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
This patient case study provides insights into Ms AL's medical journey; she is in her mid-30s and sought medical intervention for a long-standing concern – axillary lump and armpit fat. Driven by her desire for improved self-confidence and relief from discomfort, she consulted with Dr Puah to explore a permanent solution.
Background
Ms AL noticed a lump developing under her axillae while pregnant several years ago. At the same time, she noticed fat bulges on the armpit, which bothered her and affected her choice of clothing.
Consultation & Assessment
Upon clinical examination, Dr Puah noted the presence of accessory breast tissue in both the axillae, accompanied by loose skin. Additionally, there was an excess of fat tissues in both pectoral areas. These findings correlated with Ms AL's desire to address the axillary lumps and discomfort and improve her self-confidence.
Treatment Plan
Axillary Accessory breast glands can be removed successfully with axillary glands excision, as this area does not respond to liposuction or any non-surgical treatment.
Ms AL will require accessory breast removal surgery. His proposed surgical approach encompassed fat removal from both armpits and accessory gland removal. Complications, side effects, pros and cons of the surgery were clearly explained to the patient. Ms AL decided to proceed with the surgery.
The surgery was scheduled in 2021, and during the procedure, Dr Puah executed the following:
- Removed excess armpit fat and tightened the surrounding axilla skin with the MDC-Sculpt®️ Lipo technique
- Excised the axillary gland
The surgery proceeded smoothly without any complications.
Post-Op Recovery & Results
Post-operative assessment and stitch removal one week post-op revealed clean surgical wounds without hematoma and seroma. Post-surgery, Ms AL expressed satisfaction with the results. Nevertheless, she voiced concerns about the scar appearance, which is common following surgical procedures.
Dr Puah provided reassurance and advised her to continue using scar gel for scar management. The patient was informed that the scar discolouration would gradually improve and lighten over several months.
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.
