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Am I a Good Candidate for 4D Liposuction? BMI, Fitness Level & Ideal Patient Criteria

Jun 16, 2018
February 27, 2026
Medically reviewed by:
Dr Ivan Puah, Medical Director

No matter how much you’ve been pushing, pressing, lifting and curling at the gym (on top of watching what you eat), there are still unwanted bulges.

4d lipo

Table of Contents

In Singapore, 4D Liposuction typically costs SGD $4,500. A muscle-etching approach using the Vaser Liposuction technique aims to achieve visible muscle definition, particularly six-pack abs and a toned waistline. It removes both superficial and deep fat surrounding muscle groups, enhancing their visibility, creating an athletic appearance.

4D Liposuction (Hi-Definition Lipo) can make the final difference when the body limits physical efforts.

This liposuction technique helps patients achieve a visible set of six-pack abs and a toned waistline, by removing the superficial and deep fat surrounding muscle groups to enhance the visibility of underlying tone and musculature.

This is why the ideal candidate for 4D Liposuction (Hi-Definition Lipo) should have good muscle tone, minimal fat, and little loose skin, and lead an active lifestyle. 

For example, individuals very close to their goal weight are somewhat toned but fail to achieve the abdominal muscle definition they desire. 

Ideal BMI Range for 4D Liposuction (Hi-Definition Lipo) Candidates

Dr Ivan Puah shares that 4D Liposuction (Hi-Definition Liposuction) requires greater attention to detail, not just fat removal, to enhance the underlying muscle definition.

Ideal candidates for 4D Liposuction should be within the optimal body mass index (BMI) range for optimal results. 

The best results are often seen in individuals with a BMI between 20 and 25, which makes it easier to achieve the desired contouring effects.

Candidates should ideally maintain a healthy workout regimen that promotes muscle tone. 

4D Liposuction (Hi-Definition Lipo) is, therefore, suitable for these individuals who consistently work out 4 to 6 times per week but cannot achieve the "washboard" appearance (which generally can only be seen in those with very little body fat - about 3%).

In women, the commonly targeted areas include the serratus anterior, the obliques, and the rectus abdominis.

The most desired physical trait for men is the washboard abs.

@amarisbclinic High-definition liposuction isn’t like regular liposuction. It’s a more advanced approach that requires precision and attention to detail, designed to sculpt your body and give you a more athletic, toned look. But when body contouring doesn’t go as planned, it can profoundly affect your physical and mental health. Want to know why it happens? Watch to learn more. #fyp #foryou #foryoupage #tiktoksg #singapore #amarisbclinic #drivanpuah #aesthetics #medicalaesthetics #liposuction #hideflipo #highdefinitionliposuction #4dliposuction #abs #abdomenmuscles ♬ original sound - Amaris B. Clinic Singapore

Skin Elasticity Considerations

As we age, the skin naturally loses collagen and elastin, two proteins vital for maintaining skin firmness and elasticity.

Factors such as skin thickness and texture can influence how well the skin retracts after fat removal.

Individuals Who Are NOT Good Candidates for 4D High-Definition Liposuction

@amarisbclinic Your BMI helps determine if you're a good candidate for surgery because it can fundamentally affect BOTH SAFETY AND RESULTS. Here's why. #fyp #foryou #foryoupage #tiktoksg #singapore #medicaltok #aesthetics #medicalaesthetics #BMI #liposuction ♬ original sound - Amaris B. Clinic Singapore

1. Unrealistic Expectations: As with any cosmetic surgery, those with unrealistic goals are not good candidates. A masterpiece can only be achieved by the set of tools and type of canvas the artist is provided with.

2. Underlying Health Conditions: For the patient's safety, be transparent with the doctor if you have any health conditions, such as cardiovascular disease or even diabetes.

3. Poor Skin Quality: Candidates with poor skin texture or significant scarring may not achieve optimal results, as it may impede the final results of your athletic definition.

4. Pregnancy or Recent Childbirth: Postpone going for any elective procedures if you are pregnant or have just undergone childbirth. 

5. Smoking: Many studies have revealed that smoking and drinking alcohol can slow down healing, clot blood and most importantly, impair the body's natural healing processes. 

6. Certain Medications: Medications such as blood thinners and other types of prescribed medications or supplements can put you at risk during surgery. List all the medications and supplements you are taking to the doctor during consultation.

7. Mental Health Concerns: Those interested in 4D Liposuction (Hi-Definition Lipo) should be in a good frame of mind, as experiencing anxiety, depression, or other mental health issues can affect decision-making and recovery.

@amarisbclinic Are you thinking about getting abdominal etching through high-definition liposuction? You might wonder whether you should aim for a 4-pack, 6-pack, or 8-pack. However, the answer isn't entirely up to you. #fyp #foryou #foryoupage #tiktoksg #singapore #amarisbclinic #drivanpuah #aesthetics #medicalaesthetics #liposuction #hidefliposuction #6pack #8pack #4pack ♬ original sound - Amaris B. Clinic Singapore

4D vs Standard Lipo: Which is Right for You?

A standard liposuction focuses on fat removal, whereas 4D Liposuction (Hi-Definition Lipo) is for “muscle etching”. 

During 4D Lipo, the lipo doctor will work not only in the deep layer of fat but also in the superficial layer, where muscle sculpting truly takes place.

If your goal is to achieve an athletic appearance and you have met the patient criteria, 4D Lipo may be a better option for you. 

Self-Assessment Checklist 

This checklist is prepared to help you evaluate your readiness for 4D Liposuction (Hi-Definition Lipo) and discuss any concerns with your liposuction doctor before proceeding.

