Andropause – explained by Dr Derek Koh

Andropause

The term ANDROPAUSE, otherwise referred to as male menopause is a natural age related condition that some men experience. The andropause transition is attributed to a steady and progressive loss of testicular function that is associated with ageing. Its meaning is derived from the Greek ‘andro’ meaning male, and ‘pause’ to stop.

What is testosterone?

Testosterone is a sex hormone produced in the testes that provides men with their male characteristics. These hormones are crucial for the male sexual and reproductive function.

As men age their testes stop working as well, and over time testosterone levels decrease. Testosterone levels reduce by around 1% each year from the forties and fifties. By their mid-fifties some 30% of men experience andropause. There are also an increasing number of younger men, some only in their twenties having low testosterone. Among reasons for premature low levels of testosterone, are factors such as obesity, high levels of stress and alcohol use.

Symptoms & outcome of andropause

Lowered production of testosterone is the main factor that influences andropause and its accompanying symptoms

The most common symptom of andropause is fatigue, especially in the morning. Other symptoms include, lack of motivation, lowered sperm production, body composition changes, erectile problems, lack of libido, sleep disruption, impaired memory, difficulty concentrating, hot flushes, irritability and mood swings.

Optimal testosterone levels are needed for good function of the heart, blood vessels, brain, skeleton, blood, genitourinary tract, skin and almost every other body system. In particular, the brain is rich in receptors for testosterone. A normal testosterone level is protective against Alzheimer’s dementia, symptoms of Parkinson’s disease, and cognitive or mental decline. Testosterone improves mental sharpness, concentration, and memory. Testosterone also improves flexibility, mobility, balance, and coordination

Since andropause often often occurs during middle age, at, it is easily overlooked as simply a ‘mid-life crisis’. However if ignored, andropause can result in a gradual deterioration in health. In turn, this can lead to frailty and premature ageing.

Andropause self-assessment

For a self-assessment of whether you have the symptoms of andropause, the answers to these ten questions may be a starting point.   1) Have you noticed a decrease in your sex drive?  2) Do you lack energy and are tired more often? 3) Have you lost strength and endurance (or both)?  4) Do you get less enjoyment from life?  5) Have you lost some height?  6) Have you noticed a deterioration in your ability to play sports?  7) Do you find yourself falling asleep after dinner?  8) Has your performance at work deteriorated? 9) Are you prone to feeling moody and sad?  10) Are you lacking in self-confidence?

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Measures to manage andropause

Weight management

A reduction in waist circumference is one of the most modifiable risk factors for testosterone deficiency. A man’s testosterone falls as his Body Mass Index (BMI) increases. Male obesity is associated with lowered testosterone

Regular exercise

Regular workouts can boost testosterone levels and help to slow down the decline in this hormone. High-intensity exercises combined with intermittent fasting can be beneficial in increasing testosterone.

Stress management

When physically or mentally stressed, your body releases cortisol and increases blood sugar. This hormone can block the effects of testosterone. This is because stress and disease states accelerate the decline of ‘Leydig cells’ that are located in the testes and responsible for the production of testosterone

Adequate sleep

Testosterone is produced mainly during sleep. Morning testosterone levels are partly predicted by total sleep time. So getting plenty of uninterrupted sleep does matter.

Dietary management

Consume adequate ZINC. Zinc is vital for hormonal balance and reproductive health. Without zinc, the pituitary gland cannot release the hormones that stimulate the testes to produce testosterone. Insufficient zinc can lead to a reduction in testosterone levels, lowered sperm production, and reduced muscle endurance.

Reduce SUGAR consumption. Testosterone levels decrease after sugar consumption. Studies have found that a 75g of sugar intake causes a 25 per cent drop in testosterone levels for up to two hours after consumption

Reduce ALCOHOL consumption. Alcohol intake lowers testosterone levels and it can also affect your libido and erectile function. Excessive alcohol consumption can also increase estrogen which can counter the effects of Testosterone.

HORMONE THERAPY

Hormone replacement therapy for declining levels of testosterone involves the correction of the testosterone deficiency by introducing the hormone back into the body to counteract hormonal imbalance.

Middle aged men that have symptoms of andropause often find that their testosterone level is in the low normal range. In these scenarios, men who have hormone therapy find that their energy levels are restored when their testosterone levels increase to the upper range.

There are a wide variety of ways in which testosterone treatment can be administered. They include oral capsules, injections, creams and gels. These can all be quite effective and have minimal side effects.

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Health Screening by Dr Derek Koh

Prevention and Screening

Prevention is always better than cure, and health checkups play an important role in keeping Singaporeans in good health through early detection and diagnosis of health conditions. Learn more about our health screening packages at David Loh Surgery and choose the one most suited to your needs.

About Dr. Derek Koh

MBBS (Singapore), GDFM (Singapore)

Dr. Derek Koh is an accomplished physician with over 20 years of experience in health screening and preventive medicine. His clinical interests include the management of Andropause, Erectile Dysfunction and Obesity. Dr. Koh is board-certified in anti-ageing and has attained his Fellowship with the American Board of Anti-Ageing.

Dr. Derek Koh graduated in 1992 with a basic medical degree and subsequently received his postgraduate diploma in Family Medicine, both from the National University of Singapore.

Dr. Koh has completed local certifications in Practical Andrology conducted by the Academy of Men’s Health (Singapore) as well as postgraduate training in Nutritional Protocols accredited by the Australasian College of Nutritional and Environmental Medicine. He is an EIMS-certified physician in Exercise Prescription, an initiative launched by the American College of Sports Medicine.

Prior to his current appointment, Dr. Koh has been heading a health screening and wellness center in a major private hospital since 2008. His key interest is in Healthy Aging through early detection and subsequent prevention through lifestyle choices.

Dr. Koh is a strong believer that everyone can add quality years to their lives while embracing an active lifestyle. He enjoys a variety of sports at leisure, including tennis and swimming.

Essential Checkup

Package 1

$300 (before GST)

Recommended for young adults who are physically well & under 30 who would like to have a simple baseline screening to assess their cardiovascular risk as well as basic organ function.

Core Component

Medical Consultation/Examination and Review
Visual Acuity Test
Urine and Stool Analysis
Chest X-Ray
ECG

Laboratory Analysis

Haematology
Peripheral Blood Film
Fasting Glucose
Lipid Profile
Renal panel
Liver panel
Thyroid hormone panel (Free T4)
Uric acid level

Package 2

$450 (before GST)

Recommended for young adults who are physically well with minimal personal and family risk factors looking to establish a detailed baseline screening.

Core Component

Medical Consultation/Examination and Review
Visual Acuity Test
Urine and Stool Analysis
Chest X-Ray
ECG

Laboratory Analysis

Haematology
Peripheral Blood Film
Fasting Glucose
Lipid Profile
Full Renal panel
Full Liver panel
Thyroid panel (Free T4 & TSH)
Uric acid level
Bone mineral panel (Calcium, Phosphate)
Tumour Markers: CEA, PSA (male only), CA125 (female only)
Hep A & B screening

Package 3

$600 (before GST)

Recommended for older adults looking to establish a comprehensive baseline blood screening.

Core Component

Medical Consultation/Examination and Review
Visual Acuity Test
Urine and Stool Analysis
Chest X-Ray
ECG

Laboratory Analysis

Haematology
Peripheral Blood Film
ABO Blood Group
Inflammatory marker (ESR level)
Lipid Profile
Diabetic Panel (Fasting Glucose and HbA1C)
Extended Renal panel
Full Liver panel
Thyroid panel (Free T4 and TSH)
Uric acid level
Bone mineral panel (Calcium, Phosphate)
STD (VDRL)
Tumour Markers: AFP, CEA, CA 19.9, EBV EA, CA125 (Female only), Total PSA (Male only), H Pylori
Hep A, B and C screening

Deluxe Checkups

Recommended for patients looking a greater peace of mind, the Deluxe packages incoporate increasingly comprehensive blood panels combined with scans to provide a visual of our internal organs & structure.

Package 4

$800 (before GST)

Core Component

Medical Consultation/Examination and Review
Visual Acuity Test
Urine and Stool Analysis
Chest X-Ray
ECG

Laboratory Analysis

Haematology
Peripheral Blood Film
ABO Blood Group
Inflammatory marker (ESR)
Lipid Profile
Diabetic Panel (Fasting Glucose and HbA1C)
Extended Renal panel
Full Liver panel
Thyroid panel (Free T4 and TSH)
Uric acid level
Bone mineral panel (Calcium, Phosphate)
STD (VDRL)
Tumour Markers: AFP, CEA, CA 19.9, EBV EA, CA125 (Female only), Total PSA (Male only), H Pylori
Hep A, B and C screening
Choice of Apolipoprotein panel or Vitamin D or Anemia panel.

Choice of one scan

Ultrasound Kidney
Ultrasound Bladder (structural & functional assessment)
Bone Mass Density
Ultrasound Thyroid
Ultrasound Breast

Package 5

$1150 (before GST)

Core Component

Medical Consultation/Examination and Review
Visual Acuity Test
Urine and Stool Analysis
Chest X-Ray
ECG

Laboratory Analysis

Haematology
Peripheral Blood Film
ABO Blood Group
Inflammatory marker (ESR)
Lipid Profile
Diabetic Panel (Fasting Glucose and HbA1C)
Extended Renal panel
Full Liver panel
Thyroid panel (Free T4 and TSH)
Uric acid level
Bone mineral panel (Calcium, Phosphate)
STD (VDRL)
Tumour Markers: AFP, CEA, CA 19.9, EBV EA, CA125 (Female only), Total PSA (Male only), H Pylori
Hep A, B and C screening
Apolipoprotein panel
Choice of Vit D or Anemia panel.

Choice of three scans

Ultrasound Prostate
Ultrasound Scrotum
Ultrasound Hepatobiliary (liver, gallbladder, pancreas, spleen)
Ultrasound Kidney
Ultrasound Bladder (structural & functional assessment)
Bone Mass Density
Ultrasound Thyroid
Ultrasound Breast
Ultrasound Pelvis
Mammogram

Package 6

$1350 (before GST)

Core Component

Medical Consultation/Examination and Review
Visual Acuity Test
Urine and Stool Analysis
Chest X-Ray
ECG

Laboratory Analysis

Haematology
Peripheral Blood Film
ABO Blood Group
Inflammatory marker (ESR)
Lipid Profile
Diabetic Panel (Fasting Glucose and HbA1C)
Extended Renal panel
Full Liver panel
Thyroid panel (Free T4 and TSH)
Uric acid level
Bone mineral panel (Calcium, Phosphate)
STD (VDRL)
Tumour Markers: AFP, CEA, CA 19.9, EBV EA, CA125 (Female only), Total PSA (Male only), H Pylori
Hep A, B and C screening
Apolipoprotein panel
Vit D
Anemia panel.

