Dermatology in Bali

Dermatology is a branch of medicine that focuses on health issues affecting the skin, nails, hair, and mucous membrane. It is a specialty with both surgical and medical aspects. A dermatologist can address cosmetic issues, which can help to rejuvenate the appearance of the skin, nails, and hair. Being a dermatologist requires a great depth of clinical knowledge, including the variety of internal health problems that may cause skin symptoms. Dermatologists can treat over 3,000 conditions. Some of the most common are acne, dermatitis and eczema, hair loss, nail problems, fungal infections, warts, vitiligo, and skin cancer.

Dermatology has a number of departments and specialties, including:

• Cosmetic Dermatology – dermatologists have been the leaders in cosmetic surgery. Many dermatologists are trained on the use of fillers, botulinum toxin, and laser surgery. Some dermatologists also perform blepharoplasty, liposuction, and facelifts. However, most dermatologists limit their cosmetic practice to minimally invasive procedures.
• Dermatopathology – this field is a joint specialty of dermatology and pathology. It focuses on the study of cutaneous diseases at molecular and microscopic levels. Dermatopathology can make a definitive diagnosis of various skin diseases, including melanoma.
• Trichology – this is the study of the hair and the scalp. This field of dermatology deals with diseases such as hair loss, scalp changes, hypertrichosis, and hair abnormalities.
• Immunodermatology – this filed specializes in immune-mediated skin diseases, such as bullous pemphigoid and lupus.
• Pediatric Dermatology – pediatric dermatologist specializes in the diagnosis and treatment of skin diseases in children, which include newborns and infants.

What does the Procedure Involve?

A range of medical and cosmetic procedures are used to manage issues affecting the skin, nails, and hair. Many skin conditions can be treated by medications and noninvasive procedures, while others may require more invasive approaches. The following are several dermatologic procedures:

• Cosmetic injections – cosmetic injections can temporarily address scarring, wrinkles, and reduced facial fullness. A dermatologist can inject botulinum toxic (Botox) or fillers, such as fat and collagen. The results may last for a few months before you need another injection.
• Chemical peels – this procedure is used to treat some types of acne, as well as sun-damaged skin. It can also treat other cosmetic complaints, such as lines under the eyes and age spots. During chemical peels, a chemical solution is applied to the skin. This chemical solution causes a layer of skin to peel off, revealing regenerated skin beneath it that is typically a lot smoother.
• Dermabrasion – this type of procedure uses a high-speed rotating brush to remove the top layer of the skin, which can help reduce the appearance of fine wrinkles and tattoos, scar tissue, and potentially precancerous areas of the skin.
• Cryotherapy – cryotherapy involves freezing skin lesions, usually with liquid nitrogen, to destroy the affected cells. It can be a quick treatment for a number of benign skin issues, such as warts.
• Hair removal or restoration – various methods can be used to address hair loss, such as hair transplants. On the other hand, dermatologists can use lasers to remove unwanted hair from the body.
• Excision of lesions – skin lesions may be cut away to prevent a disease from spreading, to improve symptoms, for cosmetic reasons, or to prevent reoccurring infection. Excision of lesions may be done under a local or general anesthetic.
• Laser surgery –can be used to treat a number of cosmetic problems or skin issues, such as warts, tumors, moles, scars, birthmarks, wrinkles, and unwanted tattoos.
• Tumescent liposuction – this procedure is used by dermatologists to remove fat. Large volumes of local anesthetic are injected into fatty tissue, then it is sucked from the body. Note that tumescent liposuction is performed to contour the body, not to treat obesity.
• Vein procedures – people with superficial leg veins, called spider veins, may want them removed. Several procedures can be done to remove them, but sclerotherapy is the most popular treatment. It involves injecting a special solution or a foam into the vein. The special solution and foam irritate the lining, causing the vein to become less noticeable or, in some cases, disappear completely.
• Skin grafts and flaps – missing skin can be restored using skin from other areas on the body. Dermatologists can also repair skin loss by making a flap of skin from a nearby area of the body. The flap of skin is then used to cover the damaged patch.
• Biopsies – a skin biopsy is usually needed to diagnose or rule out certain conditions.
• Mohs surgery – this procedure is a treatment for skin cancer. It involves removing layers of skin in order to get rid of cancerous cells. The removed skin layers are then examined under a microscope. Then, successive layers are removed until there are no more cancerous cells found in the skin.
• PUVA – Psoralen combined with ultraviolet radiation (PUVA) is a procedure to treat several skin diseases, such as vitiligo, dermatitis, and psoriasis. Psoralen is a drug that can make the skin more sensitive to radiation treatment.

