Dermatological
Services Offered

Identification and resolution of problems of the skin, hair, and nails including:

Acne
Abscess and Cysts

Atopic dermatitis

Psoriasis 

Rosacea
Drug hypersensitivity reactions
Fungal infection 
Skin Cancer Screening and Diagnosis, including Full Body Checks
Pediatric and Geriatric Dermatology
Tropical Diseases
Relief and solutions to Allergic Reactions 
Melasma
Vitiligo
Actinic Keratosis
Eczema
Atopic and Sebborheic
Dermatitis
Hyperhidrosis
(excessive sweating)

 

LASER PROCEDURES

Laser hair removal using lightsheer diode

Candela vbeam laser for spider veins

Non surgical facelift using Maximus

Body contouring using maximus

Lasergenesis for skin rejuvenation

Accupulse Co2 laser for acne scars

Pixel laser skin resurfacing

Alex trivantage for Tattoos

Qswitched ndyag for pigmentation

Cutera for varicose veins

Laser for Onychomycosis

(fungal infection of nail)

 

CLINIC PROCEDURES

Biopsy

Patch test

Skin Peeling

KOH for fungal infection

 

SKIN CARE REGIMENS

For Acne - 5 pc set

For Skin Rejuvenation - 8 pc set

For Whitening - 8 pc set

 

 

 

Articles

Doctor Riya's Skin Renewal System

Doctor Riya Recommends:
Her affordable Skin Care Regimen
Step 1  Extra Gentle Moisturizing Wash - combines the cleansing properties of colloidal oatmeal  and sodium PCA to maintain the natural acidity of the skin.
Step 2 Hydrating Toner - Formulated with Centella asiatica, known to stimulate collagen formation, this toner prepares the skin for optimal penetration of medications.
or IF WITH PIMPLES
Step 2 Medicated Toner )Formulated with Clindamycin, a topical antibiotic, this toner has antibacterial effects on propionibacterium acne.

AM

Step 3 -  4% Hydroquinone Cream - helps lighten freckles, uneven pigmentation and marks of pimples.
Step 4 - Exfoderm - formulated with 10% Glycolic acid, this works to gently exfoliate the skin enhancing the penetration of hydroquinone.
Step 5 - Sunblock SPF 150, yes 150! - a broad spectrum sunscreen milk with both UVA and UVB protection used on top of all medications prior to sun exposure to prevent the harmful effects of UV light.

PM
Step 3 - Tretinoin 0.1% cream and Blending Cream (Tyrosinase inhibitor) - Tretinoin and Tyrosinase inh. when blended in equal amounts prior to application on skin work to stimulate new skin formation by activating fibroblasts to produce fine collagen, better elastin and richer glycosaminoglycans as well as correct the uneven skin color.
Step 4 - Soothing skin cream / Moisturizer - May be applied to control the initial reaction to the medicines which may include slight redness, burning and dryness of the skin.
IF WITH PIMPLES
Step 4 RSS lotion to be applied to stubborn pimples overnight as a drying agent
This regimen has been tried and tested and feedback has been great!

Consult with Dr. Riya how best this Skin Care Regimen can work for your type of skin.

Dr. Riya's Acne Regimen


PM
Step 1 - Extra Gentle Foaming Wash - a hypoallergenic wash to be used especially by those with oily skin.
Step 2 - Medicated Toner - formulated with 2% Clindamycin Solution, this topical antibiotic targets Priopionibacterium acne.
Step 3 - Acne cream forte - formulated with adapalene and benzoyl peroxide, this cream is both curative and preventive .
Step 4 - RSS Lotion - this is an overnight drying agent to be applied on stubborn pimples.
AM
Step 1 - Extra Gentle Foaming Wash
Step 2 - Medicated Toner
Step 3 - Sunblock SPF 80 - This broad spectrum sunscreen milk with both UVA and UVB sun protection is applied in the morning to prevent further darkening of the acne scars/marks .

Doctor Riya may recommend in addition an oral antibiotic or an oral retinoid (isotretinoin capsules) depending on the severity of your acne. Consult with Doctor Riya how best this regimen can help your skin.

