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!

 

 

Read More
Dr Derek Koh

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.

Read More

Treatments to Improve Loose Skin After Liposuction

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Loose Skin After Liposuction

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[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.

 

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Treatments to Reduce Loose Skin After Liposuction

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[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:

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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.

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Skin Tightening Treatments 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=””]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

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[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

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

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1

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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2

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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3

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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4

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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5

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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6

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

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[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

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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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everything_about_liposuction

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

Liposuction Recovery Timeline

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。

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。

Finding the best liposuction procedure for you

 

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。

Vaser Liposuction

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

Smartlipo是另一种溶脂技术,通常用于去除下巴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

VaserSmartlipo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VaserSmartlipo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。而乳房臀部脂肪移植则需要对腹部或大腿等大面积抽脂

How fat grafting works

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)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。

Cheeks Lifting Fat Grafting

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

Keeping well with liposuction

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。

eat healthy balanced diet recovery for liposuction

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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everything_about_liposuction

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 4th-5th day post op. This is where the compression garment comes in very handy to reign in the swelling and provide maximum comfort. After the 5th 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

Liposuction 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 best liposuction procedure for you

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.
Vaser Liposuction
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
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_graftingThe 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.
How fat grafting works
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.
WhatsApp +65 9153 1503 , call us +65 6733 5300, or sending us an email here.

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.
Cheeks Lifting Fat Grafting
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

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.
eat healthy balanced diet recovery for liposuction
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!

david_loh_liposuction
Dr David Loh is one of the MOH accredited Liposuction practitioners in Singapore. He performs various types of liposuction including traditional liposuction, Vaser, Vaser HD and Smartlipo. He also performs fat grafting and nanofat grafting.

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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Gynecomastia

3 ways to Remove Man Boobs (Gynecomastia)

What causes gynecomastia (male breasts or Man Boobs)? How can we treat it? Also, what is pseudo-gynecomastia?

pseudo-gynecomastia

The first: Exercise?

One thing is for sure, “push ups” are not one of the treatments.

The glandular tissues in the breasts are by nature sensitive to hormonal changes. They grow and swell when there is a surge in sex hormones. And shrink when hormone levels are low. Which is why females develop breasts at puberty.

Though uncommon, some boys also develop swelling in the breasts usually around puberty, but which then spontaneously resolves. It may affect one or both sided of their chests. The name for the condition is gynecomastia, and it is probably the result of a temporary hormonal imbalance causing the breast tissue to be sensitized. No treatment is needed for this group of boys.

Second: Investigate and Treat hormonal disorders, if any.

A small percentage of these cases of pubertal gynecomastia continue to have a small amount of breast swelling into adulthood. In the great majority of these persistent cases, there is no underlying cause to be found. However, a small percentage of these cases are associated with a more serious underlying conditions where excessive female hormones are produced – including certain cancers. But these are extremely rare.

Quite commonly these days, gynecomastia is also associated with the abuse of anabolic steroids for body building purposes. In fact, they constitute the large majority of the cases we treat.

And then there is “pseudo-gynecomastia”. Whereas in gynecomastia, the breast’s glandular tissues are enlarged, in psedo-gynecosmastia only the surrounding fat tissue is excessive, which then gives rise to the appearance of breasts on a man’s chest.

“Pseudo” or “real” are quite easily distinguishable. When squeezed between your fingers, fat feels different from glandular tissue. Fat being softer to touch than glandular tissue. An ultrasound scan may also be useful to distinguish between the two.

Distinguishing between “pseudo” and “real” gynecosmastia is important because while pseudo-gynacomastia is mainly a body contouring issue and there are methods including liposuction which can help reduce it; “real-gynecomastia” may be a sign of a more serious underlying pathology. And it calls for clinical investigation into whether there are underlying medical conditions.

A series of tests (lab and X rays) should be able to rule out the more serious stuff. And the tests are not expensive. Referrals can be made if serious underlying conditions are detected.

