Body
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
Lipoma Removal
Male Nipple Reduction
Modern Liposuction with MDC-Sculpt®️ Lipo technique
Pseudogynecomastia Surgery
Scar & body disfigurement
Scar Revision Surgery
SmartLipo® (Laser Lipolysis)
VASER® Hi-Def Lipo
VASER® Lipo

Vaser® Liposuction

One of the most common reasons people opt for fat removal treatment is that despite a healthy lifestyle, they are still left with stubborn fat deposits on the face and body. Another reason is regaining pre-pregnancy figures for new moms and gaining more self-confidence. This includes those who are self-conscious due to genetic and disproportionate fat distribution, causing them to look out of shape.

Wave goodbye to hard-to-eliminate fat with VASER® liposuction, a form of ultrasonic-assisted liposuction. It is a signature treatment at Amaris B. Clinic that effectively eliminates stubborn fat for a more proportionate figure.

Disclaimer: Image above is for illustrative purposes only. Due to strict regulations from the Ministry of Health, licensed healthcare practices in Singapore are not allowed to show and share before-and-after photos or videos in the public domain (websites, social media, magazines) or through any form of push technology such as Whatsapp, SMS, MMs, Facebook messenger, and other messaging platforms. “Before-and-after” or only “after” treatment photographs, pictures, videos, and films relating to a treatment may be shown to patients privately during in-clinic consultation with Dr. Ivan Puah.

What is VASER® Liposuction & what does it do?

VASER® (Vibration Amplification of Sound Energy at Resonance) Liposuction is an improved and less invasive form of traditional liposuction. Like liposuction, it eliminates unwanted fat, but it does so in a gentler manner by using ultrasonic soundwave to liquefy unwanted fat cells in targeted areas, leaving surrounding connective tissues undisturbed. The result is a more contoured and defined appearance.

HOW VASER® LIPOSUCTION WORKS

VASER® liposuction can specifically target areas with unwanted fat, leaving surrounding tissues undisturbed. The procedure is done under local anaesthetic. Tumescent fluid infiltrates the target area and shrinks the blood vessels. Tumescent fluid is a mixture of lidocaine and saline, increasing comfort and aiding recovery.

The VASER® probe, a unique handpiece which emits high ultrasonic frequencies, is inserted to expand and contract the air bubbles in the tumescent fluid. This helps to separate fat tissues for extraction. The fat is emulsified, and at this stage, the doctor will carefully manoeuvre the probe as he sculpts and shapes the body. The fat is suctioned out.

Is VASER® Liposuction as good as traditional liposuction?

Compared to traditional liposuction, VASER® Liposuction results in a shorter recovery time. It is more targeted with VASER® technology, making it a better choice for sculpting and enhanced definition. It uses ultrasonic soundwave energy to emulsify the fat before removal via suction, allowing better accuracy in removing targeted unwanted fat without disturbing other vital tissues around the treated area.

VASER® Liposuction versus fat freezing

Fat Freezing or cryolipolysis is a non-surgical fat reduction treatment whereby fat cells are destroyed by a controlled thermal reduction, which is then metabolised by the body via the liver.

VASER® liposuction, on the other hand, utilises soundwave energy to emulsify unwanted fat cells into liquefied form, which is then removed via suction.

VASER® Liposuction

Fat Freezing

Type

Surgical fat loss and body contouring

Non-surgical fat reduction

Procedure

Involves local anaesthesia, infiltration of anesthetic fluid via incision sites made on targeted areas followed by emulsifying of fat cells via VASER® technology and subsequent removal of liquefied fat via suction

Involves vacuuming the targeted areas with a handheld device and applying subzero temperatures to freeze the fat. Your body will then metabolise the frozen fat cells and expel them naturally

Fat reduction claims

Ability to remove over 90 percent of localised fat immediately

Purported to reduce 20 to 25 percent of localised fat over a period of time

Skin Tightening

Has the capability to stimulate collagen production and tighten the skin

Not applicable

Sessions

Multiple body parts can be treated in one session, subject to the doctor's assessment

Multiple sessions are required for the same body part. The next session can only be performed 6 to 8 weeks after the initial session

Results

Yields immediate visible results, but full results will show between 3- 6 months when the post-procedural swelling subsides. The treated area will further improve for up to 12 months.

It can take anywhere between 3 to 6 months or more to achieve some subtle results if the patient responds to the treatment. For some, there may be no result at all

Contouring

Treat all body parts with excess fat pockets and face successfully while contouring the body shape smoothly

Treat abdomen, waist, thighs, and arms but areas are limited by the size of the applicator head

AM I A SUITABLE CANDIDATE FOR VASER® liposuction?

