Fat is not a bad word. It is more useful than you think
If you've always wanted a naturally slim figure with enhanced assets, there are several ways to utilise your body's fat to help achieve the physique you desire!
August 27, 2025
Weekdays 9:30am - 7pm.
Alternate Saturdays 9am - 5pm.
Alternate Saturdays 9am - 5pm.
Reach us at
+65 8983 8468
customer@amaris-b.com
140 Arab Street, Singapore 199827
Weekdays 9:30am - 7pm
Alt Saturdays: 9am - 5pm
Alt Saturdays: 9am - 5pm
Getting Here
By Car/Taxi
Public parking available or drop off along Arab Street, Village Hotel Bugis (Previously known as Golden Landmark Hotel)
By Public Transport
Buses (2, 12, 32, 33, 130, 133, 133A, 520, 960, NR7) MRT (alight at Bugis MRT station)
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NATURAL BREAST ENHANCEMENT WITH FAT GRAFTING
Many women are now seeking fuller, more symmetrical breasts but prefer to avoid implants. At Amaris B. Clinic, our ADR-C Breast Enhancement uses your body’s fat for natural-looking, long-lasting results.
This two-in-one procedure utilises Dr Ivan Puah’s MDC-Sculpt® Lipo and ADR-C techniques simultaneously contour stubborn fat areas like the abdomen or thighs and enhance breast volume.
It’s ideal if you’ve experienced:
- Volume loss after weight fluctuation, ageing, or breastfeeding
- Natural asymmetry (common in most women)
- Concerns about implant safety or desire subtle and natural enhancement
The Science of Safety
Unlike synthetic implants, ADR-C Breast Enhancement uses patient’s own purified autologous fat for zero rejection risk. Our advanced techniques ensure optimal fat retention for natural-feeling, balanced results[7].
Advantages
ADR-C Breast Enhancement is a reliable solution[6] if you desire fuller breasts and a contoured silhouette, seek to correct asymmetry or achieve subtle breast lift, prefer natural results using your fat or want enhanced volume with minimal scarring. You can address these goals in ONE transformative procedure.
OUR PROPRIETARY LIPO TECHNIQUE: MDC-SCULPT® LIPO
At Amaris B. Clinic, we don’t just perform liposuction, we refine it. MDC-Sculpt® Lipo technique is a proprietary method developed by Dr Ivan Puah. When paired with ADR-C technique, MDC-Sculpt® Lipo technique becomes an effective instrument for both body contouring and enhancement
Unlike conventional liposuction, MDC-Sculpt® Lipo is tailored to individual anatomy and aesthetic goals. Using specialised cannulas and a multi-plane extraction approach, we remove fat selectively to preserve natural contours and muscular definition.
Key technical advantages
- Controlled fat removal for symmetrical body sculpting
- Minimal trauma to surrounding tissues, reducing downtime
- Enhanced skin retraction with strategic subdermal stimulation
- Excellent for delicate areas like the face, armpits, or arms
AMARIS B.'S ADIPOSE-DERIVED REGENERATIVE CELLS (ADR-C) TECHNIQUE
Once fat is removed via MDC-Sculpt® Lipo, it can be repurposed to enhance volume and correct contour deficits in areas like the face, breasts, buttocks and hands.
Here’s how our refined protocol ensures safety and optimal outcomes.
Quality Control at Every Step
Every phase of your procedure — from pre-op mapping to post-op care — is guided by stringent clinical protocols.
Dr Ivan Puah and our surgical team monitor:
Fat viability rates before grafting
Before grafting, we assess fat quality —checking cell viability and volume consistency under sterile conditions.
This quality control measure ensures only the healthiest fat is used for grafting.
Volume balance across treated zones
During the grafting process, Dr Ivan Puah carefully regulates injection pressure.
This is to prevent tissue damage, promote uniform absorption and optimise fat retention rates.
Layer-by-Layer Depth Strategy
To address contour enhancement and skin rejuvenation, fat is placed strategically at multiple levels, from deep tissue for structure to superficial layers for smoothing.
This layered approach ensures both structural support and surface refinement.
HOW FAT GRAFTING WORKS
Gentle Fat Harvesting
We begin with low-pressure, manual aspiration — using fine cannulas to softly collect fat cells without rupturing them.
This conserves cell integrity and dramatically improves fat survival after grafting, ensuring more reliable and durable results.
Closed‑System Purification
We use a closed-loop, sterile filtration system to remove excess oil, blood, and liquid contaminants, leaving behind pure, clean fat ready for injection.
Micro‑Droplet Precision Injection
Instead of large-volume bolus injections, we meticulously deposit fat micro-droplet by micro-droplet in several layers.
This maximises contact with surrounding tissue and enhances revascularization— helping the grafted fat thrive long‑term while maintaining natural texture.
Radial Fan & Cross-Hatching Technique
Using a radial fan pattern, we weave fat through multiple tissue planes.
This ensures even distribution, prevents lumps or dents, and builds natural contour.
It’s particularly effective for sculpting the cheeks, chin, hands, breasts, and buttocks.
