Lipedema is a chronic fat disorder that can affect women regardless of BMI. Here's why lipedema can remain hidden for years, especially in skinny women.
June 10, 2026
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Nobody's gonna know! How are they gonna know?
We are entering an Undetectable Era of Aesthetics & Cosmetic Surgery (think Lindsay Lohan), where a new wave of aesthetics and cosmetic surgery approaches promises enhanced safety, shorter recovery times, and improved outcomes that blend seamlessly with a person's unique features.
However, this is not something new at Amaris B. Clinic.
Dr Ivan Puah has always been an advocate for achieving natural-looking, subtle results. Since he opened Amaris B. Clinic in 2004, he has constantly received high patient satisfaction because of his ability to understand each person's unique body shape, facial structure, and skin laxity while applying practical techniques of medical aesthetics knowledge with artistry and precision.
Dr Puah let us in on how he achieves this.
Understanding the biology of ageing
As we transition from our 20s and 30s to 40s and beyond, our skin undergoes various intrinsic and extrinsic changes, including volume loss and skin laxity. Recognising these changes enables us to reverse and restore our skin health and youthful appearance.
The goal is not to alter someone's natural appearance but to create a more youthful look, allowing them to maintain their appearance and resemble their younger selves even decades into the future.
To achieve this, we start by examining the skin from various layers, beginning with the superficial layers, such as hyperpigmentation changes, pores enlargement, and scar formation, then progressing to the deeper layers, contributing to wrinkles, volume loss and fat distribution.
How to achieve more natural-looking improvements
Skin improvement
From the most visible layer, we can improve the pigmentation and reduce the scars with various skin clarity treatments, such as Pico Fractional laser and RF Microneedling and Erbium Glass Laser to achieve smoother and more even skin texture.
The most popular treatment in Singapore for wrinkles, folds and creases is anti-wrinkle and dermal filler injections. When done correctly, your aesthetic doctor can reduce the signs of ageing by making you look natural. This does not mean you will have completely no lines or wrinkles after the injections, but the creases will look less harsh and obvious.
You may also notice drooping and loose skin as you age, but the only effective way to tighten your skin is from within by stimulating your collagen for regrowth. Ultherapy is an FDA-approved and clinically proven non-surgical face and skin lift that tightens and improves your skin from the inside out without damaging its surface.
With all these treatments done separately over time, you can maintain your youthful skin for much longer.
Facial enhancement
For those who would like to enhance their facial features, such as a weaker chin, flatter nose, and double chin, facial enhancement treatments can improve your appearance more naturally and make them more pleasing to the patients but undetectable to others.
For example, facial fat grafting and dermal filler can safely enhance facial features such as cheek or chin augmentation. Fillers or PDO thread lifts can be used to increase the height of the nose bridge, while facial liposuction is performed to reduce double chin and to improve the facial framing and contours.
Body sculpting
To get a lean and sculpted body that cannot be achieved through a calorie-deficit diet and regular aerobic exercises, body contouring surgery is an effective solution:
- Fat grafting to enhance the breasts and buttocks for more natural-looking and soft-to-the-touch results, without using foreign materials like silicone and saline implants, while removing stubborn fat pockets from other parts of the body
- Liposuction permanently removes stubborn fat for a more sculpted body contour and a more optimal body shape
- Gynecomastia surgery to remove the enlarged male breast tissue and get a more masculine chest
Achieve natural-looking results with the right aesthetics and cosmetic surgery doctor
Undetectable treatments do not mean you will see no or only minimal results. In fact, the results can often be significant and noticeable. To achieve a natural-looking outcome, it is important to seek an experienced MOH-accredited aesthetics and liposuction doctor who has an artistic sense and values the harmony of human anatomy.
Dr Puah's goal is to provide results that are both beautiful and natural to your individual identity. He believes there is no one-size-fits-all solution, having dedicated decades to performing injectables, skin lasers, and sculpting surgeries tailored to each patient's unique concerns.
"Unlike in the past, when many patients preferred dramatic results, today's patients prioritise subtlety. They are looking for treatments that enhance the features that bring out the best version of themselves."
We welcome you to book a private consultation session with Dr Puah. Located at 140 Arab Street, we are open on weekdays from 9:30am to 7pm and from 9am to 5pm on alternate Saturdays.
