Dr Ivan Puah, MBBS, MOH-Accredited Lipo Doctor, Chairman of Lipo Peer Review Committee
MOH-accredited doctor Dr Ivan Puah explains 10 key facts about fat grafting in Singapore, technique, retention rate, cost of risks, and who can perform it.
Table of Contents
Share this
Fat grafting (fat transfer) moves fat from areas with excess, like the abdomen or thighs, to areas that need volume, such as the face, hands, breasts, or buttocks. In Singapore, only MOH-accredited liposuction doctors may legally perform it. Results depend heavily on technique, with fat retention rates typically 60% - 75%. It's used for facial revolumisation, breast and buttock augmentation, and correcting botched liposuction or scars.
Key Takeaways
Fat can be transferred to various areas, including breasts, face, hands, and buttocks, using excess fat from other body parts.
The technique is crucial; outcomes depend largely on the doctor's skill.
Fat is safer than fillers because it carries no rejection risk, but only 60% - 75% usually survives long term.
Many patients seek fat grafting for restoration after life changes like breastfeeding or ageing, rather than purely for cosmetic reasons.
In Singapore, doctors with MOH liposuction accreditation can perform fat grafting, making this accreditation essential when choosing a provider.
Can fat be transferred to any part of the body, including the face and hands?
Here is a patient getting hand revolumisation by Dr Ivan Puah with a fat injection.
Yes. Fat grafting isn't limited to breasts or buttocks; it's commonly used on the face and hands too.
Hands lose volume and elasticity with age, developing a "skeletal" or translucent look with visible wrinkling, according to Dr Ivan Puah, MOH-accredited liposuction doctor and Chairman of the Lipo Peer Review Committee. Fat injections restore lost volume in the hands the same way they do in the face.
Facial fat transfer is one of the fastest-growing applications: the American Society of Plastic Surgeons reported facial fat grafting procedures rose 22% in a single year, a trend that has continued as patients look for longer-lasting alternatives to fillers.
Why does the doctor's technique determine the result?
Seen here are syringes of concentrated fat that have already separated from the non-fat cells and excess fluid during a fat grafting surgery by Dr Ivan Puah, an MOH-accredited fat grafting doctor in Singapore. Fat injection is a popular revolumisation procedure in the world.
Fat grafting outcomes are almost entirely technique-dependent; the same fat, in different hands, gives very different results.
Dr Ivan Puah uses his proprietary approach called MDC-Sculpt®️ Lipo, developed to remove localised subcutaneous fat and sculpt the body while firming skin, something traditional liposuction alone doesn't achieve.
The peer-reviewed journal Plastic and Reconstructive Surgery notes that grafted fat has many properties of an ideal filler, but results ultimately depend on the technique used to harvest, process, and inject it.
Before choosing a doctor, verify:
Years of hands-on surgical experience
A portfolio that includes corrective cases, not just standard before/afters
Formal liposuction accreditation
Is fat grafting really "70% art, 30% science"?
Fat grafting for the forehead and temple is a popular procedure in women as it lends a softer and more feminine appearance. Dr Ivan Puah is seen here meticulously injecting centrifuged fat into the temple of the female patient during her fat grafting procedure.
Yes, according to Dr Ivan Puah, who has over 20 years of facial and body sculpting experience, aesthetic judgement matters as much as surgical skill.
The doctor needs a strong understanding of facial and body anatomy to judge exactly how much fat to extract and re-inject. This "sculptor's eye," combined with technical precision, is what separates a natural-looking result from an artificial one.
Fat injections vs dermal fillers: which works better for the face?
Fat injections use your own tissue, so rejection and allergy risk are minimal, something synthetic dermal fillers can't guarantee.
Factor
Fat Grafting
Dermal Fillers
Source
Patient's own fat
Synthetic material
Rejection/allergy risk
Minimal
Possible
Typical retention
60% - 75%
Temporary (months)
Repeatable
Yes, if fat stores available
Yes
Longevity
Long-term/permanent (surviving fat)
Short-term
What can facial fat transfer fix?