FACTORS AFFECTING BREAST FAT GRAFTING RESULTS
breasts implants versus Breast fat grafting
Scroll to view the table
| Treatments | Breasts Implants | Breast Fat Grafting |
|---|---|---|
| Cup Size | Increase several cup sizes | Increase 1 to 1.5 cup size depending on the amount of fat removed, your clinical condition, skin laxity, and your breast enhancement goal. |
| Feel | Like water balloons. Able to see the implant shape | Feels softer and natural |
| Material | Foreign materials like silicone and saline | Uses patient’s body fat |
| Texture | The doctor can either use textured or smooth implants | Not applicable |
| Sensation | If you are not naturally less endowed, your breasts may have an unnatural sensation | Natural |
| Placement | Your breast implants will either be placed over or under the chest muscles | The fat graft will be injected directly into the breasts |
| Recovery | On average, a full recovery period usually takes about four to six weeks. It's important to refrain from physical activity, lifting heavy objects and overworking yourself during this sensitive time | Back to your regime within a few days |
| Body | No additional body contouring since the objective is to insert the breast implant into the body | Remove fat and increase volume into areas of the body where needed |
| Risk | Risks linked to breast implants include infection, rupture, capsular contracture (when the body forms scar tissue around the implant), breast implant illness, and, in rare cases, breast implant-associated anaplastic large cell lymphoma | Like all types of surgery, certain risks may occur, including bleeding, infection, scarring, irregularities, and injecting too much or too little fat. Calcifications may form after fat grafting. The American Society of Plastic Surgery has determined that fat grafting to breasts is safe and does not lead to a higher rate of breast cancer. |
| Look | Full | Natural and fuller breasts |
WHAT HAPPENS TO YOUR BREAST IMPLANTS OVER TIME?
OTHER USES OF FAT GRAFTING
Scar Reduction & Improvement
Fat grafting can help soften and smooth out depressed scars caused by surgery, burns, or radiation[1].
By restoring volume beneath the skin, it improves skin texture and blends visible indentations for a more even surface[5].
Facial Asymmetry Correction
Uneven facial features can be balanced with strategic fat grafting.
Volume is added to specific areas to create natural facial harmony and symmetry[2].
Post-Surgical Enhancement
Fat grafting works well with other treatments to boost results.
It can be combined with laser resurfacing, fillers, or anti-wrinkle injection to enhance overall facial rejuvenation[3].
Hand Rejuvenation
The hands are one of the first areas to show signs of ageing.
Over time, collagen loss, dehydration, and sun exposure lead to volume depletion, making veins and tendons more visible and cause wrinkles.
Fat grafting restores lost volume, softens visible veins, and improves skin texture for naturally younger-looking hands[3].
A PATIENT’S FAT GRAFTING JOURNEY
Choosing a fat grafting doctor
Word of Mouth
Ask your family and friends for recommendations.
Look for Reviews
Pay attention to the doctor's bedside manner and professionalism.
Compliance Level
A doctor's ethics are just as important as their qualifications.
Initial consultation
Your doctor may:
- Do a thorough medical history taking
- Ask you about your lifestyle habits
- Discuss surgical expectations
- Show before and after cases the Dr had done
- Pre-op investigations such as blood test and ultrasound
Procedure day experience
Performed in a Day surgery assisted by surgical team and anaesthetist.
- Local anaesthesia
- Twilight Sedation
- 1.5 to 3.5 hours
- Careful monitoring by anaesthetist
- Recovery team will assist with post-op recovery
- Discharge home on the same day
Recovery process
- Visible improvement
- Minimal downtime
- Post-op swelling is expected but manageable
- Stitch removal in 10 days
- Wear compression garment as instructed
- Subsequent post-op treatment and review will be scheduled
EXPECTED RESULTS TIMELINE
Scroll to view the timeline
Same day
Wear a compression garment.
No smoking and alcohol.
Fuel your recovery with nutritious food.
Avoid putting pressure on the breasts, and sleep on your back.
Results are visible immediately.
1 week
Breast engorgement may last for one to two weeks.
Resume light activities and work in 1 to 2 days’ time.
Stitch removal in 10 days’ time.
Incisions may itch as they heal; apply scar gel and avoid sun exposure.
1 month
MLD massage is recommended.
Most bruising and tissue swelling will clear.
Doctor’s clearance to return to gym and water activities.
Expect temporary scar discolouration.
3 months
Skin tightening continues to improve.
6 months
On average, most patients can retain 60% to 70% of the fat transferred[4].
Maintain a healthy lifestyle and enjoy long-lasting results.
ADR-C BREAST ENHANCEMENT (FAT GRAFTING) COSTS IN SINGAPORE
ADR-C Breast Enhancement with fat grafting 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:
- Your doctor’s experience
- Anaesthesia type (Local or general)
- Duration of anaesthesia
- Specific surgical techniques employed
- Facility charges (Hospital or day surgery)
- Your unique anatomy and tissue complexity
- Miscellaneous charges such as laboratory investigations, etc
SEE OUR PATIENT CASES DURING YOUR PRIVATE CONSULTATION
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 breast fat grafting.
