Medical Conditions Accessory Breast Tissue Can Mimic
Accessory breast tissue can mimic severe medical condition as it can clinically resemble cancer, sebaceous cyst, lipoma, etc This often leads to a misdiagnosis.
For people who train regularly, the relationship between fitness and appearance is not always straightforward. Regular exercise improves health and performance, but it may not produce the physical results one might expect.
Prolonged sun exposure leads to pigmentation and skin damage. Intense cardio can deplete facial and breast fat, making the face look drawn or aged and the breasts appear smaller, yet stubborn fat pockets persist in areas where diet and training have little effect.
Sports Aesthetics® is a term and approach developed by Dr Ivan Puah to address this gap. It aims to help active individuals achieve a physique that reflects both their health and the effort they invest in maintaining it.
Offering customised aesthetic and surgical treatments, it aims to help fitness enthusiasts, sportspeople, and athletes achieve a physique that reflects both their health and the effort they invest in maintaining it.
Book your consultation now.
Sports aesthetics® is a term coined by Dr Ivan Puah based on the three pillars of a combination of unique service offerings — to help fitness enthusiasts, sportspeople and professional athletes attain their ideal physiques without compromising the quality of their physical health.
Let us help you improve on what you've been working on and regain what you were not supposed to lose.
Benefits
Those experiencing sun damage, rashes, pigmentation and photoaging from working out in the sun.
Suitable for
Runners, Cyclists, Outdoor, Water sports enthusiasts
Benefits
Those who lost a substantial amount of facial fat due to intense cardio workouts, causing them to look aged and haggard.
Suitable for
Runners, HIIT enthusiasts
Benefits
Those who want to achieve lifted and firmer skin non-surgically and to stimulate new collagen in the body naturally.
Suitable for
Those experiencing collagen loss
Benefits
Those with excess and stubborn facial fat pockets due to age or hereditary, weak chin and chipmunk cheeks.
Suitable for
Those who want to achieve sculpted facial profile
Benefits
Those who cannot get rid of excess fat despite dieting and exercise. Or those with a disproportionate body shape that affects their body confidence.
Suitable for
Men and women
Benefits
Men suffering from gynecomastia, a medical condition that needs surgical intervention. It affects 60 to 70% of men, including sports enthusiasts and athletes.
Suitable for
Those who want a masculine chest
In recent years, the landscape of sports medicine has undergone a significant transformation.
What was once confined to specialised clinics in public hospitals has now expanded into a comprehensive field addressing not only sports-related injuries but also the prevention of chronic diseases and the management of general musculoskeletal conditions.
Recognising the evolving needs of Singapore's ageing population and the increasing demand for sports medicine services, the Graduate Diploma in Sports Medicine (GDSM) programme has been developed in collaboration with LKCMedicine and SSMC @ CGH.
Accredited by the Singapore Medical Council, this program equips doctors with essential knowledge and skills to address various aspects of sports medicine care.
Dr Ivan Puah, holds a Graduate Diploma in Sports Medicine and is trained and proficient in areas of sports medicine care. Our fitness and wellness services are designed to cater to a diverse range of needs:
With a focus on holistic wellness and personalised care, our clinic aims to provide individuals with the support they need to lead an active and fulfilling life.

Are There Any Non-Surgical Treatments To Address The Effects Of Consistent Heavy Workouts?
There are non-invasive treatments that can address certain concerns. Ultherapy Prime, a non-surgical skin lift that promotes collagen regrowth from within, can restore facial volume loss, and Exosome Therapy with RF Microneedling can improve skin texture, reduce pigmentation, and diminish acne scars.
How Long Does It Take to See Weight Loss Results?
Studies show that exercise alone results in up to 3% weight loss, while combining diet and exercise can yield 5% to 15%. Initial improvements may occur within weeks, especially for larger individuals, though visible changes can take time.
Are Weight Loss and Fat Loss the Same?
Losing weight doesn't always mean changes in body shape. Many experience stubborn fat retention after significant weight loss, which body contouring procedures, such as liposuction, can help address.
Why Aren't My Abs Showing Up Despite Frequent Crunches and a Lean Protein Diet?
If abs aren't visible, it could be due to nutrition, recovery, training intensity, or body composition. Progressive overload and varied workouts can stimulate muscle growth.
Can't Push-Up Exercises or Weightlifting Get Rid of Armpit Fat?
Push-ups strengthen muscles, but don't specifically target fat reduction. Targeting specific muscles doesn’t lead to fat loss in that area. Overall body exercise yields better results.
Why Won't Exercise Get Rid of Gynecomastia?
Exercise typically cannot resolve true gynecomastia, a condition caused by an excess of firm glandular breast tissue rather than fat. While Won'tise can burn fat, it cannot break down or eliminate dense glandular tissue, which is often influenced by hormonal imbalances.
Why Can't I Seem to Achieve a Thigh Gap, Even Though I Run Often and Do Thigh Exercises?
Many people believe that a thigh gap results from bone structure, specifically wider hip bones. According to Dr Ivan Puah and scientific research, thigh gaps are mainly due to fat distribution and muscle mass, not bone structure. Stubborn fat is a common issue, particularly in the inner thighs, where it tends to accumulate.
I Started Running Not Long Ago, and I Noticed I May Look Older. Why Is That?
Overexercising can lead to what is sometimes referred to as "gym face", characterised by sunken cheeks, premature ageing, and wrinkles, due to fat loss. The body may suffer from chronic fatigue, muscle damage, weakened immunity, and hormonal imbalances.
Reference
[1] Singapore Sports Council. Rising to the occasion: the coming of age of Sports Medicine & Research Centre. Singapore: The Council, 2003.
[2] Singapore Armed Forces Medical Corps. Ideas to Reality: The SAF Medical Corp 45th Anniversary. Singapore: Singapore Armed Forces Medical Corps, 2012.
[3] Lee JK, Nio AQ, Ang WH, et al. First reported cases of exercise-associated hyponatremia in Asia. Int J Sports Med 2011; 32:297-302.
[4] Tan B, Aziz AR, Spurway NC, et al. Indicators of maximal hiking performance in Laser sailors. Eur J Appl Physiol 2006; 98:169-76.
[5] Aziz AR, Tan B, Teh KC. Physiological responses during matches and profile of elite pencak silat exponents. J Sports Sci Med 2002; 1:147-55.
[6] World Health Organization. Global Health Risks: Mortality and burden of disease attributable to selected major risks. World Health Organization, 2004.
[7] Teh KC, Aziz AR. Heart rate, oxygen uptake and the energy cost of ascending and descending the stairs. Med Sci Sports Exerc 2002; 34:695-9.
[8] Tan B, Aziz AR, Chua K, Teh KC. Aerobic demands of the dance simulation game. Int J Sports Med 2002; 23:125-9.
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