VASER Liposuction Singapore: A Less Invasive Form of Liposuction
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Do I have gynecomastia or pseudogynecomastia?
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7 things you should know about gynecomastia
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Dr Ivan Puah designs tailored surgical technique to address bodybuilders prominent breast deformity issue
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COMMON REASONS WHY WE CAN'T GET RID OF FAT

  • Your genetic make-up can predispose you to fat accumulation on the abdomen, hips and thighs

  • Unhealthy eating habits such as overindulging in junk food and dessert

  • Sedentary lifestyle

  • Hormones wreaking havoc in your body, causing weight and fat gain

  • Stress hormone (cortisol) directly effects fat storage and weight gain

  • Fat stored during pregnancy that you can’t lose after giving birth

  • Lack of quality sleep and rest

  • Body is more prone to store fat and lose muscle mass, due to ageing

  • Yoyo dieting, which inevitably slows down metabolism

  • Menopause may cause a change in body composition, making it harder to lose weight and fat

Liposuction for different body parts

We understand that no one body shape is the same, and each patient requires a tailored approach.

Arms

Female Patient:
Arms with loose skin

Bra Fat, Waist, Hip

Female Patient:
Bra Fat, Waist, Hip

Outer Thighs

Female Patient:
Fat on outer thighs with the presence of cellulite

Male Chest

Gynecomastia condition, a breast disorder in male patients

Chin & Neck

Female Patient: Chin & neck

Inner Thighs

Female Patient: Pear-shaped body. Fat accumulation on inner and outer thighs

Stomach

Female Patient: Abdomen

Paradoxical adipose hyperplasia

Male Patient: Complications from fat freezing treatment that requires liposuction to correct.

Different Types of Liposuction

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VASER Lipo

VASER (Vibration Amplification of Sound Energy at Resonance) Lipo is a form of ultrasonic assisted liposuction. It eliminates unwanted fat by using VASER technology to selectively fragment fat tissues without causing any damages to the surrounding tissues. Fat grafting is performed for those who opt to use the fat removed to further enhance their breasts size and shape, face or buttock.

Smart Lipo

Smart Lipo is a laser-assisted liposuction that breaks down stubborn fat cells into liquified fat which are then removed through suction. Suitable for delicate areas such as a the armpit, face and neck.  The laser energy stimulates collagen production in the skin resulting in skin firming.

VASER Hi-Def Lipo

Standard liposuction or VASER Lipo primarily will remove fat from the deep layer of fat. VASER Hi-Def Lipo begins where standard liposuction leaves off. It is a more advanced form of liposuction requires a skilled and trained doctor to perform. It involves removing fat with precision from specific areas of the body such as abdomen, flanks, and male chests, while leaving a thin layer of fat over underlying muscles to create a more athletic look.

Tumescent Liposuction

Tumescent liposuction, is the most commonly performed form of surgical fat removal procedure around the world.  It is less painful than traditional liposuction and has a quicker recovery time. It is performed as an outpatient and does not require general anaesthesia.

History Timeline of Lipo Evolution

The historical evolution of liposuciton, the world’s most popular surgical body sculpting procedure, from 1921 to date.

1921

Body Contouring

Charles Dujarier, a French surgeon, had the idea to create a body scultping procedure by removing fat. Unfortunately, his idea was dismissed when one of his patients developed gangrene post-op.

1974

Blunt Tunnelling

It was decades later when the liposuction concept was revisited. After many failed attempts, doctors Arpad and Giorgio Fischer developed the blunt tunnelling technique.

1982

Illouz Method

Due to many lipo cases that resulted in blood loss and nerve damage, Dr Yves-Gerard Illouz designed a technique that uses a blunt-tupped cannula which has a better and safer procedure outcome.

1985

Tumescent Liposuction

A dermatologic surgeon, Dr. Jeffrey A. Klein, invented lumescent liposuction. It utilises tiny microcannuals which reduces the risks of irregularities that ore associated with larger cannulas.

Early 2000s

Vaser Lipo

Dr Allnek Hoyos introduced VASER liposuction. VASER stands for Vibration Amplification of Sound Energy at Resonance, and it is a form of ultrasonio assisted liposuction, it utilises ultrasound technology to break down unwanted lot tissues gently. Dr Ivan Puah (image above), is one of the 3 doctors to first introduce it in Singapore in 2008. Dr. Ivan Puah is a VASER Certified Physician and an accredited liposuction doctor by the Ministry of Heath, Singapore.

1921

Body Contouring

Charles Dujarier, a French surgeon, had the idea to create a body scultping procedure by removing fat. Unfortunately, his idea was dismissed when one of his patients developed gangrene post-op.

