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Face Treatment

4D Fluid Facelift

A NON-SURGICAL FACIAL ENHANCEMENT & REJUVENATION

4D Fluid Facelift | Enhancement

Designed by Dr Ivan Puah, this treatment makes it possible to restore the natural and curved contours of the face subtly to achieve a balanced, youthful and natural appearance.

  • Lift targeted facial features such as the cheeks
  • Enhance the chin

4D FLUID FACELIFT ADDRESSES MULTIPLE FACIAL AGEING ISSUES

Saggy jawline

Jawline Definition

Saggy jawline

Replace volume loss on the face

Volume Loss

Replace volume loss on the face

Eyebags, undereye, dark eye circles

Eye concerns

Addresses eyebags, undereye, dark eye circles

Smooth out fine lines on the forehead

Iron out wrinkles

Smooth out fine lines on the forehead

Smoothen Lines

Soften Lines

Soften nasolabial fold and marionette lines

Remodel the nose

Facial Definition

Remodel the nose, cheeks and chin for better facial definition

Improve skin quality

Skin health

Improve skin quality

Define and enhance lips

Lip enhancement

Define and enhance lips

HOW DOES 4D FLUID FACELIFT WORK?

Dermal Fillers How it works

The 4D Fluid Facelift is achieved by strategically injecting selected FDA-approved dermal fillers (facial fillers) at specific anatomical points to achieve the desired results, resulting in natural-looking facial enhancement and definition.

TYPES OF DERMAL FILLERS AVAILABLE IN SINGAPORE

Dermal fillers may be classified as temporary, semi-permanent, or permanent based on their chemical makeup. Permanent fillers, which are not approved in Singapore, should not be used on the face. Only doctors trained in facial injectables can administer fillers in Singapore.

Calcium Hydroxylapatite

Type: Calcium Hydroxylapatite

A synthetic compound similar to the hard tissues of the body.

Usually addresses:

  • Cheek enhancement
  • Facial volume loss
  • Correct moderate to severe creases
  • Example: Radiesse®
Hyaluronic Acid

Type: Hyaluronic Acid

Most widely used type of dermal filler (facial filler)[1].

Usually addresses:

  • Acne scars
  • Cheek depressions
  • Crow's feet
  • Nasolabial folds
  • Frown lines
  • Marionette lines
  • Forehead lines
  • Redefining lip border
  • Smoker's lines
  • Examples: Juvéderm®, Restylane®, Belotero® and Definisse®
Polyalkylimide

Type: Polyalkylimide

Most widely used type of dermal filler (facial filler)[1].

Usually addresses:

  • Lip enhancement
  • Deep nasolabial folds
  • Depressed scars
  • Cheek and jawline enhancement
  • Example: Aquamid®
Polylactic Acid

Type: Polylactic Acid

Semi-permanent dermal filler (facial filler).

Usually addresses:

  • Treats laughing lines
  • Plump thin lips
  • Treats deep nasolabial folds
  • Example: Sculptra®

Disclaimer: The images provided are for illustrative purposes only. The dermal fillers listing is intended solely for educational purposes along with their recommended indications supported by clinical research listed in the References section. The listing is not intended to endorse the use of any specific products. It's important to note that dermal fillers are classified as medical devices under HSA regulation. The proper use of dermal fillers necessitates a clinical evaluation of the patient's condition and informed discussions between healthcare professionals and the patient.

TYPE OF DERMAL FILLERS 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.

Today, the signs and symptoms of the skin's natural ageing process can be reduced by replacing the lost hyaluronic acid.

4D Fluid Facelift injection

Hyaluronic acid acts as a "natural moisturiser" in the body, filling spaces between cells, retaining water, and protecting them. 

It plays key roles in maintaining joint cushioning and hydrating connective tissue, holding up to 1,000 times its weight in water for skin smoothness and plumpness. 

With age, hyaluronic acid production declines, leading to drier skin and reduced moisture retention and elasticity.