VASER® liposuction is suitable for both men and women who want to remove areas of stubborn fat that do not respond to diet and exercise, correct disproportionate body shape and improve their body confidence. However, it is not a tool for weight loss and cannot be used as a treatment for obesity.

WHO SHOULD NOT HAVE VASER® LIPOSUCTION?

Pregnant women are not suitable for VASER® Liposuction. Patients with pre-existing medical conditions will be assessed during the consultation to ascertain their suitability for the procedure.

How long will the treatment take?

Depending on the number of areas to be treated, VASER® liposuction may take between 1.5 and 3 hours.

How soon can I expect results?

Results are immediate. Expect some post-procedural tissue swelling and bruising but these will subside over time. At Amaris B. Clinic, your wellbeing and trust are our concerns.

Dr Ivan Puah and the team will discuss, among other things, the expected results during the consultation and the different stages, including before the procedure and aftercare sessions.

Is VASER® liposuction safe?

Liposuction has been the world's most common and popular fat removal and body contouring procedure since 1974. For over 15 years, the VASER® System has provided liposuction doctors with advanced technology and advantages compared to traditional liposuction, such as enhanced skin retraction, less pain, swelling and downtime, and less postoperative discomfort [1,2,3,4,5,6,7].
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References:
[1] Garcia O Jr. Ultrasound-assisted liposuction: Current concepts and techniques. Cham, Switzerland: Springer Nature Switzerland; 2020.
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[2] Hoyos, A. E., & Millard, J. A. (2007). VASER-assisted high-definition liposculpture. Aesthetic surgery journal, 27(6), 594-604.
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[3] Di Giuseppe A, Shiffman MA. Aesthetic plastic surgery of the abdomen. Springer International Publishing Switzerland; 2016.
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[4] Hoyos AE. High Definition Liposculpting. In: Body Contouring: Art, Science, and Clinical Practice. Springer-Verlag Berlin Heidelberg; 2010: p. 419-424.
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[5] Serdev, N. P., & Serdev, N. (2011). Ultrasound Assisted Liposculpture–UAL: A Simplified Safe Body Sculpturing and Aesthetic Beautification Technique. Advanced Techniques in Liposuction and Fat Transfer, N. Serdev, ed., InTech, Rijeka, Croatia, 135-150.
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[6] Nagy MW, Vanek PF Jr. Plast Reconstr Surg. 2012;129(4):681e-689e.
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[7] Prendergast PM, et al. Aesthetic medicine: Art and techniques. Springer-Verlag Berlin Heidelberg; 2012.

What are advantages of VASER® LipoSUCTION?

VASER® liposuction is an improved form of liposuction. It is less traumatic and causes less bleeding and bruising. Most people can return to work in 2 to 3 days, depending on the extent of the procedure. Its advanced technology only breaks down fat cells, leaving the nearby vital structures such as blood vessels and nerves relatively untouched.

Unlike traditional liposuction, VASER® liposuction can treat cellulite to a certain extent and is also capable of collagen stimulation for skin firming.

HOW MANY SESSIONS ARE REQUIRED?

VASER® liposuction is a one-time permanent fat removal procedure. The duration will depend on the number of areas to be treated.

MULTIPLE AREAS: HOW MUCH FAT CAN BE TAKEN IN ONE PROCEDURE?

VASER® liposuction can be performed on multiple areas of the body. The amount of fat that can be removed is best discussed with the doctor during the consultation.

VASER® LIPO FOR PSEUDOGYNECOMASTIA

Pseudogynecomastia, like gynecomastia, is a real issue as well. This condition is caused by fat deposits on the male chest without glandular tissue proliferation. It is best to seek medical advice to ascertain which one you may be suffering from.

In pseudogynecomastia, the first line of treatment recommendation is weight management via appropriate lifestyle adjustments, such as a healthy diet and exercise. The subsequent recommended treatment will be surgical fat removal via liposuction or VASER® liposuction if the first line of treatment fails to work.
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VASER® LIPO FOR OUTER THIGHS (SADDLEBAGS) & INNER THIGHS

The outer and inner thighs are areas where stubborn fat is known to accumulate and is hard to get rid of. For example, women with a particular genetic predisposition of having a pear body shape are susceptible to having excess fat stored in these areas.

The pear body shape is characterised by large hips, which are wider than the bust and shoulders, making it difficult to fit into jeans, skirts or shorts. A sedentary lifestyle, poor dietary habits and estrogen dominance are also known causes.

VASER® LIPO FOR PARADOXICAL ADIPOSE HYPERPLASIA (PAH)

A non-invasive fat reduction that has acquired popularity is Cryolipolysis or fat Freezing. It freezes fat, and the frozen fat cells will then be removed via the body's natural elimination process. Post-treatment, the patient can expect mild swelling and redness, which will subside over time.