How Long Should I Stay in Bali?

Depending on the type of procedure you have, you may be able to leave the hospital on the same day or stay for several days. For noninvasive treatments, such as chemical peels and cosmetic injections, you should be able to leave the hospital on the same day and fly home within a couple of days. For invasive procedures, particularly to treat serious medical conditions, such as cancer, you may need to stay in the hospital for several days, and stay in Bali for at least 10 to 14 days. Your surgeon and/or medical travel team will advise you on this matter.

What's the Recovery Time?

Recovery time will vary depending on the type of procedure you have, the reason why you have the procedure in the first place, and your general health. Your dermatologist will usually give you a detailed recovery timeline for each procedure. In general, recovery time for nonsurgical procedures is typically short and you should be able to resume your normal routine within a few days. For surgical procedures, it may take several weeks until you are allowed to return to your full daily activities.

What About Aftercare?

Your dermatologist will give you a set of instructions to care for yourself during the recovery period. The instructions will be different for each type of procedures, but they may include a diet plan, light exercises to follow, how to care for your surgical wounds or affected area, activities you can or cannot do, signs of complications to be aware of, and medication to take. It is important that you follow your dermatologist’s instructions closely in order to avoid complications and to obtain the best possible results.

Some cosmetic procedures may not be permanent, such as dermal fillers and Botox, so you will need to have regular treatments in order to maintain the results. For skin cancer treatment, you may need to attend follow-up checkups to ensure that cancer has not come back.

What's the Success Rate?

Experienced and skilled dermatologists will be able to deliver a high success rate and satisfactory results. However, every type of procedure carries some risk, which may include infection, swelling, bleeding, adverse reaction to anesthesia, and unsatisfactory results.

Are there Alternatives to Dermatology?

If you have any problems with your skin, going to a dermatologist is the only way to treat it. However, if the skin problem is caused by an underlying condition, your doctor or dermatologist will recommend you to see relevant doctors to treat it.

What Should You Expect Before and After the Procedure?

Before seeing a dermatologist, you may have a problem with your skin. You may not like the wrinkles on your face, or you may have a lesion that needs to be removed. After receiving treatment from a dermatologist, your skin problems should be addressed. You may be able to achieve your dream appearance, any disease you had before may be treated.

Dermatology in and around Bali

About Bali

Bali is an Indonesian province located on the west side of the Lesser Sunda Islands. It is the country’s main tourist hotspot that attracts millions of tourists each year. The beaches are tranquil and perfect for any sun-seeker, the marine life is one of the most diverse in the world, the culture is beautiful, and the mountains are covered in lush jungles and great for hiking. In addition to the natural and cultural beauty, there are myriad of things that tourists can do here, from yoga, partying, surfing, to horseback riding.

Bali is not only full of fascinating beaches, but this tropical paradise also boasts many high-quality medical facilities offering various types of treatments. The island continues to upgrade its infrastructure and develop its medical centers to compete with neighboring countries, such as Singapore and Thailand. Medical tourists are able to avail of a wide range of treatments including cosmetic surgery and at affordable rates. The medical centers have modern equipment, and there is little to no waiting time for almost every procedure. Additionally, the island is also equipped with exclusive yoga centers, Bali-traditional spas, and Jamu traditional medicinal herbs.

