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 GX is in her 30s, happily married with a child, and works in finance. She consulted Dr Ivan Puah regarding prospective body contouring and facial enhancement treatments.
Background
Ms GX's history of cosmetic surgeries includes liposuction on her hips and thighs, performed several years ago when she was overseas. She also underwent facial fat grafting, during which fat was harvested from her buttocks. Excessive suction was carried out on the buttock area, which resulted in a "double fold" at the buttock area. These procedures left her with results that she was deeply unsatisfied with. Due to the botched liposuction work, she has no confidence in wearing shorts and bikinis. Ms GX is also concerned about the depression at the forehead due to the messed up fat grafting job.
Consultation & Assessment
Upon examination, several issues were identified:
- Obvious indentations, unevenness and rippling on both outer thighs.
- Unevenness and lumpiness at the buttock area, resembling double "banana rolls."
- A significant depression on her forehead.
- Hollowness under the eyes
Ms GX shared the psychological toll she had endured due to her bad surgical experiences, stating how she is self-conscious about her legs and face.
Treatment Plan
To address these concerns effectively, autologous fat grafting using a substantial quantity of good-quality fat was deemed necessary. Dr Puah proposed to remove fat from the abdomen and waist via liposuction and transferring the fat to correct the defects in multiple areas, including the buttocks, thighs and face.
While he tries his best to correct the indentations, unevenness and lumpiness, corrective surgery is more complex than her initial surgeries. Hence, it is vital that she understands the pros and cons of the procedure before deciding if she wants to proceed. Managing patient's expectations and safety is always a top priority for Dr Puah.
Ms GX decided to proceed with the corrective surgery, which took place at an accredited Day Surgery Center. A substantial amount of fat was successfully removed from the tummy and love handles and centrifuged to extract the quality fat to be re-transplanted to the areas where needed.
Post-Op Recovery & Results
Ms GX's recovery went uneventfully. She was initially concerned about the swelling, which subsided gradually as the body healed. Her postpartum belly was flattened, and her waist was well-shaped and contoured. Facial grafting results had settled nicely.
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.