They allow you to:
- Visualise potential outcomes specific to your condition
- Understand surgical approaches in detail
- Discuss realistic expectations for scarring, recovery, and results
DR IVAN PUAH, MOH-ACCREDITED LIPOSUCTION DOCTOR
Performing liposuction and fat grafting requires far more than basic training. Dr Puah believes true expertise demands:
- Deep understanding of surgical nuances and potential risks
- Meticulous planning tailored to each patient’s anatomy
- Proactive complication prevention through experience
This commitment ensures your safety and natural-looking results.
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.
Dr Ivan Puah
Liposuction accredited by MOH Singapore, Dr Ivan Puah has over two decades of body sculpting experience and is the Chairman of Lipo Peer Review Committee.
He was amongst the first few doctors in Singapore to offer fat grafting to the body and face back in 2008.
Dr Puah has received surgical training and guidance in syringe liposculpture, fat grafting and thread lift by French plastic surgeon, Dr Pierre François Fournier.
Our Awards
FAQ
Is ADR-C Breast Enhancement (Breast Fat Grafting) a new concept?
While breast fat grafting was pioneered in the 1980s, modern advancements like ADR-C have refined it into a sought-after, clinically proven procedure.
Is ADR-C Breast Enhancement (Breast Fat Grafting) safe?
As the treatment utilises your body fat, it is safe with no risk of rejection and long scarring often associated with breast implants.
What is the minimum weight for fat grafting?
While there is no minimum weight requirement, the patient should have sufficient excess fat to be used in the fat grafting procedure.
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.
How often can I do ADR-C Breast Enhancement (Breast Fat Grafting)?
There is no limit to the number of times the procedure can be performed as long as there is sufficient quality fat to be extracted from the patient.
Does breast fat grafting leave scars?
Small, short and strategically placed incisions are made on the donor and recipient sites.
Is it painful to have fat grafting?
The fat grafting procedure will be performed under local anaesthesia, and the patient will be under twilight sedation, making the process comfortable for them.
Does fat grafting leave loose skin?
The fat grafting procedure does not cause loose skin. In fact, it provides subtle skin lifting and improves skin texture.
What happens if a person loses weight after ADR-C Breast Enhancement (Breast Fat Grafting)?
Weight loss will impact the results of ADR-C Breast Enhancement (Breast Fat Grafting). A patient is advised to adopt a healthier lifestyle and eating habits after the procedure for longer-lasting results.
Reference
[1] Shauly O, Gould DJ, Ghavami A. Fat Grafting: Basic Science, Techniques, and Patient Management. Plast Reconstr Surg Glob Open. 2022 Mar 18;10(3):e3987. doi: 10.1097/GOX.0000000000003987. PMID: 35317456; PMCID: PMC8932485.
[2] Arcuri F, Brucoli M, Baragiotta N, Stellin L, Giarda M, Benech A. The role of fat grafting in the treatment of posttraumatic maxillofacial deformities. Craniomaxillofac Trauma Reconstr. 2013 Jun;6(2):121-6. doi: 10.1055/s-0033-1333877. Epub 2013 Mar 8. PMID: 24436747; PMCID: PMC3721009.
[3] Abu-Ghname A, Perdanasari AT, Reece EM. Principles and Applications of Fat Grafting in Plastic Surgery. Semin Plast Surg. 2019 Aug;33(3):147-154. doi: 10.1055/s-0039-1693438. Epub 2019 Aug 2. PMID: 31384229; PMCID: PMC6680081.
[4] Mamsen, F.P.W., Fischer-Nielsen, A., Svalgaard, J.D. et al. Cosmetic Breast Augmentation with Autologous Ex Vivo-Expanded Adipose-Derived Mesenchymal Stem/Stromal Cell (Stemform®)-Enriched Fat Grafts: A Study of the First Twenty-Two Real-World Patients. Aesth Plast Surg 48, 98–115 (2024). https://doi.org/10.1007/s00266-023-03711-6
[5] Bogdan, R.-G., Helgiu, A., Cimpean, A.-M., Ichim, C., Todor, S. B., Iliescu-Glaja, M., Bodea, I. C., & Crainiceanu, Z. P. (2024). Assessing Fat Grafting in Breast Surgery: A Narrative Review of Evaluation Techniques. Journal of Clinical Medicine, 13(23), 7209. https://doi.org/10.3390/jcm13237209
[6] Fang HA, Soto E, Pigg R, Smith M, Boyd CJ, Ananthasekar S, Fix RJ, Kilic A, Denney B, Patcha P, Myers RP, de la Torre JI, Collawn S. The Safety of Fat Grafting: An Institutional Retrospective Review. Ann Plast Surg. 2022 Jun 1;88(5 Suppl 5):S473-S477. doi: 10.1097/SAP.0000000000003234. PMID: 35690941; PMCID: PMC9893916.
[7] Volume retention rate after breast autogenous fat grafting and related influencing factors: A systematic review and meta-analysis. Hu, Shuchun et al. Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 89, 105 - 116
Image Reference
Patel, A., Blackmore, K., & Carruthers, R. (2020). The integrated treatment for chronic pain and anxiety in a patient with breast implant illness symptoms: a case report. Integrative Medicine: A Clinician's Journal, 19(4), 28.
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