Body
4D Liposuction (Hi-Definition Lipo)
ADR-C Breast Enhancement (Breast Fat Grafting)
ADR-C Buttock Enhancement (Buttock Fat Grafting)
Armpit Fat Lipo & Accessory Breast Removal
Corrective Liposuction (Lipo Revision)
Gynecomastia Surgery
Laserlipolysis (Laser Liposuction)
Lipoma Removal
Male Nipple Reduction Surgery
Modern Liposuction with MDC-Sculpt®️ Lipo technique
Pseudogynecomastia Surgery
Scar & Body Disfigurement Treatment
Scar Revision Surgery
Ultrasonic-Assisted Liposuction (UAL)

4D Liposuction (Hi-Definition Lipo)

Established in 2004, Dr Ivan Puah, Medical Director of Amaris B. Clinic has been performing various forms of liposuction for those who would like to trim down unwanted fat, correct disproportionate body shape and achieve a toned, well-balanced and defined physique. This includes Laserlipolysis (Laser Liposuction), Modern Liposuction with MDC-Sculpt®️ Lipo technique, Ultrasonic-Assisted Liposuction (UAL), *VASER liposuction and 4D Liposuction (Hi-Definition Lipo).

*VASER (an acronym for Vibration Amplification of Sound Energy at Resonance) liposuction - a liposuction technique with the assistance of ultrasound waves to break up and liquefy fat cells, making them easier for extraction.

4D Liposuction (Hi-Definition Lipo) in Singapore

4D Liposuction (Hi-Definition Lipo) performed by Dr Ivan Puah involves ultrasound wave energy that is delivered internally to the targeted fat tissues via a probe. This probe emits sonic vibrations to melt the fat for ease of removal. Cannulas of varied sizes are used to reduce fat and further sculpt and contour the body.

This procedure is performed in an accredited Day Surgery, with the patient under twilight sedation (not GA). The anaesthetist will monitor the patient's vital stats throughout the process while Dr Ivan Puah carries out the procedure. Small incisions less than 4mm long are made, followed by infiltration of anaesthetic fluid to the targeted body region. Then ultrasound energy is applied to liquefy the fat, making it easier for the doctor to remove it via suction.

An athletic-looking and toned body are achievable through 4D Liposuction (Hi-Definition Lipo), as it removes fat, sculpts muscle and tightens skin during the process.

How is the muscle appearance created?

4D Liposuction (Hi-Definition Lipo) removes both the superficial and deep fat surrounding muscle groups to enhance the visibility of underlying toning and musculature.

During the procedure, the targeted body part will be marked out, and fat will be removed via sculpting to create a frame around the muscles to be enhanced.

Careful sculpting follows where a small amount of fat will be left to amplify the underlying muscle tone. In women, the commonly targeted areas include the serratus, obliques and rectus muscles in the abdominal area. The most desired physical trait for men is the washboard abs.

Is 4D Liposuction (Hi-Definition Lipo) suitable for both men and women?

Certainly! 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.

What are the areas treated with 4D Liposuction (Hi-Definition Lipo)?

The most commonly treated area is the upper stomach to produce a 4 or 6-pack appearance. Other areas include the sides of the abdomen for the “V” appearance, the sides of the chest (the pecs, lats and oblique muscles), the lower back and buttock (for improved definition), and calves (for enhanced definition).

The 4D Liposuction (Hi-Definition Lipo) difference

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 Liposuction (Hi-Definition Lipo) requires more attention to detail; it is not simply fat removal. It is a more advanced form of liposuction that involves customised and meticulous body sculpting to create a more athletic look for the patient.

Doctors who perform 4D Liposuction (Hi-Definition Lipo) need to be skilful and experienced with an eye for artistry as they will not only be working in the deep layer of fat but also more on the superficial layer, where the muscle-sculpting truly takes place.

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.

Are there implants with 4D Liposuction (Hi-Definition Lipo)?

No. The procedure involves the removal of fat, and as such, no implants are required.

Is 4D Liposuction (Hi-Definition Lipo) for weight loss?

