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Fat graftinG

How exactly does fat grafting work?
Liposuction: Fat Extraction

Liposuction: Fat Extraction

Fat from the patient’s body is extracted via liposuction. Common areas where the fat is extracted from are the thighs and abdomen.

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Purification: Fat Separation

Purification: Fat Separation

The concentrated fat is separated from the non-fat cells and excess fluid. This is done by placing the extracted fat in a centrifuge. After which, the concentrated fat is filled into syringes.

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Revolumisation: Fat Injection

Revolumisation: Fat Injection

The concentrated fat is then slowly and carefully injected into areas of the body where it’s needed via small needles or cannulas. This creates a volumising effect on those areas.

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Facial fat grafting

Fat grafting for different parts on the face. Because your own fat is the best filler in the world!

Autologous fat injections (facial fat grafting) - autologous means cells and tissues that are harvested from the same person. In essence, that is what fat grafting is. Fat grafting using one's own fat is a safe method that produces desired results for individuals who are seeking to improve their facial appearance. The fat is often injected into areas where it is needed to add volume for a more youthful and healthier appearance.

Facial Fat Grafting Face zones

Forehead

Fat grafting for the forehead is a popular procedure among Asians. It lends a softer and feminine appearance [1].

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Under eye/Tear trough

Dark eye circles are often caused by fat loss around the eyes and sagginess in the upper cheeks. Fat grafting is able to plump the affected area for a healthier and more youthful appearance [2].

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Cheeks

Fat grafting is also used in face lifts such as for the cheeks. It adds volume to the area for a youthful appearance [3].

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Body Fat grafting

Fat grafting for different parts of the body
Breast Enhancement Fat Grafting-Amaris B Clinic Dr Ivan Puah

Breast Fat Grafting
(ADR-C Breast Enhancement)

Breast enhancement via fat grafting is a less risky option compared to implants. The fat used is the patient’s own and this reduces the risk of tissue rejection [4].

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Hand Rejuvenation Fat Grafting-Amaris B Clinic Dr Ivan Puah

Hand Fat Grafting
(Hand Rejuvenation)

Hand rejuvenation treatment has seen quite a rise recently. This is not surprising as the hands can be a tell-tale sign of aging. Fat grafting can restore a more youthful appearance to the hands [5].

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Buttocks Enhancement Fat Grafting-Amaris B Clinic Dr Ivan Puah

Buttock Fat Grafting
(Brazilian Butt Lift)

As with breast enhancement, fat grafting for buttocks reduces the risk of complications. It is used in combination with liposuction to lend desired results [6].

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Fat Grafting vs Implants

Top reasons why fat grafting is way better than implants
Image of a breast implantation procedure for educational purpose

Breast implantation procedure image for educational purpose.

  • Due to DNA, fat may accumulate on the tummy, hips and thighs

    Breast-enhancement via Fat Grafting uses fat from other parts of the body. This way, excess fat is removed from one part resulting in fat loss in that area and transferred to the breast resulting in an enhancement. It can be considered a 2-in-1 procedure that gives double the results.

  • Unhealthy eating habits such as overindulging in junk food and dessert

    Silicone and saline may be considered safe but they are not as safe as fat from one's own body.

  • Sedentary lifestyle

    Fat grafting, unlike implants, results in a more natural appearance and also to the touch.

  • Hormones wreaking havoc in your body, causing weight and fat gain

    Implants carry the risk of rupture and leakage. They would need to be changed over a patient’s lifespan and are not a permanent solution. Fat grafting eliminates these risks and the fat used is the patient’s own.

  • Stress hormone (cortisol) directly effects fat storage and weight gain

    Implants, particularly if they are too big, carry the risk of visibility and rippling.

  • Fat stored during pregnancy that you can’t lose after giving birth

    In breast implants there is a risk of the scar tissue hardening and this can result in implant hardening and distortion.

  • Lack of quality sleep and rest

    Stretch marks are also a concern when it comes to implants. This is because the skin needs to be stretched to accommodate them.

historical timeline
of FAT GRAFTING

The evolution of fat grafting, the world’s most popular natural revolumisation surgical method, from 1895 to date

1895

Dr. Viktor Czerny

Dr. Viktor Czerny transferred a lipoma to the breast to establish symmetry following a unilateral partial mastectomy.

Dr. Viktor Czerny transferred a lipoma to the breast to establish symmetry following a unilateral partial mastectomy [7].

1900s

Fat Grafting/
Fat Transfer

Fat grafting / Fat Transfer / Fat Injection | Amaris B Clinic Dr Ivan Puah

Fat grafting had trouble gaining acceptance during the next 100 years due to the many complications that routinely accompanied the procedure [8].

1990s

Dr. Sydney Coleman

Dr. Sydney Coleman began publishing papers describing standardised techniques for fat extraction, processing, and injection. | Amaris B. Clinic Dr Ivan Puah

Dr. Sydney Coleman began publishing papers describing standardised techniques for fat extraction, processing, and injection [9].

