Public parking available or drop off along Arab Street, Village Hotel Bugis (Previously known as Golden Landmark Hotel)
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4D Liposuction (Hi-Definition Lipo) goes beyond standard liposuction.
Where traditional liposuction targets the deeper fat layers to reduce volume, 4D Lipo works across all three subcutaneous fat layers, including the superficial layer closest to the skin, to selectively remove and sculpt the muscle definition underneath.
The result is an athletic, contoured appearance that goes beyond simple slimming.
At Amaris B. Clinic, 4D Liposuction is performed by Dr Ivan Puah, who has undergone advanced Vaser liposuction training under Dr Alfredo Hoyos and Dr John Millard in Argentina and Colorado, the surgeons who pioneered the technique.
The procedure creates a defined torso in both men and women. Performed under twilight sedation in an MOH-accredited day surgery centre, most patients return to daily activities within 1 to 2 days.
Book a consultation with Dr Ivan Puah at Amaris B. Clinic in Singapore today.
A body sculpting procedure can make the final difference when the body limits physical efforts. It is meant to reduce and remove stubborn fat in hard-to-reach places but 4D Liposuction (Hi-Definition Lipo) does more than just fat removal.
The 4D in 4D Liposuction refers to four dimensions that liposuction doctors consider during the sculpting process:
1. Length: The vertical extent of muscle definition
2. Width: The horizontal spread of contours
3. Depth: Precise fat removal at multiple layers
4. Dynamic/Motion: How muscles appear during movement. This fourth dimension is what sets 4D apart from standard liposuction.
Dr Ivan Puah sculpts your body to look naturally athletic not just when standing still, but also when you move - flexing, walking, or exercising.
Dr Puah marks muscle groups and fat zones while patient is standing
Saline solution with anaesthetic infiltrated through <5mm incisions to expand fat layer and minimize bleeding
Ultrasound probe inserted through the incisions to liquefy fat while preserving nerves and blood vessels
Liquefied fat gently suctioned from deep and superficial layers
Strategic fat left around muscle borders to create natural definition grooves
Incisions closed, compression garment applied
For that four or six-pack appearance
For the “V” appearance
For defined pecs, lats and oblique muscles
During 4D Liposuction (Hi-Definition Lipo) procedure, fat is removed from ALL three layers of fat. The procedure really begins where standard liposuction ends.
The subcutaneous fat is divided into three layers. Removing fat from the deepest and thickest layer will reduce the most volume from the treated area.
Fat is then etched from the superficial layer to create the six-pack or 11-line muscle definition.
4D Lipo is designed for "customised contouring" rather than debulking; hence the ideal candidate is individual with good muscle tone without a lot of fat or loose skin.
For example, individuals very close to their goal weight; are somewhat toned but fail to achieve the abdominal muscle definition they desire. 4D 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%).
4D Lipo creates a more desirable athletic look by removing deep and superficial fat that may obscure the underlying muscles' details.
Dr Ivan Puah evaluates fat distribution, skin tightness, and aesthetic goals.
The procedure is carried out in an MOH-accredited Day Surgery, with the patient under twilight sedation (not GA).
4D Lipo incorporates ultrasound-assisted fat emulsification.
This approach:
Minimal downtime, most patients return to daily activities within 1 to 2 days.
Scar management and recovery support at Amaris B. Clinic.
Wear compression garment 24/7 for 6 to 8 weeks to help with skin retraction, comfort and optimal healing.
Ongoing reviews are scheduled to ensure healing and desired results.
The changes are visible immediately post-op before tissue swelling sets in over the next 24 to 48 hours.
Full results will be optimised over 3 to 6 months, leading to a more defined athletic figure that is typically unattainable through exercise alone.
4D Liposuction (Hi-Definition Lipo) is an elective surgery, therefore it is not covered under insurance or Medisave.
What affects the cost?
Your total surgical fees vary based on several factors such as:
We provide before-and-after photos privately during your one-on-one consultation with Dr Ivan Puah. You will be able to view anonymised images of actual patients who had undergone 4D Liposuction (Hi-Definition Lipo) surgery.