Choice of four scans

Ultrasound Prostate
Ultrasound Scrotum
Ultrasound Hepatobiliary (liver, gallbladder, pancreas, spleen)
Ultrasound Kidney
Ultrasound Bladder (structural & functional assessment)
Bone Mass Density
Ultrasound Thyroid
Ultrasound Breast
Ultrasound Pelvis
Mammogram

Package 7

$1550 (before GST)

Core Component

Medical Consultation/Examination and Review
Visual Acuity Test
Urine and Stool Analysis
Chest X-Ray
ECG

Laboratory Analysis

Haematology
Peripheral Blood Film
ABO Blood Group
Inflammatory marker (ESR)
Lipid Profile
Diabetic Panel (Fasting Glucose and HbA1C)
Extended Renal panel
Full Liver panel
Thyroid panel (Free T4 and TSH)
Uric acid level
Bone mineral panel (Calcium, Phosphate)
STD (VDRL)
Tumour Markers: AFP, CEA, CA 19.9, EBV EA, CA125 (Female only), Total PSA (Male only), H Pylori
Hep A, B and C screening
Apolipoprotein panel
Vit D
Anemia Panel.
Hormone panel (Testosterone, Estrogen, DHEAs, LH, FSH)

Choice of five scans

Ultrasound Prostate
Ultrasound Scrotum
Ultrasound Hepatobiliary (liver, gallbladder, pancreas, spleen)
Ultrasound Kidney
Ultrasound Bladder (structural & functional assessment)
Bone Mass Density
Ultrasound Thyroid
Ultrasound Breast
Ultrasound Pelvis
Mammogram

Package 8

$1750 (before GST)

Core Component

Medical Consultation/Examination and Review
Visual Acuity Test
Urine and Stool Analysis
Chest X-Ray
ECG

Laboratory Analysis

Haematology
Peripheral Blood Film
ABO Blood Group
Inflammatory marker (ESR)
Lipid Profile
Diabetic panel (Fasting Glucose and HbA1C)
Extended Renal panel
Full Liver panel
Thyroid panel (Free T4 and TSH)
Uric acid level
Bone mineral panel (Calcium, Phosphate)
STD (VDRL)
Tumour Markers: AFP, CEA, CA 19.9, EBV EA, CA125 (Female only), Total PSA (Male only), H Pylori
Hep A, B and C screening
Apolipoprotein panel
Vit D level
Anemia panel
Hormone panel (Testosterone, Estrogen, DHEAs, LH, FSH)
Fasting Insulin Level

Choice of six scans

Ultrasound Prostate
Ultrasound Scrotum
Ultrasound Hepatobiliary (liver, gallbladder, pancreas, spleen)
Ultrasound Kidney
Ultrasound Bladder (structural & functional assessment)
Bone Mass Density
Ultrasound Thyroid
Ultrasound Breast
Ultrasound Pelvis
Mammogram

Optional add-on tests

Ultrasound Prostate $200
Ultrasound Scrotum $200
Ultrasound Hepatobiliary (liver, gallbladder, pancreas, spleen) $220
Ultrasound Kidney $160
Ultrasound Bladder $160
Bone Mass Density $160
Ultrasound Thyroid $160
Ultrasound Breast $160
Ultrasound Pelvis $180
Mammogram $220

Find a screening package tailored to your needs. Request for an appointment with Dr. Derek Koh today!

davidlohsurgery

Introducing Dr Derek Koh

Health Screening, Healthy Aging, Sports Advice and Andrology at David Loh Surgery

We welcome the latest addition to our David Loh Surgery family, with a lifestyle advisor and established health screening doctor, Dr Derek Koh.

Dr Derek Koh graduated in 1992 with a basic medical degree & subsequently received his post-graduate diploma in Family Medicine, both from the National University of Singapore. He is also Board Certified in Anti Aging Medicine & has attained his Fellowship with the American Board of Anti-Aging and Rejuvenation Medicine.

Dr Koh has completed local certifications in Practical Andrology conducted by the Academy of Men’s Health (Singapore) as well as post graduate training in Nutritional Protocols accredited by the Australasian College of Nutritional & Environmental Medicine. He is an EIMS certified physician in Exercise Prescription, an initiative launched by the American College of Sports Medicine.

Prior to this, Dr Koh was heading a health screening & wellness center in a major private hospital since 2008. His key interest is in Healthy Aging thru early detection and subsequent prevention thru lifestyle choices.

Dr Koh is a strong believer that everyone can add quality years to their lives while embracing an active lifestyle. He enjoys a variety of sports at leisure, including tennis & swimming.

davidlohsurgery

Treatments to Improve Loose Skin After Liposuction

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Loose Skin After Liposuction

[/vc_column_text][vc_column_text]March 2023 • Skin[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner css=”.vc_custom_1680257774249{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-bottom-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 45px !important;padding-bottom: 0px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #b2b2b2 !important;border-left-style: solid !important;border-right-color: #b2b2b2 !important;border-right-style: solid !important;border-top-color: #b2b2b2 !important;border-top-style: solid !important;border-bottom-color: #b2b2b2 !important;border-bottom-style: solid !important;}” el_class=”row-curve-edge”][vc_column_inner css=”.vc_custom_1680242659751{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_raw_html el_class=”inner-curve” css=”.vc_custom_1680244854928{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”]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[/vc_raw_html][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner gap=”10″ css=”.vc_custom_1680508170063{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-right-width: 1px !important;border-left-width: 1px !important;padding-top: 5px !important;padding-right: 45px !important;padding-bottom: 5px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #a0a0a0 !important;border-left-style: solid !important;border-right-color: #a0a0a0 !important;border-right-style: solid !important;}”][vc_column_inner css=”.vc_custom_1680233905580{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_column_text]

[nz_dropcap type=”empty full custom-dropcap” color=””]L[/nz_dropcap] iposuction is a surgical procedure in which excess fat is removed from the body using a suction technique.

If a patient is not properly assessed by an experienced aesthetic surgeon prior to the procedure, the removal of fat can lead to a deflation of area that is not in proportion with the rest of the body, causing a significant reduction in skin elasticity. This results in poor liposuction outcomes due to the post-operation skin not draping properly, which presents as loose skin and stretch marks.

This can occur in individuals who are poor candidates for liposuction, for instance, those who have poor skin firmness and elasticity in the first place. Their skin usually appears thin and paper-like, often accompanied by the presence of stretch marks (striae). Some examples include elderly patients, women who have a few (sometimes just one) pregnancies, and individuals who have undergone significant weight loss. For these patients, liposuction may worsen the loose skin problem, resulting in an aesthetic outcome that is less desirable than its original state.

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Loose skin can take on different forms – it could appear as reams of excess overhanging skin, or it could appear as crepe-like folds on the surface of the skin. It can even be a combination of both

A proper assessment by an experienced liposuction practitioner is often useful in determining whether loose skin will pose a problem after the procedure.

[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row][vc_column margin_b=”false”][vc_row_inner css=”.vc_custom_1680247998653{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 1px !important;border-right-width: 1px !important;border-left-width: 1px !important;padding-top: 40px !important;padding-right: 45px !important;padding-bottom: 5px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #a0a0a0 !important;border-left-style: solid !important;border-right-color: #a0a0a0 !important;border-right-style: solid !important;border-top-color: #a0a0a0 !important;border-top-style: solid !important;}”][vc_column_inner css=”.vc_custom_1680233905580{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_column_text]

Treatments to Reduce Loose Skin After Liposuction

[/vc_column_text][vc_column_text]March 2023 • Skin[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner css=”.vc_custom_1680245906436{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-bottom-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 45px !important;padding-bottom: 0px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #b2b2b2 !important;border-left-style: solid !important;border-right-color: #b2b2b2 !important;border-right-style: solid !important;border-top-color: #b2b2b2 !important;border-top-style: solid !important;border-bottom-color: #b2b2b2 !important;border-bottom-style: solid !important;}” el_class=”row-curve-edge”][vc_column_inner css=”.vc_custom_1680242659751{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_raw_html el_class=”inner-curve” css=”.vc_custom_1680244854928{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”]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[/vc_raw_html][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner gap=”10″ css=”.vc_custom_1680256758915{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-right-width: 1px !important;border-left-width: 1px !important;padding-top: 5px !important;padding-right: 45px !important;padding-bottom: 0px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #a0a0a0 !important;border-left-style: solid !important;border-right-color: #a0a0a0 !important;border-right-style: solid !important;}”][vc_column_inner css=”.vc_custom_1680233905580{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_column_text]

[nz_dropcap type=”empty full custom-dropcap” color=””]H[/nz_dropcap] ere are some effective treatments to minimize or improve the appearance of loose skin and stretch marks post-liposuction:

[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”yes” content_placement=”middle” gap=”20″ css=”.vc_custom_1680511219826{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 5px !important;padding-right: 45px !important;padding-bottom: 40px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #a0a0a0 !important;border-left-style: solid !important;border-right-color: #a0a0a0 !important;border-right-style: solid !important;border-bottom-color: #a0a0a0 !important;border-bottom-style: solid !important;}” el_class=”half-box”][vc_column_inner width=”1/2″ css=”.vc_custom_1680256475427{margin: 0px !important;padding: 0px !important;background-color: #fff4f4 !important;border-radius: 10px !important;}”][vc_column_text pl=”32″ pr=”32″ pt=”32″ pb=”32″]

Tummy tuck (abdominoplasty):

a particularly useful method to treat an abdomen where reams of excess skin might be expected after liposuction. A similar treatment is available for other areas like the thighs and the arms.

We do not perform this surgery at our clinic, but we would be happy to refer you to someone competent if needed.

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Minimally Invasive Skin-tightening Treatments:

in milder cases where loose skin is not in reams but presents more like crepey skin and stretch marks after liposuction, then treatments that are less invasive than a tummy tuck will suffice.

Examples of these minimally invasive treatments that are designed to reduce loose skin after liposuction include Bodytite and Renuvion.

Skin Tightening Treatments During Liposuction

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[nz_dropcap type=”empty full custom-dropcap” color=””]I[/nz_dropcap] nstead of of weeks or months after the procedure, some skin tightening treatments are conducted within the same surgery as the liposuction when the patient is sedated or under general anaesthesia.

These are additional treatments during the liposuction where the surgeon will insert probes through the incisions to deliver energy to contract the skin.

Here are three different kinds of effective skin-tightening treatments during liposuction:

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Vaser Liposuction

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Power-assisted vaser liposuction uses ultrasound to break down fat deposits and make them easier to remove during liposuction. It also has the added benefit of skin tightening due to the ultrasound’s ability to contract loose skin. But the skin contraction is generally mild. Vaser’s main purpose is to assist in fat deposit removal.

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BodyTite

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BodyTite device uses heat and radiofrequency energy generated from a cannula that is inserted through the incisions to tighten and smooth out the saggy skin tissues. The device comes in different sized probe that allow for treatment from very delicate areas like the eye bags down to large areas like the thighs.

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Renuvion

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Renuvion uses helium plasma and Radio Frequency (RF), known as J plasma, to tighten skin during liposuction. J plasma is generated by the device, which activates helium to target the fibrous bands that exist beneath the skin (fibrous septae) and contract them in the process. This is carried out by moving a probe under the skin after liposuction.

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Disclaimer: the above-mentioned treatments are all FDA and HSA-approved devices for skin tightening that Dr David Loh uses. There may be other devices available on the market that we are not aware of, and hence not mentioned in this editorial piece. And they could prove to be better than what you’re currently reading. Do take note that this is not the final authority on skin tightening following liposuction.

Ultrasonic Liposuction, Radiofrequency Assisted Lipolysis, and Plasma Skin Tightening are forms of minimally invasive skin tightening procedures offered by Dr. David Loh in Singapore. The common names are Vaser, Bodytite, and Renuvion, respectively. They target and reduce loose skin and stretch marks on the face, neck and large body areas such as underarms, stomach or thighs.

