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Face Treatment

4D Fluid Facelift

What is 4D Fluid Facelift?

A youthful face is often associated with the "V" shape, while an aged appearance is typically linked to a "U" shape. So when you look at yourself in the mirror, is it a "V" or a "U"? Do you see pronounced cheekbones with a small and tapered chin OR a wider lower face with a loss of volume in the cheeks accompanied by saggy skin?

4D Fluid Facelift, a non-surgical facial enhancement and rejuvenation treatment, is designed by Dr Ivan Puah that makes it possible to restore the natural and curved contours of the face subtly. It can also be used to lift targeted facial features such as the cheeks, and enhance the chin, to achieve a balanced, youthful and natural appearance.

4D Fluid Facelift addresses patient's top beauty and skin ageing concerns

4D Fluid Facelift addresses patient's top beauty and skin ageing concerns:

  • Saggy jawline
  • Volume loss
  • Eyebags, dark eye circles
  • Fine lines
  • Less-defined facial features like a short chin, flat cheeks or nose
  • Facial folds like nasolabial fold

How does 4D Fluid Facelift work?

4D Fluid Facelift is achieved by injecting selected dermal fillers (facial fillers) to enhance the cheekbones, lift the nasolabial folds, reduce hollowness under the eyes, and improve the appearance of marionette lines and jowls.

Can it raise the jawline and enhance the natural curve of the cheeks?

Yes! It can also:

  • Replace volume loss on the face due to the ageing process

  • Improve skin quality

  • Smooth out fine lines on the forehead

  • Remodel the cheeks and chin for good facial definition

  • Define and enhance lips

  • Soften moderate lines around the mouth to the chin and from the nose to the lip corners

What type of dermal fillers are used in 4D Fluid Facelift?

Hyaluronic-based (HA) dermal fillers are much preferred due to safety considerations. Once injected, the HA dermal filler acts as a cushion, supporting the facial structures and tissues that may have lost volume and elasticity.

What Type Of Dermal Fillers Are Used In 4d Fluid Facelift?

In your body, hyaluronic acid fills the spaces between cells, protecting them by retaining water and serving as a sponge. Considered a "natural moisturiser", hyaluronic acid performs different tasks in the body.

For instance, it helps maintain healthy joint cushioning and hydrates the connective tissue. Hyaluronic acid can hold up to 1,000 times its weight in water, keeping our skin's smoothness (moisturising effect) and plumpness (volumising effect).  

During the ageing process, the production of hyaluronic acid naturally decreases. The skin becomes drier, and its ability to retain moisture and maintain elasticity depletes. Today, the signs and symptoms of the skin's natural ageing process can be reduced by replacing the lost hyaluronic acid.

What should I expect before the 4D Fluid Facelift treatment?

Dr Ivan Puah will assess your clinical condition and ensure that your expectations are understood during the consultation and assessment. He will explain how best to administer your treatment and address your concerns.

During the treatment, Dr Puah will inject selected dermal fillers into areas of your face where required through careful and strategic injection points for an even and natural facial enhancement and rejuvenation result.

How long does 4D Fluid Facelift take?

The treatment may take 30 minutes. You will likely be able to continue your daily activities as soon as your appointment is over.

When can I see the results?

Results and improvements will be noticeable immediately, but allow 7 to 14 days for any minor side effects, such as bruising or swelling (if any), to dissipate. Your skin will take some time to integrate with the surrounding tissues, and results generally will last up to 12 months.

Will I look natural?

4D Fluid Facelift Natural Results

Your results are very much dependent on the skills and aesthetic sense of your doctor. Not every medical practitioner has the aesthetic sensibility to provide patients with the optimal cosmetic outcome.

If someone looks at you and can tell that you look different (but not great) like your nose or cheeks are totally out of proportion to your face, or that your face looks "stiff" and pillowy, this is an indication of a poorly executed job.

A successful 4D Fluid Facelift result lies in the doctor's ability to create a subtle, balanced and natural appearance for the patient, and this is what we do.

Who can perform 4D Fluid Facelift in Singapore?

Treatments such as 4D Fluid Facelift is marked as a medical device In Singapore under HSA regulation. It can only be prescribed and carried out by registered and trained medical doctors in Singapore.

Dr Ivan Puah

Dr Ivan Puah, medical director of Amaris B. Clinic, obtained a Graduate Diploma in Family Dermatology from NUS. He has over 17 years of clinical experience treating patients with skin laxity, wrinkles, fine lines, hyperpigmentation, acne scarring issues, and many others.

He is also the appointed trainer-to-doctor by Merz Singapore and Allergan Singapore.

Dr Ivan Puah Dermal filler and botulinum toxin injections

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Can I do the 4D fluid facelift while I'm pregnant or breastfeeding?

No, 4D Fluid Facelift involves injecting dermal fillers (facial fillers) into the face, and these are not approved for use during pregnancy or breastfeeding.

Does 4D Fluid Facelift with dermal fillers stretch the skin?

If your skin is stretched after a filler treatment, there is a possibility that the face is overfilled. This should never occur in the hands of skilled and experienced doctors who understand facial anatomy and harmony.

Pillow face (overfilling of cheeks and under eyes), Avatar nose (overfill on the nose bridge), bulging forehead, witch's chin (overly pointed chin), and overly protruding cheekbones are commonly seen in cases of over-treatment. In such cases, loose skin can sometimes be seen if the dermal fillers are dissolved in the areas where they are over-treated.

At Amaris B. Clinic, you can be assured over-treatment won't happen.

Is 4D Fluid Facelift suitable for men?

Certainly! 4D Fluid Facelift is a non-surgical facial rejuvenation and enhancement treatment suitable for both sexes. It can help men improve skin texture, enhance facial features such as cheeks or chin and lift up sagging nasolabial folds. Based on your needs and expectations, we will create a personalised treatment plan to achieve your desired results.

Can facial cream achieve the same volumising and hydrating results as 4D Fluid Facelift?

No. Although cosmetic and skin care companies have developed innovative skin care products purported to replace facial volume or increase skin hydration, it is impossible to achieve that.

Increasing volume is only achievable via injectables such as dermal fillers (facial fillers) or through a minimally-invasive procedure known as ADR-C Facial Enhancement (Facial Fat Grafting). To increase hydration internally, you will require moisturising dermal fillers.

Does 4D Fluid Facelift with dermal fillers hurt?

Nearly all our hyaluronic acid fillers are available with lidocaine to maximise your treatment comfort. The discomfort level is minimal.

Can I remove the fillers if I am not happy with the results?

It is possible to remove hyaluronic acid-based (HA) dermal fillers with an enzyme known as hyaluronidase, if needed. Hyaluronidase will break down the filler in a short space of time. However, it will not be possible to remove dermal fillers that are not HA-based.


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