Dermatology in Metro Manila

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 Metro Manila?

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 Metro Manila 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 Metro Manila

About Manila

Manila is the capital of the Philippines and is divided into 16 districts; it is one of the densest and populated cities of the world. Each district has its own history and cultural legacy. The city was under the rule of Spanish conquerors for almost three centuries. You can see the remains of that era in the ruins of the historical buildings. Today, the City is very modern with tall skyscrapers and modern architecture.

The Philippines is developing into one of the top countries in the world for medical tourism. Approximately 15 million people globally travel to other countries in search of quality medical care at affordable prices. Manila is a favorite destination due to the following reasons:

• It provides state-of-the-art procedures at affordable prices.
• With excellent infrastructure, the City can handle the large numbers of foreigners who visit Manila.
• The Hospital and clinic staff are very competent, friendly, and educated and have a good knowledge of English to communicate with their patients.  
• The doctors are very well-qualified and hold international certifications.
• The city has a reputation in providing excellent post-surgical care by the nurses and physiotherapists.
• The Medical Industry provides many alternative therapies at some of the best spa resorts. You can combine a surgical procedure with alternative healing therapies at the same time.

Popular Areas in Manila

Manila Bay has many tourist spots and you will find many monuments that depict the Spanish occupation of the country. There are many Baroque Colonial Churches that will enable you to appreciate the artistic designs.

The National Museum of the Philippines, Bahay Chinoy, the National Art Gallery, and the Metropolitan Museum of Manila are some of the popular museums that you must visit in Manila. Rizal Park also known as Luneta is a historical urban park that is worth visiting.

There are also many organized tours that can help you get the best out of your sightseeing, for example, the Intramuros Tour, Rizal Park Tour, or the Skyscraper Gazing Tour and more.

Manila is a very modern contemporary city as the historical buildings have been replaced by modern architecture with better planning and layout and the buildings are earthquake resistant.

The city has many cultural and religious festivals throughout the year. There are plenty of shops, both big and small where you can buy branded goods at affordable prices.

Weather and Climate in Manila

The Philippines is a tropical country and in Manila, you will not experience too much temperature variations. January is the coolest month while May is the warmest month. The average temperature remains between 14°C and 38°C. The rainy season is between May and November. The rest of the months are dry. Manila is a humid city and bad weather such as Typhoons may occur during the months of June and September.

Getting around in Manila

People traveling from nearby countries such as Malaysia and Indonesia can use the City’s sea entry points. For all other passengers, the best option is to take the air route.

The Ninoy Aquino International Airport is the City’s major international airport. It has four different terminals that connect via bus transfers. If you are taking a connecting flight, remember to keep some time as a buffer, as transfers may force you to travel through the busy streets of Manila. Terminal 1 caters to International flights and Philippine Airlines uses T2 and domestic carriers and international carriers use T3 with budget carriers largely using T4.

You can take a bus from the airport to the city. Taxis have meters and you can hail a cab outside the airport. Buses and small vans or jeepneys are popular modes of transport within the city.

Manila has three light rail systems and one heavy train line. The light rail systems are the LRT-1, LRT-2, and MRT-3. You can also use the pedicabs and tricycles for shorter distances. In some areas, you can even find horse-driven carriages called calesa.

Tourist Visas in Manila

The visa process is not a very complex system as the Philippines has a visa waiver program for certain countries. All European nations, South American countries, and many others form part of this program. Citizens from these countries can stay in Manila for up to 30 days, whereas nationals from Brazil and Israel may stay in Manila for 59 days. Hong Kong, Macau, and Portugal residents can stay for 14 days without a visa. Tourists belonging to other countries need to apply for a visa to enter the Philippines, in the consulate in their respective countries.

You must also have a valid return ticket. Passport must also be valid for at least six months and beyond to stay in the country. Visa-exempt people may extend their stay by one or two months after which they will have to apply for a visa.

Additional Information

• The currency of the Philippines is Peso (symbol: ₱). It is strong in the world market and the usual exchange rate is 1 Dollar equals 50 Pesos. Dollars are easy to exchange compared to other currencies.
• Credit cards are acceptable in almost every place. The city also has many ATMs from where you can withdraw money without difficulty. However, ATMs will charge you a minimal exchange fee on foreign cards.
• Bargaining and negotiating are acceptable in most places and it can get you better deals.
• Restaurants may add a service charge of up to 10%. You can pay a cash tip of 5 to 10 %. People often round off the taxi fare.
• Manila is a city full of people who speak English proficiently. Filipino and English are the two official languages. Filipino is a variety of Tagalog, Austronesian languages.
• Hindu, Muslim, Buddhism, and Christian religions have left their mark on the Philippines at different periods. Today, a majority of the population is Roman Catholic.
• There are many public holidays in Manila. Some of the important ones are Christmas Eve, Christmas, Eid al-Fitr (Ramadan), Labor Day, New Year, and Good Friday, etc. The Independence Day falls on June 12th and Manila Day on 24th June.