68 year-old retiree reversed facial ageing signs with Ultherapy Prime
Ultherapy Prime targets loose jowls, sagging cheeks, drooping eyebrows, overall tired & "depleted" facial appearance on 67-year-old Chinese woman.
January 28, 2026
Table of Contents
Patient's Profile
Ms S is a petite lady in her early 40s with a BMI of 19. She had multiple liposuction procedures by different doctors in Singapore. Her first experience was liposuction of the outer thighs (saddlebags) a decade ago.
In 2019, Ms S underwent liposuction of the lower abdomen and waist and fat grafting to the breasts. Despite the surgeries, Ms S remained unhappy with the results. She noticed noticeable and persistent fat bulges in her lower waist and abdomen. When she raised her concerns with the surgeon, she was met with an explanation that those bulges were merely "muscles". This response left her deeply dissatisfied and led her to seek a second opinion from Dr Ivan Puah.
Consultation & Assessment
Upon examination, Dr Puah observed evident fat bulges on Ms S's waists, accompanied by multiple depressions and dents. Additionally, there were patches of unevenness on her abdomen, including scarring around the periumbilical area. Lastly, depressions and undulations were seen on both outer thighs.
Treatment Plan
Given the complexity of Ms S's condition, Dr. Puah proposed a comprehensive corrective surgery approach to address her concerns. It included:
- Revision liposuction with the MDC-Sculpt®️ Lipo technique removes the double fat bulges on the waist and reshapes it to give it more definition.
- Liposculpture to correct the unevenness in the abdomen, around the periumbilical scar, and outer thighs.
- Autologous fat grafting to repair the dents and depressions on multiple areas that had been unevenly suctioned and over-suctioned.
As Ms S had undergone multiple liposuction surgeries, Dr. Puah advised her to maintain realistic expectations regarding the correction results. Possible complications, pros and cons of corrective surgery were explained in detail to the patient. Ms S decided to proceed with the surgery.
In 2021, Ms S underwent liposuction corrective surgery with fat grafting to multiple areas on the lower abdomen, waist and outer thighs. The procedure was conducted at an accredited Day Surgery Center under local anaesthesia with the patient under twilight sedation.
Post-Op Recovery & Results
During her first post-op review, a week after the surgery, it was noted that the wounds were healing well, and stitches were removed. Dr Puah advised Ms S to be vigilant with wearing the compression garment as it would greatly help with post-surgery recovery, such as swelling and skin retraction.
During her last review in Dec 2021, Ms S expressed her satisfaction with the corrective results. The surgery addressed her physical concerns and provided her with the aesthetic improvement she had hoped for.
Medical Disclaimer: Due to strict regulations from the Ministry of Health Singapore, licensed healthcare practices are not allowed to show and share before-and-after photos or videos in the public domain or through any form of push technology. "Before-and-after" or only "after" treatment visuals may be shown to patients privately during in-clinic consultation with Dr Ivan Puah.
Our patient narratives aim to provide valuable insights into individual experiences with our clinic's treatments; however, it is imperative to acknowledge the inherent variability in results. While the information shared is genuine and reflects the real journeys of our patients, it does not purport to be representative of typical outcomes, nor does it serve as a guarantee of similar results for all individuals.
Each patient's response to treatment is contingent upon a myriad of factors, including, but not limited to, their level of commitment, lifestyle choices, and medical history. It is essential to recognise that patient narratives are illustrative examples of potential outcomes and should not be construed as predictive of specific results. We advise a consultation with our doctor for comprehensive guidance tailored to individual circumstances.