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Skin Tightening Add-on Procedures During Liposuction

[/vc_column_text][vc_column_text]March 2023 • Skin[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner css=”.vc_custom_1680245906436{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-bottom-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 45px !important;padding-bottom: 0px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #b2b2b2 !important;border-left-style: solid !important;border-right-color: #b2b2b2 !important;border-right-style: solid !important;border-top-color: #b2b2b2 !important;border-top-style: solid !important;border-bottom-color: #b2b2b2 !important;border-bottom-style: solid !important;}” el_class=”row-curve-edge”][vc_column_inner css=”.vc_custom_1680242659751{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_raw_html el_class=”inner-curve” css=”.vc_custom_1680244854928{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”]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[/vc_raw_html][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner gap=”10″ css=”.vc_custom_1680259618405{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-right-width: 1px !important;border-left-width: 1px !important;padding-top: 5px !important;padding-right: 45px !important;padding-bottom: 5px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #a0a0a0 !important;border-left-style: solid !important;border-right-color: #a0a0a0 !important;border-right-style: solid !important;}”][vc_column_inner css=”.vc_custom_1680233905580{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_column_text]

[nz_dropcap type=”empty full custom-dropcap” color=””]B[/nz_dropcap] efore the actual liposuction procedure, the BodyTite device can be used to improve the appearance of loose skin.

The device works by delivering radiofrequency (RF) energy to the skin through a probe that is inserted under the skin after injecting it with a solution containing anaesthesia (tumescent solution filtration). The RF energy targets the fibrous band (fibrous septae) beneath the skin and causes them to contract and smoothen, improving the appearance of loose skin. BodyTite is good for treating mild to moderate degrees of loose skin and stretch marks.

[nz_dropcap type=”empty full custom-dropcap” color=””]P[/nz_dropcap] lasma Skin Tightening, administered through a medical device called Renuvion, is a form of minimally invasive skin tightening procedure offered by Dr. David Loh in Singapore. This innovative technology selectively contracts the fibrous band (fibrous septae) under your skin, resulting in a noticeable improvement in the appearance of your skin.

Both BodyTite and Renuvion can be used as a complementary treatment coupled with liposuction or as a standalone treatment without liposuction to tighten loose skin.

These treatments contract collagen tissues using either helium plasma and radio-frequency (RF). These are tried and tested technologies that have been used for many years. The skin tightening effects continue for weeks and months after a single treatment.

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How BodyTite and Renuvion Tightens Loose Skin During Liposuction

[/vc_column_text][vc_column_text]March 2023 • Skin[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner css=”.vc_custom_1680245906436{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-bottom-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 45px !important;padding-bottom: 0px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #b2b2b2 !important;border-left-style: solid !important;border-right-color: #b2b2b2 !important;border-right-style: solid !important;border-top-color: #b2b2b2 !important;border-top-style: solid !important;border-bottom-color: #b2b2b2 !important;border-bottom-style: solid !important;}” el_class=”row-curve-edge”][vc_column_inner css=”.vc_custom_1680242659751{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_raw_html el_class=”inner-curve” css=”.vc_custom_1680244854928{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”]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[/vc_raw_html][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner gap=”10″ css=”.vc_custom_1680256758915{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-right-width: 1px !important;border-left-width: 1px !important;padding-top: 5px !important;padding-right: 45px !important;padding-bottom: 0px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #a0a0a0 !important;border-left-style: solid !important;border-right-color: #a0a0a0 !important;border-right-style: solid !important;}”][vc_column_inner css=”.vc_custom_1680233905580{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_column_text]

Here’s what to expect during the a Renuvion or BodyTite procedure:

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Small incisions are made under local anaesthesia to ensure the client is comfortable and experiences little pain during the procedure. Often patients are under sedation by an anaesthetist. The handpiece is inserted just under the skin.

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Once the handpiece is in place, energy is delivered directly underneath the skin to the collagen-rich connective tissue. The heat energy contracts the tissues. This process tightens the loose skin in treatment areas, such as the face, neck and other body areas, due to the contraction of the tissues.

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This particular mechanism of action stimulates a natural healing process in the body called neocollagenesis, which rebuilds and creates new collagen tissues. This smooths and tightens the skin, removing stretch marks and severe wrinkles. This improves the skin’s texture, thickness and quality, resulting in firmer and more radiant skin.

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The technology enables BodyTite and Renuvion practitioners like Dr. David Loh to accurately control heat delivery to the patient’s skin tissue through the device. Under the monitoring of a trained aesthetic doctor, the temperature of the skin will not rise beyond the safety limit. This prevents the skin from overheating, ensuring safety throughout.

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There is minimal downtime since the incisions are small. Some mild redness, peeling and swelling may be expected and can take one to two weeks to heal. Patients can apply their regular skincare prescribed by Dr. David Loh, stay out of the sun and stop exercising until the incision recovers.

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A few weeks to 6 months after the procedure: Collagen rebuilding and renewal processes are ongoing and skin improvement can be observed throughout the healing process. Patients can expect a reduction in loose skin or stretch marks.

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Benefits of BodyTite and Renuvion Tightening After Liposuction

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[nz_dropcap type=”empty full custom-dropcap” color=””]I[/nz_dropcap] n contrast to a tummy tuck, which requires a longer recovery time, both treatments are minimally invasive with less downtime and patients can quickly return to their daily activities after the procedure.

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Minimal downtime

Incisions made are smaller than other invasive treatments. Recovery time is significantly shorter. Patients can return to normal activities such as work or daily life without disruption after one or two days.

Visible results

Loose skin reduction can be seen immediately after the treatment. This may be from the initial mild swelling. But in the days and weeks ahead, the results are through the stimulation of the body’s own collagen repair and production. The continued collagen renewal process smoothens stretch marks, skin dents and severe wrinkles continuing for months.

Safe and minimally invasive

There are no big incisions and wounds are small as compared to invasive surgery. This minimises the risk of scarring, bleeding, or infections. The procedure is performed under local anaesthesia or sedation.

Versatile treatment

A minimally invasive procedure with a quicker recovery time makes it a highly versatile treatment. BodyTite and Renuvion can be used as a complementary treatment to liposuction or in combination with other skin tightening procedures to combat loose and saggy skin and provide excellent outcomes.

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Renuvion and BodyTite Treatment Areas

[/vc_column_text][vc_column_text]March 2023 • Skin[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner css=”.vc_custom_1680257774249{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-bottom-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 45px !important;padding-bottom: 0px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #b2b2b2 !important;border-left-style: solid !important;border-right-color: #b2b2b2 !important;border-right-style: solid !important;border-top-color: #b2b2b2 !important;border-top-style: solid !important;border-bottom-color: #b2b2b2 !important;border-bottom-style: solid !important;}” el_class=”row-curve-edge”][vc_column_inner css=”.vc_custom_1680242659751{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_raw_html el_class=”inner-curve” css=”.vc_custom_1680244854928{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”]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[/vc_raw_html][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner gap=”10″ css=”.vc_custom_1680252939971{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 5px !important;padding-right: 45px !important;padding-bottom: 40px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #a0a0a0 !important;border-left-style: solid !important;border-right-color: #a0a0a0 !important;border-right-style: solid !important;border-bottom-color: #a0a0a0 !important;border-bottom-style: solid !important;}”][vc_column_inner css=”.vc_custom_1680233905580{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_column_text]

[nz_dropcap type=”empty full custom-dropcap” color=””]L[/nz_dropcap] oose, saggy and wrinkled skin can appear on the face, neck and body due to collagen or muscle loss due to aging, weight loss, UV damage or smoking.

As we age, the body produces less collagen and elastin in the skin. The skin loses its elasticity over time, becoming less able to bounce back after stretching. It loses the support structure that keeps the skin firm.

When a large amount of weight is lost quickly, such as through a clash diet, post-pregnancy, or liposuction, the fatty layer beneath the skin might not have enough time to recover before the new shape becomes set, resulting in stretch marks.

Smoking and excessive exposure to the sun can cause premature ageing. The skin’s structure is damaged, causing cells to die, which affects collagen and elastin production. Skin problems such as deep wrinkles, creases, hyperpigmentation and sagging will then occur.

Radiofrequency (BodyTite) or Plasma (Renuvion) Skin Tightening helps the skin generate and rebuild its own collagen, effectively treating skin issues caused by the factors above.

Under the hands of a trained, qualified aesthetic surgeon, treatments can be precisely targeted in these areas:

Sagging jawline and chin
Loose skin on the neck
Severe wrinkles on the face
Butterfly arms
Mid or lower back/Bra-line fats
Sagging side chest
Loose abdominal fats
Flanks/Love handles
Flabby thighs
Sagging buttocks

Ultrasonic (Vaser) Liposuction, Radiofrequency Assisted Lipolysis (BodyTite), and Plasma Skin Tightening (Renuvions) are forms of minimally invasive skin tightening procedures offered by Dr. David Loh in Singapore. They target and reduce loose skin and stretch marks on the face, neck and body.

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Frequently Asked Question on BodyTite and Renuvion

[/vc_column_text][vc_column_text]March 2023 • Skin[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner css=”.vc_custom_1680257774249{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-bottom-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 45px !important;padding-bottom: 0px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #b2b2b2 !important;border-left-style: solid !important;border-right-color: #b2b2b2 !important;border-right-style: solid !important;border-top-color: #b2b2b2 !important;border-top-style: solid !important;border-bottom-color: #b2b2b2 !important;border-bottom-style: solid !important;}” el_class=”row-curve-edge”][vc_column_inner css=”.vc_custom_1680242659751{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_raw_html el_class=”inner-curve” css=”.vc_custom_1680244854928{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”]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[/vc_raw_html][/vc_column_inner][/vc_row_inner][/vc_column][vc_column margin_b=”false”][vc_row_inner gap=”10″ css=”.vc_custom_1680252939971{margin-top: 0px !important;margin-right: 0px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 5px !important;padding-right: 45px !important;padding-bottom: 40px !important;padding-left: 45px !important;background-color: #ffffff !important;border-left-color: #a0a0a0 !important;border-left-style: solid !important;border-right-color: #a0a0a0 !important;border-right-style: solid !important;border-bottom-color: #a0a0a0 !important;border-bottom-style: solid !important;}”][vc_column_inner css=”.vc_custom_1680233905580{margin: 0px !important;padding: 0px !important;border: 0px initial !important;}”][vc_column_text]

How many treatment sessions are needed?

Visible results to tighten loose skin and stretch marks can be seen after a single treatment of either BodyTite or Renuvion. Your skin will continue to regenerate collagen and improve in the next few weeks up to 6 months.

Patients with significant skin sagging, volume loss, or poor skin quality might need to repeat the treatment after six months to achieve desired effects.

How long is the procedure?

Depending on the size of the treatment area, the duration of treatment can range from 20 minutes for the neck to 1 hour for larger body areas such as underarms.

Who can perform Radiofrequency (BodyTite) or Plasma (Renuvion) Skin Tightening?

The procedure must be performed by a certified, trained medical physician with a licensed clinic in Singapore. But best go to a clinic specializing in liposuction, fat grafting type of procedure. It cannot be performed in spas or beauty salons by nurses or therapists.

How safe is Radiofrequency or Plasma Skin Tightening?

Radiofrequency (BodyTite) or Plasma (Renuvion) Skin Tightening are less invasive than tummy tuck (abdominoplasties). Probes are inserted through liposuction incisions to heat up the skin to the optimal temperature for sufficient time to produce results and cool quickly, and there are built-in safety mechanisms to prevent overheating.

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CONTACT US

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Speak with us at (+65) 6733 5300
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WhatsApp us (+65) 9153 1503
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davidlohsurgery

Everything you need to know about Dermal Fillers in Singapore – With David Loh

DR DAVID LOH

Growing old gracefully has taken on a new meaning in the last few years.

