“Some of the more popular treatments requested by [South-Asian] women are Botox, fillers, skin tightening and laser hair removal. But by far, the most popular treatment is pigment blending, which helps to improve skin tone and texture.”
“Due to perceived pressures from the workplace, men are also more frequently turning towards cosmetic procedures. They are doing what they can to maintain a youthful appearance.”
According to the United Nations, Toronto has been declared as the most ethnically diverse city in the world. Similarly, a study conducted by Statistics Canada projects that by 2031, one-third of Canada’s population will be a visible minority.
These rapid demographical shifts create a need for specialized care in the treatment of ethnic skin types and until now, this specialized care could not be found in Toronto or even Canada. In February, Sikh-Canadian dermatologist Dr. Davindra Singh opened the doors of AvantDerm, a dermatology clinic that is effectively providing care to ethnic skin patients and beyond.
A sprawling, 7000-sq-ft space, this dermatology clinic by no means comes across as a typical medical office. The clinic uses Distillery District artefacts and modern décor to create a unique setting that represents both historic and urban Toronto. “The décor of the clinic strikes a chord on both a personal and professional level. From a professional perspective, patients come in and are taken aback by the atmosphere; it is very soothing and helps directs focus from illness. For me, I come in every day and enjoy being here.”
Born and raised in Peterborough, Dr. Singh attended Queen’s University for both his undergraduate degree and medical school. He then proceeded to complete his family medicine residency at McMaster University in Hamilton.His medical career began in the small, rural, Northern Ontario town of Iroquois Falls where he spent eight years practising as a family physician, emergency physician and sole physician of a nursing home.
During his time spent in Northern Ontario, Dr. Singh was warmly welcomed by the community. “Working in a small town certainly shaped my perceptions regarding the delivery of healthcare. I have spent my whole life practicing in underserviced areas so the notions of improved access and care to untreated populations comprise the foundation of AvantDerm.”
Following his work in Iroquois Falls, Dr. Singh headed to the University of Toronto to complete his dermatology residency. His experience as a family and emergency physician meeting the needs of a small community allowed him to perceive various gaps in healthcare in Toronto. One of these gaps was the lack of care for ethnic skin patients. “We have a population that is over 50% non-white. But if you look at the dermatologists in Toronto, there isn’t one that specializes in ethnic skin. I don’t exclude anybody but I think it’s important that somebody in the city has an interest in ethnic skin.”
Dr. Singh responded to the changing needs of the community when he opened his doors in February.In addition to the Ethnic Skin Institute, AvantDerm offersthe Rapid Access Clinic allowing for next-day appointments, speciality clinics, and cosmetic dermatology.
“Medical conditions and medical procedures, especially laser, are much more risky in darker skin. The best example is laser hair removal. The majority of black people are turned away because nobody can treat them safely. This is because the laser is targeting pigment in the hair follicle and this lies deep within the skin. If you have pigmented skin, there is added risk of burning as you try to reach the target. You have to have the proper machines and the proper skill to know what settings to use and how to cool the skin to protect it and still be effectively able to target the hair.”
Dr. Singh spent a significant amount of time studying in various ethnic skin centres around the world, including Howard University in Washington, D.C. He has brought back the technology and know-how to Toronto and is ready to serve the diverse population.
One of the biggest concerns with the South Asian-Canadian population is pigmentation issues, manifesting in a variety of different ways. For example, vitiligo is a condition which causes a loss of pigment in the skin. This can be devastating in patients with darker skin as it is more apparent due to the contrast with normal skin. Patients with darker skin also tend to have melasma, a skin condition that causes brown patches on face. Finally, ethnic skin patients with acne tend to have dark spots that remain after the papules and pustules disappear.
To manage mild acne, Dr. Singh recommendswashing your face gently, applying a prescription product recommended by a dermatologist and using a moisturizer and sunscreen in the morning. In the evening, the same regimen can be followed, save for the sunscreen.
Cosmetic dermatology treatments are also popular amongst the ethnic skin population. Dr. Singh attests that an increasing number of South Asian men and women are opting for non-surgical cosmetic skin treatments.
“Some of the more popular treatments requested by [South-Asian] women are Botox, fillers, skin tightening and laser hair removal. But by far, the most popular treatment is pigment blending, which helps to improve skin tone and texture.”
“Due to perceived pressures from the workplace, men are also more frequently turning towards cosmetic procedures. They are doing what they can to maintain a youthful appearance.”
Photoaging, or the premature aging of skin due to sun exposure is also a concern for the South Asian community. “A common myth amongst the ethnic population is that they do not need to wear sunscreen. This is absolutely false.” Dr. Singh recommends wearing a broad spectrum sunscreen that protects against UVA and UVB rays. Protection against UVA is unmeasured, however protection against UVB is measured by SPF ratings; Dr. Singh recommends SPF 45 or greater.
In addition to sunscreen, Dr. Singh recommends for patients to be gentle with their skin, eat a well-balanced diet, stay hydrated and drink plenty of water.
For more information about Dr. Singh and AvantDerm, please visit www.avantderm.com.