1974

Blunt Tunnelling

It was decades later when the liposuction concept was revisited. After many failed attempts, doctors Arpad and Giorgio Fischer developed the blunt tunnelling technique.

1982

Illouz Method

Due to many lipo cases that resulted in blood loss and nerve damage, Dr Yves-Gerard Illouz designed a technique that uses a blunt-tupped cannula which has a better and safer procedure outcome.

1985

Tumescent Liposuction

A dermatologic surgeon, Dr. Jeffrey A. Klein, invented lumescent liposuction. It utilises tiny microcannuals which reduces the risks of irregularities that ore associated with larger cannulas.

Early 2000s

Vaser Lipo

Dr Allnek Hoyos introduced VASER liposuction. VASER stands for Vibration Amplification of Sound Energy at Resonance, and it is a form of ultrasonio assisted liposuction, it utilises ultrasound technology to break down unwanted lot tissues gently. Dr Ivan Puah (image above), is one of the 3 doctors to first introduce it in Singapore in 2008. Dr. Ivan Puah is a VASER Certified Physician and an accredited liposuction doctor by the Ministry of Heath, Singapore.

Fat Grafting Types

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Buttock Fat Grafting
(Brazilian Butt Lift)

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Learn More

Facial Fat Grafting
(ADR-C Facial Enhancement)

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Breasts Fat Grafting
(ADR-C Breasts Enhancement)

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Our Result Difference

Gynecomastia surgery performed by Dr. Ivan Puah with his 360° Glandular Tissue Dissection (360°GTD®️) and MDC-Sculpt® lipo technique yields a consistent success rate. Downtime is minimal, side effects such as haematoma, swelling and scarring are reduced to the bare minimum. Results can be appreciated immediately post-op, and you can expect to see more improvement over 3 to 6 months once the tissue swelling and bruises (if any) subside.

Having had the surgery done is just the beginning to your new body confidence, it is not the end of it. We are with you every step of the way. Hence, we have put in place a comprehensive post-treatment care program designed to fully optimise your results.

Proprietary 360° Glandular Tissue Dissection (360°GTD®️) and MDC-Sculpt® lipo technique allows:

• Thorough glandular tissue removal
• Precise chest sculpting
• Minimal scarring and incidence of haematoma
• Lesser downtime, bruising and pain.
• Faster recovery with minimal disruption to your daily activities.

In compliance with MOH guidelines in Singapore, we are not allowed to post before-and-after images on our website and social media platforms. However, we are more than willing to share such images during your in-clinic consultation with us.
BOok your consultation
VASER CERTIFIED PHYSICIAN

DR. IVAN PUAH

Dr. Ivan Puah has been performing body sculpting and enhancement procedures for more than 15 years. He is accredited by the Ministry of Health Singapore to perform liposuction and is the Lipo Peer Review Committee Chairman in Singapore. His passion and earnestness in body sculpting have propelled Dr. Ivan Puah to learn and train under well-known surgeons around the world.  He is a VASER® Certified Physician and has received dedicated surgical training in gynecomastia surgery in the USA.

For more than 15 years, Dr. Ivan Puah continuously refined his skills and developed two proprietary body sculpting approaches known as 360° Glandular Tissue Dissection (360°GTD®) and MDC-Sculpt® Lipo.

Dr Ivan. Puah is known to patients as a pragmatic gentleman – managing realistic expectations, not overpromising and under-delivering results.
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VASER® Lipo FAQs

What are the causes of gynecomastia?

Gynecomastia can be caused by hormonal irregularities, certain medical conditions, certain medications, such as anti-androgens, anti-anxiety or antidepressant medicines, and anabolic steroid for bodybuilding, excessive consumption of alcohol. In some cases, the causes of gynecomastia may be due to genetics or simply, idiopathic.

How is gynecomastia classified?

Gynecomastia, in general, is classified into:

• True gynecomastia (where glandular tissue is the only cause)
• Mixed gynecomastia (where it involves both glandular and excess fat tissues. This is also most commonly seen)
• Pseudogynecomastia (where it involves only the proliferation of chest fat tissues)

True and mixed gynecomastia are divided into four different "grades," based on the severity of the problem.

How is gynecomastia diagnosed?

During the clinical assessment, Dr. Ivan Puah will assess the breast size, degree of breasts droopiness, the presence of excess skin, glandular tissues and nipple puffiness, your skin elasticity and chest shape. He will also discuss with you on his treatment approach and plan after the assessment is done.

Can I exercise or diet gynecomastia away?