Popular Areas in Bali

• Seminyak is known to be the most luxurious area in Bali. Tourists will find many fashionable boutiques, upscale restaurants, and exclusive clubs. In the afternoon, tourists can soak up the sun while sipping a cocktail in one of its famous beach clubs or take a beginner surfing lesson at one of its beaches. The main beach is Petitenget Beach where tourists can enjoy magical sunsets or swim in its warm waters. The area is also home to Bali’s best cafés, which makes café hopping a must-do event.  
• The Nusa Islands is located around 20 kilometers offshore from the main island and can only be accessed by boat. It consists of three islands: Lembongan, Ceningan, and Penida. The most popular and the closest to the main island of Bali is Nusa Lembongan. The biggest is Nusa Penida and the smallest is Nusa Ceningan. The three islands offer tranquil and almost-empty beaches, which is perfect for anyone who wishes to stay away from crowds.  
• Ubud is the island’s jungle paradise that still retains numerous aspects of traditional Balinese. It is the place for tourists who wants to immerse in Bali’s culture and nature. There are various beautiful temples, dance shows, and historical sites within the area. The most popular place is Ubud Monkey Forest or the Sacred Monkey Forest Sanctuary, which is a sacred temple, an evocative jungle, and natural habitat of monkeys.
• Sanur is Bali’s earliest beach resort and is located on the eastern side of the island; it contains some of the island’s first hotels. The area is known to be family-friendly as well as one of the best places to enjoy Bali’s magnificent sunrises. Sanur is very quiet which makes it the perfect place for relaxation. Wander around for a day and you will find many major cultural landmarks hidden in plain sight.
• Canggu is famous for its green rice fields, dark sandy beaches, and healthy food. This up-and-coming area is also filled with cool cafes and vegan restaurants. It is also a prime spot for surfing since the beaches have massive shore breaks. One of the most famous places in the area is the Pura Tanah Lot Temple as it is a famous seaside religious site located on top of a rock formation, which offers a picturesque view.

Weather and Climate in Bali

Bali enjoys warm and comfortable weather all year round. The tropical island experiences two seasons: dry and wet. The dry season starts in April and ends in October. The average temperatures during this season are between 23 °C to 31 °C. June to August are the driest months, making them the best months to visit the island. The wet season is from November to March. Expect to find many rainy days during the wet season. The temperatures are generally similar to the dry season, but the humidity will increase significantly. 

Getting Around in Bali

I Gusti Ngurah Rai International Airport is the main gateway to Bali and it is located 13 kilometers south of Denpasar and is the second busiest airport in Indonesia. The airport has international connections with major cities around the globe, including Bangkok, Melbourne, Moscow, and Guangzhou. It also serves domestic flights to many regions within Indonesia. The most affordable way to travel to and from Bali is by flying with budget airlines, such as AirAsia, Citilink, and Lion Air. 

There are several ways to get around Bali. Most of the transportation options are very affordable. Hiring a motorcycle is the fastest option, but if you do not like the idea of driving by yourself, you can try the motorcycle taxis known as ‘ojek,’ which can be hailed directly from the streets or by using apps such as Grab and Go-Jek (similar to Uber). The apps also provide private cars and food delivery. Taxis are widely available and run on a meter. The most reliable taxi companies are Blue Bird and Express.

Tourist Visas in Bali

Indonesia is known to be a visa-friendly country since most developed countries can enter without a visa. The country allows a citizen of 170 countries to enter and stay for up to 30 days. Citizens of Japan, the United Kingdom, the United States, and 65 other countries can apply for a visa on arrival. It is best to check at the nearest Indonesia Embassy or Consulate to find out if you need a visa or not. All visitors are required to have a visa valid for at least 6 months. 

Additional Information

1. Local Currency: Indonesian Rupiah (Rp) is the official currency, and $1 converts to Rp14.000.
2. Money & Payments: Tourists will find ATMs that accept international cards almost everywhere (mostly Visa and MasterCard). Credit and debit cards are accepted in many shops, restaurants, and hotels. Tipping is not expected but will be greatly appreciated. 
3. Local Language: The official language is Bahasa Indonesia, and most people will also speak Balinese. English is widely spoken, especially in tourist areas.
4. Local Culture and Religion: Most people in Bali follows Hinduism, and almost every aspect on the island is submerged with the Hindu faith. There is also a large group of Muslims as well as small group groups of Christian and Buddhists. 
5. Public Holidays: Bali celebrates major religious holidays, including Nyepi (Silent Day), Eid Mubarak, Christmas, and Vesak.