68 year-old retiree reversed facial ageing signs with Ultherapy Prime
Ultherapy Prime targets loose jowls, sagging cheeks, drooping eyebrows, overall tired & "depleted" facial appearance on 67-year-old Chinese woman.
January 28, 2026
Table of Contents
Patient's Profile
Ms Q is a young professional in her mid-20s working in the finance industry. Despite her active lifestyle and slim physique, she struggled with a persistent issue that affected her confidence—armpit fat bulges. This concern, which had been with her for many years, kept her from wearing sleeveless tops and fully embracing her fashion choices.
Background
Ms Q had lost significant weight during her school years through dieting and exercise, yet the stubborn armpit fat bulges remained. Frustrated and self-conscious, she consulted Dr Ivan Puah in 2022 to explore possible solutions. She had no underlying medical issues and was otherwise healthy, making her an ideal candidate for various treatment options.
Consultation and Assessment
During her initial consultation, Ms Q expressed her deep dissatisfaction with the armpit fat bulges, which were particularly noticeable due to her slim arms. Despite trying numerous spot reduction exercises, the bulges persisted. Dr Puah's examination confirmed bilateral axillary fat tissues with a moderate degree of loose skin, making the bulges more prominent.
While Dr Puah discussed the option of armpit liposuction, Ms Q was hesitant about undergoing surgery and decided to explore non-surgical options first.
For the next two years, Ms Q tried noninvasive laser treatments and fat freezing, but unfortunately, these methods did not produce the desired results.
Deciding on Surgery
In 2024, Ms Q returned to the clinic, ready to reconsider her options. After another thorough assessment and a detailed discussion of the pros and cons, risks, and potential outcomes, Ms Q decided to proceed with armpit liposuction. Preoperative blood work confirmed she was fit for surgery.
The Treatment Plan
The armpit liposuction was scheduled at an accredited Day Surgery Centre in Singapore. Dr Puah performed the procedure using his proprietary MDC-Sculpt® Lipo Technique under light sedation, with the patient cared for by an experienced anaesthetist and a skilled surgical team.
The surgery was uneventful, and Dr Puah successfully removed 400ml of subcutaneous fat from both armpits. He also employed skin tightening techniques to induce collagen production and ensure a smoother, more contoured result. Incisions were strategically made in the armpit skin folds so any scars would be hidden once healed.
After carefully closing the incisions with stitches and applying surgical dressings, Ms Q was cared for at the recovery bay. She was discharged home with a comprehensive post-op care pack on the same day.
Post-Op Recovery & Results
Ms Q experienced some soreness in both armpits for a few days after her surgery, which was managed with prescribed pain relief medication. By Day 7, her stitches were removed, and she continued to recover well. The previously bothersome armpit bulges had flattened significantly.
Over the next three to six months, her skin continued to tighten, revealing a more contoured appearance.
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.