In the past, it referred to growing old “without any work” done. These days, with plastic surgery so pervasive, growing old gracefully means growing old with “only minimal work” done. And B*tox and Fillers are as minimal as it gets in aesthetics. Let’s talk about dermal fillers in this blog, shall we?

facial_filler_faqs

Frequently Asked Question on Dermal Fillers

What areas are best treated with dermal fillers?

All areas on the face, from the forehead down to the chin can be safely and effectively treated with dermal fillers. Here are the more common areas that are treated.

Forehead augmentation and projection can contour the forehead;
Nose, lips and chin augmentation bring out the beauty in the central facial features;
Cheek and under-eye augmentation support the skin over the cheeks. This decreases the appearance of the under-eye hollows, the nasolabial folds and the jowls;
The temples and lateral cheek augmentation creates a natural lifting of the face.

At David Loh Surgery, we excel in the art of dermal filler injections having published our special injection technique (The DL Lift) as an instructional guide for doctors in PRIME, International Journal of Aesthetic and Anti-Ageing Medicine in 2018.

What are the prices for dermal fillers like?

The price for dermal fillers costs $800 per syringe of 1ml. Check out our price list

Treatments like the nose and lips often require only 1ml.
Treatments like forehead, cheek and chin augmentation require 2-3mls per area, but they do not need to be done all in one go on the same day.
Then there are treatments like The DL Lift (our treatment named after Dr David Loh) may require 4-5mls of fillers each time. The DL Lift is also sometimes called a Liquid Facelift
Skin hydration boosters also cost $1000 per syringe of 1ml. To hydrate the under-eye skin, the skin over the cheeks including the nasolabial folds, and around the lips, patients will need 2-3mls of skin hydration boosters.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

Are filler injections painful?

All of the reputable brands of modern fillers contain an anaesthetic called lidocaine which takes away the discomfort of filler injections. You shouldn’t settle for less.

The only sensation you will feel is the tiny needle entering the skin, and the sensation of movement (not pain) when the cannula is moved under the skin.

Are fillers injection results immediate?

Yes, the results are immediate and “what-you-see-is-what-you-get”. Plus minus 10%-20% perhaps because of slight initial swelling. In fact most of the time, the results are natural enough and the patients are presentable enough to go out and meet friends immediately after a treatment. This actually gave rise to the term “lunchtime facelifts”.

Is there any recovery time (downtime) when getting filler injections?

The chances of getting a tiny bruise with filler injections is about 10%-30% depending on which areas are being treated. Also with multiple areas of treatment, there is also a higher chance of getting at least one bruise.

No doctor can guarantee bruise-free injections; after all needles and cannulas are involved in the process of filler injections. If a bruise occurs, it will need to run its natural course taking a 7-10 days to slowly disappear. Most of the time bruises are tiny and can be easily covered with a bit of makeup.

Besides bruising, which of course causes some swelling, there is often some swelling which unrelated to the bruises. This is a natural process in filler injections. This post injection swelling usually takes 3-7 days to subside.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

How safe are filler injections?

preperation_facial_filler

Filler injections are only as safe your doctor’s knowledge of the anatomy of the face. So don’t settle for non-medically trained injectors like beauticians. In fact, best to approach doctors that do filler injections frequently than those who do not.

With proper training and experience, filler injections are generally very safe.

Our doctors are trainers for other doctors. Dr David Loh has published in medical literature on the prevention and management of filler complications. One of the papers have been awarded a Best Paper (Gold) Award by the Plastic and Reconstructive Journal (PRS Global Open) in 2019.

The other aspect about safety with regard to dermal fillers is the filler material itself. As a filler material, hyaluronic acid fillers have been safely used on millions of patients since the 1990s. Without mentioning brands here, we are of the opinion that only biodegradable non-permanent fillers are safe. This is because they do not hang around long enough to cause granulomas or infections. And as the face changes, as it inevitably will over the years, fillers can be topped up to suit the changes associated with aging.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

About David Loh Aesthetics

Dr David Loh is one of the first trainers and mentors in aesthetic medicine in Singapore. He developed and published in medical literature his filler injection techniques as instructional pieces for other doctors. He also published in medical literature his works on the prevention and management of filler complications.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

What is the “overfilled syndrome”?

The “overfilled syndrome” is an unfortunate term coined by some doctors with the intention to disparage the work of other doctors. These doctors bring up isolated incidents of overfilled media celebrities to discourage patients from have filler injections. Perhaps these doctors are themselves not skilful enough nor experienced in filler injection, hence they try to divert clientele to the non-injection treatments. As a patient-consumer, you should be able to discern this kind of marketing tactics.

What you need to know is that you would need an incredible amount of filler material (maybe >20 syringes) to reach the kind of caricatured appearance of some of these celebrities. The so called “overfilled syndromes.” These celebrities can afford it but most patients would not be able to, and most conscientious doctors would hold back the patients before they even reach that kind of look.

The fact of the matter is that most patients with early signs of aging actually would benefit a great deal from filler injections into the fat compartments that have begun to shrink. This not only reverses the early signs of aging, but it can even prevent sagging.

Overfilled syndrome can easily be avoided as long as there is clear communication between doctor and patient. Clear goals and expectations are aligned prior to the procedure, and the doctor has restraint in his or her approach, with the aim of creating a natural result while resolving the concerns of facial aging such as sagging and volume loss.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

The Only Way is Up

Improving Appearance is what we do everyday. Not making our patients look like someone else, but making them more confident through the art of the DL Lift and other techniques of filler injections. Bring out their best features and still being themselves. This is the essence of Enhancing Confidence.

WhatsApp +65 8878 8045 , call us +65 6733 5300, or send us an email here.

davidlohsurgery

在新加坡进行抽脂术必须了解的知识

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什么是抽脂术？

抽脂术是去除体内脂肪细胞的微创手术。它通过皮肤上的一个小孔和一根细套管提取沉积脂肪。其目的是塑造施治区域的形状和轮廓。

作为一种治疗方法，抽脂对塑造身体或面部不匀称部位特别有用。大腿外侧脂肪堆积、腰部或腹部赘肉等与身体其他部位不协调的部位可以施行抽脂治疗。抽脂术的目的是让身体曲线更优美，并与身体的其他部分更相称。

抽脂术有各种形式，如Vaser Liposuction, 威塑超音波溶脂（Vaser Liposuction）、Vaser HD（高清威塑超音波溶脂）、Smartlipo溶脂和传统抽脂术，每种抽脂术都有各自的优点。我们将在下面详细讨论。

抽脂本身不能完全去除皮肤下的脂肪团，也不是减肥或肥胖的解决方案。

抽脂术适合哪些人？

liposuction_procedure

任何有身体某些部位比例失调的人都可以接受抽脂术并从中受益。顽固脂肪通之所以被称为顽固脂肪，就是指无论人们进行多少锻炼和节食，它们都是“雷打不动”。这些顽固分子就可以通过抽脂有效去除。

人们误认为只有身材苗条的人抽脂才有效果。事实上，即使是有点肥胖的人，只要存在比例失调的部位，抽脂都有效果。

但是，请别误会，抽脂对减肥或肥胖没有帮助。它只对特定部位进行塑造和勾勒。肥胖者仍然需要通过节食和锻炼来达到减肥的目的，这样不仅可以拥有更好的身材，还可以获得更好的整体健康。

其实，营养师和运动医生的建议对某些肥胖患者有帮助。如今，有一些药物可以非常有效地实现减肥，却不会产生以往减肥药的许多副作用。胰高血糖素样肽（GLP1）Saxenda®就是一个例子。如果药物治疗失败，可以选择由减肥外科医生进行椭圆囊或袖状胃切除术。

然而，如果有临床指征表明需要进行抽脂术，患者需要足够健康才能进行。通常如此，因为对于患有心脏病或慢性糖尿病等慢性疾病的患者来说，抽脂是他们最不想做的事情。从某种意义上说，抽脂患者群体是“自我选择”的。然而，大多数抽脂术从业者都会注意此类慢性疾病。

联络方式 WhatsApp +65 9153 1503 , 电话 +65 6733 5300, 邮件.

哪些部位可以进行抽脂术？

马鞍包（一些女性的大腿外侧脂肪堆积）、腰部赘肉（有时称为肚腩肉）和腹部赘肉是抽脂的常见区域。但几乎任何地方，从脸到脚踝，都可以使用抽脂来塑造轮廓。皮肤弹性是一个重要的考虑因素。

有良好的皮肤弹性，您的皮肤在术后会很好地贴合您的新体型。

Body Parts That Liposuction can be Performed On

抽脂可以让我减重多少？

如果你想通过抽脂来减肥，那你找错了方向。

通过大面积抽脂，你通常最多可以减掉1-2公斤的体重。对抽脂术更现实的期望是，你可以塑造身体的某个特定部位，使身体的曲线更协调。然后你应该会更有动力去健身房或锻炼，以改善自己的身材。

从长远来看，动力是非常重要的。保持你的体重在一个稳定的范围内（波动小于5%）对于防止脂肪重新分布非常重要。尤其是大面积抽脂后，身体会自然倾向于将脂肪沉积到另一个区域。这种重新分布可能发生在任何地方，包括内脏脂肪沉积。

如果你能在抽脂后多年保持体重不增加太多，脂肪就不会重新分布。

联络方式 WhatsApp +65 9153 1503 , 电话 +65 6733 5300, 邮件.

抽脂过程是怎样的？

根据抽脂部位的不同，抽脂术可能会有差别，从局部麻醉下在诊所进行的10分钟小手术，到麻醉师镇静下进行的2小时日间手术都有可能。以下是你进行抽脂术要经历的过程。

抽脂咨询

咨询很重要，可以确定你是否适合进行抽脂术。除了健康状况等明显的禁忌症外，还有一些重要的考虑因素需要讨论。

一个重要的考虑因素是待抽脂区域的皮肤质量。大多数外科医生都能准确估计抽脂术等消减手术后是否会出现皮肤松弛。有时，避免皮肤松弛的诀窍可能是减少消减量。医生可能与患者讨论所有这些问题。

另一个考虑因素是抽脂的范围。换句话说就是，我们可以在一次抽脂术中安全地抽吸多少个部位。即使是在镇静或全身麻醉下进行，抽脂区域也需要预先注入肿胀麻醉液，以减少抽脂过程中的出血。抽脂过程中可以注入多少肿胀麻醉液是有安全限制的。在一次抽脂手术中，大多数外科医生都能将腹部或大腿等大面积区域与手臂等小面积区域结合起来抽吸。

然后，从恢复过程到抽脂术后的实际预期等其他一切问题都应该会事先与患者讨论。

抽脂过程

liposuction_procedure _in_singapore

抽脂过程的第一步是注射肿胀麻醉液，它可以起到麻醉作用，并在抽脂过程中减少出血。根据抽脂的类型，可能使用某种形式的能量来松弛脂肪沉积。比如威塑辅助抽脂术中的高频超声能量、Microaire吸脂仪器的振动或水动力辅助抽脂中的水压。但是通常情况下，脂肪已经足够柔软和疏松，不需要额外的“动力辅助”就可以被抽出。

然后就是抽出脂肪。外科医生将确定达到预期塑形和轮廓的时间点。

患者将在日间手术的恢复区休息，直到麻醉剂的作用消失。同时，护士会帮助患者穿上塑身衣。

然后患者就可以回家休息了。

联络方式 WhatsApp +65 9153 1503 , 电话 +65 6733 5300, 邮件.

