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.
Liposuction 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.
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.
Treatments to Reduce Loose Skin After Liposuction
Here are some effective treatments to minimize or improve the appearance of loose skin and stretch marks post-liposuction:
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.
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
Instead 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:
Vaser Liposuction
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.
BodyTite
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.
Renuvion
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.
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.
Skin Tightening Add-on Procedures During Liposuction
Before 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.
Plasma 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.
How BodyTite and Renuvion Tightens Loose Skin During Liposuction
Here’s what to expect during the a Renuvion or BodyTite procedure:
Benefits of BodyTite and Renuvion Tightening After Liposuction
In 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.
Loose, 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.
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.
Frequently Asked Question on BodyTite and Renuvion
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.
Dr David Loh is the immediate past president of the Society of Aesthetic Medicine in Singapore, having published on his filler injection techniques. His publications on the management of filler complications is often cited in scientific journals.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
Treat signs of aging using under eye dermal fillers
A couple of things happen as we age. The fat compartments under the eyes above the cheeks shrink (atrophy is the scientific term). Thus reducing support for the skin and muscles around the eyes. The bones around the eye sockets also remodel (change shape) which causes even greater loss of support for the overlying soft tissues. This sagging in the under eye area gives rise to the signs of aging. And dermal fillers are a great way to reduce the signs of under eye aging.
Under-eye area showing signs of aging
5 signs of under-eye-aging:
Hollowness or sunken under-eye area is the direct effect of the fat atrophy.
The lengthening of the lid cheek junction (above red line) which is due to the lack of support.
The tear-trough deformity, which is a groove under the eyebags. This is also due to the lack of support.
The Eyebags. These may be psuedo-eyebags caused by skin laxity rather than actual eyebags, which are caused by fat pad herniation.
Dark eye circles. Thin skin draping over muscle gives rise to the darker color. Only very rarely are dark eye circles the result of actual pigmentation on the skin.
The Treatment For Under-eye Aging
The treatment however is relatively simple. Dermal fillers when skillfully injected into the fat compartments in the under-eye area provides support and resolves most of the above problem features. The dermal filler is carefully placed using a cannula (a needle with a rounded tip) to minimize trauma. The dermal filler spreads evenly over the areas treated. Lumpiness is rare with the cannula technique of injection. Bruising can sometime occur even with a cannula but are usually quite minimal.
As for the crepey skin in the under eye area, the dermal fillers can help somewhat, but usually a bit of laser to tighten up the skin, and reduce the fine lines, and that’s all it takes to brighten up the look. The fractional CO2 laser is good, but has a bit of downtime. Otherwise, Sylfirm or Thermage eyes are not too bad too.
Watch Dr Davin Lim from Australia being treated by Dr David Loh while he was in Singapore. Under eye dermal filler injections.
A medical case report by David Loh Surgery has been awarded the PRS Global Open 2019 ‘Best Case Report’ (Gold) by international medical journal Plastic & Reconstructive Surgery.
With facial fillers being a widely available aesthetic procedure to temporarily reduce the appearance of wrinkles, or contour faces, there have been some cases where patients have developed features of “impending skin necrosis”: discolouration of the skin due to the premature death of skin cells, in reaction to soft tissue augmentation resulting from the injection. While rare, this complication may occur even under the care of experienced injectors.
David Loh Surgery’s founder Dr David Loh and partner Dr Phoon Yi Shan, who is in charge of the branch clinic at Novena Medical Centre, together with two other doctors jointly authored a case report on such an incident which was successfully managed with prompt diagnosis and treatment.
Entitled Successfully Managing Impending Skin Necrosis following Hyaluronic Acid Filler Injection, using High-Dose Pulsed Hyaluronidase, the paper was first published by PRS Global Open in its February 2018 issue. Using data collected on the article’s view count and sharing activity, among others, David Loh Surgery’s case report was then scored and selected by the journal’s editorial and publishing staff for the award.
“We are very honoured to represent Singapore in contributing to the global body of medical knowledge with our recent case report on successfully managing hyaluronic acid filler-induced impending filler necrosis,” says Dr David Loh, founder and medical director of David Loh Surgery.
“This accolade from PRS Global Open, as an open-access and peer-reviewed international journal, bears testament to our commitment to furthering safety and standards in aesthetic medicine. The culture of knowledge sharing and continuous learning is very much in line with our philosophy at David Loh Surgery,” he adds.
Plastic and Reconstructive Surgery is the official publication of the American Society of Plastic Surgeons. The title launched Plastic and Reconstructive Surgery – Global Open, in April 2013 as a companion journal with an intention to globalise plastic surgery research, collaboration, and best practice sharing through its open access platform.