Dr. Riya's  Regimen for Skin Lightening

Dr. Riya's Maintenance Regimen

Non Surgical Cavitational Liposuction for body

      Focused cavitation utilizes low frequency ultrasound waves which create micro bubbles in the body fluids. This results in selective destruction of fat cells or non surgical fat lysis. There is also improvement in cellulite appearance. This procedure is relatively safe with no downtime at all. After just one session (approximately 20 minutes only) there is centimeter loss noted already!

      To learn how this treatment can specifically help you, book an appointment with Dr. Riya 09438377492. Procedures are done at the Makati Medical Center.

Non surgical facelift Using the Maximus

The MAXIMUS device uses the triLipo technology which combines Radio Frequency (RF) and Dynamic Muscle Activation for targeting the skin and the facial muscles. the RF affects the dermis by generating heat in the treated area. This heat induces tightening of the existing collagen, leading to an immediate effect of skin tightening along with a long term effect of generation of new collagen, hence thickening of the dermis and inducing reduction in the appearance of wrinkles. The Dynamic Muscle Activation stage of the Maximus anti aging face treatment causes stimulation of the face muscles therefore increasing circulation in the facial muscle layer and improving facial muscle tone resulting in a non invasive life of the howls and cheek area. Treatments with the Maximus device can provide a pleasant, safe, non invasive alternative to surgical face lift with no down time and no risk.The Maximus device is ideal for women and mean and results can be noticeable immediately after the treatment.
Book an appointment with Dr. Riya now 09438377492.

 

Pixel Skin Resurfacing - recommended for acne scars and skin rejuvenation


Dramatic Results in Little Time!
  
      Pixel skin resurfacing improves skin texture, improves acne scars, smoothens wrinkles, and diminishes brown spots. In short, this procedure erases those factors that add years to our appearance, restoring youthful vitality. Best of all there is little pain and no downtime. Providing the effective, dramatic results of ablative resurfacing treatments- without its prolonged healing period. Pixel skin resurfacing restores skin to its fresh, healthy state, generally allowing patients to resume their normal routine almost immediately.
     
How does it work?
      Pixel skin resurfacing is based on the principle of microthermal treatment zones. The laser pulses create tiny ablative zones, removing the epidermis and upper dermis. The treatment then triggers the body's natural healing process, stimulating the growth of new, healthy skin tissue.
     The procedure treats small zones of the skin, leaving surrounding tissue untouched and intact. These large unaffected areas act as a reservoir for more effective and rapid tissue healing and collagen production.

What to expect?
     Dr. Riya will determine the ideal treatment plan for your needs. In general, treatment involves two to four sessions, at four week intervals. Right after treatment you may feel a slight tingling sensation. You may experience slight swelling for a day or two. As new skin replaces dead tissue, your skin will flake, a sign that healing is underway. Your skin will look better immediately, and will steadily improve over the next few months.

Does it hurt?
    Far more comfortable than conventional laser skin resurfacing, Pixel skin resurfacing is experienced by most patients as a comfortable sensation with some inflammation and tingling afterwards.

On what parts of the body can it be used?
    Pixel skin resurfacing can be used on patients of most skin types anywhere on the body. Since this procedure spares healthy tissue, it can be performed on delicate skin areas, such as the face, neck, chest and hands. It may also be used to improve the appearance of stretchmarks.

Advantages:
    Laser skin resurfacing (LSR), like chemical peels, dermabrasion and microdermabrasion is commonly used to restore the youthful appearance to wrinkled, sun-damaged skin. While yielding excellent results, LSR often involves discomfort and significant downtime. That means and extended period indoors, with no sun exposure - an impossibility for many active and working patients.
    Compared to other methods, there is minimal discomfort and minimal downtime with Pixel skin resurfacing.

Rewards of Pixel Skin Resurfacing
     * improves skin texture and firmness
     * safe and effective treatment for face, neck, chest, abdomen, arms and hands
     * little or no discomfort/pain
     * no downtime
  

      To learn how this treatment can specifically help you, book an appointment with Dr. Riya 09438377492. Procedures are done at the Makati Medical Center.