抽脂恢复

恢复情况当然也有个体差异，但一般来说，抽脂后的恢复是轻轻松松的。会有些肿胀和瘀伤，但它们不会使人感觉很虚弱。大多数患者在抽脂后的第二天都可以活动。

肿胀大约从第二天开始加重，在术后第4-5天最严重。这时候压缩衣非常方便控制肿胀并为患者提供最大的舒适度。第五天之后，肿胀应该会自然消退，第二周后，穿不穿塑身衣都可以。

一些残余肿胀可能会持续数月。

恢复时间表

术后2到5天，当肿胀逐渐加重时，你可能会感到不适和酸痛。这时最需要穿塑身衣。其实，人们认为塑身衣会影响最终效果完全是个误解。它不会，但它确实能在抽脂后的头几天减少不适。一些外科医生可能会插入引流管，以清除治疗部位的液体和血液淤积。这样的话，你可能必须限制自己的活动，以防引流管滑落。但除此之外，你可以像平常一样进行大多数轻松的活动。比如去超市或开车送孩子上学，应该没有任何问题。

在1到2周内，疼痛（通常是肿胀）会逐渐减轻，并且每天都会变得越来越舒服。塑身衣仍然可以穿，但现在已经可以随意决定了。一些专门从事抽脂的诊疗机构甚至可以提供射频治疗，以加速消肿。如果你的工作对体力要求很高，可以多花点时间恢复。

在术后2至4周，塑身衣基本可以不穿，大多数患者可以考虑进行一些认真的锻炼。但一定要注意你的身体状况。如果疼痛或不适，不要勉强自己。毕竟愈合过程因人而异。

最后，在术后大约第6周，瘀伤应该已经完全消退，尽管你可能仍然会感到轻微肿胀。一个月后你可能就要准备好“比基尼”。

联络方式 WhatsApp +65 9153 1503 , 电话 +65 6733 5300, 邮件.

抽脂的风险

经过多年的发展，抽脂术已经成为一种非常安全和可以把控的整形术。减轻各种风险是训练有素、经验丰富的抽脂从业者的使命。团队合作（麻醉师和技师）对于实现良好的效果至关重要。多年来，手术中涉及的器械和所有设备都经过反复改进，以实现更高的安全水平。

但与任何手术一样，抽脂手术也有一定的风险和潜在的并发症。抽脂手术可能产生的一些副作用和并发症包括：

麻醉风险 -确保进行深度麻醉，麻醉师必须在场监督和实施麻醉。

不规则的皮肤轮廓或色素沉着 – 如果脂肪去除不均匀，皮肤弹性差，或者套管对皮肤下方区域造成损坏，皮肤可能会永久性地出现凹凸不平或不规则情况。最好防患于未然，经验告诉我们不要过于去除过多脂肪。

积液– 淋巴水肿发生时，淋巴液可能因局部淋巴流中断而积聚在皮肤下。这种情况通常有自限性。

麻木 – 由于抽脂部位的神经损伤，皮肤的感觉可能会发生暂时或永久性变化。现代方法和工具通常不会导致这种情况。

内部结构损伤 – 以前曾发生过意外刺伤内脏的情况，但非常罕见。还曾发生对血管、神经或肌肉的损伤。正常情况下，抽脂工具经过精心设计，不会损伤内部结构。实际上，外科医生手部的大量触觉反馈在很大程度上减轻了影响。

感染 – 有时可能发生皮肤感染。

恢复不良 – 可能出现持续肿胀或伤口愈合不良恢复不良

抽脂术的并发症发生率总计约为 5%，大多数并发症都很轻微。可以与你的外科医生沟通，详细了解此类可预防的风险。

联络方式 WhatsApp +65 9153 1503 , 电话 +65 6733 5300, 邮件.

在新加坡做抽脂要多少钱？

影响抽脂费用的因素很多。包括外科医生的费用、麻醉师的费用、日间手术室的租金、塑身衣、出院药物（如抗生素和止痛药）以及随访费用。

如果要进行脂肪移植，那么分离纳米脂肪和结构脂肪也需要支付费用。你的外科医生可能会向你收取固定的外科医生费用，然后其他部分的费用视情况而定。一些专门从事抽脂的机构可能会对整个过程收取固定费用，无论需要多少手术时间。后者，即统一收费，在新加坡更为普遍。

在新加坡，单部位小面积抽脂的价格从$3,000到$4,000不等，多部位抽脂的价格从$12,000到$25,000不等。在新加坡罗大卫医美诊所（David Loh Surgery），我们的收费是$3,000 – $12,000，在新加坡算是比较划算的。以下是我们的报价单，包括抽脂。

找到最适合您的抽脂术

什么是威塑超音波溶脂

Vaser代表共振时声能的振动放大，是一种特殊形式的抽脂术，在过去10年得到验证，是流行的纤体术。

威塑超音波溶脂的工作原理是利用超声波能量松弛脂肪沉积，以便更轻松地用套管抽脂器将其抽出。超声波能量通过插入皮肤下的探头传导至脂肪。只有脂肪细胞被选择性地作为靶向细胞，以使其松弛。血管、肌肉、结缔组织和其他组织不受威塑超声能量的影响。

威塑超音波溶脂的这种特性本身并不能使之成为许多医生在网上宣称的最佳抽脂方式。任何形式的抽脂都取决于外科医生的技能、技术和经验。有些外科医生在抽脂方面名气很大，但不使用威塑。例如，他们只用注射器抽脂术，或者通常被称为常规抽脂术，就可以取得很好的效果。反之亦然。一定要注意这一点。

高清威塑超音波溶脂术或称Vaser HD是威塑超音波溶脂术的一种变体，其工作原理是将脂肪沉积塑形成肌肉状。否则，由于皮下脂肪层比平常更薄，因此更容易看到下面的肌肉形状。在我们新加坡的诊所接受Vaser HD的费用从8000新元到12000新元不等。决定定价请参阅价格表。

什么是Smartlipo溶脂术

Smartlipo是另一种溶脂技术，通常用于去除下巴或脸颊下方较小区域的脂肪。

手术过程中会将光纤激光器插入皮肤以到达脂肪层。Smartlipo激光发射的频率会破坏脂肪细胞膜。然后，被破坏的脂肪细胞被巨噬细胞（白细胞）清除，在肝脏中进行代谢，并通过粪便排出。这项技术是微创的，因为它不需要插入套管来抽真空脂肪细胞——而是通过体内启动的生物过程自然清除脂肪细胞。

Vaser、Smartlipo和“传统”抽脂术的区别

在Vaser和Smartlipo过程中，肿胀麻醉和抽脂之间多了一步，使它们成为所谓的“动力辅助”抽脂法。而在传统抽脂术，也被称为常规抽脂术中，在抽脂前没有额外的步骤来松弛脂肪沉积。

无论采用哪种方法，它们都是为了去除皮肤下的脂肪沉积，从而塑造和完善身体的轮廓。最好的方法不在于技术，而在于外科医生的技能和经验。

传统抽脂术

传统或常规抽脂术通过套管手动去除脂肪，而不是先分散脂肪细胞。这个过程通过重复移动和抽吸压力来分解脂肪细胞沉积，通过套管吸出脂肪。外科医生来回移动套管以分解脂肪层。

你可能会说这非常“费力”。因此，诸如Vaser或Smartlipo之类的动力辅助抽脂法问世，目的就是使外科医生的工作更轻松。

但实际上，对于经常做抽脂手术的外科医生说，不管有没有动力辅助方法，抽脂就像在管弦乐队里拉小提琴一样，是一种享受快乐和成就感的过程，而不是一项家务,负担。

威塑超音波溶脂术对比Smartlipo溶脂术

这就像比较苹果和橙子。威塑在去除腹部和大腿等大面积脂肪方面非常有效。Smartlipo则可以精细地去除下巴、脸颊和肩部等非常小的部位的脂肪。

他们的适应症完全不同，但目标当然是一样的。都是为了塑造身体的某个部位。

联络方式 WhatsApp +65 9153 1503 , 电话 +65 6733 5300, 邮件.

什么是脂肪移植？

脂肪移植，也被称为脂肪转移或脂肪填充，包括将脂肪从身体的一个部位移植到另一个部位实现轮廓增强或体积置换。脂肪移植的常见部位包括脸颊、乳房、臀部和手。

what_is_fat_grafting 与其他填充物或植入物相比，脂肪移植的好处在于它使用了来自你自己身体的组织（自体脂肪），这完全避免了排斥问题。

脂肪移植术的过程是怎样的？

脂肪移植的第一步是抽脂，目的是获取脂肪细胞作为“填充材料”。根据填充部位的不同，所需的脂肪量也会有很大差异。例如，面部脂肪移植可能只需一个巴掌大小的微型抽脂区。通常只需要不到100毫升就够。而乳房或臀部脂肪移植则需要对腹部或大腿等大面积抽脂。

获取脂肪后，脂肪细胞被清洗和过滤。过滤过程产生不同的脂肪组分。一些较大的脂肪颗粒用于结构增强，而最小的脂肪颗粒用于对皮肤产生类似干细胞的效果。这些是基质血管成分（SVF）或纳米脂肪。

然后就是将脂肪岛入注射器中，准备重新注射到打算增加脂肪的各个部位。脂肪过滤后要立即进行脂肪移植。专业抽脂机构不会将提取的脂肪储存起来，以备日后使用。但是有一些干细胞库可以储存脂肪干细胞，或称为间充质干细胞（MSC），可以在以后使用。甚至在很多年后使用。

尽管目前还没有临床批准的MSC用途，但在治疗病变器官方面，有一些治疗应用很有前景。

阅读了解更多关于间充质干细胞库的信息。

联络方式 WhatsApp +65 9153 1503 , 电话 +65 6733 5300, 邮件.

哪些人适合做脂肪移植？

首先，抽脂过程必须能获得足够的脂肪。对于面部脂肪移植来说，这并不是一个重要的考虑因素，因为所需的脂肪量并不多。对于乳房或臀部脂肪移植，可能需要500毫升或更多的脂肪。大多数身材苗条的人并没有那么多多余的脂肪。

如果有脂肪，患者自己的脂肪（自体脂肪）是一种非常好的填充材料，适合那些想要丰满胸部或臀部、丰盈脸颊或对身体其他部位进行增强的人。纳米脂肪还可用于治疗因过往手术或受伤而产生的皱纹或疤痕。

至于脂肪移植能使乳房丰满多少，患者确实要降低他们的期望。如果想显著增加罩杯尺寸，如C杯或D杯，隆胸仍然是更好的选择。而脂肪移植到乳房最多可以增加一个罩杯，对于本身是A罩杯的娇小人群效果最好。

在新加坡，接受了部分或全部乳房切除术的乳腺癌存活者有时会选择脂肪移植手术来补充乳房体积。

联络方式 WhatsApp +65 9153 1503 , 电话 +65 6733 5300, 邮件.