Third: Liposuction or Excision for Men Boobs

In most of the cases, there will be nothing wrong elsewhere and then the gynecomastia becomes a purely cosmetic issue. The breast tissues can be surgically excised in a minor surgical procedure.

The commonest group of patients that present with male breasts are nowadays those whom had at some point in their lives abused anabolic steroids.

gynecomastia

The signs are very tell-tale. Firstly, these patients are bulkier in terms of muscle mass than an average male, they have rougher and more leathery skin than usual, and they have “bitched nipples” (this is body-building terminology for permanently erected nipples).

Treatment for this group of patients may involve combining a liposuction with a surgical excision, as they would have both swollen glands and accumulated fat after they abandoned the body building circuits.

There are of course medications that can help block the oestrogen sensitivity. Drugs like Clomiphene and Tamoxifen are inexpensive ones. They may not always work. So cosmetically speaking liposuction and or surgical excision is still the surer bet.

 

 

About our Doctors

Dr David Loh is the founder of David Loh Surgery located in Wheelock Place and Novena Medical Center. He is assisted by Dr Phoon Yi Shan, who is a senior partner in the aesthetic practice. Dr David Loh is accredited by MOH to perform liposuction. Dr David Loh is the President of the Society of Aesthetic Medicine.

Our doctors use a combination of liposuction and surgical excision to help our male patients achieve a better-looking chest. We will investigate for any underlying medical condition that may be causing the hormonal imbalance.

WhatsApp us at 9153 1503

Read more about Gynaecomastia Excision

Read more about Gynecomastia

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What is Cellulite?

Cellulite is caused by “bulging” fat-pockets tethered down by fibrous bands under the skin. Excess fat and water-retention aggravates the “bulging.” Dimpling and uneven skin, which is characteristic of cellulite, has also been likened to an orange peel – peau d’ orange.

Cellulite, which affects over 90% of post-pubescent women to varying degrees, is commonly found on the thighs, buttocks and legs. The older one gets, the more likely that there is cellulite. This can be explained by an increase of hard fibrous bands accumulating in the thighs over the years.

HISTORICAL PERSPECTIVE

On the point about poor circulation, it is very interesting to note that doctors in the early days of Medicine (19th century) classified Cellulite as a disease of poor circulation and possibly an “infection”. You find the term “Cellulitis” used in older textbooks. Cellulitis nowadays denote an infection of the skin and its subcutaneous tissues. Which Cellulite is absolutely not. It however shares the characteristic of infection, like swelling and poor circulation.

ANATOMICAL PREDISPOSITION

Cellulite is caused by bulging fat pockets squeezed by fibrous bands in certain parts of the body. The fibrous septae in men are diagonal whereas in women where they are perpendicular to skin. This and the difference in fat distribution between the sexes, make cellulite more common in women.

fibrous_bands

COMMON MYTHS

The actual problem is not the result of being overweight, contrary to common beliefs. Cellulite can sometimes be found on non-obese girls in their 20’s.

However, weight reduction often causes it to appear less visible. Exercise decreases the appearance of cellulite mainly be improving tissue circulation. And to a certain extent, it reduces fat deposits.

CURRENT TREATMENTS

Treatments that improve local tissue circulation will be useful. Medical grade RF, Mechanical RF, Shockwave, and even manual massage will he useful. The heat generated by some of these methods destroys a little of the fats, contracts the fibrous septae and improves tissue circulation.

We have both mechanical and non-mechanical RF, shockwave and 2 kinds of cryolipolysis for the above purpose. However, these are only useful for mild degrees of cellulite. And regular maintenance is needed, as you would imagine for a condition where the underlying problem is “poor circulation”.

Subcision in the hands of an experienced liposuction doctor is a more permanent solution. The harder and thicker fibrous bands can be severed in subcision, which is a minor surgical procedure. Like below.

EXPECTATIONS

Cellulite-free legs like in fashion models can only happen in print media because of photoshop. In reality, very few women can escape having some cellulite. It’s all a matter of degree.