2001

University of Pittsburgh’s
Plastic Surgeons & researchers

Research from University of Pittsburgh’s Plastic Surgeons showed adipose tissue is 
a much more prolific source of mesenchymal stem cells than bone marrow | Amaris B. Clinic Dr Ivan Puah

Research showed adipose tissue is a much more prolific source of mesenchymal stem cells than bone marrow [10].

OUR RESULT DIFFERENCE

According a top peer-reviewed journal, Plastic and Reconstructive Surgery, "grafted fat has many attributes of an ideal filler, but the results, like those of any procedure, are technique dependent [13]."

That is why finding the right doctor with an aesthetic sense is essential in achieving the desired outcome in terms of silhouette and true results. Like how an artist uses a tool to craft his masterpieces, Dr. Ivan Puah uses the same approach to body contouring to achieve an ideal result.

Believing that it is 70% art and 30% science, he makes use of technology and his years of experience and mastery to help his patients achieve a sculpted physique that is natural-looking. It takes meticulousness and great aesthetic sense to know how much fat needs to be removed and where it should be removed from.

Body Sculpting is our forte
• We offer a full range of liposuction techniques such as VASER Lipo, VASER Hi-Def Lipo, tumescent liposuction and SmartLipo

Personalised liposuction surgical approach
• Dr. Ivan Puah will work with you to create an ideal, personalised treatment plan according to your body shape, targeted fat volume removal and desired body goals during your private consultation.

Achieving a sculpted and aesthetically pleasing result
• Dr. Ivan Puah has developed two proprietary body sculpting approaches known as 360® Glandular Tissue Dissection (360® GTD®) to treat gynecomastia and MDC-Sculpt® Lipo for a smoother contour and body.

In compliance with MOH guidelines in Singapore, we are not allowed to post before-and-after images on our website and social media platforms. However, we are more than willing to share such images during your in-clinic consultation with us.

BOok your consultation
Dr Ivan Puah at Amaris B. Clinic
Dr Ivan Puah during a fat grafting and liposuction surgery in Singapore | Amaris B. Clinic Dr Ivan Puah
Dr Ivan Puah at Amaris B. Clinic
VASER CERTIFIED PHYSICIAN

DR. IVAN PUAH

Dr. Ivan Puah has been performing body sculpting and enhancement procedures for more than 15 years. He is accredited by the Ministry of Health Singapore to perform liposuction and is the Lipo Peer Review Committee Chairman in Singapore. His passion and earnestness in body sculpting have propelled Dr. Ivan Puah to learn and train under well-known surgeons around the world. He is a VASER® Certified Physician and has received dedicated surgical training in gynecomastia surgery in the USA.

For more than 15 years, Dr. Ivan Puah continuously refined his skills and developed two proprietary body sculpting approaches known as 360° Glandular Tissue Dissection (360°GTD®) and MDC-Sculpt® Lipo.

Dr Ivan. Puah is known to patients as a pragmatic gentleman – managing realistic expectations, not overpromising and under-delivering results.

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FAT GRAFTING Videos

Not All Fat Cells Are Equal

VIDEO

Not All Fat Cells Are Equal

FAT GRAFTING FAQs

How is fat grafting performed?

Fat is first extracted from other parts of the body after which, concentrated fat is then separated before being filled into syringes. These are then injected into the area where it is needed.

How long do results from fat grafting last?

Depending on the body and how well it responds to the procedure, results can last for years. Some patients require only a one-time treatment. This will be discussed with the doctor during consultation.

Where are my fat cells collected from?

Common areas where the fat is extracted from are the thighs and buttcoks. These areas are known to have a high density of  fat.

How are fat cells placed in my face or buttocks?

The injections are done through tiny incisions that have been strategically placed on areas to be treated. One this is done, these will be stitched up. Take note that in facial fat grafting, no stitching is needed.

Which body parts respond the best to fat grafting?

Fat grafting is suitable for most parts of the body and they respond well in terms of immediate results. The lips and laugh lines may require more than one session for results to show.

How and why is fat grafting so effective?

Fat grafting uses a patient’s own fat. Aside from reducing complications, it is also able to aid in better recovery as the chance of tissue rejection is lower. Fat cells are delicate in nature but when they are injected into the body, their chances of survival are high as new blood supply is able to grow back into them.

How much fat is needed for fat transfer?

The amount of fat that will be needed is dependent on the area being treated. It is also dependent on the amount of fat that a person’s body has. If your body does not have enough, the doctor may suggest other alternative solutions.

How long does the fat grafting procedure take?

Fat grafting procedure lasts between ONE to TWO hours depending on the area where fat is being extracted from and grafted into.

How long is recovery from fat transfer?

Recovery is expected to take between TWO days to TWO weeks. This is dependent on the area being treated and responsiveness of the body to the treatment.

How do I prepare for fat transfer?

During consultation, you will be given a list of instructions and you are advised to follow them. For those who smoke, it is advised that they cease to do so at least SIX weeks before the procedure. This will reduce risk of complications and it will also help promote quicker recovery and less scarring. It is also advisable to stop taking aspirins and medications that can increase bleeding. Do also remember to arrange for transport to and from the clinic on the day of the procedure.

