Former gynecomastia patient returned to the clinic to address stubborn waist. Dr Puah recommended MDC-Sculpt® Lipo Technique for a natural, masculine contour.
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Mr Ge, a former gynecomastia patient, returned to Amaris B. Clinic for help with stubborn waist fat that he suspected was genetic. He consulted Dr Ivan Puah, who recommended the MDC-Sculpt® Lipo Technique for targeted fat removal and waist sculpting. The procedure was performed under twilight sedation with customised cannulas for precision. After surgery, Mr Ge experienced minor tenderness but quickly returned to work and wore a compression garment for recovery. Within three months, he saw significant improvement in his waistline with minimal scarring. Dr Puah emphasised an artistic approach to achieving a natural, masculine contour.
Now enjoying the confidence of a masculine, contoured chest, he returned to the clinic with a new aesthetic goal.
Having overcome one significant hurdle, he turned his attention to another: Stubborn fat deposits around his waistline that spilt out over his pants.
Noticing a common pattern in his father and grandfather, who appear to have a similar recalcitrant male belly fat issue, he wondered if it is a genetic trait.
As he wished to wear form-fitting clothing with full confidence, he sought professional help from Dr Ivan Puah.
Consultation & Assessment
Mr Ge described his frustration with localised waist fat that persisted despite his disciplined lifestyle.
Rating this concern as a 6 out of 10, he shared that while this issue was less emotionally taxing than his previous gynecomastia medical condition, it nonetheless has impacted his satisfaction with his appearance and limited his clothing choices.
In mid-2025, Mr Ge returned for a consultation with Dr Ivan Puah to explore his options for waistline sculpting.
During the consultation, Dr Puah conducted a thorough physical examination.
He explained that the fat around Mr Ge's waist was a classic example of localised fat deposits that are often resistant to lifestyle changes. Indeed, genetics can play a strong role in where the body preferentially stores fat.
He outlined the goals for Mr Ge's waistline contouring:
Targeted Removal: Precisely eliminate stubborn fat from the waist (love handles).
Natural Sculpting: Create a smoother, more tapered torso that blends naturally with his now-defined chest.
Dr Puah emphasised that liposuction is a contouring procedure, not a weight-loss solution, and that maintaining a stable weight is key to preserving long-term results.
All potential side effects and the recovery protocol were discussed in detail before Mr Ge decided to proceed.
Treatment Plan
The procedure was scheduled at an accredited Day Surgery Centre under twilight sedation, in line with the clinic's minimally invasive protocol to enhance patient comfort and safety.
Mr Ge's vital signs were monitored throughout.
During the procedure, Dr Puah:
Used customised cannulas of varied sizes through strategic micro-incisions (less than 4mm) to address fat in the deep, superficial, and intermediate layers around the waist.
Performing 3-dimensional, targeted sculpting tailored to Mr Ge's male anatomy, ensuring the waistline was harmoniously integrated with his broader chest and shoulders.
The technique simultaneously encouraged skin tightening through collagen stimulation while removing fat, reducing the risk of skin irregularities.
The entire procedure was completed within 1.5 hours, after which Mr Ge was monitored at the recovery centre before being discharged home for rest.
Post-Op Recovery & Results
Following the procedure, Mr Ge experienced minor tenderness, which was easily managed with oral analgesics.
As per standard post-op care, he diligently wore a compression garment continuously for the first few weeks to reduce swelling and support optimal skin retraction. He was able to return to work the following day.
Initial results were visible immediately, with significant improvement as tissue swelling subsided over time. .
As directed, he maintained a healthy diet and hydration.
By the three-month mark, the final contoured shape was evident. The minimal incision sites had healed well and faded considerably.
A Note from Dr Ivan Puah
“Mr Ge's case for waist contouring is a common and very satisfying one. The goal here is artistic sculpting; strategically removing fat to reveal the natural masculine form underneath. The MDC-Sculpt® Lipo Technique is ideal for this, as it allows us to work in multiple tissue planes with precision. This means creating a more sculpted V-shaped torso by refining the male waist. The procedure is about refinement and proportion, ensuring the results look athletic and entirely natural,” shares Dr Ivan Puah, an MOH-accredited liposuction doctor in Singapore.
Medical Disclaimer: Due to strict regulations from the Ministry of Health Singapore, licensed healthcare practices are not allowed to show and share before-and-after photos or videos in the public domain or through any form of push technology. "Before-and-after" or only "after" treatment visuals may be shown to patients privately during in-clinic consultation with Dr Ivan Puah.
Our patient narratives aim to provide valuable insights into individual experiences with our clinic's treatments; however, it is imperative to acknowledge the inherent variability in results. While the information shared is genuine and reflects the real journeys of our patients, it does not purport to be representative of typical outcomes, nor does it serve as a guarantee of similar results for all individuals.
Each patient's response to treatment is contingent upon a myriad of factors, including, but not limited to, their level of commitment, lifestyle choices, and medical history. It is essential to recognise that patient narratives are illustrative examples of potential outcomes and should not be construed as predictive of specific results. We advise a consultation with our doctor for comprehensive guidance tailored to individual circumstances.
At Amaris B. Clinic, we want you to know that it's always been about you. Deciding to embark on a journey toward skin, face, body treatment, or a fitness program is significant, and we are here to prioritise your results, well-being, and safety at every step.