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Face Treatment

ADR-C Facial Enhancement (Facial Fat Grafting)

ADR-C FACIAL ENHANCEMENT (FACIAL FAT GRAFTING) IN SINGAPORE

Many of us in Singapore who are considering facial rejuvenation prefer the natural route; something that works with the body rather than introducing a foreign substance into it. ADR-C Facial Enhancement (Facial Fat Grafting) does exactly that.

This minimally invasive surgery uses your own fat, harvested from areas such as the abdomen or thighs, purified, and carefully reinjected into areas of the face where volume has been lost. As the material is entirely your own, there is no risk of rejection or allergic reaction, and the results tend to be longer-lasting than those achieved with dermal fillers.

At Amaris B. Clinic in Singapore, Dr Ivan Puah performs this procedure using his refined ADR-C technique, placing fat in precise layers to restore facial contours naturally. Chairman of the Lipo Peer Review Group, he was among the first few doctors in Singapore to offer facial fat grafting since 2008.

WHAT IS FACIAL FAT GRAFTING?

As early as our late 20s, tissue volume in the skin begins to deplete. Typically, we lose up to 35% of mid-face volume due to stress, trauma or yo-yo dieting. This loss leads to skin sagging and the formation of jowls, hollows, creases and wrinkles.

But all is not lost as ADR-C Facial Enhancement (Facial Fat Grafting)[1, 2, 3, 4, 5] can restore youthfulness back into the skin such as filling up the fat loss on the face, smooth out facial lines and improve skin texture.

ADR-C Facial Enhancement is also known as fat transfer to the face, autologous fat transfer, micro-fat grafting or facial fat grafting.

It is a minimally invasive facial enhancement and rejuvenation procedure where the doctor extracts a minuscule amount of fat from another area of the patient's body, cleanses and processes it before reinjecting into the patient's face, in areas where needed.

Fat can be taken from the abdomen, inner or outer thigh. This treatment adds volume to ageing areas of the face and effectively rejuvenates the overlying skin.

Which areas will benefit from ADR-C Facial Enhancement?

Facial ageing

Irons fine lines, deep wrinkles, frown lines and facial creases

Sunken cheeks

Restores sunken cheeks caused by resorption of fat and bony deposits

Facial hollowness

Revolumise the temples and forehead, including sunken, hollowed eyes

Eyebrows

Lift the brows and upper eyelids for a more youthful look

Pointed chin

Softens the look of a fierce appearance from a pointed chin

Nasolabial folds

Reduces the deep line between the nose and the lips for anti-ageing

Marionette lines

Corrects the lines between the lips and chin for a more youthful look

Sagging jowls

Subtle lifting of saggy jowls due to loss of elasticity

WHAT ARE THE FACTORS THAT WILL IMPACT YOUR FAT GRAFTING RESULTS?

ADR-C Facial Enhancement

The skill of the doctor

How the fat is harvested, purified, how and where it is injected. The more skilful and experienced your doctor is, the more he understands the technique.

How well your body adapts

Fat survives best when it is put into areas with an abundant blood supply. In general, the face is well vascularised; results can and often are long-lasting.

Lifestyle factors

Smoking and drinking alcohol will impact your fat grafting results.

WHAT ARE THE BENEFITS OF ADR-C FACIAL ENHANCEMENT (FACIAL FAT GRAFTING)?

  • Biocompatible, non-allergic, non-toxic

  • Easy to harvest via liposuction

  • No risks of rejection

  • Long-lasting results

  • Rejuvenative properties due to the high concentration of mesenchymal cells present

FACIAL FAT GRAFTING VS DERMAL FILLERS: WHICH IS RIGHT FOR YOU?

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TreatmentsDERMAL FILLERSFACIAL FAT GRAFTING
Material Hyaluronic acid (HA), calcium hydroxylapatite (CaHA), poly-L-lactic acid (PLLA)Patient’s own fat source
Longevity6 – 18 months, depending on the type of fillers usedPermanent
Estimated costs across practices in SingaporeSGD $800 – SGD $2,000 per syringeSGD $3,000 onwards
Procedure Time30 minutes (Injectable)1.5 hours (Minimally Invasive)
DowntimeMinimalA few days to a week

WHO IS A GOOD CANDIDATE FOR FACIAL FAT GRAFTING IN SINGAPORE?