顺利完成抽脂

我如何为抽脂做好准备？

记下在抽脂手术前几天你可以做的一些准备工作：

在手术当天早上（前一天午夜后）不要吃或喝任何东西，为身体麻醉做好准备
不要刮胡子或剃毛，尤其是将要接受治疗的部位，以防止刺激或导致感染的毛发向内生长
手术前不要在身体上涂抹润肤霜、化妆品、防晒霜等，因为接受治疗的部位应该不含化学物质。
进出诊所时穿宽松舒适的衣服，以尽量减少手术后的刺激
安排人来接你或准备在手术后叫出租车回家，因为你在麻醉作用未完全消除的状态下不宜开车
在恢复期保持适量活动。这将有助于更快地消肿。

如何长久保持抽脂术的效果？

抽脂可以为你的身体带来奇迹，让你感觉良好，对自己充满信心。然而，你的身体将继续因为你的运动、饮食和生活方式而增加和减少脂肪，跟抽脂术之前的情况一样。为了保持你新塑造的身材，你必须长期保持健康的饮食和生活方式。自我感觉良好不仅取决于你的身体外观，还取决于你内心的感受——保持健康是实现这个目标的一个好方法！

1. 健康饮食

首先，要从抽脂手术中恢复良好，就要吃低钠、低盐、富含维生素、抗氧化剂和其他富含营养的食物。术后恢复期间最适合吃的食物有芹菜、葡萄柚、西瓜和草莓。改变你的饮食，尤其是在手术后的几个月内，将增强你的身体免疫系统，帮助你更好更快地恢复。你还应该增加蛋白质摄入量，以帮助肌肉和皮肤复原。

即使你已经从抽脂手术中完全康复，也要继续每天保持健康均衡的饮食！在新加坡，健康的饮食应该包括半盘水果和蔬菜，四分之一的全谷物，如糙米或全麦面包，四分之一的肉类、海鲜、鸡蛋和低脂乳制品。要少食多餐，而不是几顿饱腹。

进食健康美味的食物将对你的身体健康产生巨大的影响，并帮助你保持抽脂的效果。

2. 经常锻炼

新加坡成年人最好每周至少进行150分钟的中等强度体育活动。你可以在家里做一些简单的锻炼，比如以固定的姿势行进，在椅子上坐下和站起来，向侧面和背部抬腿，伸展手臂。

keep_fit_after_liposuction

当然，你可以根据自己的身体能力来调整运动的强度和难度。手术后，你应该根据外科医生的建议在3至5周内限制体力活动。一旦你可以进行体育运动，就要把锻炼融入你的日常生活中！

3. 大量饮水

抽脂手术后，多喝水对防止脱水很重要。新加坡的成年人应该每天至少喝8杯水，但在术后恢复阶段，你应该将这一摄入量增加到每天大约10到12杯。在你完全康复后，也要继续适当地补充水分。水有助于促进新陈代谢，帮助消化，甚至保持一整天的能量水平。

如果对抽脂的长期效果有合理的预期，术后你会更快乐、更健康！

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david_loh_liposuction — 罗大卫医生是新加坡卫生部认可的抽脂医师之一。他可施行各种类型的抽脂，包括传统抽脂、Vaser、Vaser HD和Smartlipo溶脂。他还施行脂肪移植和纳米脂肪移植术。

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结论

总而言之，如果你得到了最好的建议，并进行了最适合你身体的抽脂手术，那么抽脂将会是一个平稳有效的过程，从长远来看可以增强你的信心和健康。要做好抽脂的心理准备，请仔细阅读相关资料，在美容诊所预约咨询，提出问题——然后一切都会顺利进行。和我们一起开始你的抽脂之旅吧！

新加坡罗大卫医美诊所是新加坡一家知名的美容诊所，自2006年起提供抽脂服务。欢迎通过WhatsApp+65 9153 1503，致电我们+65 6733 5300，或在此处向我们发送电子邮件预约咨询。

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davidlohsurgery

在新加坡做皮肤填充术必须了解的知识

DR DAVID LOH

在过去几年里，优雅地变老有了新的含义。

过去，它指的是对于变老“毫不作为”。如今，随着整容术的普及，优雅地变老意味着“花极少的精力”变老。肉毒杆菌素及填充术在医美学上是最基本的整形术。在这篇博客中，我们来讨论一下皮肤填充术，好吗？

关于皮肤填充术的常见问题

哪些部位最适合接受皮肤填充术？

从前额到下巴的所有面部区域都可以安全有效地进行皮肤填充术。以下是较常见的填充部位。

额头丰盈和突出可以勾勒前额的轮廓；
隆鼻、隆唇和隆下巴使面部的中央区域更加美丽；
隆脸颊和眼部下方可支撑脸颊上方的皮肤。这会减少眼下凹陷、鼻唇沟和下颌垂肉的出现；
隆太阳穴和侧面颊可自然提升面部轮廓。

皮肤填充术是新加坡罗大卫医美诊所（David Loh Surgery）的专长，并于2018年在国际美容与抗衰老医学杂志PRIME上公开发表了我们的特殊注射技术（DL-Lift) ，作为美容医生的指导文献。

皮肤填充术的价格是多少？

皮肤填充术每针（1毫升装）的价格是800新币。详情请浏览我们的价目表

丰鼻丰唇等部位通常只需要1毫升。
丰额头、丰脸颊和丰下巴等部位，每个部位需要2-3毫升，但不需要在同一天一次性注射完所有部位。
还有一些治疗方法，比如DL-Lift（我们以罗大卫医生的名字命名的标志性治疗方法），每次可能需要4-5毫升的填充剂。DL Lift有时也被称为液态拉皮
皮肤保湿水光针每针（1毫升装）的价格也是1000新币。为了给眼睛下方的皮肤、脸颊（包括鼻唇沟）和嘴唇周围的皮肤保湿，患者需要注射2-3毫升的Volite皮肤保湿水光针

注射填充剂会痛吗？

所有知名品牌的现代填充剂都含有一种叫做利多卡因的麻醉剂，可以消除填充剂注射带来的不适感。

您能感觉到的唯一不适是小针刺入皮肤，以及顿针管在皮肤下移动时的操作感（而不是疼痛感）。

注射效果是否立竿见影？

是的，效果是立竿见影的，“所见即所得”。可能有10%-20%的差距，那是因为起初会有轻微肿胀。事实上，大多数情况下，治疗效果都很自然，患者在接受治疗后可以立即出去见朋友。“午餐时间整容”这个词就是这么来的。

进行皮肤填充术是否需要恢复期（请假停工）？

皮肤填充术造成轻微瘀伤的几率约为10%-30%，具体取决于填充部位。此外，对多个部位进行填充时，很可能至少会有一处瘀伤。

没有哪个医生能保证注射过程不会产生瘀伤；毕竟填充剂注射过程会用到针头和套管。如果出现瘀伤，则需要7-10天的自然过程才能慢慢消失。大多数时候瘀伤很小，用化妆品很容易掩盖。

除了瘀伤，当然也会有一些肿胀，还有一些与瘀伤无关的肿胀。这是填充剂注射的自然过程。注射后肿胀通常需要3-7天才能消退。

皮肤填充术有多安全？

只有当医生了解面部解剖结构时，皮肤填充术才有安全保障。所以不要随便信任那些没有受过医学训练的注射师。其实，最好找那些填充经验丰富的医生，而不是那些缺乏经验的医生。

如果接受了适当的培训并有足够的经验，皮肤填充术通常来说很安全。

我们的医生是其他医生的培训导师。罗大卫医生在医学文献中发表了关于预防和处理填充并发症的文章。其中一篇论文于2019年被《整形外科医学期刊》（PRS Global Open）授予最佳论文（黄金）奖。

关于皮肤填充术安全性的另一个方面涉及填充材料本身。自20世纪90年代以来，透明质酸填充剂作为一种填充材料已安全用于数百万患者。这里我们不谈品牌，我们认为只有可生物降解的非永久性填充材料是安全的。因为它们停留的时间不足以引起肉芽肿或感染。至于面部的变化，随着时间的推移，变化是不可避免的，我们可以补充填充剂以延缓与衰老相关的变化。

关于新加坡罗大卫医美诊所（David Loh Surgery）

皮肤填充术是罗大卫医美诊所的专长。请阅读关于这位填充专家（填充剂注射）的媒体报导。

罗大卫医生是新加坡首批美容医学培训师及导师之一。他开发并在医学期刊中发表了他的填充剂注射技术，作为其他医生的指导文献。他还在医学期刊中发表了他关于预防和处理填充剂并发症的著作。

David Loh 医生是新加坡最早的美容医学培训师和导师之一。他开发并在医学文献中发表了他的填充注射技术，作为其他医生的指导文章。他还在医学文献中发表了有关预防和治疗填充并发症的著作。

什么是“过度填充综合征”？

“过度填充综合征”是一些医生为了贬低其他医生的技术而臆造出来的一个诋毁术语。这些医生指出某些媒体名人过量填充导致面部僵硬扭曲的孤立事件，以打消患者进行皮肤填充术的念头。也许这些医生本身在皮肤填充术方面不熟练，也没有经验，因此他们试图诱导客户接受非注射治疗。作为一个有辨别力的医美消费者，您必须分辨这种营销策略。

要知道，您需要大量注射填充剂（可能超过20针）才会达到这些名人那种不自然的样子。所谓的“过度填充综合征”也只有这些名人负担得起，大多数普通患者根本无法承受，而大多数尽职尽责的医生都会在患者变成那种样子之前阻止他们。

事实是，往已经开始塌陷的脂肪区注射填充剂对大多数有早期衰老迹象的患者都大有好处。这不仅可以逆转衰老的早期迹象，甚至可以防止下垂。

自2006年以来，罗大卫医生一直在不断开发填充剂注射技术。他指导了几代年轻医生，是一名倡导者，并发表了关于填充术抗老化的著作。除非患者强行要求医生给他们过度注射，否则不存在所谓的过度填充综合症。任何有良知的医生都会阻止患者过度使用皮肤填充剂。

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How does Intense Beam Ultrasound compare with Microfocused Ultrasound?

Among the devices that tighten skin through neocollagenesis, let’s do a pedigree-to-pedigree comparison of Intense Beam and Microfocused Ultrasound. Both work on the principle of High Frequency Focused Ultrasound (HIFU). Both produce skin changes with a single treatment that continues to improve for months.

Notice we have left out the copycat HIFUs a plenty.

Comparison between Intense Beam and Microfocused Ultrasound

	Intense Beam	Microfocused
Other HIFU	Yes	Yes
Thermal Zone (the trigger neocollagenesis)	Longitudinal with uniform oval shaped cross-section	Tear drop shaped with upper part near the epidermis
Treatment depth	Fixed, for comfort and optimal results	Offers 3 treatment depths for tightening the SMAS, and in some cases, facial sculpting as an off-label indication.
Comfort	Typically does not require topical anesthesia.	Needs topical anesthesia for a full-face treatment.

What is the prices for the Intense Beam and Microfocused Ultrasound treatment?

Treatments are priced at $3800 for the full face and upper neck areas. In fact it is the same with a branded RF skin tightening treatment that we also have.

How long does each treatment last?

The collagen that is produced after each Intense Beam and Microfocused Ultrasound treatment is your own. It will not degrade like a dermal filler. But we all age a bit every year. So, it would be good as a preventive treatment to repeat the treatments every year.

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What You Need To Know About Skin Hydration Booster Treatments

To replenish our skin’s hyaluronic acid content, we now have the option of Skin Boosters treatments. Here’s what you need to know. Our skin contains a lot of hyaluronic acid which is a crucial element in proper functioning of our skin cells. Hyaluronic acid, the essential bond between skin cells, gets depleted as we age. As a result, our cells do not turn over as quickly as they used to.

Aside from that, hyaluronic acid also contributes to our skin’s overall barrier function and helps our skin to retain moisture effectively. As a result, our skin loses its youthful elasticity and radiance.

What is a Skin Booster treatment?

