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!
The ADR-C Buttock Enhancement (Buttock Fat Grafting) is an all-in-one comprehensive procedure that utilises Dr Ivan Puah’s MDC-Sculpt® Lipo technique and ADR-C technique to not only increase the buttock volume, but also to achieve a slimmer body silhouette.
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.
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.
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:
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.
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.
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.

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.
We use a closed-loop, sterile filtration system to remove excess oil, blood, and liquid contaminants, leaving behind pure, clean fat ready for 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.
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.

Unlike synthetic fillers or implants, ADR-C Buttock Enhancement poses no risk of allergic reactions or rejection as it utilises the patient's own body fat.

Patients who undergo fat grafting to the buttock express high satisfaction with the natural and soft buttock enhancement.

This innovative procedure not only enhances buttock volume but also simultaneously reduces fat from the donor site, contributing to a well-contoured and slimmer body.

Since the patient's own fat is used, results are tailored, ensuring a unique and natural appearance that complements each individual.

| Treatments | Buttock Implants | buttock Fat Grafting |
|---|---|---|
| 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 |
| Sensation | You can feel the implants | Natural |
| 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 buttock implant into the body | Remove fat and increase volume into areas of the body where needed |
| Risk | Risks linked to buttock implants include infection, rupture, capsular contracture (when the body forms scar tissue around the implant), etc | Fewer postoperative complications |
| Look | Full | Natural and fuller buttocks |
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Pay attention to the doctor's bedside manner and professionalism.
Compliance Level
A doctor's ethics are just as important as their qualifications.
Your doctor may:
Performed in a Day surgery assisted by surgical team and anaesthetist.

Wear a compression garment.
No smoking and alcohol.
Fuel your recovery with nutritious food.
Avoid putting pressure on the buttocks, and sleep on your side.
Results are visible immediately.
Buttocks 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.
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.
Skin tightening continues to improve.
On average, most patients can retain 60% to 70% of the fat transferred[4].
Maintain a healthy lifestyle and enjoy long-lasting results.
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].
Uneven facial features can be balanced with strategic fat grafting.
Volume is added to specific areas to create natural facial harmony and symmetry[2].
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].
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].
Want to correct disproportionate body shape & add volume to your buttocks.
Have flat, saggy buttocks who desire a fuller and shapelier rear.
Have experienced significant weight loss and wants to regain volume and firmness of the buttocks.
Are worried about scarring, foreign implant reaction and surgical complications and risks associated with buttock implants.
ADR-C Buttock 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:
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 buttock fat grafting.
They allow 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.
Uniform distribution is vital to avoid fat cell clumping, which can lead to risks such as cysts, calcium compounds, and fat necrosis. When fat cells clump together, it increases the risk of complications.
Injecting an excessive amount of fat or inadequate dispersion can result in fat cell death, leading to complications like cysts, calcium compounds, and fat necrosis. Dr Ivan Puah's adeptness in injecting fat prevents these risks and ensures favourable results.
Maintaining an optimal balance during fat injection is critical. Injecting beyond a certain amount can elevate pressure, restricting oxygen and nutrient supply, and reducing the rate of fat engraftment. Dr Ivan Puah skilfully injects fat until it reaches optimal pressure, ensuring the fullest volume and optimal results.
Dr Ivan Puah's unique fat grafting technique involves dispersing fat particles in small amounts between living tissues, preventing clumping and ensuring optimal fat engraftment.
The strategic injection points play a crucial role in preventing side effects and promoting even distribution.
Dr Ivan Puah has over two decades of liposuction experience and is the Chairman of Lipo Peer Review Committee.
He was one of 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.

Is ADR-C Buttock Enhancement (Buttock Fat Grafting) a new concept?
No, it is not. In the 1980s, enhancing buttocks with one's own body fat was a popular procedure. Since then, the technique of harvesting one's extracted fat cells and injecting the centrifuged fat into a face or body part has been refined.
Is ADR-C Buttock Enhancement (Buttock Fat Grafting) safe?
As the treatment utilises your own body fat, it is safe with no risk of rejection that’s often associated with implants.
At Amaris B. Clinic, patient safety and well-being are our top concerns. Full details of possible complications, side effects, and expected results will be discussed and explained during the consultation with our doctor.
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.
What are the risks and safety profile of ADR-C Buttock Enhancement (Buttock Fat Grafting)?
Complications are rare, but, like all types of surgery, certain risks may occur, including bleeding, infection, scarring, irregularities, and injecting too much or too little fat. Calcifications can appear after fat grafting.
The American Society of Plastic Surgery has determined that fat grafting to buttock is safe. All your concerns will be discussed in detail with you during the consultation and assessment with our doctor.
What are the risks and safety profile of ADR-C Buttock Enhancement (Buttock Fat Grafting)?
Complications are rare, but, like all types of surgery, certain risks may occur, including bleeding, infection, scarring, irregularities, and injecting too much or too little fat. Calcifications can appear after fat grafting.
The American Society of Plastic Surgery has determined that fat grafting to buttock is safe. All your concerns will be discussed in detail with you during the consultation and assessment with our doctor.
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.

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.