However, with a scientific approach to understanding and treating the underlying causes, we can treat cellulite to a reasonably good degree.

Read more about Liposuction, Vaser Liposuction, High Definition Vaser Liposuction, and what realistically to expect from liposuction.

cellulite

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Qualms no more about Cosmetic Surgery

If aesthetic treatments and cosmetic surgery are still taboo, it is because of the stereotypes still perpetuating in popular media. These stereotypes tend to portray aesthetic treatment or cosmetic surgery patients as being vain or narcissistic, or that they cannot reconcile with their bodies (a condition called body dysmorphia syndrome). And that cannot be further than the truth!

The vast majority of patients who come forward for aesthetic treatments and cosmetic surgery are actually highly motivated and very driven individuals. Their underlying motivation is about taking control over their appearance and hence their destiny. Whether it is to find a life partner or to look sharp for job and business prospects, aesthetic treatments and cosmetic surgeries give them a sense of empowerment over their own destiny. It is this sense of empowerment that defines the modern day patient for aesthetic treatments.

Modern day aesthetic treatments with little or no downtime fits fits right into this whole frame of mind. Where the individual takes control over his or her destiny, appearance and competitiveness.

And very often, they are so empowered they will travel the world to seek out the best treatments and best practitioners.

And these individuals usually have no qualms about admitting to having work done. So there you have it, the modern day aesthetic and cosmetic surgery patient.

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Storing your Fat’s Stem Cells

Let us get the facts straight.

  1. At the time of writing this blog, there are no approved uses for Mesenchymal Stem Cell (MSC). MOH in Singapore only allows the use of stem cells in approved clinical trials. And for the treatment of medical conditions only. Their use in aesthetics is particularly frowned upon because it is expected that greedy and unethical doctors (or worse beauticians) would exploit the situation.
  1. The technologies to harvest and store stem cells over long periods have existed for decades.
  1. To avoid coercion or conflict of interest, the liposuction doctor who harvests the fat, the facility that stores the MSC, and the doctor or institution that initiates the clinical trials for the stem cell therapies should be separate unrelated people.

What are Stem Cells?

There are several types and sources of stems cells. Embryonic stem cells are derived from aborted embryos, which as you can imagine are outlawed in many countries due to ethical concerns. Adult stem cells can be derived from placenta, umbilical cord, adipose, bone marrow and even teeth.

Stem cells from the bone marrow are well-established therapies for various blood diseases. Some initial success has also been reported for cord blood.

Stem cells extracted from your own fat deposits are a newcomer. A mini-liposuction procedure is needed to get the fat out of the body to yield the stem cells. Adipose tissue derived stem cells are called Mesenchymal Stem Cells (MSC).

The technology to cryo-preserve stems cell has been around for decades. Just make sure the stem cell bank is properly accredited.

The cryo-preserved MSC can in the future be used in regenerative therapy. This refers to the use of regenerated MSC to replace damaged cells in organ failures. One such area of research is in pancreatic beta-cells for the treatment of diabetes. The future for many other diseases may well be in MSC and regenerative therapy.

However in order that you have the best MSC when you most need it in the future, you can do 2 things.

  1. Ensure that the mini-liposuction is done in a reputable and experienced centre.
  2. Choose the best stem cell bank that will store your stem cells for decades to come.

If you happen to be thinking about liposuction anyway, it might be a good idea to have some of the excess fat (which will be discarded) processed for MSC storage. Perhaps one day the MSC can grow a much-needed organ for you.

Watch a video about Fat Dervied Stem Cells from the Plastic Reconstructive Journal dated Sept 2021

What is Liposuction?

Liposuction is a treatment that is useful to sculpt areas of the body or the face that are disproportionate. Pockets of fat are extracted using a thin cannula to reveal a better body contour. The saddlebags, the love handles or a belly that is not in sync with the rest of the body shape are common areas for liposuction.