A serious side effect is "Paradoxical Adipose Hyperplasia" (PAH). Although rare, it is not uncommon. Due to its appearance, it is also known as the "stick of butter" effect.
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It happens when the treated areas increase in size instead of shrinking. They also become firmer compared to the surrounding tissues. Liposuction is the only remedial option.

VASER® LIPO FOR ABDOMEN (MUFFIN TOP)

The accumulation of body fat can also be the result of ageing. This accumulation, particularly in the abdominal region, usually results in the "muffin top" appearance. Aside from ageing - for women, the accumulation of body fat also occurs after childbirth. Genetics also plays a part.

VASER® LIPO FOR ARMS (BINGO WINGS)

The 'bingo wings' is another that is dreaded by many. This wobbly and less-than-flattering loose flesh found on the upper arms is a common occurrence, and one of the causes is genetics. Some people are therefore more predisposed to them because they tend to store more fat in the affected area.

VASER® LIPO FOR ARMPIT FAT

Armpit fat or axillary fat is common among adults and often caused by excess weight, although hormones and genetics may also play a role. There are no spot reduction exercises to rescue its appearance. The most effective solution is to surgically remove the fat via liposuction.

VASER® LIPO FOR BACK FAT

Contrary to popular belief, this bulge can happen to any woman, even those with small or average breast size and those who are slim and fit. Depending on our DNA, each unique one of us has trouble spots in different areas where we accumulate more fat in specific body parts than others. For example, some people have more excess fat in their outer thighs, while some have more excess fat in their abdomen.

CAN VASER® LIPOSUCTION ALSO TREAT MEDICAL CONDITIONS SUCH AS SUBCUTANEOUS LIPOMA?

Interestingly, liposuction is also effective beyond cosmetic needs and purposes. Generally, it may also treat certain medical conditions, such as:

‍• Adipose tissue diseases
• Multiple systemic lipomatosis
• Dercum's disease
• Subcutaneous lipomas
• Post-traumatic lipomas
• Chronic lymphedema
• Axillary hyperhidrosis

WHAT HAPPENS IF I GAIN WEIGHT AFTER VASER® liposuction? WILL FAT RETURN AND MIGRATE TO OTHER BODY PARTS?

VASER® liposuction removes fat permanently. A healthy lifestyle with a proper diet and exercise will help maintain your new look. It is highly recommended that you do your best to keep your weight after treatment. If any weight gain does occur, it will be proportionally distributed over the entire body.

Changes to treated areas are usually more notable, with more than 3 to 4 kg weight gain. You can also expect changes that are associated with the normal ageing process.

DOES VASER® LIPOsuction HURT?

The procedure is performed under local anaesthesia. Post-procedure swelling, bruising, and numbness are expected and will improve with time. It is part of the healing process, as with other surgical procedures. During the consultation, you will be informed of what to expect to alleviate any concerns.

HOW LONG IS RECOVERY?

It is essential to take it easy for a while while you recover. Refrain from taking part in strenuous activities and such. The disruption caused to your daily activities will be minimal, and you will be given ample advice on how to manage the recovery process.

HOW MUCH DOES VASER® LIPOSUCTION COST?

In general, the liposuction surgeon's fees are based on their experience, skills, and the body areas to be treated. A highly experienced doctor will have completed a significant number of procedures, including addressing complex conditions and procedures of the corrective kind. Other charges include the type of anaesthesia used, hospital or surgical facility costs, medical tests such as blood tests, post-surgery garments, pre and post-medication, etc.

Price is one of the many variables to consider. Choosing a qualified, accredited liposuction doctor by the Ministry of Health Singapore, who uses an accredited surgical facility and works with a well-trained surgical support team, is just as important, if not more. Make sure your health, safety and results are at the forefront when considering the cost of liposuction.

WHAT ARE THE REALISTIC EXPECTATION OF MY LIPOSUCTION SURGERY?

Fat cells that are removed during the procedure will not grow back. The new and improved body shape you are experiencing will be more or less permanent, but you should maintain a healthy and active lifestyle. If weight gain does occur, it will simply be a larger version of your new body shape.

CAN I EAT ANYTHING WITHOUT ACCUMULATING FAT IN THE TREATED BODY PART?

It is highly recommended that you do your part to maintain the results. This means adopting a healthy lifestyle that includes adequate physical activity. The procedure removes fat from the targeted body region. However, it does not prevent fat gain, especially if you do not take care of your body. It also does not prevent physical body changes due to the normal ageing process.

WILL I HAVE LOOSE OR HANGING SKIN AFTER VASER® liposuction? CAN VASER® liposuction TIGHTEN SKIN?

One of the several advantages of this procedure is that it stimulates the production of collagen, which helps in skin tightening, improving the skin's overall contour and smoothness.