Unfortunately, it is impossible to reduce overly enlarged male breasts with diet and exercise. In some cases, excess chest fat may respond to diet and excuse, but glandular tissues do not. This male breast disorder will require surgery to address the issue effectively.

Will topical creams, non-surgical treatment and massages rectify gynecomastia?

Despite what's being purported, there is no scientific evidence to prove that topical creams, non-surgical fat reduction machines such as fat freezing, or massage techniques can solve the condition.

Where is gynecomastia surgery performed? how long does it take?

At Amaris B. Clinic, our patients' safety means everything to us. Cases are performed in our accredited operating theatre, with a team of anesthesiologists and experienced surgically-trained staff nurses and clinical team.

Our anesthesiologists offer comfortable twilight sedation (no GA) to minimise anaesthesia's side effects, allowing the best possible care, safety, and monitoring for you during the procedure.

Gynecomastia surgery takes approximately 1.5 to 2 hours. Patients are discharged on the same day, and most patients can resume work within 1 to 2 days.

How can I tell if my son or husband has gynecomastia?

Gynecomastia can adversely impact one’s quality of life and lead to deep-seated feelings of low self-esteem and even social withdrawal. Other long-term psychological effects that teenage and adult males can experience include:

• A change in behaviour or demeanour
• Becoming moody or depressed
• Wearing more layers of clothing or choosing only baggy or loose-fitting clothes
• Gradual withdrawal from social activities
• Avoiding removing their shirt in front of others
• Low self-worth and a lack of confidence
• Anhedonia or no longer finding pleasure in the activities they used to enjoy

How much does a gynecomastia surgery cost in Singapore?

In Singapore, gynecomastia surgery costs vary. The cost depends on several factors, including the doctor's experience, skills and complexity of the gynecomastia case.

At Amaris B. Clinic, we understand that each gynecomastia case is different. When it comes to gynecomastia surgery, we plan our approach to suit your unique condition and body goals.

Without an in-person consultation and clinical assessment, it is impossible to provide accurate costing. The total cost will vary depending on your body goal, the complexity involved, and the procedure's extensiveness.

Who are the candidates for gynecomastia surgery in Singapore?

Gynecomastia surgery is recommended for men:

• who are suffering from gynecomastia for longer than 12 months,
• whose conditions do not resolve independently or with other means of management,
• who have prominent bilateral breasts enlargement or unilateral (one-sided) breasts asymmetry,
• who have protruding and prominent areolas, and/or
• who have saggy breasts following massive weight loss.

What is the success rate of gynecomastia surgery?

Gynecomastia surgery performed by Dr. Ivan Puah with his 360° Glandular Tissue Dissection (360°GTD®️) and MDC-Sculpt® lipo technique yields a high success rate. Downtime is minimal, side effects such as haematoma, swelling and scarring are reduced to the bare minimum.

Results can be appreciated immediately post-op, and you can expect to see more improvement over 3 to 6 months once the tissue swelling and bruises (if any) subside.

Having had the surgery done is just the beginning to your new body confidence, it is not the end of it. We are with you every step of the way. Hence, we have put in place a comprehensive post-treatment care program designed to fully optimise your results.

Is your question not listed here?
Send us an email.

we are different

Unique Services

Whatever your reasons are to seek face, body, skin and health improvements, we get it. Because we believe Health is Beauty and Beauty is Health. We are here with you at every step of the way from the start of your treatment till recovery.

Personalised Care

No one body is the same. You are unique, and so are your concerns, needs and desires. This is why every treatment plan varies for each different patient. We listen to what you want before designing your personalised plan to meet your goals.

Patient Safety

Our patients' safety means everything to us. We uphold our accreditation from the Ministry Of Health Singapore. Cases are performed in an accredited Operating Theatre, with a team of anaesthesiologists and surgically-trained staff nurses and clinical team.

MOH-approved Operating Theatre & Post-recovery Center

Our yearly-audited MOH-approved OT is equipped with modern surgical equipment and European monitoring systems with private suites and 12-bed recovery units. It has direct hospital access and blood transfusion facilities.

Our Esteemed & Experienced Panel Of Anaesthesiologists

Performing surgeries at an accredited facility with our panel of anaesthesiologists and offering comfortable twilight sedation (no GA) allows the best possible care, safety and monitoring for you during surgery.

Dedicated Patient Care, Quality Assurance & Delivering Results

Integrity, ethical, and commitment, that's our pledge to you. Dr Ivan Puah is known to patients as a pragmatic gentleman - managing realistic expectations, not overpromising and under delivering results.

Contact us

Opening Hours 
Weekdays: 9:30am - 7pm
Alternate Saturdays: 9am - 7pm
Closed on Sundays & Public Holidays

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