PRS Global Open holds its annual Best Paper Awards event with the aim of recognising the best new papers by both US and international authors across multiple categories including that of Best Case Report under which Gold, Silver and Bronze Awards are presented.
David Loh Surgery’s award-winning case report can viewed in full here:
The Liquid Facelift is a popular procedure in aesthetic clinics across Singapore. It is termed ‘liquid” because it involves using only B*tox (a liquid) and hyaluronic acid fillers (a gel) to create a lifting effect on the lower parts of the face. It is a non-surgical and involves very little recovery time. In fact, as a “facelift” achieved through injections only, it has also been popularly called a “non-surgical facelift” or “lunchtime makeover”.
Over the years, many experts have also described other variations of the Liquid Facelift, and they are all very good.
The are 3 important factors to consider when performing The Liquid Facelift.
The first is where to inject. Great masters of filler injections have proposed various depths of injection. Some for reasons of safety (deeply just above the periosteum), while others have target the “retaining ligaments” to build “struts”and “supports” for the sagging. Dr David Loh proposes that fillers be placed into fat compartments to mimic the state they were in before they underwent atrophy with age.
The second is when to inject. Understanding that fat pads will sequentially atrophy in the process of aging, might one not be able to pre-emptively inflate the fat pads to prevent sagging altogether? Hence the question about when to inject becomes quite important as we can prevent, rather than chase, signs of aging.
And the last consideration is how to inject. This is a cannula vs needle question that many expert injectors of dermal fillers have weighed in on. And the aesthetic medicine community is actually quite divided on which technique is better. Dr David Loh’s technique uses a cannula to accurately deliver fillers into the fat pads.
With there 3 considerations in mind, Dr David Loh popularized and has been teaching a particular form of the Liquid Facelift since 2015, and the technique has been named The DL Lift by many in his industry; DL being the initials for Dr David Loh who described it.
What is the underlying philosophy of The DL Lift?
In 2018, Dr David Loh and Dr Phoon Yi Shan, the partners the David Loh Surgery, described and published The DL Lift in The Prime International Journal of Aesthetic and Anti-Ageing Medicine, a medical industry journal, detailing the technique for other doctors.
One of the fundamental reasons why we sag when we age is because of sequential and progressive fat compartment shrinkage. Yes, fats in the face are compartmentalized and they are adjacent to each other. When one compartment shrinks, the tension in the whole structure we call the SMAS is weakened, and sagging happens.
However, the fat compartments shrink sequentially, some like the under-eye fat pads shrink as early as when we are in our late twenties. Hence hollowness and tired looking eyes can be seen in commonly in the thirties. Then the temple fat compartments shrink in the thirties, and the lateral cheek fat compartments shrink in the forties. This leads to the formation of the jowls in the fifties. This is a well-documented phenomenon that has been published in medical literature.
Doctors at David Loh Surgery have shown that by selectively restoring volume in certain fat compartments that have begun to atrophy, we can restore tension in that layer under the skin that supports the face.
“More importantly, if we already know when which fat compartment will atrophy in each stage of our lives, we can preemptively add volume to that compartment, so that facial sagging can be slowed down or even prevented altogether.”
This preventive anti-sagging proposition is a novel concept, because in real life most people would not approach a doctor to reverse aging until aging has occurred.
The DL Lift technique involves using cannulas to accurately deliver fillers (or autologous fat) into the specific fat pads that have either atrophied or are predicted to atrophy. This restores the tension within the SMAS and gives a mild facelift type effect. The whole procedure takes less than an hour and the results are instant.
There is usually little recovery time, only the occasional bruises and some swelling that might take a week to subside. The procedure can be used in conjunction with other treatment like Ultherapy, Thermage and Thread Lifts.
Dr David Loh founded David Loh Surgery in 2002 with the aim of helping his patients improve their appearance and self-image, and in the process enhance their confidence. The clinic only uses treatments that are scientifically proven to be safe and effective. The medical jargon for this is “evidence based”, and has remained a cornerstone of all treatments provided at David Loh Surgery.
Furthermore, these treatments usually involve little or no recovery-time. Treatments like b*tox and fillers, fat transfers and ultherapy are what Dr David Loh is better known for.
Dr David Loh and Dr Phoon Yi Shan have left their mark in the medical aesthetics industry through publications like the one above in The Prime Journal, as well as on matters relating to filler complications management. One of their papers was awarded a Best Paper (Gold) by the Plastic and Reconstructive Surgery journal in September 2019.
Dr David Loh is the President of The Society of Aesthetic Medicine in Singapore, which actively promotes safety, efficacy and standards of care among its members through regular teaching sessions, workshops and conferences.
