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 NX, in her early 40's, is a non-smoker who leads a healthy and active lifestyle.
Background
In 2023, Ms NX consulted Dr Puah regarding a bothersome hump around her neck and shoulder region that seemed to increase in size as years went by. It was accompanied by a debilitating pain that was disrupting her daily life. Ms NX's self-confidence was affected, and she avoided clothes that exposed her neck and back. She tried various methods, including massage and many non-surgical fat reduction treatments, but to no avail.
Consultation & Assessment
A detailed medical history and examination was undertaken. Ms NX had no underlying medical condition such as Cushing's syndrome, nor was she on any prescription medication or long-term steroid use. Her BMI was 20+, and she had been leading a healthy lifestyle. She was a non-smoker who drank alcohol socially and exercised 2 to 3 times a week.
Clinical examination highlighted a circular midline smooth mound of soft tissue, which limited neck extension and mobility. It was situated below the nape of the neck and above the middle third of the back, extending into the interscapular region.
Due to its mass effect, the full extension of the neck was limited with affected rotation. Cervicodorsal fat pad removal surgery via liposuction was proposed to the patient. The pros and cons of the surgery were explained to the patient in detail. A pre-surgery blood work was ordered.
Treatment Plan
Informed consent was taken. The surgery was conducted at an accredited day surgery centre, where the patient was under twilight sedation and in a prone position. An anesthesiologist was present to monitor the patient's vital stats. At the same time, Dr Ivan Puah carried out the removal of the cervicodorsal fat pad with the assistance of surgically trained OT personnel. The anaesthetic solution was infiltrated into the targeted area via small incisions of less than 4mm. Following that, ultrasonic-assisted suction lipectomy was done to remove excess fat. Wounds were subsequently closed with stitches.
Post-Op Recovery & Results
Ms NX's post-operative recovery was smooth, with diligent scar management and adherence to post-operative care instructions. As the healing process unfolded, Ms NX experienced relief from discomfort and observed improvements in neck mobility. Follow-up appointments demonstrated positive outcomes, reaffirming the efficacy of the intervention in addressing Ms N's concerns and enhancing her quality of life.
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.