PRE-PROCEDURE

Before the procedure, a list of instructions will be handed to you. It is highly advisable to follow them to reduce and minimise the risks of possible complications during surgery.

ON THE DAY OF THE PROCEDURE

Ensure that there is someone, preferably a family member or friend, to pick you up after the procedure. Arrive on the day of your scheduled procedure with an empty stomach and do not consume anything by mouth for at least EIGHT hours. Our medical team will advise you on how and what to prepare for the procedure.

POST-PROCEDURE CARE

VASER® Liposuction results in only minimal disruption to your daily chores and activities. Still, it is best to avoid strenuous exercises and water-based activities for TWO weeks after the procedure.

Swelling, bruising and numbness are expected but will improve over time. Wearing a compression garment, ideally for SIX to EIGHT weeks, also helps post-procedure recovery, as it will deal with the swelling and skin contraction.

You will be advised what to expect at each stage to help alleviate any concerns and worries.

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.

HOW TO FIND THE RIGHT DOCTOR IN SINGAPORE FOR VASER® LIPOSUCTION

DO:

• Ensure that the doctor is accredited and licensed by the Ministry of Health (MOH) Singapore to perform the procedure. Doctors are not allowed to offer liposuction if they do not receive accreditation from MOH.

• Make an effort to find out the doctor's experience in the treatment you seek. Experience usually comes with years of practice in such procedures as body sculpting and liposuction.

‍• Ask the doctor for examples of the results of his work. These should be a good indication of what you can expect and a reflection of the doctor's capabilities. The doctor should be able to show you various body regions they have treated.

• Do understand the benefits as well potential side effects of the procedure. Clear your misconceptions and ask the doctor any questions that you find relevant and necessary.

• Note that post-treatment follow-up and care are equally important, as they can help to improve your recovery and final results. Adhere to the pre and post-procedure advice given. You have to do your part as much as the doctor will. This will go a long way in ensuring a smooth procedure and, equally important, in recovery.

DON'T:
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• Opt for a procedure just because it is cheap or the cheapest option. The intent is to get the most appropriate one done to best suit your needs without incurring unnecessary risks to your health and wellbeing.

• Be afraid or shy to ask the doctor any questions. These include in regards to treatment options that may be available. Your doctor should be able to alleviate your concerns and worries.

• Have unrealistic expectations. Everyone is unique, and each need must be addressed and met as realistically as possible. Discuss your goals and keep an open mind regarding what can and cannot be achieved.

• A key point that can never be reiterated enough is to discuss matters in regards to your goals and needs with the doctor. Also, raise any concerns, including the risks involved, cost and benefits. You should feel assured because comfort and safety matter.

• Do not forget to provide essential information such as any pre-existing and prevailing medical conditions, including past medical history, allergies and medications that you are taking.

CAN I USE MEDISAVE/INSURANCE FOR LIPOSUCTION?

Liposuction is considered an elective cosmetic surgery to improve one's body contours; hence is not covered by Medisave or Insurance.

LIPOSUCTION DOCTOR IN SINGAPORE, DR IVAN PUAH

Dr Ivan Puah is an accredited liposuction doctor in Singapore. He holds the position of Chairman of the Lipo Peer Review Committee and has over 15 years of liposuction, body sculpting and enhancement experience. He obtained fundamental and advanced training in VASER® Lipo and is competent and skilled in performing complex surgeries such as corrective body surgeries (botched liposuction or fat grafting, poorly done gynecomastia, etc) and high-definition VASER® Lipo.

Having trained 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.
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An advocate of liposuction as not just a bulk fat removal procedure but also a delicate procedure involving 30% Science and 70% Art drives Dr Ivan Puah to develop his unique and proprietary fat removal and body sculpting approach known as the MDC-Sculpt® Lipo technique. It is a multi-dimensional contouring approach customised to an individual's body shape and clinical condition. This allows bulk fat removal and precise sculpting of the treated area, while care is taken to ensure that incision sites and scarring are kept to the bare minimum.

Finding the right doctor with an aesthetic sense is essential in achieving the desired outcome in terms of silhouette and true results. A body sculpting procedure is akin to a work of art in progress. The artist's skill, experience, appreciation and understanding of the body aesthetic separate a masterpiece from an average piece of work.

Is VASER® Lipo worth it?

Wanting to proceed with a cosmetic procedure such as VASER® Lipo is personal. It is a practical, permanent, and clinically proven solution to remove fat in bulk and achieve skin tightening, compared to non-surgical fat treatments such as Fat Freezing.

Fat Freezing requires multiple sessions done over more extended periods. The applicator's size also limits the area that can be treated non-surgically.

If you have tried various methods of losing fat in a specific area 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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