Skin Boosters are popular treatments to achieve radiant and youthful-looking skin. The treatment involves injection of a specially formulated and highly purified hyaluronic acid gel into the skin. This then brings about radiance and glow unlike what other treatments can achieve. It improves skin moisture retention which translates to less fine lines and smaller pore size, and a generally better skin texture. All this after 1-2 weeks of a single injection session. It also reduces skin laxity in the longer term.

How does the Skin Booster treatment work? What is the procedure like?

After the initial consultation, the doctor will locate your 5 bio-aesthetic points (BAP) on each side of the face and neck. Then, using a fine needle, the Skin Booster will be injected under the surface of the skin. These injectable points are strategically placed to minimize bruising and discomfort and to yield optimal results. Each treatment only takes about 5 minutes.

Besides the intense hydration effects of the hyaluronic acid, it also treats skin laxity by bio-stimulating the skin’s production of elastin and collagen. The treatment is used to reduce the appearance of sagging skin, fine lines and wrinkles on the face, neck, chest and even hands.

Overall, the results are noticeable within 2 weeks after the first treatment. Dr. David Loh, medical director of David Loh Surgery generally advises patients to follow up with a second session after a month. After treatment, the results can last anywhere between 8 to 9 months.

What are the key benefits of a Skin Booster treatment?

Firstly, because of the high concentration of hyaluronic acid, Skin Booster is an effective treatment for boosting overall hydration levels and stimulating collagen production.

Secondly, Skin Booster brings about bio-stimulation of elastin and collagen in the skin, resulting in a tighter, firmer and more radiant appearance.

Thirdly, it also accelerates tissue repair which is instrumental in the treatment of acne breakouts and scars.

On top of it all, this treatment is quick and involves minimal downtime and discomfort.

How is Profhilo different from dermal fillers, Rejuran and skin boosters like Volite?

These are the various brands of skin hydration boosting injections. Unlike dermal fillers, Profhilo does not restore volume to the skin. Instead, it delivers an intense surge of hydration to restore radiance and vitality to the skin.

Compared with skin boosters, Profhilo differs in the way it is delivered to the skin. While Profhilo involves 5 injection points per side, skin boosters requires multiple small injections in one localized area.

Although Profhilo’s main ingredient (hyaluronic acid) is similar to that of skin boosters and fillers, the biotechnological and chemical structures differ significantly from skin boosters or fillers. In fact, the concentration of hyaluronic acid in Profhilo is five times more than the average skin booster. Additionally, its binding technology also ensures that there are less impurities in its formulation than that of traditional dermal fillers. So what this means is Profhilo is safer with a lower risk of lumpiness and other unwanted side effects.

As for Rejuran, that is a product based on Salmon testicular DNA extracts. You decide if you want to that.

Frequently asked questions about Profhilo

1. Who is eligible for Profhilo treatment?

Pretty much everyone will benefit from the treatment. However, it works particularly well for individuals with signs of ageing skin and who are looking to hydrate, tighten and improve the quality of their skin. It is also very effective for mild to moderate cases of skin laxity and rhytids (a fancy term for wrinkles or fine lines).

2. What is the downtime after Profhilo injections? Are there any side effects?

Recovery time is remarkably short. There are hardly any visible side effects except small “bumps” which will normally subside after a day or so. Patients can usually resume their normal activities immediately after the procedure. Since Profhilo is bio-compatible with your body, your body will be able to metabolize the hyaluronic acid injectable over time.

3. Can I combine Profhilo with other aesthetic treatments?

Yes, it can be safely and synergistically combined with many other aesthetic treatments such as fillers and even lasers. However, it is always advisable to consult your doctor regarding the treatment sequence for optimal results.

Related Topics

Read more about Skin Tightening Treatments

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Through small improvements in your appearance, we Enhance Confidence for thousands of patients since 2002.

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Everything you need to know about Liposuction in Singapore

What is liposuction?

Liposuction is the surgical procedure of removing fat cells from the body. Fat deposits are extracted through a tiny hole in the skin and using a thin cannula. The objective being to shape and contour the treated area.
As a treatment, liposuction is particularly useful to sculpt areas on the body or the face that are disproportionate. Areas like the saddlebags, the love handles or belly that are not in sync with the rest of the body shape can be treated with liposuction. The aim is so that the body’s curves to flow better and achieve better harmony with the rest of the body.
Vaser Liposuction, Vaser HD, Smartlipo and traditional liposuction are various forms of liposuction techniques, each with its own advantages. Which we will discuss below.
Liposuction itself cannot fully remove cellulite from under the skin nor is it a solution for weight loss or obesity.

Who is suitable for Liposuction?

liposuction_procedure

Anyone who has an area that is out of proportion with the rest of the body can benefit from liposuction. Stubborn fats as they are commonly called, as areas that will not “move” no matter how much exercising and diet one undergoes. These areas can be effectively removed by liposuction.
It is a misconception that only slim fit individuals can benefit from liposuction. Even somewhat obese individuals, as long as there are areas of disproportion, can benefit too.
However, not to be mistaken, liposuction does not help with weight loss or obesity perse. It only sculpts and contours specific areas. Obese individuals will still have to work at it from dieting and exercising in order to achieve not only a better figure, but better general health.
Some patients who are generally obese may actually benefit from some advice from dieticians and exercise physicians. There are medications nowadays that can very effectively bring about weight reduction without many of the side effects with the older slimming pills. Wegovy or Zepbound, various types of peptide called GLP1, are examples. And if medications fail, there is the option of a bariatric surgeon referral for Ellipse balloon or sleeve gastrectomy.
However if liposuction is clinically indicated, the patient needs to be healthy enough for the surgery. And they generally are, because for patients who have chronic illnesses like heart problems or chronic diabetes, liposuction would be the last thing on their minds. The patient group that presents for liposuction is “self-selecting” in a sense. However, most liposuction practitioners would watch out for such chronic illnesses.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.

Which body parts can you do liposuction on?

The saddlebags (outer thighs in some women), the love handles (the lower flanks which sometimes called muffin tops) and the belly are common areas for liposuction. But almost anywhere, from face down to ankle can be contoured using liposuction methods. Skin elasticity is an important consideration.
With good skin elasticity, your skin will contour nicely to your new body shape after the procedure.

Will I have Loose Skin After Liposuction?

Talking about Skin Elasticity, there are several methods which can tighten potentially loose skin during a liposuction procedure. These are added steps during the liposuction procedure. Energy in the form of plasma (Renuvion) from activated helium, or heat from radiofrequency (BodyTite), are delivered through the liposuction incisions to tighten the overlying skin. These technologies have built-in safety mechanisms to avoid overheating or injuring the skin they are supposed to tighten. These skin tightening procedures are useful in areas where loose skin commonly occurs, like in the belly, the underside of the arms and the inner thighs. Read more about these added steps to prevent loose skin after Liposuction. And also about a mildly invasive treatment like Facetite that tightens and sculpts the skin of the lower face and neck, either with or without liposuction.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.
Body Parts That Liposuction can be Performed On

How much weight can I lose with liposuction?

If you’re looking at liposuction to lose weight, you’re looking in the wrong direction.
With large-area liposuction, you generally lose up to 1-2 kg of weight at a maximum. A more realistic expectation from liposuction is that you can get a particular part of your body sculpted so that the body’s curve flow in better harmony. And then you should be more motivated to gym or workout to improve on your figure.
Motivation is very important for the long haul. Maintaining your weight within a stable band (less than 5% fluctuation) is very important to prevent fat redistribution. Particularly after large area liposuction, the body will have a natural tendency to deposit the fat into another area. This redistribution can be anywhere including in the visceral fat deposits.
Fat redistribution will not occur if you do not, over the years, put on a lot of weight after liposuction.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.

What can I expect when I go for liposuction?

Depending on the area to be treated the liposuction procedure can vary from a 10-minute minor-procedure done in the clinic under local anaesthesia, to a 2-hour procedure in day surgery performed under sedation by an anaesthetist. Here’s what you can expect.

The Liposuction Consultation

A consultation is important determine if you are suitable for the procedure or not. Obvious contraindications like health conditions aside, there are important considerations that need to be discussed.
One important consideration is the quality of the skin over the area to be treatment. Most surgeons can accurately estimate if there would or would not be any loose skin following a debulking procedure like liposuction. And sometimes, the trick may be to debulk less to avoid loose skin. All this may be discussed with the patient.
Another consideration is the extent of the procedure. In other words how many areas we can safely include in one session. Even if performed under sedation or general anaesthesia, the liposuction area needs to be pre-infused with a tumescent solution to reduce bleeding during suction. And there is a safety limit to how much tumescent solution can be infused in a session of liposuction. Most surgeon will be able to combine one large area like the abdomen or thighs with another small area like the arms in one session of liposuction.
And then everything else from the recovery process to what can realistically be expected after liposuction should also be discussed with the patient.

The Liposuction procedure itself

liposuction_procedure _in_singapore

The first step in a liposuction procedure is the infusion of tumescent solution, which acts as an anaesthetic as well as reduces bleeding during liposuction. Depending on the type of liposuction used, some form of energy may be applied to loosen up the fat deposits. This may be in the form of high frequency ultrasound energy in Vaser assisted liposuction, vibrations in Microaire or water pressure in water-jet liposuction. However, very often the fat is soft and loose enough to be sucked out without the added step of “power-assisted” liposuction.
And then suction of the fat. The surgeon will determine the point at when the intended sculpting and contouring is achieved.
Patients will rest in the recovery area of the day surgery until the effects of the sedation are wearing off. Meanwhile, nurses help the patient put on the compression garment.
Patients then go home to rest.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.

Liposuction recovery

There are of course individual variations, but generally recovery is a breeze after liposuction. Swelling and bruising is to be expected, but they are not debilitating. Most patients are mobile and active the very next day after the liposuction.
The swelling starts at around the second day progressively getting worse peaking at the 4^th-5^th day post op. This is where the compression garment comes in very handy to reign in the swelling and provide maximum comfort. After the 5^th day, the swelling should be on the way down naturally and the compression garment becomes quite optional after the second week.
Some residual swelling may persist for up to a few months.

Recovery Timeline

For 2 to 5 days after surgery, and when the swelling is on its way up, you might experience some discomfort and soreness. This is where the compression garment is most needed. In fact it is a total misconception that the compression garment will change the final outcome. It doesn’t. But it sure does reduce the discomfort in the first few days after liposuction. Some surgeons might insert drains to remove fluid and blood accumulations from the treated areas. In which case you may have to limit your movements in case the drains slip off. But otherwise you can go about most light activities as normal. Like perhaps going to the supermarket or driving your kids to school, you should not have any problems.
In 1 to 2 weeks, the pain usually the swelling should be on the way down and every day that passes, it gets more and more comfortable. Compression garment can still be worn, but it gets pretty optional by now. Some clinics that specialize in liposuction may even offer RF treatments to hasten the resolution of swelling. If your job is physically demanding, take more time off to recover.
By weeks 2 to 4, the compression garment is pretty optional by now and most patients can consider some serious exercising. But always listen to your body. Don’t push if the is pain or discomfort. The healing process differs naturally, from person to person.
Finally, in about the 6th week after surgery, bruising should have subsided completely, though you may still experience slight swelling. You could say that you are just about being “bikini-ready” here at one month onwards.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.

Liposuction risks

The liposuction procedure has evolved over the years to become a very safe and predictable. Mitigating all the risks is the task of a well trained and experienced practitioner of liposuction. Teamwork (anaesthetists and technicians) are crucial for a good outcome. Instruments and all the devices involved in the surgery have been repeated refined over the years to bring about an even higher level of safety.
But as with any surgery, liposuction procedures come with certain risks and potential complications. Some possible side-effects and complications involved in liposuction surgery are:

Anaesthesia risks – make sure is deeper sedation is administered, an anaesthetist is present to monitor and administer the sedation.