 

Allergies

       Many patients come to the clinic with signs of generalized rash not associated with fever and other constitutional signs such as cough, colds, joint pain etc...Food is one of the usual culprits and because of the myriad of foods we take everyday  I have made a list of foods that are commonly associated with allergies:

FOODS THAT POTENTIALLY CAUSE ALLERGY

1. Chicken and eggs

2. Seafoods: shrimps, squid, oyster, mussels

3. Certain kinds of fishes like: tambakol, tulingan, tuna, galunggong, dilis, tinapa, sardines

4. Certain kinds of fruits and vegetables: strawberries, fresh tomatoes, citrus fruits like lemon,    orange, pomelo, grapefruit, pineapple

5. Pork in processed form like: Chinese ham, salami, sausages

6. Milk and Milk products: ice cream, cheese, yoghurt

7. Nuts: peanuts and peanut butter, almond nuts, walnuts

8. Chocolate bars/chocolate cakes and other types of cakes, brownies

9. Cereals like: wheat bread, oatmeal

10. Yeast-containing products like: beers, some wines

 

Elimination Diet

is recommended when the allergy is chronic and when it is difficult to

pinpoint which type of food is causing your allergy.

General Instructions:

1. Avoid allergenic foods for three to six months.

2. At the end of the avoidance period reintroduce one of the forbidden foods per week until you are back on a complete and unrestricted diet. This is done as follows:

Let us say that you are now trying to reintroduce Food A (perhaps wheat, for example). You would eat or drink 4 and 8 ounces of Food A everyday for seven days in a row while avoiding foods B, C, D and E as before. If, at the end of the week, your allergic symptoms  (hay fever, asthma, hives, eczema, etc..) are no worse, you may then introduce Food B in the same manner while continuing to eat Food A but not C,D, or E.

If at the end of the second week you still have observed no worsening in your symptoms, you may then proceed with the introduction of the third food. Should you, however, run into a worsening of your symptoms, you would continue to eat Foods A but not B for a third week without introducing the third food until your symptoms return to normal. At that point you would again begin to reintroduce one of the other remaining forbidden foods.

Anytime during the ensuing weeks the allergic symptoms fail to disappear, you must remove the last food added and wait for symptoms to subside before reintroducing another food.

 

Superfoods for Incredible Hair!

Iron
Iron helps bolster hair growth. Find it in meat, shellfish, fortified grains and leafy greens.

Protein
Protein is the building block of every strand, but it can be high in fat. To keep your saturated fat intake low, opt for lean cuts of meat, mix light meat with dark, or choose seafood.

Biotin, B6 and B12
Biotin, B6 and B12 promote new growth within the follicles. Good sources include whole-grain breads, oatmeal, skim milk, lowfat cheese, eggs, salmon, nuts and nut butters.

Zinc
Zinc strengthens natural oils that coat the hair shaft, creating shine. Feast on meat, nuts, chickpeas, pumpkin seeds and yogurt.

Vitamin C
Vitamin C helps promote cell renewal in the scalp. Get your fill in the form of brightly colored fruits and veggies. Strawberries and kiwis are surprising super sources, as are raspberries, mangoes, oranges and red bell peppers.

Vitamin A
Vitamin A is also a hair helper; look for it in apples, apricots and sweet potatoes.

Antioxidants
Antioxidants found in herbs, dark chocolate and fresh berries promote a healthy scalp by sparking cell turnover.

 

 

Sclerotherapy

Sclerotherapy is one of the most prevalent treatments for spider and varicose veins. We use a tiny needle that has a sclerosing agent that is injected into the vein. Upon the injection, the solution replaces the blood in the vein, generating irritation and corrosion to the walls of the vessel. Your body then initiates the natural healing process and the vein begins to shrink and eventually disappear.

WHAT RESULTS WILL I SEE?
You will have gradual improvement. many people experience 65%-to 80% improvement. During your consultation you will be advised as to how many treatments you will need.

WHAT ARE THE SIDE EFFECTS?
You will be able to resume normal activities immediately. However, excessive standing and heavy exercising is not recommended for 24-48 hours after your treatment.
Following your visit the treated areas will become darker and may appear bruised. You do not have to wear support hose. After injecting the larger vessels, the affected area may become pigmented but this is temporary and will fade overtime.

