Dr Ivan Puah, MBBS, MOH-Accredited Lipo Doctor, Chairman of Lipo Peer Review Committee
Before you allow ageing to resign to its notoriety, there ARE ways for us to strike back at ageing (with a vengeance) which would make us look & feel 21 again.
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The five most effective anti-ageing procedures covered here are the 4D Fluid Facelift (dermal fillers for lost facial volume), anti-wrinkle injections (BoNTA) for lines and wrinkles, Ultherapy for lifting and tightening skin, facial lipo for stubborn facial fat, and ADR-C Facial Enhancement (Facial fat grafting) for facial volume loss. The right choice depends on your concern, anatomy and goals.
Key Takeaways
5 procedures target different ageing concerns. The 4D Fluid Facelift restores facial volume, anti-wrinkle injections (BoNTA) smooth lines, Ultherapy® Prime lifts sagging skin, FacialLipo removes stubborn fat, and ADR-C Facial Enhancement restores facial volume using your own fat.
3 of the 5 are non-surgical. The 4D Fluid Facelift uses FDA-approved hyaluronic acid fillers in the cheekbones, nasolabial folds, under-eye area and marionette lines. Anti-wrinkle injections and Ultherapy® Prime also avoid surgery, while Facial Lipo and ADR-C are surgical.
Ultherapy® Prime results build gradually. It uses micro-focused ultrasound with real-time visualisation to stimulate collagen, producing a clinically significant lift over two to three months, with results continuing for up to half a year. It can also smooth lines on the décolletage.
Facial lipo by Dr Ivan Puah is tailored to each person’s facial shape, fat distribution, and skin laxity; uses strategically placed incisions to minimise scarring; and encourages better skin retraction.
Facial fat grafting avoids dermal filler risks. ADR-C Facial Enhancement removes fat and improves facial hollowness in one treatment. As it uses your own fat, it avoids risks associated with dermal fillers, and recovery is faster.
For many of us, the late 20s bring unwelcome changes: a slower metabolism, cellulite, and the first visible signs of ageing on the face and body. The good news is that modern aesthetic medicine offers several ways to address them. Below is a guide to five procedures, what each treats, and how to choose.
Which anti-ageing procedure is right for you?
Procedure
Best for
Surgical?
4D Fluid Facelift
Facial volume loss, hollow cheeks, smile lines
Non-surgical
Anti-wrinkle injection (BoNTA)
Fine lines and wrinkles
Non-surgical
Ultherapy® Prime
Saggy skin, jowls, “turkey neck”
Non-surgical
Facial Lipo
Stubborn localised facial fat
Surgical
ADR-C Facial Enhancement
Facial volume loss, sagginess
Surgical
What is the 4D Fluid Facelift in Singapore?
The 4D Fluid Facelift is a non-surgical facial rejuvenation treatment created by Dr Ivan Puah to restore the face’s natural contours. Volume loss is one of the most noticeable effects of ageing. It shows up as hollow cheeks, sunken eyes and prominent smile lines.
Which areas does it treat? Dermal fillers are injected into the:
Cheekbones
Nasolabial folds
Under-eye area
Marionette lines
Which fillers are used? FDA-approved hyaluronic acid (HA) dermal fillers are preferred for safety reasons. They cushion and support areas that have lost volume and elasticity.
How can it make you look younger? The 4D Fluid Facelift can:
Replace lost facial volume
Improve skin quality
Smooth fine lines on the forehead
Remodel the cheeks and chin for better definition
Define and enhance the lips
Soften moderate lines from the mouth to the chin and from the nose to the lip corners
It may be combined with anti-wrinkle injections (BoNTA) and Pico Fractional Laser for a smoother complexion.
Who performs it? Dr Ivan Puah holds a Graduate Diploma in Family Dermatology from NUS and has over 20 years of medical aesthetics and cosmetic surgery experience across many skin conditions, including laxity, wrinkles, hyperpigmentation and acne scarring. He wrote a paper on “Prevention and management of vision loss relating to facial filler injections” and is an appointed trainer-to-doctor for Merz Singapore and Allergan Singapore.
What are anti-wrinkle injections (BoNTA) and how do they work?