You are suitable for this procedure if you are:

  • Have sufficient donor fat available (abdomen, thighs, or flanks)

  • Have volume loss due to ageing (typically starting from mid-30s onwards)

  • Have hollow temples, sunken cheeks, or under-eye hollows

  • Have deep nasolabial folds or marionette lines

  • Are generally healthy with no chronic debilitating conditions

  • Are a non-smoker or willing to quit (smoking affects fat survival)

  • Are realistic about the results (of what can be or cannot be achieved)

  • Are looking for longer-lasting results than dermal fillers

  • Are looking to rejuvenate your appearance, smooth out fine lines, and improve the contours of your face

What is A typical 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 to 1.5 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
  • Subsequent post-op treatment and review will be scheduled

WHAT IS THE EXPECTED RESULTS & RECOVERY TIMELINE?

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Same day

No smoking and alcohol.

Fuel your recovery with nutritious food.

Avoid putting pressure on the face, and sleep on your back.

Results are visible immediately.

1 week

Facial swelling may last for a few days to a week or so.

Resume light activities and work in 1 to 2 days’ time.

Incisions may itch as they heal; apply scar gel.

Avoid sun exposure.

1 month

Most bruising and tissue swelling will clear.

3 months

Witness optimal results in 3 to 6 months.

6 months

On average, most patients can retain 60% to 70% of the fat transferred.

Maintain a healthy lifestyle and enjoy long- lasting results.

WHAT SETS MDC-SCULPT® LIPO APART?

At Amaris B. Clinic, we don’t just perform liposuction — we refine it. Our proprietary MDC-Sculpt® Lipo technique, developed by Dr Ivan Puah, when paired with ADR-C 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 facial and body sculpting
  • Minimal trauma to surrounding tissues, reducing downtime
  • Enhanced skin retraction with strategic subdermal stimulation
  • Excellent for delicate areas like the face, arms and armpits

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 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.

WHAT TO EXPECT: THE PROCEDURE STEP-BY-STEP

Fat Grafting Vector How it works

1. 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.

2. 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.

3. 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 re-vascularisation — helping the grafted fat thrive long‑term while maintaining natural texture.

4. 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.

WHAT ARE THE OTHER USES OF FAT GRAFTING?

Scar Reduction & Improvement

Fat grafting can help soften and smooth out depressed scars caused by surgery, burns, or radiation[6]

By restoring volume beneath the skin, it improves skin texture and blends visible indentations for a more even surface[9].

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[7].

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[8].

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[8].

WHAT IS THE COST OF ADR-C FACIAL ENHANCEMENT (FAT GRAFTING) IN SINGAPORE?

ADR-C Facial 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 complexity of surgerY
  • Miscellaneous charges such as laboratory investigations, etc

CAN I SEE BEFORE-AND-AFTER PHOTOS OF PREVIOUS PATIENT CASES DURING 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 facial liposuction.

It allows you to:

  • Visualise potential outcomes specific to your condition
  • Understand surgical approaches in detail
  • Discuss realistic expectations for scarring, recovery, and 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.

Our Awards

WHO CAN PERFORM ADR-C FACIAL ENHANCEMENT (FACIAL FAT GRAFTING) IN SINGAPORE?

If you are considering a fat grafting procedure, your choice of doctor will definitely affect your surgery's success. The technical and surgical approach undertaken by the doctor will determine your results.

Fat grafting should be performed by qualified doctors with appropriate training in the procedure. It is a requirement for doctors who want to offer fat grafting procedures in Singapore to be liposuction accredited by the Ministry Of Health Singapore.

Dr Ivan Puah

Dr Ivan Puah has over 20 years of liposuction experience and is the Lipo Peer Review Committee Chairman. 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.

Dr Ivan Puah | Facial fat grafting

FAQ

Do you freeze the extracted fat, store it and re-use it later?

No. Fat storage service is not available in Singapore.

Apart from the face, can fat be used in other body parts?

Yes. Fat can be grafted to the hands for hand rejuvenation, breasts for breast enhancement, and buttocks for buttock enhancement.

What if I want more fat-filling later?

We listen to your needs and ensure that your final result looks natural. As such, most patients are satisfied after the first procedure. After about 8 to 12 months from the initial procedure, some may feel that they would like to further enhance the results with additional fat grafting sessions, which would entail a separate fee.

Will ADR-C Facial Enhancement be painful?

A local anaesthetic will be administered to the treated areas during treatment to minimise pain and discomfort. Post-treatment, the patient may experience some soreness, bruising and fullness of the face. Most patients can manage post-op pain and discomfort well with the medications prescribed.

What causes facial volume loss?