Your health and safety should always come first.

Personal Health Considerations

  • Do you have any pre-existing medical conditions?
  • Is your BMI within a healthy weight range? 
  • Do you have stubborn fat pockets that you have been unable to reduce through diet and exercise?
  • Do you have any loose skin?

Aesthetic Goals

  • What results are you seeking, the 6-pack or 11-line?
  • Are you looking at a subtle enhancement or a dramatic transformation?
  • Do you understand that 4D Liposuction (Hi-Definition Lipo) is not a weight loss solution?

Lifestyle Assessment

  • Are you currently following a healthy diet and maintaining a regular exercise habit?
  • Are you committed to sustaining this lifestyle to maintain your post-op results?
  • Can you take time off work or daily responsibilities for a few days?

Consultation Readiness

  • Have you researched 4D Liposuction (Hi-Definition Lipo)?
  • Have you checked that your liposuction doctor is currently licensed by the Ministry of Health in Singapore to perform liposuction?
  • Have you jotted down your worries and concerns to be shared with your liposuction doctor?
  • Are you undergoing 4D Liposuction (Hi-Definition Lipo) for yourself, not under pressure from anyone else?
  • Are you mentally prepared to wear the compression garment 24/7 post-op for several weeks?
  • 4D Liposuction (Hi-Definition Lipo) is an elective surgery and is not covered by insurance or MediSave. Are you prepared to cover the entire cost yourself?

Questions to ask during consultation

  • Did you request to see the before and after photos of cases done by the lipo doctor?
  • What do the costs involve?
  • Will you be closely guided on pre-surgery and post-operative care?
  • What are the red flags to watch out for during recovery, and what to do in case of emergency?
  • How about the possible surgical risks and complications?
  • What are the to-dos and not-to-dos? 

FAQ 

Can I get 4D Liposuction (Hi-Definition Lipo) if I don't exercise? 

You may still be a candidate for 4D Liposuction if you are within a healthy BMI range and have good skin elasticity. 

The procedure is designed to sculpt and define the muscles you already have.

If there is little muscle mass beneath the fat, the results may not achieve the athletic, chiselled appearance that this technique is known for.

This is why maintaining an active lifestyle is strongly encouraged—not just before surgery, but especially after. 

Committing to regular exercise, ideally 2 to 3 times a week, helps to preserve and enhance the muscle definition revealed by the procedure.

How to maintain your new washboard after surgery?

4D Liposuction reveals the muscles beneath the fat, but it does not make you immune to weight gain or muscle loss. Maintaining your new washboard requires commitment, but it is well within your reach.

1. Commit to Consistent Exercise

Regular resistance training and core work help maintain and even enhance the contours created during surgery. Aim for 2 to 3 strength and conditioning sessions per week.

2. Watch Your Nutrition

You cannot out-exercise a poor diet. Weight fluctuations—especially weight gain—can deposit fat in untreated areas and obscure your hard-earned definition. A balanced diet with adequate protein supports muscle maintenance and keeps unwanted fat at bay.

3. Maintain a Stable Weight

Significant weight gain or loss can alter your results. The goal is not perfection but consistency. A stable weight preserves the proportions and definition achieved through surgery.

Will there be scarring on the treated area?

Scarring is a natural part of any surgical procedure, including liposuction. 

However, here is what you should know: the incisions made during liposuction are intentionally small, typically just a few millimetres long and are strategically placed so that any healing marks are as inconspicuous as possible. 

In the weeks following surgery, scars may appear pink or slightly raised. 

This is normal. Over time, usually within 6 to 12 months, they typically fade to fine, pale lines that are barely noticeable.

How much does 4D Liposuction (Hi-Definition Lipo) cost?

The cost of 4D Liposuction (Hi-Definition Lipo) varies depending on several factors unique to each patient.

As a general liposuction price guide for most practices offering liposuction in Singapore, pricing typically starts at SGD $4,500.

What Influences the Cost?

The final fee is determined by:

  • The area(s) treated: Different body areas require varying levels of technique and time.
  • Surgical complexity: The extent of sculpting required to achieve definition, the amount of fat to be removed, and the underlying muscle architecture all play a role.
  • Surgeon's expertise: A procedure like 4D Liposuction demands a unique skillset, an artistic eye, and a deep understanding of male and female anatomy.
  • Facility and anaesthesia fees: These are part of the overall surgical costs and ensure your safety and comfort throughout the procedure.

Is it cheating if I go for 4D Liposuction (Hi-Definition Lipo)?

Here is the reality that many people don't see—those stubborn pockets of fat around your abs, obliques, or back can persist no matter how disciplined your diet is or how many hours you log at the gym. 

The procedure is designed to remove the stubborn fat that masks the definition you have already worked to develop.

It sculpts and contours the area, accentuating the natural curves and shadows of your musculature, whether that is your abdominal etchings, serratus muscles, or adductor lines.

Choosing 4D Liposuction is not taking the easy way out. It is using a surgical tool to solve a problem that diet and exercise alone cannot fix.

Are there implants in 4D Liposuction (Hi-Definition Lipo)?

Implants are not used in 4D Liposuction (Hi-Definition Lipo). The doctor will etch the musculature to enhance the athletic appearance rather than use implants.

Do you need fat grafting for 4D Liposuction (Hi-Definition Lipo)?

4D Liposuction (Hi-Definition Lipo) does not involve fat grafting.

4D LIPOSUCTION (HI-DEFINITION LIPO)

Effectively targets both deep and superficial fat layers, enhancing muscle definition & overall body symmetry for natural-looking results with minimal downtime.

Reference

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