Will it look “frozen”? Not when done well. A successful result lets the doctor create a subtle, balanced, rested and natural appearance, avoiding the “frozen” or “Spock brow” look. This is the approach Dr Puah takes.
What is Ultherapy® Prime and how does it work?
Ultherapy® Prime is an FDA-approved, non-surgical skin lifting and collagen-boosting treatment. It uses high-intensity micro-focused ultrasound with real-time visualisation (MFU-V) to lift and tighten skin and restore elasticity. It can also smooth lines and wrinkles on the décolletage [1].
How long do results take? Ultherapy® Prime stimulates collagen production in the skin’s foundation. This produces a clinically significant tissue lift over two to three months, with results continuing for up to half a year [2].
What does it treat?
Saggy cheeks and jowls
Skin laxity
“Turkey neck”
Droopy eyelids
Lines and wrinkles on the décolletage
Jowls are one of the most common signs of ageing, as gravity, environmental pollutants and volume loss all take a toll on the lower face. Ultherapy® Prime offers a quick, non-surgical way to address this.
What is Facial Lipo and how is it different from traditional liposuction?
Facial Lipo by Dr Ivan Puah uses a multi-dimensional contouring technique. It works with each person’s facial shape, fat anatomy, fat distribution and skin laxity. Stubborn localised facial fat that does not respond to facial massages, diet or exercise is removed while the face is sculpted at the same time.
Key differences from traditional liposuction:
Minimal scarring: Incisions are placed strategically to give efficient access to the three layers of fat, keeping scars to a minimum.
Better skin retraction: This approach encourages better skin retraction, which traditional liposuction does not deliver.
Natural, well-shaped results.
What is ADR-C Facial Enhancement (Facial fat grafting)?
ADR-C Facial Enhancement is a 2-in-1 body sculpting and facial enhancement procedure. Fat is removed from one area and used to fill facial hollowness in the same treatment. It produces natural, long-lasting results with minimal incisions and scarring.
Why consider fat grafting for a more youthful look? Gravity and volume loss can leave a face looking tired or grumpy. Because ADR-C uses your own fat, it avoids the ruptures, leaks and shifts associated with implants, and recovery is faster.
How do you choose an anti-ageing clinic in Singapore?
Look for:
Accredited, experienced doctors. Check qualifications and years of practice.
A full range of options. A clinic offering multiple treatments can recommend or combine them based on your needs rather than one product.
A detailed consultation and assessment before any procedure.
Amaris B. Clinic has been in medical aesthetics and cosmetic surgery practice since 2004. Book a consultation with Dr Ivan Puah to find the right anti-ageing plan for you.
FAQ
What is a 4D Fluid Facelift?
A non-surgical facial rejuvenation treatment that uses HA dermal fillers to restore volume in the cheekbones, nasolabial folds, under-eye area and marionette lines.
Do anti-wrinkle injections make you look frozen?
Not when performed well. The aim is a subtle, balanced and natural result.
How long does Ultherapy® Prime take to work?
A clinically significant lift develops over two to three months, with results continuing for up to half a year [2].
Is Ultherapy® Prime surgical?
No. It is a non-surgical treatment using micro-focused ultrasound with real-time visualisation [1].
Can these treatments be combined?
Some can. The 4D Fluid Facelift may be combined with anti-wrinkle injections and Pico Fractional Laser.
LEARN MORE ABOUT 4D FLUID FACELIFT
4D Fluid Facelift Singapore is a non-surgical facial enhancement & rejuvenation treatment, created by Dr Ivan Puah, to restore the natural contours of the face
Pavicic T, Ballard JR, Bykovskaya T, Corduff N, Hirano C, Park JY, Saromytskaya A, Sevi J, Vasconcelos S. Microfocused ultrasound with visualization: Consensus on safety and review of energy-based devices. J Cosmet Dermatol. 2022 Feb;21(2):636-647. doi: 10.1111/jocd.14666. Epub 2021 Dec 24. PMID: 34951735; PMCID: PMC9305832.
Fabi SG. Noninvasive skin tightening: focus on new ultrasound techniques. Clin Cosmet Investig Dermatol. 2015 Feb 5;8:47-52. doi: 10.2147/CCID.S69118. PMID: 25709486; PMCID: PMC4327394.
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