Irregular skin contours or pigmentation – if fat is removed unevenly, the skin has poor elasticity, or the cannula causes damage to the area beneath your skin, your skin may permanently appear bumpy or irregular. Prevention is still best and it comes with experience not to push too far in removing too much fat.

Fluid accumulation – Lymphedema happens when lymphatic fluids may accumulate under the skin from localised disruption of lymphatic flow. This is usually self limiting.

Numbness – temporary or permanent changes to skin sensation may occur due to neuropraxia of the nerves in the areas treated. Modern methods and tools generally do not cause this.

Damage to internal structures – Accidental puncture the internal organs have happened before albeit very rarely. As well as damage to the blood vessels, nerves or muscles. The tools are designed not to damage internal structures by default. A good amount of tactile feedback to the hand of the surgeon actually mitigates to a large extent.

Infection – skin infection may sometimes occur.

Poor recovery – persistent swelling or poor wound healing may occur

Liposuction surgeries have a total of approximately 5% complication rate, with most complications being minor. Speak to your surgeon to understand more about such preventable risks.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.

How much does it cost to do liposuction in Singapore?

There are various components to the cost of liposuction. There is the surgeon’s fees, the anaesthetist fees, the rental charges for the day-surgery operating theatre, the compression garment, the discharge medications like antibiotics and analgesics, and the follow-ups.
If there is fat grafting, then there is also the consumable costs for separating out the nano-fat and structural fat. Your surgeon may charge you a fixed surgeon’s fee and then leave the other components variable. Some practices specializing in liposuction may charge a flat fee for the whole procedure, no matter how much operating theatre time is needed. The latter, ie. flat fee, is more common in Singapore.
In Singapore, small area liposuction of a single area ranges from $4,000 to $8,000, and multiple area liposuction can range from $8,000 to $30,000. All in. Here at David Loh Surgery, an aesthetic clinic in Singapore, we tend to charge the lower end of the range of liposuction costs in the country. Here’s our price list on everything including liposuction.

Finding the Right Liposuction Procedure for You

What is VASER Liposuction?

Vaser stands for Vibration Amplification of Sound Energy at Resonance and is a particular form of liposuction that has proven to be popular in the last 16 years.
Vaser Liposuction works by loosening fat deposits using ultrasonic energy so that they can be more easily extracted using the cannula suction. The ultrasound energy is delivered via a probe inserted under the skin. Only fat cells are selectively targeted, to cause them to loosen up. The blood vessels, muscles, connective tissues and other tissues are not affected by the Vaser ultrasound energy.
This fact alone does not make Vaser the best form of liposuction as claimed by many doctors online. Any form of liposuction is only as good as the surgeon’s skill, technique and experience. Some surgeons are world renown in liposuction, but do not use Vaser. They achieve great work with for example only syringe liposuction, or what is also commonly referred to as conventional liposuction. And the converse is also true. Do take note of this.

High definition Vaser Liposelection or Vaser HD is a variation of Vaser Liposuction that works by sculpting fat deposits into muscular shapes. Or else, the fat layer under the skin is thinned out more than usual so that it becomes easier to see the underlying muscle shapes. The cost of undergoing Vaser HD ranges from about S$8,000 – $12,000 at our clinic in Singapore. See our price list.

What is Smartlipo?

Smartlipo is another liposuction technique commonly used to remove fat from smaller areas like under the chin or cheeks.
A fibre optic laser is inserted into the skin to reach fat layers. The frequency at which the Smartlipo laser is fired disrupts the membranes of the fat cells. The destroyed fat cells are then moped up by macrophages (white blood cells) to be processed in the liver and excreted through your stools. The technique is minimally invasive because it does not require inserting a cannula to vacuum up fat cells – rather the fat cells are cleared naturally through biological processes initiated inside your body.

Difference between Vaser, Smartlipo and “Traditional” Liposuction

The added step between tumescent anaesthesia and suction in Vaser and Smartlipo makes them so called “power-assisted” methods of liposuction. Whereas in traditional liposuction, also known as the conventional liposuction, there isn’t the additional step to loosen up the fat deposits before suction.
Whatever method, they are all invented with the objective of removing fat deposits from under the skin to sculpt and contour areas of the body. And the best method is not in the technology, but the skill and experience of the surgeon.

Traditional Liposuction

Traditional or conventional liposuction removes fat manually through the cannula without first dispersing fat cells. This procedure breaks up fat cell deposits using repetitive movements and suction pressure to suck out fats through the cannula. The cannula is moved back and forth by the surgeon to break up the fatty layer.
You could say a considerable amount of “elbow grease” is involved. Hence power assisted methods like Vaser or Smartlipo were invented to make life easier for surgeons.
But in actual fact for surgeons who do liposuction often, the act of performing liposuction is like playing a violin in an orchestra, a joy and a sense of achievement, rather than a chore. With or without power-assisted methods.

Vaser Liposuction or Smartlipo

This is like comparing apples and oranges. Vaser is very efficient at removing fat from large areas like the abdomen and the thighs. Smartlipo delicately removes fat from very small areas like under the chin, the cheeks and the so-called “bra-strap” fats.
Their indications are quite different, but of course the objective is the same. Being to sculpt and contour a certain part of the body.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.

What is fat grafting?

Fat grafting, also known as fat transfer or lipofilling, involves transplanting fat from one part of your body to another part for enhancement or volume replacement. Common areas for augmentation with fat grafting include the cheeks, breasts, buttock, and hands.
what_is_fat_grafting The benefit of fat grafting over other fillers or implants is that it uses tissue from your own body (autologous fat), which completely avoids the issue of rejection.

What is the fat grafting procedure like?

The first step of fat grafting is a liposuction procedure to harvest fat cells that will be used as the “filler material”. Depending on where the augmentation area is, the amount of fat required would be quite different. It could, for example, be a mini-liposuction of a palm-sized area for fat grafting to the face. Less than 100mls would often be enough. Or it would require a liposuction of a large area like the abdomen or the thighs in the case of fat grafting to the breasts or buttocks.

After the fat is harvested, the fat cells are cleaned and filtered. The filtration process yields various fractions of fat. Some of the larger fat particles are intended for structural augmentation, while the smallest ones are intended for the stem-cell like effects on the skin. These are the stromal vascular fraction (SVF) or the nano-fats.
The fats are then decanted into syringes ready to be re-injected into the various sites where augmentation was intended. The fat grafting procedure is done immediately after filtration. Liposuction-specialised practices do not store the extracted fat for use another day. There are however stem cell banks that can store adipose-derived-stem-cells, or mesenchymal-stem-cells (MSCs) as they are also called, use at a later date. Even up to many years later.
Although there are no clinically approved use for MSC at the moment, there are therapeutic applications on the horizon with promising results for the treatment of diseased organs.
Read more about Mesenchymal Stem Cell banking.
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Who is suitable for fat grafting?

First and foremost there must be enough fat to harvest through a liposuction procedure. For fat grafting to the face, this is not so important as a consideration because the amounts needed are not so much. For fat grafting to the breasts or the buttocks, 500mls or more of fat may be needed. And most thin individuals do not have that much spare fat.
If the fat is available, autologous fat (own fat) is a very good filler material for people who wish to enhance their breasts or buttocks, lift their cheeks or perform enhancements to other parts of their body. The nano-fats can also be used to treat wrinkles or scars from previous surgery or injury.
Patients do need to moderate their expectations as to how much of any increase in breast size they can achieve with fat transfers. For significant improvements in breast cup sizes, like C or D cups, breast implants are still the better option. Fat transfer to the breasts can increase perhaps one cup size at most, and is best observed in petite individuals whose starting point is an A cup.

Breast cancer survivors in Singapore who have undergone partial or full mastectomy sometimes choose to undergo the fat grafting procedure to replace volume in their breast. As an adjunct to other treatments like rotational or free flaps.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.

Keeping well with Liposuction

How can I prepare myself for liposuction?

Take note of some things that you can do to prepare yourself for the liposuction surgery in the days leading up to it:

Do not eat or drink anything in the morning of your procedure (after midnight the previous day) to prepare your body for anaesthesia
Do not shave, especially the areas that will be undergoing treatment, to prevent irritations or ingrown hairs that may cause infections
Do not apply moisturisers, makeup, sunscreen etc. to your body before you go for surgery because the areas undergoing treatment should be chemical-free.
Wear loose and comfortable clothing to and from the clinic to minimise irritation after the surgery
Arrange for somebody to pick you up or be prepared to call a taxi home after the procedure as you should not drive after being under anaesthesia
Stay active and mobile during the recovery period. This will help the swelling dissipate faster.

How do I maintain results after liposuction surgery in the long-run?

Liposuction can do wonders for your body, making you feel good and confident about yourself. However, your body will continue to gain and lose fats based on your exercise, diet and lifestyle – just like it ordinarily would before liposuction. To maintain the results of your newly-shaped body, you have to keep with a healthy diet and lifestyle in the long-term. Feeling good about yourself does not just depend on how your body looks, but how you feel inside too – and staying healthy is one great way to do that!
1. Eat healthy
To first recover well from liposuction surgery, eat foods that are low in sodium and salt, and high in vitamins, antioxidants and other nutrients. Some best foods to take during post-surgery recovery are celery, grapefruits, watermelon and strawberries. Altering your diet, especially in the few months after surgery will boost your body’s immune system and help you to recover better and faster. You should also increase your protein intake to help with muscle and skin recovery.

Even after you have fully recovered from the liposuction procedure, continue to keep a healthy and balanced diet daily! In Singapore, a healthy diet should include half a plate of fruits and vegetables, a quarter of whole grains such as brown rice or wholemeal bread, and a quarter of meat, seafood, eggs, and low-fat dairy products. Eat more smaller portioned meals rather than a few big meals.
Munching healthy, delicious foods will make a huge difference to your body’s health and help you to maintain the results of liposuction.
2. Exercise Regularly
Adults in Singapore are recommended to engage in moderate-intensity physical activity at least 150 minutes every week. Some simple exercises that you can do in your home are marching in a stationary position, sitting down and standing up from a chair, doing leg raises to the side and back and doing arm stretches.
keep_fit_after_liposuction

Of course, you can adjust the intensity and difficulty of your exercise according to how well you can cope with it. After the surgery, you should limit your physical activity until about week 3 to 5, and under the advice of your surgeon. Once you are given the go-ahead, incorporate exercise into your daily routine!
3. Drink plenty of water
Drinking plenty of water is important to prevent dehydration after your liposuction surgery. Adults in Singapore should drink at least 8 glasses of water a day, but in the post-surgery recovery stage, you should increase this water intake to about 10 to 12 glasses of water a day. When you have fully recovered, continue to properly hydrate yourself. Water helps to boost metabolism, aid digestion and even maintain your energy level throughout the day.
With reasonable expectations about liposuction results in the long-run, you can be happier and healthier after a procedure!

Conclusion

Overall, liposuction can be a smooth and efficient process to boost your confidence and health in the long run if you get the best advice and undergo the best liposuction procedures suitable for your body. To mentally prepare for liposuction, read up, book a consultation at the aesthetic clinic, ask questions – and everything will flow after that. Embark on your liposuction journey with us!
David Loh Surgery is an established aesthetic clinic in Singapore providing liposuction services since 2006, . Book a consultation with us. WhatsApp +65 9153 1503 , Call us +65 6733 5300, or sending us an email here.

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