This allows you to:
Disclaimer: While these clinical visuals are shared in-clinic for your education, MOH strictly prohibits displaying before/after images in ANY public advertising (website, social media, brochures etc.). We fully comply to ensure ethical patient communication, no unrealistic outcome promises and protection of patient privacy. Visual examples are for educational reference only - individual results vary based on your unique condition.
Having trained in to perform liposuction is only the beginning.
Dr Ivan Puah believes it is crucial to understand and master the technicalities of the procedure, including the potential complications that may arise. To be meticulous in approach, with a detailed overview and foresight capabilities, are essential must-haves for a doctor.
Dr Ivan Puah is an accredited liposuction doctor and Chairman of Lipo Peer Review Committee in Singapore with over two decades of surgical body contouring experience.
He has completed fundamental and advanced Vaser Liposuction body sculpting surgical training under Dr John Milard and Dr Alfredo Hoyos in Argentina and Colorado.
Dr Puah is also trained in laserlipolysis (laser liposuction) in Italy and has received dedicated gynecomastia surgery training in San Francisco.
Am I cheating by getting a muscular look with surgery?
If you have been working out religiously at the gym and are on a strict diet, but cannot achieve the muscle definition you yearn for despite all the hard work you put in, then you can consider 4D Liposuction (Hi-Definition Lipo).
The procedure enhances one’s muscle shape by selective removal of fat in the targeted areas that do not respond to diet or exercise.
It should not be termed “cheating” because effort, such as eating right and leading a healthy lifestyle, is still necessary to maintain the results.
How to prepare for 4D Liposuction (Hi-Definition Lipo)?
A comprehensive list of pre-surgery TO DO and NOT TO DO will be provided to help you prepare for your surgery.
The list may include instructions to stop taking certain medications or supplements, stop smoking, alcohol consumption, etc.
Leading up to the procedure, please ensure you are eating a balanced diet and do not go on any drastic weight loss regime.
Does Amaris B. provide aftercare treatments?
At Amaris B. Clinic, aftercare significantly assists you with faster recovery and ensures optimum results.
We have curated a bespoke aftercare program designed to help you with the healing process, such as MLD Therapy, skin firming and many others.
Is 4D Liposuction (Hi-Definition Lipo) for weight loss?
4D Liposuction (Hi-Definition Lipo) is not a weight loss tool or solution for obesity. If your objective is to lose weight, you can consider our weight management programme.
Is 4D Liposuction (Hi-Definition Lipo) suitable for both men and women?
This procedure is suitable for both men and women.
However, as the desired male and female physique significantly differs, Dr Ivan Puah will carefully analyse and assess the clinical conditions of each individual and plan his surgical approach accordingly.
Are there implants with 4D Liposuction (Hi-Definition Lipo)?
The procedure involves the removal of fat, and as such, no implants are required.
How long does 4D Liposuction (Hi-Definition Lipo) take?
The session takes between 1.5 and 2.5 hours depending on the treated areas.
Can I combine 4D Liposuction (Hi-Definition Lipo) with fat transfer?
Yes, you can, depending on the sufficiency of extracted fat cells in the donor site.
What BMI is required for 4D Liposuction (Hi-Definition Lipo)?
The ideal candidate for 4D Liposuction (Hi-Definition Liposuction) should have a BMI of 20-25.
Reference
[1] GOMES, R. S., & NICOLAU, G. V. (2021). Abdominal Liposuction: Evolving from high to medium definition. Revista Brasileira de Cirurgia Plástica, 36, 134-143.
[2] Stein, M. J., & Matarasso, A. (2022). High-definition liposuction in men. Clinics in plastic surgery, 49(2), 307-312.
[3] Hoyos, A. E., & Millard, J. A. (2007). VASER-assisted high-definition liposculpture. Aesthetic surgery journal, 27(6), 594-604.
[4] Danilla, S., Babaitis, R. A., Jara, R. P., Quispe, D. A., Andrades, P. R., Erazo, C. A., ... & Sepulveda, S. L. (2020). High-definition liposculpture: what are the complications and how to manage them?. Aesthetic plastic surgery, 44(2), 411-418.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
