Ductal Carcinoma In Situ Discovery from Gynecomastia Surgery by Dr Ivan Puah
Gynecomastia can indicate underlying health concerns, including cancer. Surgery provides an opportunity to examine tissues for abnormalities.
August 6, 2025
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FOR IMMEDIATE RELEASE
SINGAPORE, September 2021 — Dr Ivan Puah, an MOH-accredited liposuction doctor and Medical Director of Amaris B. Clinic, has seen a surge of patients seeking corrective liposuction revisions from their previously finished procedures from other cosmetic surgery clinics
Liposuction is a surgical technique that can remove more than 90% localised subcutaneous fat, which is resistant to diet and exercise. The goal of liposuction is to achieve a well-proportionate body shape with minimal downtime. The patient's ultimate satisfaction is not just on the speed it is accomplished or the amount of fat removed, but it is also judged on its aesthetic merits.
The doctor who performs the liposuction plays a critical role in achieving satisfactory results for the patient. To do so, the liposuction doctor needs to have a 3D artistic understanding of the anatomical and surgical adipose layers [1], practical application of scientific knowledge with artistry and precision, a skill that is attained only with vast amounts of surgical experience [2]. Often, unfavourable liposuction results are due to under-correction and overcorrection.
Overcorrection And Undercorrection Of Liposuction That Leads To Botched Results
Secondary liposuction may improve under-correction to achieve a more proportionate appearance [3]. On the other hand, overcorrection results in excess fat being removed more than the desired contour line [4], thus causing noticeable indentations and skin irregularities such as depressions, bumps, dents, and asymmetries. The areas commonly associated with this problem are the upper arms, abdomen, outer thighs (below trochanteric bulge) and inner thighs.
Dr Ivan Puah, who has more than 15 years of body sculpting surgical experience, says,
"No one body shape is identical. Liposuction doctors should not employ a cookie-cutter liposuction approach, especially towards patients with a unique distribution of fat layers and those who have undergone liposuction or surgery before. Those hard-to-reach bulges can provide a challenge that needs to be addressed accordingly. This is why I customise all patients' body sculpting treatment plan accordingly, based on the individual's optimal goal and clinical condition."
The Role Of The Liposuction Doctor
Liposuction is a delicate procedure. When done right, it will significantly improve the confidence and outlook of the patients. When gone wrong, it will result in a body shape that may look worse than it was in the beginning.
"One of the main reasons that influence a person to opt for liposuction is to correct disproportionate body fat distributions and to improve their body confidence. Therefore, the psychological effects of a procedure gone wrong can be devastating. These include anxiety and low-self esteem and body confidence, among others which I have seen in those patients who have sought correction surgeries with me," remarks Dr Puah.
Apart from honing the necessary skills to perfect the results for patients, a liposuction doctor must be ethical and honest. The doctor also needs to possess an equal blend of empathy to understand his patient's needs, concerns and worries, and professionalism to provide the best advice and solution to alleviate their concerns and help them achieve a realistic goal.
Choosing a liposuction doctor based on price tags, forgoing their reputation, experience, and surgical approaches often result in patients having to undergo secondary surgery or live with the aftermath of the poorly performed liposuction.
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About Amaris B. Clinic & Dr Ivan Puah
Established in 2004, Amaris B. Clinic is a medical aesthetics, sculpting and fitness clinic in Singapore.
Led by Dr Ivan Puah, who is the clinic's Medical Director and accredited by the Ministry of Health to perform liposuction, Amaris B.'s forte lies in body sculpting - surgically removing stubborn fat pockets to sculpt and shape different areas of the body through various services offered.
Chairman of the Lipo Peer Review Committee in Singapore, Dr Puah obtained his Vaser liposuction (fundamental and hi-definition) training in Colorado and Argentina. He has also received training in syringe liposculpture, fat grafting and thread lift by renowned French plastic surgeon, Dr Pierre Francois Fournier, and dedicated surgical training in gynecomastia surgery in San Francisco. Dr Puah holds a Graduate Diploma in Family Dermatology from NUS, a Graduate Diploma in Acupuncture from TCMB, and a Graduate Diploma in Sports Medicine from LKCMedicine, NTU. He is the appointed trainer by Allergan and Merz for fellow doctors on cosmetic injectables such as neurotoxins and dermal fillers, as well as the designated trainer for PDO thread lift and Picolaser from Venusys Medical in Singapore.
Amaris B. Clinic's signature treatments include:
- Fat Grafting
- Sports Aesthetics
- Gynecomastia Surgery
- Ultherapy
- Accessory Breast Removal
- Corrective Surgery
- Liposuction
- Vaser Liposuction
- Skin Management
CONTACT INFORMATION
Bianca Zen
Marketing Consultant
Amaris B. Clinic, www.amaris-b.com
140 Arab Street, Singapore 199827
+65 6536 4211 | marketing@amaris-b.com