As we age, fat mass in the face naturally depletes. This causes the cheekbones and midface to lose their volume, and together with collagen loss, parentheses lines will start to appear. These are lines, also known as nasolabial folds, in the shape of parentheses that form from the nose to the mouth. Fat loss in the face causes the skin to appear thinner, drier and dull.

I'm not ready for facial fat grafting. Any other options to revolumise my facial features?

There are skincare products that can help reduce the appearance of unsightly lines, but they will not eliminate them.

A more effective treatment method is hyaluronic acid fillers. Fillers can correct age-related facial volume loss by plumping up the nasolabial folds for a smoother skin appearance.

Is ADR-C Facial Enhancement (Facial Fat Grafting) a new concept?

No, it is not. In the 1980s, facial fat grafting was a popular procedure. The procedure has continued to evolve over the years. It is currently one of the most sought-after natural and clinically proven ways to add volume to the face.

How many sessions of fat grafting are required?

The process allows you to transfer excess body fat to your face, all in one session.

How often can ADR-C Facial Enhancement (Facial Fat Grafting) be done?

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 ADR-C Facial Enhancement (Facial Fat Grafting) leave scars?

Small, short and strategically placed incisions are made on the donor 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 Facial Enhancement (Facial Fat Grafting)?

Weight loss will impact the results of ADR-C Facial Enhancement (Facial Fat Grafting). A patient is advised to adopt a healthier lifestyle and eating habits after the procedure for longer-lasting results.

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.

Is ADR-C Facial Enhancement (Facial Fat Grafting) safe?

As the treatment utilises your body fat, it is safe with no risk of rejection and long scarring often associated with cheek implants.

What are the risks and safety profile of ADR-C Facial Enhancement (Facial 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 or risks of calcification. The American Society of Plastic Surgery has determined that fat grafting to the face is safe.

Does Amaris B. provide aftercare treatments?

At Amaris B. Clinic, our aftercare services significantly assist you in achieving a faster recovery and ensuring optimal results.

We have curated a bespoke aftercare program designed to support you through the healing process, featuring MLD Therapy, skin firming, and many other treatments.

Is facial fat grafting better than fillers?

Facial fat grafting is ideal for those seeking permanent volume replacement with a natural material: their own body fat. Dermal fillers are suitable for those seeking a temporary, immediate, and convenient method of facial enhancement and an anti-wrinkle solution, using body-compatible materials such as hyaluronic acid.

Will my face look fat after fat grafting?

You may look temporarily puffy for a week or two. This is due to the surgical overfilling and swelling, where the transferred fat cells are settling in the treated area. The surviving fat will then adapt to its new site, and your final results will be natural.

Can facial fat grafting be combined with other procedures?

Patients often combine facial fat grafting with other treatments to better meet their facial rejuvenation goals. For suitability of procedures, consult Dr Ivan Puah for professional advice.

At what age should I consider facial fat grafting?

Most patients considering facial fat grafting are in their late 30s to early 40s and would like to reverse the signs of ageing, such as sagging jowls or sunken eyes.

Reference

[1] Shauly, Orr BS*; Gould, Daniel J. MD, PhD†; Ghavami, Ashkan MD‡. Fat Grafting: Basic Science, Techniques, And Patient Management. Plastic And Reconstructive Surgery - Global Open 10(3):p e3987, March 2022. | DOI: 10.1097/GOX.0000000000003987

[2] Gornitsky, J., Viezel-Mathieu, A., Alnaif, N., Azzi, A. J., & Gilardino, M. S. (2019). A Systematic Review Of The Effectiveness And Complications Of Fat Grafting In The Facial Region. JPRAS Open, 19, 87-97. https://doi.org/10.1016/j.jpra.2018.12.004

[3] Marten, T. Discussion Of Shue Et Al. "Fat Injection: A Systemic Review Of Injection Volumes By Facial Subunit". Aesth Plast Surg 42, 1271–1276 (2018). https://doi.org/10.1007/s00266-018-1168-0

[4] Glogau Rg. Microlipoinjection: Autologous Fat Grafting. Arch Dermatol. 1988;124(9):1340–1343. DOI: 10.1001/archderm.1988.01670090010002

[5] Furlani Eat, Saboia Db. Facial Rejuvenation With Fat Grafting: Systematization And Study Of 151 Consecutive Cases. Rev. Bras. Cir. Plást.2018;33(4):439-445

[6] 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.

[7] 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.

[8] 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.

[9] 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

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