Updated On:
Sep 19, 2023
Archive Date:
Sep 19, 2023
Ms S noticed noticeable and persistent fat bulges in her lower waist and ab. When she raised her concerns with the surgeon, it was explained that those bulges were merely "muscles".
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.
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.
Given the complexity of Ms S's condition, Dr. Puah proposed a comprehensive corrective surgery approach to address her concerns. It included:
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.
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.