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BANGKOK 23 April 2019 15:13
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Steele404

Any Good Doctor Recommendation For Acne Treatment/consultation?

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Anyone got a particular doctor that is well-known in Bangkok for dermatologic treatments (generally Acne)? Or a doctor in Bangkok that you personally recommend.

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It's virtually impossible to get good treatment in Thailand for acne. The Clinics make a fortune peddling their "Wonder Creams" and potions, none of which have lasting results. The clinics have a vested interest in ensuring that the acne improves but doesn't go away, thereby maintaining their income stream. Just look at the clinics offering this service, they are everywhere. I wonder why?

The average Thai's servile, respectful and humble attitude to doctors only perpetuates this problem. Most patients dont even know what the doctor has prescribed, because they never question a doctor. Doctors see the patient as a source of income. Best of luck with your search but you will just end up going round in circles spending ever increasing amounts of money until you come to the conclusions I made above.

Cheers Rick

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Doctor Wichai Hongcharu, Saint Louis Hospital, Bangkok, is an internationally respected dermatologist. He was recommended to me by Doctor Chu in London (a leading Doctor in Acne/Scar treatments)as I have some slight residual scarring on the side of my face from teenage acne and wanted treatment.

Saint Louis Hospital is a non-profit hospital, so costs are not sky-high for treatment.

Dr Hongcharu gives international talks on treatments and various articles have been written about him. You will be in good hands.

Best of luck :o

Edited by eek

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Thanks guys, in the beginning I was going to go to Samitivej hospital at sukhumvit. But I'm gonna try Dr. Wichai at St. Louis hospital instead, i've heard of that name before from a friend of mine too.

Feel free to add some more names to this thread.

I would also recommend:

Dr. Niwat Polnikorn M.D. at Kasemrad Hospital (Prachachuen)

He is now Chief of Dermatologic Surgery Unit of the Ramathibodi Hospital and the Head of the Ramathibodi International Training Center for Cutaneous Laser Surgery of the Mahidol University. He is currently the President of the Thai Society of Cosmetic Dermatology and Surgery.

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It's virtually impossible to get good treatment in Thailand for acne. The Clinics make a fortune peddling their "Wonder Creams" and potions, none of which have lasting results. The clinics have a vested interest in ensuring that the acne improves but doesn't go away, thereby maintaining their income stream. Just look at the clinics offering this service, they are everywhere. I wonder why?

The average Thai's servile, respectful and humble attitude to doctors only perpetuates this problem. Most patients dont even know what the doctor has prescribed, because they never question a doctor. Doctors see the patient as a source of income. Best of luck with your search but you will just end up going round in circles spending ever increasing amounts of money until you come to the conclusions I made above.

Cheers Rick

Yea, you're right, getting acne/dermatologic treatments at a small Thai clinic is a big no-no. It's much better to do it at a respectable hospital, although this can be expensive for most Thais, but it's absolutely worthwhile.

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Just got back from st. louise hospital, with a bloodied face and dried tears running from my eyes. :o

Roughly 180 acne spots removed with laser and machine-queezed out.

50 minutes waiting time for consultation (due to large queue).

another 40 minutes waiting time for laser room.

3500 baht total.

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It would be great if you could post about your experience and follow up. At 35 my Thai partner has quite a bit of scarring to his scalp, back and face and continues to get that nasty boil-like acne in all those locations, but mostly on his scalp which he is self-conscious about. Maybe I can convince him to see someone.

Edited by Goinghomesoon

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It would be great if you could post about your experience and follow up. At 35 my Thai partner has quite a bit of scarring to his scalp, back and face and continues to get that nasty boil-like acne in all those locations, but mostly on his scalp which he is self-conscious about. Maybe I can convince him to see someone.

Yeah, definitely, he should go see a doctor.

I would suggest you go try hospitals other than St. Louise. It's as if the doctor over there had to deal with a flood of patients which makes it boring for them to consult with you in detail over an extended amount of time. My consultation time with them took only a minute or so, which did'nt satisfy me at all.

Taking some particular laser treatments are abit painful (depends on laser types), have to tell your friend to swallow on it for a better health and lifestyle of confidence.

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Laser treatments are good for acne scars but cannot be undretaken while the acne is still active.

People with sever acne should indeed see a qualified dermatologist. Quite likely they will wind up needing a course of roaccutane, which can only be obtained in Thailand from a doctor. It requires a long course of treatment (3-4 months) but is usually successful. Blood tests of liver function are needed before and during treatment as liver toxicity can occur. Absolutely contraindicated in pregnancy orwomen who may become prgenant.

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if you are female, you might want to check your hormone balance. supposedly if females have acne past their early 20s it is almost always because of a hormonal problem. for instance i have PCOS (polycystic ovarian syndrome), so i have to take spironolactone to balance out an excess of testosterone. clears my skin up completely.

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Girlx,

what do you need to do to test for hormone balance? Bloodtest?

How long for your treatement to take effect?

My gf has huge problem with acne, tried 2 treatments of Roaccutane some years ago, at no avail.

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I suffered for years until the "wonder drug" Roaccutane was prescribed to me in the military, it allegedly has some side effects you need to be aware of by googling the name, but if you see a doctor here they will prescribe it for you and it is a bit cheaper here too.

If you have suffered acne, the aching joints and dry lips this drug gives you as it shrinks the oil producing gland is worth it 1000000 time over.

If anyone needs to know more of my experience with this drug just ask. Good luck.

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Unless you're referring to surgical scar treatment etc, the resource http://www.acne.org has no equal imho. Dan Kern's regimen works for a lot of people.

acne.org also has a scar treatment forum section. In my opinion acne.org's forum is second to none for invaluable advice. People also give their views on roaccutane. I was on it myself many years back, however, i am one of the people who think the side effects outweighed the benefits. As eggshen suggests, its good to research on this site for others personal experiences to find out what is available and weigh up the pros and cons of a treatment.

Actually, just a side note, laser can be used on acne, but to my knowledge only the n-light laser. All others need the acne to be clear first.

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