 

CHEMICAL FACIAL PEELS

PCA CHEMICAL PEEL

 

TCA Chemical Peel

 

is is a medium-strength peel, where a trichloroacetic-acid solution is applied to the face to remove wrinkles and sun damage by peeling away the skin's top layers. The procedure can be used on patients with fair to medium skin tones and has a lower risk of creating uneven pigmentation patterns.


Alpha-Hydroxy Peel

 

A mixture of alpha hydroxys — such as glycolic, lactic or fruit acids — are applied to the skin to even skin texture and reduce superficial wrinkles.These peels must be performed in a series to achieve the kinds of effects created with deeper peels.

Intense Diamond Peel / Microdermabrasion

Microdermabrasion
 handheld device is used to scrub the skin with tiny crystals to reduce fine lines, spots and scars. Microdermabrasion is performed to increase skin elasticity and promote collagen production. The procedure is tolerated by all skin types with no downtime. It takes five to 12 treatments to achieve the same results as deep peels, and the procedure works best on younger skin.

Skin Cancer

If you have an odd looking spot on your body that you are worried about, see your dermatologist as soon as possible. It could be skin cancer.

Dermatologists are more likely to find early stage skin cancer than other doctors and thus save more lives. It may be that dermatologists are more skilled at finding small tumors or less likely to brush them off as nothing. Basal cell cancers aren't always harmless. They are easy to remove but 5 to 10% can be resistant to treatment. Some basal cell cancers can be aggressive and damage skin around them, even invading tissue and bone. If you see a suspicious growth see a doctor right away, if possible a dermatologist.
Basal Cell appears as a small, domed bump that's pearly-white or pink colored. It can look like a small pimple or small sore; it may heal and come back.
Melanoma appears as a mole which is asymmetrical; one half of the mole doesn't match the other half. It is larger than a pencil eraser. The color isn't the same all over. It changes in size and shape, or has begun to itch, bleed, or crust over.

Squamous cell appears as a crusty or scaly patch with a red inflamed base. It is most common on sun exposed areas but can appear in the mouth, on the genitals or anywhere on the body.
There is no rating for how sunscreen stops UVA rays which penetrates deeper into the base layer of skin and can cause dangerous cell changes. The FDA has proposed a new sunscreen rule that would include label revisions for UVA. In the meantime choose a broad spectrum sunscreen which offers greater UVA (as well as UVB) protection. At present sunscreen labels do tell you how effective the product blocks UVB.
If you have any odd looking spot or any area of skin that does not look just right, see your dermatologist as soon as possible.-

Rosacea

 

is a chronic condition characterized by facial erythema (redness). Pimples are sometimes included as part of the definition. Unless it affects the eyes, it is typically a harmless cosmetic condition. Treatment usually involves topical medications to reduce inflammation as well as laser treatment using the Candela vbeam laser.
It is a common but often misunderstood condition that is estimated to affect over 45 million people worldwide. It has a peak age of onset between 30 and 60.
Rosacea typically begins as redness on the central face across the cheeks, nose, or forehead, but can also less commonly affect the neck, chest, ears, and scalp.[3] In some cases, additional symptoms, such as semi-permanent redness, telangiectasia (dilation of superficial blood vessels on the face), red domed papules (small bumps) and pustules, red gritty eyes, burning and stinging sensations, and in some advanced cases, a red lobulated nose (rhinophyma), may develop.

Psoriasis

 

is a chronic, non-contagious autoimmune disease which affects the skin and joints. It commonly causes red scaly patches to appear on the skin. The scaly patches caused by psoriasis, called psoriatic plaques, are areas of inflammation and excessive skin production. Skin rapidly accumulates at these sites and takes on a silvery-white appearance. Plaques frequently occur on the skin of the elbows and knees, but can affect any area including the scalp and genitals. In contrast to eczema, psoriasis is more likely to be found on the extensor aspect of the joint.

The disorder is a chronic recurring condition which varies in severity from minor localized patches to complete body coverage. Fingernails and toenails are frequently affected (psoriatic nail dystrophy) and can be seen as an isolated finding. Psoriasis can also cause inflammation of the joints, which is known as psoriatic arthritis. Ten to fifteen percent of people with psoriasis have psoriatic arthritis.
The cause of psoriasis is not known, but it is believed to have a genetic component. Factors that may aggravate psoriasis include stress, excessive alcohol consumption, and smoking.[1] There are many treatments available, but because of its chronic recurrent nature psoriasis is a challenge to treat.
 


