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, Treatment & Recommended Removal Method

What Causes Dark Circles Around 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. (For reference, this skin around your eyelids, called periorbital skin, is on average about 0.5 mm thick compared to an average of about 2 mm thick on most of the rest of your body.)

Now, as you may or may not already know  the reason, veins often look blue isn’t because the blood inside them is blue; it’s because your skin/subcutaneous tissue only lets blue/violet wavelengths of light pass through it. As a result, only blue light is reflected back and the veins look, well, bluish.

It’s the exact same concept with the skin below your eyes. Those dark bluish circles are (usually) just the result of light being reflected back off of the blood vessels sitting just below the surface of that incredibly thin patch of skin. This is the same reason facial bruises are more prominent below or around the eyes; the thin skin just shows the blood from the ruptured blood vessels a little bit more clearly. So what are the causes for your dark rings? 

  • Stress – When you are stressed more of your blood is directed to your main organs where your body needs it most rather than to your face which is left looking drained and a bit pastier. The contrast between the rest of your skin and the circles beneath your eyes, can make the darkness appear more noticeable.

  • Loss of Collagen – As we age, our skin loses its elasticity and ability to regenerate and as a result, ​ it becomes thinner. This is why more often than not, elderly people will have rather prominent periorbital dark circles regardless of how much they sleep. As with those who are genetically predisposed to having thinner skin below the eyes, it’s just biology.

  • Periorbital Hyperpigmentation – Another thing that can cause dark circles beneath the eyes is something known as periorbital hyperpigmentation, which is basically a condition that results in more melanin being produced by the skin below the eyes, resulting in it appearing to be a darker color.

  • Genetics – Unfortunately, there are some people who are just more prone to develop dark circles. If you have naturally very pale skin in particular then the darker pigmentation and any broken capilleries are more likely to show through.

  • Iron Deficiencies – Dark rings can be a sign of an iron deficiency such as anaemia. For people with less iron in their systems, haemoglobin, the red pigment which carries oxygen to cells, is more easily broken down and can make the skin below the eye appear dark or bruised.

  • Broken Capillaries – The thinnest area of skin around your face is also just underneath the eye. This is also the most sensitive part of your face and the capillaries beneath this thin dermis are often prone to breaking, often through stress or through sun damage. The blood cells which spread out of these spaces tend to gather just underneath the surface of the skin and oxidise and form dark purple hue.

  • Sunken-Looking Eyes – With age, the bones forming the orbit shrink and the orbital cavity gets bigger. We also lose some of the periorbital fat that cushions the eyes. Over time, this can result in sunken-looking eyes and make 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.