Pilates Instructor, 40s, improves flat nose bridge with PDO Threadlift
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November 1, 2025
Table of Contents
Patient's Profile
This case study sheds light on the medical journey of Mr JE, a Caucasian in his late 60s who had previously undergone multiple liposuction procedures. Unsatisfied with the results and grappling with physical and emotional distress, he sought Dr Puah in Singapore for a revision surgery to rectify the uneven outcomes of his past surgeries.
Background
Mr JE's medical history included several prior liposuction procedures locally and in Australia. His initial surgeries in early 2000 targeted the abdomen and waist, which went smoothly without complications.
Subsequently, in 2017, he underwent high-definition Vaser liposuction on the chest and abdomen in Australia. Unfortunately, this surgery caused unevenness, leftover bulges, depressed patches and adhesions.
Consultation & Assessment
Mr JE flew to Singapore to consult Dr Puah on the possibility of corrective (revision) surgery to address the issues stemming from his previous Hi-Definition Vaser liposuction done in Australia. He expressed significant distress over the bulges, scarring, unevenness, and dents and conveyed his anxiety and frustration due to the noticeable irregularities on his chest and abdomen.
Dr Puah conducted thorough assessments and noted the following concerns:
- Multiple uneven asymmetrical fibrotic indentations on both his chest and on his abdomen
- Adhesions on both chest areas
- Unnatural fat pads and linear lines and bulges
- Over-suctioned areas, leading to an unnatural appearance.
Treatment Plan
Dr Puah proposed a comprehensive revision surgery plan to address Mr JE's concerns:
- Autologous fat grafting to correct depressed patches, indentations, unevenness
- Liposculpture to remove left-over fat bulges, even out uneven fat pads on the abdomen and address unnatural linear lines created.
- Liposuction of the waist with the MDC Lipo Sculpt technique to extract quality fat for grafting as well as to sculpt and contour the waist
However, Dr Puah also emphasises the importance of managing Mr JE's expectations due to fibrotic scars and adhesions from multiple previous surgeries. The patient understood the limitations and agreed to proceed with the corrective surgery to achieve improved results. Pre-op blood tests were done.
The corrective surgery was carried out in 2020 and went smoothly without complications.
Post-Op Recovery & Results
Mr JE returned to the clinic the following day after the surgery for a review. Clean wounds and no signs of haematoma were observed. He continued his recovery in the country where he resides, where stitches were subsequently removed.
A year post-op, Mr JE emailed the clinic his post-op images, expressing his thanks for the improved outcome.
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.