Psoriasis Diet

Anti-oxidants - citrus fruits, nuts, sunflower seeds, soya and maize shoots
Beta carotene - apricots, carrots, papaya, canteloupe, spinach, pumpkin, sweet potatoes,
          mangoes
Folate - strawberries, citrus fruits and juices
Leafy green vegetables - spinach and romaine lettuce
Whole grain breads, rolls and crackers
Pinto, navy and kidney beans
Folic acid fortified grain goods, bread rolls, flour cornmeal, rice, pasta, ready to eat
         breakfast cereals
Omega 3 fatty acids - all fish but hight in fatty fish such as mackerel, salmon, sardines,
          herring

Vitiligo

 

is a chronic relatively common dermatologic disorder that causes depigmentation in patches of skin. It occurs when the melanocytes, the cells responsible for skin pigmentation, die or become unable to function. The precise pathogenesis, or cause, of vitiligo is complex and not yet fully understood. There is some evidence suggesting it is caused by a combination of autoimmune, genetic, and environmental factors. The population incidence worldwide is considered to be between 1% and 2%. There are two forms of vitiligo, non-segmental and segmental, with non-segmental vitiligo being far more prevalent than its segmental counterpart.
Vitiligo may be treated with topical medicines such as meladinine or oxsoralen orby Phototherapy with exposure to UVB light. The Phototherapy sessions are available at a minimal cost at the Makati Medical Center.

Eczema

 

is a disease in a form of dermatitis,or inflammation of the epidermis. The term eczema is broadly applied to a range of persistent skin conditions. These include dryness and recurring skin rashes which are characterized by one or more of these symptoms: redness, skin edema (swelling), itching and dryness, crusting, flaking, blistering, cracking, oozing, or bleeding. Areas of temporary skin discoloration may appear and are sometimes due to healed lesions, although scarring is rare. In contrast to psoriasis, eczema is often likely to be found on the flexor aspect of joints.
It is best to consult at the clinic before applying medicines so that Dr. Riya can properly assess your eczema so that the cause (i.e. bacterial, fungal, atopic etc..) may be determined and properly addressed.

Hyperhidrosis

 

is the condition characterized by abnormally increased perspiration in excess of that required for regulation of body temperature.
Hyperhidrosis can either be generalized or localized to specific parts of the body. Hands, feet, armpits, and the groin area are among the most active regions of perspiration due to the relatively high concentration of sweat glands; however, any part of the body may be affected.
Hyperhidrosis can also be classified depending on if it is a congenital or acquired trait. Primary hyperhidrosis is found to start during adolescence or even before and seems to be inherited as an autosomal dominant genetic trait. Primary hyperhidrosis must be distinguished from secondary hyperhidrosis, which can start at any point in life. The latter form may be due to a disorder of the thyroid or pituitary gland, diabetes mellitus, tumors, gout, menopause, certain drugs, or mercury poisoning.
Hyperhidrosis may be also divided into palmoplantar (emotional), gustatory or generalized hyperhidrosis.
Alternatively, hyperhydrosis may be classified according to the amount of skin that is affected and its possible causes.In this approach, excessive sweating in an area that is greater than 100 cm2 (up to generalized sweating of the entire body) is differentiated from sweating that affects only a small area.
Hyperhidrosis is usually treated in the clinic with topical medications using aluminum chloride. If severe,  injection with botulinum toxin (botox) may improve the condition.

Melasma

when present in pregnant women is a tan or dark skin discoloration. Although it can affect anyone, melasma is particularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications. The symptoms of melasma are dark, irregular patches commonly found on the upper cheek, nose, lips, upper lip, and forehead. These patches often develop gradually over time. Melasma does not cause any other symptoms beyond the cosmetic discoloration.