No. 4D Liposuction (Hi-Definition Lipo) is a form of ultrasonic-assisted liposuction meant to remove fat and sculpt specific body parts. It is not a weight loss tool or solution for obesity. If your objective is to lose weight, you can consider our weight management programme.

Who is a candidate for 4D Liposuction (Hi-Definition Lipo)?

4D Liposuction (Hi-Definition Lipo) is designed for "customised contouring" rather than debulking; hence the ideal candidate has 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 Liposuction (Hi-Definition 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 Liposuction (Hi-Definition Lipo) creates a more desirable athletic look by removing deep and superficial fat that may obscure the underlying muscles' details.

When will I see the results?

You should be able to see an immediate change in the treated area after your surgery. However, tissue swelling will set in in a couple of weeks to gradually subside and improve.

In general, results from 4D Liposuction (Hi-Definition Lipo) may take 6 to 12 months to reach its peak.

Are the results permanent?

Yes. The fat cells that are removed from the treated area will not regenerate. Patients can maintain and prolong the results as long as they do their part with a healthy diet, regular exercise and maintain a stable weight. Note that untreated areas of the body will still experience normal fat growth.

How much does 4D Liposuction (Hi-Definition Lipo) cost?

4D Liposuction (Hi-Definition Lipo) is an elective procedure. The cost of this procedure varies between different practices in Singapore, depending on the doctor’s experience and your body goal and needs.

Choosing a doctor who is experienced and skilled in performing 4D Liposuction (Hi-Definition Lipo) is crucial as this is a more complex body sculpting technique.

Preparing 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.

Do I need to wear a special garment?

Yes, you will need to put on a post-liposuction compression garment.

How long do I need to wear compression post surgery?

Compression is important after the procedure because it helps to reduce postoperative swelling, assist with skin retraction and prevent contour irregularities.

Dr Ivan Puah recommends wearing a compression garment 24 hours a day (ok to remove it to shower) for the first 4 to 8 weeks after surgery.

Who performs 4D Liposuction (Hi-Definition Lipo) in Singapore?

Dr Ivan Puah is an accredited liposuction doctor in Singapore with over 17 years of body sculpting experience. He has completed fundamental and advanced body sculpting surgical training conducted by Dr John Millard and Dr Alfredo Hoyos.

These two plastic surgeons were the ones who developed *VASER (an acronym for Vibration Amplification of Sound Energy at Resonance) liposuction, a liposuction technique with the assistance of ultrasound waves, to break up and liquefy fat cells, making them for easier extraction.

Dr Ivan Puah is certified to perform *VASER liposuction, having completed his liposuction training in the United States and Argentina. He is the Chairman of Lipo Peer Review Committee in Singapore and has developed two proprietary surgical approaches: the 360° Glandular Tissue Dissection (360°GTD®) technique for gynecomastia surgery and MDC-Sculpt® Lipo technique for liposuction. Dr Puah has received dedicated surgical training in gynecomastia surgery in the United States of America.

Recovery from 4D Liposuction (Hi-Definition Lipo)

The recovery process is different for every patient. You should follow the doctor's instructions to ensure a smoother recovery. At Amaris B. Clinic, we also provide manual lymphatic drainage massage (MLD) to assist you with the removal of waste fat cells. Ensure that your meals are light for the first 48 hours post-surgery and that you have plenty of rest.

Wear your compression garment 24/7 for at least 4 to 8 weeks following the procedure. Avoid water activities such as swimming or sauna until your stitches are removed (if any). The doctor will advise further on the appropriate time to restart your workout. Our medical team personnel will advise you on the follow-up appointments with Dr Ivan Puah.

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 manual lymphatic drainage massages, skin firming and many others.

Is 4D Liposuction (Hi-Definition Lipo) worth it?

Wanting to proceed with a body contouring procedure such as 4D Liposuction (Hi-Definition Lipo) is personal. It is a practical and permanent solution to trim down excess fat that does not budge with workouts or diet.

If you have tried various methods of losing fat such as Fat Freezing or non-invasive low-energy laser but are not achieving the result that you yearn for, we recommend that you come for a consultation and assessment to understand whether or not you are suited to the procedure.

We welcome you to call us and schedule a consultation with Dr Ivan Puah to understand how we can help you achieve a more defined physique.

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