaking, generally due to stress or exposure to harsh sun light. The blood cells that  spread out from these spaces, usually gather just below the skin surface, to  oxidise and form a dark purple hue.

  • Sunken-Looking Eyes – With advancing age, the bones forming the orbit, tend to shrink and enlarging the orbital cavity. Some of the periorbital fat which cradles and cushions the eyes, is lost with the passage of time.  As a result, we end up with sunken-looking eyes,  making the dark circles look worse.

Dark Eye Circles Removal
Dr Chiam CT 

Treatment for Dark Eyes Circles

Dark eyes and sunken-looking eyes can be treated by fractional lasers, ablative radio frequency or ultrasound treatments, which target collagen regeneration, and aim to tighten and tone the skin. Those with more pronounced eye bags can opt for surgery. Fillers can be injected under the eye but these need to be repeated frequently.

We utilise advanced medical technologies and combines different modalities, intended to lighten dark tints and circles, and also tightens the skin around the eyes while stimulating collagen production without surgeries. Wrinkles will also be reduced, helping to improve the appearance of the eyes.

After a consultation and thorough examination, I will design a tailored blend of treatments, combining different technologies and closely monitor your progress. We provide non-invasive dark eye circle removal in Singapore. Each session takes about 15 mins to 45 mins. No surgery or injections are needed, and there is minimal downtime.

Eye Bags

Non-Surgical Eye Bag Removal & Reduction

Significant reduction of your eye bags can now be treated without resorting to surgery. This has long been desired by patients who are bothered by their eye bags but are not keen to risk surgery, surgical scar, bruising and downtime.

Eye bags can often make you look tired and older than your age. With  permanent eye bag reduction treatment, it can improve your overall appearance of and give you a more youthful and refreshing look. 

The old non-surgical treatment for eye bag removal uses fillers to temporarily fill the area below the eye bag, giving the optical illusion of the eye bag being smaller. While this method can be used to treat with younger patients, however this method is not suitable for some individuals, especially the older patients. Fibre-optic laser technology can shrink eye bag fat for patients with mild conditions. However, some patients see increased skin laxity and more wrinkles below the eye after this procedure.

Using advances in technology and improved techniques over the last few years, FOTONA has developed their 4D laser eye treatment. I find this innovative new technique for non-surgical eye bag reduction very rewarding. It uses two different lasers; a dermal collagen stimulating laser and a gentle skin resurfacing laser.

At Ensoul Clinic, we provide safe eye bag removal in Singapore, which can be followed with a High Intensity Focused Ultrasound (HIFU) treatment to the eye bag area, further tightening the skin and precisely shrinking the fat faster. The treatment takes less than 30 minutes for visible reduction of the fat bulge under the eye area. Stitching is not required for this procedure and you will not experience any pain or bruising. Recovery time is also very quick.

For an accurate treatment plan for your eye bags, we recommend to consult with our doctors for a detailed assessment. Some of these treatments can be used individually or in combination depending on the severity of your condition and goals. 

Solutions for Eye Bag Removal
Dr Kenneth Thean

Droopy Eyelids

Non-Surgical Eyelid Lift for Droopy Eyelids

Droopy Eyelid also known as Ptosis is a condition where the upper lid of an individual droop. The shape and presence of an eyelid crease enhance the appeal and attractiveness of not only your eyes but also your entire face. Upper eyelids often droop with increasing age. Sometimes, the double eyelid gets smaller and becomes less visible. Droopy upper eyelids decrease the beauty and attractiveness of not only your eyes but your entire face. Droopy eyelids can also make you look tired, sleepy and older than your age.

What Causes Eyelid to Droop?

  1. Aging – As we age, the muscles around the eye region, notably the muscles that hold up our eyelids weaken or loosen, thus causing the eyelids to droop.
  2. Trauma – Injury to the eye region could weaken or severe the levator aponeurosis or muscle that lifts the eye resulting in drooping of the upper eyelids
  3. Prolonged contact lens use – Repeated stretching of the eyelid can cause it to loosen, resulting in a drooping eyelid.
  4. Congenital causes – At times, Ptosis is already present from birth. This is often due to a structural malformation of the levator muscle at birth.

Previously, the upper eyelids could only be treated by surgery. However with the aid of advancement in technology, there are non-surgical options for patients who do not want to undergo the risk, bruising, stitching and downtime associated with surgery.

Treatments For Droopy Eyelid

The severity of droop can be categorized into mild, moderate and severe, depending on the severity, we recommend consulting a medical physician for advice.

There are several treatment modalities we can consider for droopy eyelid. Depending on the level of the droop, the type of correction will differ. At Ensoul, we find that the dermal collagen stimulating laser is extremely useful for providing lift to your eyelids. These combination treatments address concerns such as loose eyelid skin, hooding of the outer eyelid skin, and less well defined double eyelid lines.