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Skin texture

Crater

When severe acne inflammation reaches the deeper layers of the skin (dermis), it affects collagen and causes tissues to adhere internally. This results in the skin being pulled inward and fixed, creating crater-like depressions.
It is characterized by the fact that it is difficult to recover naturally, and a medical approach is often necessary.

Cellulite

A condition where unevenness appears on the skin's surface due to uneven distribution of subcutaneous fat, poor circulation, etc. The bulging of fat and the influence of the supporting tissue create areas where the skin is pulled in and areas that bulge out.
It's mainly seen on the body and can be bothersome as lost skin smoothness and a rough texture.

Collagen damage due to severe inflammation

When acne becomes severe, inflammation occurs as white blood cells fight bacteria, which can affect collagen and elastin, responsible for maintaining skin elasticity. As a result, the "cushion-like" role that supports the skin from within weakens, making it more prone to indentations.
Even tissue that should normally heal might remain sunken around the pores if it doesn't heal sufficiently. These resulting indentations are difficult to reverse naturally and can become noticeable as unevenness on the skin.

Thickening and hardening of the stratum corneum due to self-care methods

If you squeeze out blackheads with your fingers or repeatedly over-exfoliate, inflammation can occur around the pores, causing the skin to harden and thicken. If this condition persists, the edges of the pores may become raised or indentations may become fixed, leading to a loss of smoothness on the skin's surface.
These damages accumulate easily, and as a result, unevenness tends to remain around the pores.

"Cellulite-like lumps" caused by poor blood circulation and uneven fat distribution

Subcutaneously, fat cells are arranged in a stable balance and supported by surrounding tissues. However, when blood and lymph circulation stagnates, fat cells tend to enlarge, and waste products also tend to accumulate.
Additionally, the hardening of fat and surrounding tissues causes the skin to be partially pulled in or pushed up.
As a result, it is thought that unevenness is more likely to appear on the skin's surface, leading to what is known as a cellulite-like appearance.

Approaches the dermis, which cannot be reached by self-care.

Most skin irregularities occur in the dermis, not on the skin's surface. Particularly deep indentations, like craters, are a condition where tissues internally adhere and pull the skin inward.
A key feature of cosmetic medicine is its ability to directly address these causes. Techniques such as microneedling and skin boosters work on the inside of the skin, promoting collagen production to smooth out irregularities from within.
If you're concerned about uneven skin texture in Bangkok, Thailand, please consult with Vivi Clinic. With a medical aesthetic approach, we aim for smooth skin, even for textures that are difficult to treat.

Identify skin irregularities and select treatments tailored to each individual.

The appropriate treatment for skin irregularities varies depending on the cause and presentation. Therefore, selecting a treatment tailored to each individual's skin irregularities is important.
For example, when adhesions are severe and indentations are fixed, we propose a treatment that combines subcision, which excels at "lifting," with medication injections. If you are concerned about overall looseness or uneven texture, we select treatments like microneedle RF aimed at "tightening," tailoring our approach to your specific symptoms.
Furthermore, for skin rejuvenation injections, we use different medications depending on your condition and wishes, such as those that promote collagen production or enhance the skin's repair capabilities. We may also consider fat-dissolving injections for cellulite-related unevenness, and a key feature of our clinic is that we can guide you to the optimal treatment from a wide range of options.

Aim for skin that doesn't repeatedly develop bumps and unevenness.

Treating skin irregularities not only makes current symptoms less noticeable but also focuses on creating a skin environment that is less prone to recurrence. By promoting collagen production and regulating cell turnover, it leads to healthy skin that is less susceptible to external stimuli.
Furthermore, by increasing skin moisture and barrier function, it also leads to the creation of an environment that is less prone to inflammation.
In Bangkok, Thailand, where UV rays are strong and external irritants are abundant, continuous care is essential. Bibi Clinic supports the maintenance of smooth, even skin by combining regular care with appropriate treatments, and proposes a skincare regimen that helps prevent uneven skin texture from recurring.

Why does the skin become bumpy?

The internal structure of the skin changes due to various causes such as tissue destruction from acne inflammation, uneven fat distribution, and poor blood circulation, resulting in unevenness on the surface.

Is it possible to eliminate skin unevenness with skincare alone?

Mild roughness can sometimes be improved, but unevenness due to changes in the dermis is rarely improvable with skincare alone.

What cosmetic procedures are available to reduce skin unevenness?

We aim for improvement by combining treatments according to the cause, such as subcision, microneedle RF, skin boosters, and fat-dissolving injections.

Is there pain during the procedure to fix skin irregularities?

It varies depending on the treatment, but anesthesia is used as needed, so in most cases, the stimulation is adjusted to a tolerable level.

How long is the downtime for treatments for skin imperfections?

There will be some variation depending on the procedure, but it is common to experience redness and swelling for a few days to about a week.

Are there any points I should be aware of after the treatment?

It is important to thoroughly protect against UV rays and moisturize, while avoiding friction and irritation. Care in accordance with a doctor's instructions is recommended.

What is the difference between Tri-Fil Pro and Silfirm X?

Tryfill Pro approaches skin unevenness by introducing medication while separating tissue adhesions with carbon dioxide, supporting skin regeneration.
Meanwhile, Silfirm X is a treatment that uses fine needles and radiofrequency to stimulate the dermis, smoothing out uneven skin texture with its tightening effect.

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