Liposuctions are minor surgical procedures. They are performed in a day-surgery OT with an anesthetist to administer sedation. The surgery takes about 1-2 hours in general to complete. The recovery time depends on the extent of the liposuction, but generally most patients will be able to go out of the house and run errands to very next day.

In some cases, the extracted fat can be transplanted to augment other areas, which have shrunk in the process of aging. This is referred to commonly as Fat Transfer. The face and the breasts are examples of such areas for Fat Transfer.

And of course during liposuction, a portion of the fat cells can be sent to the laboratory for extraction of mesenchymal stem cells (MSC), which are then stored for future use.

Storage of Mesenchymal Stem Cells (MSC)

The extracted MSC should be stored in a reputable cell banking facility, and preferably in a country like Singapore, which has very stringent laws regarding cell banking and storage standards. Cell banking facilities in Singapore have more than 20-year experience for successfully storing cord blood and stem cells of other sources.

Check that MSC may be withdrawn at the patient’s request for therapeutic purposes.

For ethical reasons, and to avoid and conflict of interest, the therapeutic applications should be administered by a doctor or institution other that the liposuction doctor or the stem cell banking facility.

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Liposuction

3 Misconceptions about Liposuction

First Misconception: Is liposuction a method of weight reduction?

The answer is no. Liposuction will not reduce weight and if any, it’s only marginal.

While it is an established fact that Liposuction can effectively sculpt areas that are out of proportion or are not in harmony with the rest of the body, a common misconception about liposuction is that it can also help the patient to lose weight.

According to Dr David Loh, “The only way to lose weight is with determination and with help from a dietitian, a gym-trainer and occasionally, if the obesity is severe, a bariatric surgeon.” A bariatric surgeon specialises in surgery to treat pathological obesity.

“Liposuction is best used to sculpt areas that are out of proportion with the rest of the body.” Dr David Loh stresses.

doc-david-loh-2

Liposuction is a procedure where fat deposits directly under the skin are extracted through a small incision in the skin. Fats wrapped around organs, which are called visceral fats, are not dealt with during liposuction.

The arms, chest, breasts, waist, thighs, calves, ankles and the area under the chin can be sculpted. These areas can be difficult to tone with just just exercise and diet, and liposuction offers a helpful option.

Dr Loh stressed that patient selection and education are important for the long-term success of the procedure.

 

Second Misconception: Can we do a full body liposuction?

“We cannot do ‘whole body liposuction’ for the obese. It will not succeed. Nope, liposuction is not for weight reduction.” he said.

Patients need to understand that they must continue to exercise and diet in order to maintain good long-term results. Areas that have been treated will not accumulate fat again. If the patient puts on weight after liposuction, other areas will take over the task of storing fat. This can cause a distortion of the overall figure. Visceral fat can also  accumulate faster around the organs during periods of drastic weight gain. This is unhealthy.

So, it is of utmost importance that patients understand that must not to allow any weight gain after liposuction. “If you maintain your weight within a plus-minus 1-2 kg band, you will be fine.”

Third Misconception: Vaser is the best form of Liposuction.

Liposuctionliposuction_and_fat_transfer can be done with the help of assisting devices. Dr David Loh uses Vaser Liposelection. But regardless of which assisted form of liposuction, it is essentially the experience and the skill of the liposuction surgeon which will determine results and the outcome of the surgery, not the tools. Dr David Loh also performs High Definition Vaser (Vaser HD).

Dr Loh also performs autologous fat-transfer to the face and breasts. This is where a person’s own fat is transplanted to the face for greater support of the skin or to the breasts for a slight enhancement. For the face, Nanofats can be grafted to do the work of fillers.

If cellulite is is caused by some degree of lipoedema, then Liposuction can be one of a range of tools to correct it.

Liposuction is performed in a Day Surgery OT and Dr David Loh works with anaesthetists to provide greater comfort and safety to his patients.

Here’s a piece written by Dr David Loh explaining what is Liposuction.

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