Melasma is thought to be the stimulation of melanocytes or pigment-producing cells by the female sex hormones estrogen and progesterone to produce more melanin pigments when the skin is exposed to sun. Women with a light brown skin type who are living in regions with intense sun exposure are particularly susceptible to developing this condition.
Genetic predisposition is also a major factor in determining whether someone will develop melasma.
The incidence of melasma also increases in patients with thyroid disease. It is thought that the overproduction of melanocyte-stimulating hormone (MSH) brought on by stress can cause outbreaks of this condition. Other rare causes of melasma include allergic reaction to medications and cosmetics.
In the clinic we give you a skin care regimen that will help lighten the melasma. Skin peeling using the COSMELAN regimen is said to reduce the pigmentation significantly. Other treatment modalities are the PIXEL laser resurfacing procedure which can help lighten the melasma.


Atopic dermatitis

 

is an inflammatory, chronically relapsing, non-contagious and pruritic skin disease. The skin of a patient with atopic dermatitis reacts abnormally and easily to irritants, food, and environmental allergens and becomes red, flaky and very itchy. It also becomes vulnerable to surface infections caused by bacteria. The skin on the flexural surfaces of the joints (for example inner sides of elbows and knees) are the most commonly affected regions in people.
Atopic dermatitis often occurs together with other atopic diseases like hay fever, asthma and conjunctivitis. It is a familial and chronic disease and its symptoms can increase or disappear over time. Atopic dermatitis in older children and adults is often confused with psoriasis.
Although there is no cure for atopic eczema, and its causes not well understood, it can be treated very effectively in the short term through a combination of prevention (learning what triggers the allergic reactions) and drug therapy.
It is best to consult at the clinic so that the patients can be properly advised on how to control their atopic dermatitis. Usually maintaining on a hypoallergenic moisturizer as well as soap keeps the atopic dermatitis at bay. When there are flareups it is best to go to Dr. Riya so that the appropriate medicines may be prescribed.

Seborrhoeic dermatitis

 

is a skin disorder affecting the scalp, face, and trunk causing scaly, flaky, itchy, red skin. It particularly affects the sebum-gland rich areas of skin.
Seborrhoeic dermatitis may be visually unpleasant and moderately itchy but is a harmless condition. The condition is often persistent but is easily controlled using readily available medication. After treatment, the condition may recur after a time lapse of months or years.
As with other dermatitis conditions, seborrhoeic dermatitis is often loosely defined as a form of eczema although it differs from other more serious conditions more properly defined as eczema.
The cause of seborrhoeic dermatitis remains unknown, although many factors have been implicated. The widely present yeast, Malassezia furfur (formerly known as Pityrosporum ovale), is involved,[2][3] as well as genetic, environmental, hormonal, and immune-system factors.[4][5] The claim that seborrhoeic dermatitis is an inflammatory response to the yeast has not been proven.[6] Those afflicted with seborrhoeic dermatitis have an unfavourable epidermic response to the infection, with the skin becoming inflamed and flaking.
Acute form of seborrhoeic dermatitis on scalp
In children, excessive vitamin A intake can cause seborrhoeic dermatitis. Lack of biotin,[8] pyridoxine (vitamin B6)[ and riboflavin (vitamin B2) may also be a cause.
Side effects to inflammation may include temporary hair loss. If severe outbreaks are untreated for extended intervals, permanent hair loss may result, because of damage to
hair follicles.
In the cilnic we have formulated a lotion that has been found to greatly control the appearance of flakes in the scalp. Most patients have kept their seborhheic dermatitis at bay with this formulation.



Nice Skin. Nice Life!




 



DR. RIYA DIMAGIBA'S CLINIC SCHEDULE Makati Medical Center,Room 148, Tower 12 Amorsolo St. Makati City
Mon-Sat except Wed:
9 -12
Tues & Thur 2-5
Secretary : Ef
09438 (DR RIYA) / 09438377492
 email at Teresa.Dimagiba@makatimed.net.ph

Patient First Medical Center
3rd Flr. Mercury Drug Bldg. Glorietta 3
Ayala Center, Makati
Wednesday & Saturday 1-5pm
8402218-20
09438 (DR RIYA) / 09438377492

Procedures are scheduled/by appt

Paranaque Doctors Hospital
Rm. 427, 175 Dona Soledad Ave.
Better Living, Paranaque
Mon & Fri 1-3
Wed 10:30-12:30 by appt
Secretary: Tess
09438 (DR RIYA) / 09438377492

You may text/call Dr. Riya at 0943 (DR RIYA) 09438377492