Fat grafting is one of the popular procedures at Amaris B. Clinic. Dr Ivan Puah has been performing fat transfer and body sculpting invasive surgeries for more than 20 years.
Facial fat grafting adds volume and softens contours, especially at the temples and forehead, giving a more feminine appearance, and corrects sunken or hollow eyes.
Other treatable areas include the cheeks, mid-face, and buccal recess. A proper facial assessment identifies exactly where volume has been lost before treatment.
What is a Brazilian Butt Lift (BBL)?
Buttock enhancement via fat transfer by Dr Ivan Puah.
A Brazilian Butt Lift is buttock augmentation using the patient's own fat, transferred from areas of excess to create a fuller, rounder, and perkier shape.
It's currently one of the most in-demand fat grafting procedures in Singapore, combining body contouring (fat removal) with augmentation (fat transfer) in a single procedure.
Is fat grafting just about vanity?
Dr Ivan Puah is seen here performing liposuction with his novel MDC-Sculpt®️ Lipo technique. This proprietary approach is developed by him to remove localised subcutaneous fat tissues and tailor body sculpting while tightening loose skin, which is not achievable by traditional liposuction.
No, many patients seek it for confidence restoration after childbirth, ageing, or corrective needs, not purely cosmetic enhancement.
Common patient groups include post-breastfeeding mothers, women with asymmetrical or sagging breasts, and patients correcting botched liposuction done locally or overseas. Dr Ivan Puah notes that self-confidence and major life events are among the most common motivations he sees in consultations.
Can fat grafting fix scars or botched liposuction?
Male patient with severe dents on the chest, skin folds and unevenness from botched gynecomastia surgery performed in Australia. He also had severe lumpiness, unevenness and unnatural-looking results from his poorly done high-definition liposuction procedure done overseas. He later sought liposuction correction surgery for both conditions with Dr Ivan Puah.
This female patient had liposuction performed on the inner and outer thighs in Thailand. The picture shows that the over-correction has resulted in dents and uneven bumps on the thighs. The patient seeks secondary liposuction correction surgery with Dr Ivan Puah.
Yes, fat is considered one of the closest, most natural fillers for correcting volume-deficit areas like scars, dents, and uneven contours from previous procedures.
This includes correction of:
Botched gynecomastia surgery (chest dents, skin folds)
Uneven, lumpy results from poorly performed liposuction overseas
Injury or accident scars with volume loss
Who is allowed to perform fat grafting in Singapore?
Dr Ivan Puah performing liposuction and fat grafting in our accredited OT.
Doctors who hold liposuction accreditation from Singapore's Ministry of Health (MOH) may perform fat grafting procedures.
FAQ
How long do fat grafting results last?
Fat that survives the transfer process (typically 60% - 75% of the volume injected) tends to last a long time, since it integrates with the body's blood supply like natural tissue.
Does fat grafting hurt?
It involves liposuction to harvest fat plus injections to place it, so some soreness and swelling at both the donor and recipient sites is expected during recovery, similar to standard liposuction downtime.
Can I need more than one fat grafting session?
Yes. Because not all transferred fat survives, some patients undergo a second round to reach their desired volume, provided they have enough donor fat available.
Is fat grafting safer than dermal fillers?
Because it uses the patient's own tissue, fat grafting carries zero risk of allergic reaction or rejection compared to synthetic fillers, though it is a more invasive procedure overall.
How do I check if a doctor is MOH-accredited for liposuction in Singapore?
Ask the clinic directly for their liposuction accreditation status.
LEARN MORE ABOUT BREAST FAT GRAFTING
Many women seek fuller, more symmetrical breasts but prefer to avoid implants. ADR-C Breast Enhancement uses your body’s fat for natural-looking results.
At Amaris B. Clinic, we want you to know that it's always been about you. Deciding to embark on a journey toward skin, face, body treatment, or a fitness program is significant, and we are here to prioritise your results, well-being, and safety at every step.