Is your question not listed here?
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we are different

Our unique Services | Amaris B. Clinic Dr Ivan Puah

Unique Services

Whatever your reasons are to seek face, body, skin and health improvements, we get it. Because we believe Health is Beauty and Beauty is Health. We are here with you at every step of the way from the start of your treatment till recovery.

Our personalised care | Amaris B. Clinic Dr Ivan Puah

Personalised Care

No one body is the same. You are unique, and so are your concerns, needs and desires. This is why every treatment plan varies for each different patient. We listen to what you want before designing your personalised plan to meet your goals.

Patient safety | Amaris B. Clinic Dr Ivan Puah

Patient Safety

Our patients' safety means everything to us. We uphold our accreditation from the Ministry Of Health Singapore. Cases are performed in an accredited Operating Theatre, with a team of anaesthesiologists and surgically-trained staff nurses and clinical team.

MOH approved operating theatre | Amaris B. Clinic Dr Ivan Puah

MOH-approved Operating Theatre & Post-recovery Center

Our yearly-audited MOH-approved OT is equipped with modern surgical equipment and European monitoring systems with private suites and 12-bed recovery units. It has direct hospital access and blood transfusion facilities.

Our Esteemed & Experienced Panel Of Anaesthesiologists | Amaris B. Clinic Dr Ivan Puah

Our Esteemed & Experienced Panel Of Anaesthesiologists

Performing surgeries at an accredited facility with our panel of anaesthesiologists and offering comfortable twilight sedation (no GA) allows the best possible care, safety and monitoring for you during surgery.

Dedicated Patient Care, Quality Assurance & Delivering Results | Amaris B. Clinic Dr Ivan Puah

Dedicated Patient Care, Quality Assurance & Delivering Results

Integrity, ethical, and commitment, that's our pledge to you. Dr Ivan Puah is known to patients as a pragmatic gentleman - managing realistic expectations, not overpromising and under delivering results.

REFERENCe

[1] Metzinger, S., Parrish, J., Guerra, A., & Zeph, R. (2012). Autologous fat grafting to the lower one-third of the face. Facial plastic surgery, 28(01), 21-33. doi: 10.1055/s-0032-1305787. ISSN 0736-6825.
[2] Hyung Su Kim, Chong Won Choi, Bo Ri Kim, and Sang Woong Youn.JAMA Facial Plastic Surgery. Mar 2019.118-124. doi:10.1001/jamafacial.2018.1307
[3] Kim, H. S., Choi, C. W., Kim, B. R., & Youn, S. W. (2019). Effectiveness of transconjunctival fat removal and resected fat grafting for lower eye bag and tear trough deformity. JAMA facial plastic surgery, 21(2), 118-124. doi: 10.1001/jamafacial.2018.1307
[4] Hoang, D., Orgel, M. I., & Kulber, D. A. (2016). Hand rejuvenation: a comprehensive review of fat grafting. The Journal of hand surgery, 41(5), 639-644. doi: 10.1016/j.jhsa.2016.03.006
[5] Hoang, D., Orgel, M. I., & Kulber, D. A. (2016). Hand rejuvenation: a comprehensive review of fat grafting. The Journal of hand surgery, 41(5), 639-644. doi: 10.1016/j.cps.2006.05.001
[6] Uroskie, T. W., & Colen, L. B. (2004, May). History of breast reconstruction. In Seminars in plastic surgery (Vol. 18, No. 02, pp. 65-69). Copyright© 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA. doi:10.1055/s-2004-829040
[7] Branford, O. (2018). Fat transfer in aesthetic plastic surgery. Journal of Aesthetic Nursing, 7(1), 24-27. doi: 10.12968/joan.2018.7.1.24
[8] Bellini, E., Grieco, M. P., & Raposio, E. (2017). The science behind autologous fat grafting. Annals of medicine and surgery, 24, 65-73. doi: 10.1016/j.amsu.2017.11.001
[9] Han, Y., Li, X., Zhang, Y., Han, Y., Chang, F., & Ding, J. (2019). Mesenchymal stem cells for regenerative medicine. Cells, 8(8), 886. doi: 10.3390/cells8080886
[10] Coleman, S. R. (2006). Structural fat grafting: more than a permanent filler. Plastic and reconstructive surgery, 118(3S), 108S-120S. doi: 10.1097/01.prs.0000234610.81672.e7

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Contact us

Opening Hours 
Weekdays: 9:30am - 7pm
Alternate Saturdays: 9am - 5pm
Closed on Sundays & Public Holidays

I'm interested in TELECONSULTATION

Thank you!
Your submission has been received.
We will reply you as soon as we can!

OOPS! Something went wrong while submitting the form. Please call us at 6536 4211 instead.

Contact us

Opening Hours 
Weekdays: 9:30am - 7pm
Saturdays: 9:30am - 1:30pm
Closed on Sundays & Public Holidays

I'm interested in TELECONSULTATION

Thank you!
Your submission has been received.
We will reply you as soon as we can!

OOPS! Something went wrong while submitting the form. Please call us at 6536 4211 instead.