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.

How long does 4D Fluid Facelift take?

The treatment may take 30 minutes. 

You will 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.

Results generally will last up to 12 months.

DIFFERENT AGES & SKIN STAGES IN ASIAN MEN & WOMEN

25 - 30s

  • First signs of ageing: Fine lines
  • Decreased skin barrier and UV protection
  • Collagen begins to decline (~1% per year), leading to sagging and volume loss.
  • Pore size remains small[1]
  • Sebum production increases[2]

40s - 50s

  • Sebum levels decrease in men with oily skin[3]
  • Increased pore size[1]
  • Skin begins to show fragility[4] and dryness
  • Reduced elasticity and strength; more wrinkles appear
  • Increased pore size and age spots; deeper wrinkles form
  • Significant facial volume loss, leading to marionette lines
  • Droopy eyelids and thin skin around the eyes[5]
  • Wrinkle length increased in 42 to 53  years[7]

60s onwards

  • Skin thins, dries, and ages; menopause effects become apparent[6]
  • Deepening wrinkles
  • Slowed skin regeneration
  • Greater facial volume loss
  • Impaired wound healing
  • Increased UV sensitivity
  • Major hyperpigmentation development
  • Wrinkle length increased in 54 to 65 years[6]

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.

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.

4D FLUID FACELIFT AFTERCARE

No make-up for 12 hours

No make-up for 12 hours

No exercise & sun/water activities for 24 to 48 hours

No exercise & sun/water activities for 24 to 48 hours

No AHAs, BHAs, retinol or Vitamin C for 24 hours

No AHAs, BHAs, retinol or Vitamin C for 24 hours

Drink lots of water

Drink lots of water

Use gentle skincare products

Use gentle skincare products

Avoid extreme cold environments such as cryo bath

Avoid extreme cold environments such as cryo bath

Try not to touch or rub your face for 6 hours

Try not to touch or rub your face for 6 hours

Avoid alcohol & smoking for 24 hours

Avoid alcohol & smoking for 24 hours

 Avoid sun or tanning for 24 hours

Avoid sun or tanning for 24 hours

Sleep on your back

Sleep on your back

Who can perform 4D Fluid Facelift in Singapore?

Treatments such as 4D Fluid Facelift are 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 20  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 performing filler injection

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FAQ

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

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 can improve skin texture, enhance facial features such as cheeks or chin and lift up sagging nasolabial folds for men.

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 facial injectables or through a minimally-invasive procedure known as ADR-C Facial Enhancement (Facial Fat Grafting).

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.

Reference

[1] Flament, F, Francois, G, Qiu, H, Ye, C, Hanaya, T, Batisse, D, et al. Facial skin pores: a multiethnic study. Clin Cosmet Investig Dermatol (2015) 8:85–93. doi:10.2147/CCID.S74401

[2] Liu, Y., Jiang, W., Tang, Y., Zhang, Q., Zhen, Y., Wang, X., ... & Tan, Y. (2023). An optimal method for quantifying the facial sebum level and characterizing facial sebum features. Skin Research and Technology, 29(9), e13454.

[3] Pochi, PE, Strauss, JS, and Downing, DT. Age-related changes in sebaceous gland activity. J Invest Dermatol (1979) 73(1):108–11. doi:10.1111/1523-1747.ep12532792

[4] Farolch-Prats, L., & Nome-Chamorro, C. (2019). Facial contouring by using dermal fillers and botulinum toxin A: a practical approach. Aesthetic Plastic Surgery, 43(3), 793-802.

[5] https://www.nia.nih.gov/health/skin-care/skin-care-and-aging

[6] Huang, F., Wang, X., Zhang, M., Wang, L., Wang, Y., Hu, Y., ... & Wei, P. (2024). Correlating facial skin parameters with age and gender in the population of Shaanxi Province, China. Journal of Cosmetic Dermatology, 23(4), 1386-1395.

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